RECENT CITATION ACCIDENTS

Transcription

1 RECENT CITATION ACCIDENTS

2 What do these airplanes have in common? N839QS N54PV N697MC N492AT N486SB N86CE N814ER OY-JET N50CV N792MA

3 Co-founder of jetaviva Flight Test NTSB ATP/CFI-AIM Type ratings in CE-500, CE-510, Eclipse, Phenom About Ben

4 Unstabilized Approach Accidents N839QS September 1, 2008 Telluride, CO CE-560 N54PV April 19, 2008 Carlsbad, CA CE-510 / Mustang N697MC October 27, 2007 Atlantic City, NJ CE-650 / III N492AT January 24, 2007 Butler, PA CE-550 / II N50CV July 10, 2006 Hamilton, MT CE-560 N486SB June 24, 2006 Upland, CA CE-560 / Encore N814ER February 1, 2006 Greensboro, NC CE-500 / I N86CE January 24, 2006 Carlsbad, CA CE-560 / Ultra OY-JET May 15, 2005 Atlantic City, NJ CE-525A / CJ2 N792MA August 25, 2004 Venice, FL CE-550 / Bravo

5 Why are we talking about this? 43% Ground Handling Mechanical Failure Unsolved Landing Loss of Control / Other 54 Accidents 43% Landing

6 Landing Accident Breakdown 43% 23 Landing Accidents Unstabilized Approach Landing (Maybe SA) Other Landing Up to 56% Unstabilized Approaches 13%

7 Preventable This session focuses on accidents that are preventable We will analyze four of these accidents What could have been done to prevent them? Discuss simple lessons learned Questions and Round Table

8 Disclaimer Stepping into pilot s shoes is impossible It s easy to Monday morning quarterback I wasn t there All information is from NTSB website

9 Cessna CE-550 N792MA August 25, 2004 in Venice, Florida Low, slow, short approach Undershot runway Main landing gear punched through the top of the wings No injuries

10 Flight History Aircraft departed Fort Pierce, Florida with one passenger Approximately 45 minute flight Normal flight Some thunderstorms in the vicinity of Venice, Florida

11 Accident Sequence Visual approach to runway 13 DFDR data showed: Turn from base to final completed at 225 feet Speed varied from 90 to 95 for 15 seconds Speed was 83 for last five seconds of flight Witnesses reported the approach was low and slow, very flat, with little or no flare

12 NTSB Probable Cause The pilot s failure to maintain adequate airspeed which resulted in a stall and undershoot of the runway

13 N86CE Cessna CE-560 Ultra January 24, 2006 in Carlsbad, CA High, fast approach Aircraft overshot runway, hit localizer Four fatalities Aircraft destroyed by post-impact fire

14 Flight History Departed Sun Valley, Idaho early in the morning with two passengers Slated to arrive in Carlsbad before the tower opened Clear skies, winds 040 at six knots Landing on runway 24

15 Accident Sequence On descent at 6,700 feet, 8.5 miles from the threshold, ground speed was 300 knots Four-tenths of a mile from the threshold, the rate of descent decreased from 3,000 feet per minute to 1,000 feet per minute Calibrated airspeed was 124 knots, 23 knots faster than Vref

16 Accident Sequence cont d Witness statements indicated that the aircraft was very fast and touched down approximately 1,500 feet down the runway Thrust reversers were deployed The first officer commanded twice for the Captain to execute a go-around after the thrust reversers were deployed A go-around was then attempted

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19 Captain: Pilot Profile Earned ATP in ,000 hours and current First Officer: Also very experienced 7,500 hours Also type rated in the aircraft

20 NTSB Probable Cause The Captain s delayed decision to execute a go-around during the landing roll. Contributing factors: Decision to land with a tailwind Excessive airspeed on approach Failure to attain proper touchdown point

21 N697MC Cessna CE-650 Citation III October 27, 2007 in Atlantic City, NJ Substantial Damage, No Injuries Windshear, airspeed control, high sink rate Hard landing (and then go around) caused loss of hydraulics and fuel leak No brakes or thrust reversers on landing Overran 10,000 foot runway

22 Flight History Departed Farmingdale, NY for 30 minute flight to Atlantic City, NJ 800 foot broken layer Flight on GPS approach Winds 11 gusting to 24 knots Broken ceiling at 800 feet, light rain, seven miles visibility

23 Accident Sequence First officer was the pilot flying First officer s airspeed indicator was fluctuating around Vref +20 (150 knots) at 300 feet AGL When the aircraft began descending from the MDA, it was high and fast

24 Accident Sequence cont d First officer momentarily deployed the speed brakes to help slow and descend Speed brakes were stowed and thrust levers remained idle from 200 feet AGL The airplane impacted the runway at an excessive rate, bounced, drifted to the right, and the first officer initiated a go around

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26 Captain: Pilot Profile ATP, 62 years old, 9,472 hours 193 hours in type, 21 in previous 30 days First Officer: ATP, 26 years old, 2,535 hours 120 hours in type, 38 in previous 30 days

27 NTSB Probable Cause The First Officer s failure to maintain airspeed during approach and the Captain s inadequate remedial action. Contributing factors: First Officer s failure to comply with procedures Windshear Lack of windshear warning from ATC

28 N54PV Cessna CE-510 Citation Mustang April 19, 2008 in Carlsbad, CA Substantial Damage, No Injuries Autopilot anomaly during descent ILS approach with 2,700 foot ceiling High and fast approach Intentional ground loop

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30 Flight History Single pilot operation Pilot flew from Stockton, CA to Lincoln, CA to pick up passengers Was on second leg of the day from Stockton, CA to Carlsbad, CA Copilot PFD data flickered followed by autopilot disconnect and elec. trim fail Pilot continued by hand to destination

31 Accident Sequence Broke out and continued visually from 2,700 feet Pilot thought he was 15 knots fast on approach and runway sufficient ATC said the aircraft was high and asked the pilot if he could make it Pilot said Yes ATC reports aircraft touched down well past halfway point on runway With runway end approaching, pilot intentionally ground looped the aircraft Gear and flaps collapsed

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33 Pilot Profile Commercial, Instrument, Multi, CE-510S 1,398 hours total time, 140 in type Current with 38 hours in past 30 days Received type rating seven months earlier with 25 hours SOE limitation Transitioned from Piper Seneca 57 years old, agriculture company exec

34 NTSB Probable Cause Pilot s misjudgment of speed and distance, resulting in runway overshoot Contributing factors: Pilot s failure to follow the Autopilot Preflight Test Fail checklist Distraction with PFD with flickering data

35 Why Stabilized Approaches Work Takes the guesswork out Easy Procedural No need to make a judgment call No need to second-guess a decision

36 What is a Stabilized Approach? At 500 Feet (VMC) or 1,000 Feet (IMC) and below On glidepath In landing configuration On target speed (Vref to Vref +10 or gust) Power spooled up and stabilized Before Landing Checklist complete Cleared to land

37 What to do if not stabilized AUTOMATIC GO AROUND Do Not Hesitate

38 Strategies for Success Brief the stabilized approach criteria / goaround procedure prior to each approach, not just the missed approach procedure Each time you hear the TAWS Five Hundred callout verify that the approach meets the criteria and verbally say Stable or Going Around

39 Wrap up 43% of Citation accidents were on landing 56% of those could be attributed to unstabilized approaches Strictly following stabilized approach procedures could prevent one-quarter of all Citation accidents These accidents are preventable

40 Q&A / Roundtable

41 RECENT CITATION ACCIDENTS