Crash of a Beechcraft Beechjet 400A in Rome

Date & Time: Mar 14, 2016 at 1508 LT
Type of aircraft:
Operator:
Registration:
N465FL
Flight Type:
Survivors:
Yes
Schedule:
Jackson - Rome
MSN:
RK-426
YOM:
2005
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
10393
Captain / Total hours on type:
6174.00
Copilot / Total flying hours:
6036
Copilot / Total hours on type:
407
Aircraft flight hours:
7061
Circumstances:
The pilots of the business jet were conducting a cross-country positioning flight. According to the pilot flying (PF), the flight was uneventful until the landing. While completing the descent checklist and while passing through 18,000 ft mean sea level (msl), the pilot monitoring (PM), received the automated weather report from the destination airport and briefed the PF that the wind was variable at 6 knots, gusting to 17 knots. The PF then programmed the flight management system for a visual approach to runway 7 and briefed the reference speed (Vref) as 107 knots and the go-around speed as 129 knots based on an airplane weight. The PF further reported that he knew the runway was over 4,400 ft long (the runway was 4,495 ft long) and he thought that the airplane needed about 2,900 ft of runway to safely land. During the left descending turn to the base leg of the traffic pattern, the PF overshot the final approach and had to turn back toward the runway centerline as the airplane was being “pushed by the winds.” About 500 ft above ground level (agl), both pilots acknowledged that the approach was “stabilized” while the airspeed was fluctuating between 112 and 115 knots. About 200 ft agl, both pilots noticed that the airplane was beginning to descend and that the airspeed was starting to decrease. The PF added power to maintain the descent rate and airspeed. The PF stated that, after adding power and during the last 200 ft of the approach, the wind was “gusty,” that a left crosswind existed, that the ground speed seemed “very fast,” and that excessive power was required to maintain airspeed. When the airplane was between about 75 and 100 ft agl, the PF asked the PM for the wind information, and the PM responded that the wind was variable at 6 knots, gusting to 17 knots. Both pilots noted that the ground speed was “very fast” but decided to continue the approach. Neither pilot reported seeing the windsock located off the right side of the runway. Review of weather data recorded by the airport’s automated weather observation system revealed that about 3 minutes before the landing, the wind was from 240° at 16 knots, gusting to 26 knots, which would have resulted in a 3- to 5-knot crosswind and 16- to 26-knot tailwind. Assuming these conditions, the airplane’s landing distance would have been about 4,175 ft per the unfactored landing distance performance chart. Tire skid marks were found beginning about 1,000 feet from the approach end of runway 7. The PF stated that the airplane touched down “abruptly at Vref+5 and he applied the brakes while the PM applied the speed brakes. Neither pilot felt the airplane decelerating, so the PF applied harder pressure to the brakes with no effect and subsequently applied full braking pressure. When it was evident that the airplane was going to depart the end of the runway, the PM applied the emergency brakes, at which point he felt some deceleration; however, the airplane overran the end of the runway and travelled through grass and mud for about 370 feet before stopping. Examination of the airplane revealed that the nose landing gear (NLG) had collapsed, which resulted in the forward fuselage striking the ground and the airframe sustaining substantial damage. Although the pilots reported that they never felt the braking nor antiskid systems working and that they believed that they should have been able to stop the airplane before it departed the runway, postaccident testing of the brake and antiskid systems revealed no evidence of preaccident mechanical malfunctions or failures that would have precluded normal operation, and they functioned as designed. Given the tire skid marks observed on the runway following the accident, as well as the postaccident component examination and testing results, the brakes and antiskid system likely operated nominally during the landing. Based on the available evidence, the pilots failed to recognize performance cues and use available sources of wind information that would have indicated that they were landing in significant tailwind conditions and conduct a go-around. Landing under these conditions significantly increased the amount of runway needed to stop the airplane and resulted in the subsequent runway overrun and the collapse of the NLG.
Probable cause:
The pilots’ failure to use available sources of wind information before landing and recognize cues indicating the presence of the tailwind and conduct a go-around, which resulted in their landing with a significant tailwind and a subsequent runway overrun.
Final Report:

Crash of a Beechcraft BeechJet 400A in Telluride

Date & Time: Dec 23, 2015 at 1415 LT
Type of aircraft:
Operator:
Registration:
XA-MEX
Survivors:
Yes
Schedule:
Monterrey – El Paso – Telluride
MSN:
RK-396
YOM:
2004
Crew on board:
2
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
7113
Captain / Total hours on type:
1919.00
Copilot / Total flying hours:
8238
Copilot / Total hours on type:
1412
Aircraft flight hours:
5744
Circumstances:
The pilots were conducting an international chartered flight in the small, twin-engine jet with five passengers onboard. Since the weather at the destination was marginal, the flight crew had discussed an alternate airport in case weather conditions required a missed approach at their destination. As the airplane neared the non-towered destination airport, the flight crew received updated weather information, which indicated that conditions had improved. Upon contacting the center controller, the crew was asked if they had the weather and NOTAMS for the destination airport. The crew reported that they received the current weather information, but did not state if they had NOTAM information. The controller responded by giving the flight a heading for the descent and sequence into the airport. The controller did not provide NOTAM information to the pilots. About 2 minutes later, airport personnel entered a NOTAM via computer closing the runway, effective immediately, for snow removal. Although the NOTAM was electronically routed to the controller, the controller's system was not designed to automatically alert the controller of a new NOTAM; the controller needed to select a display screen on the equipment that contained the information. At the time of the accident, the controller's workload was considered heavy. About 8 minutes after the runway closure NOTAM was issued, the controller cleared the airplane for the approach. The flight crew then canceled their instrument flight plan with the airport in sight, but did not subsequently transmit on or monitor the airport's common traffic advisory frequency, which was reportedly being monitored by airport personnel and the snow removal equipment operator. The airplane landed on the runway and collided with a snow removal vehicle about halfway down the runway. The flight crew reported they did not see the snow removal equipment. The accident scenario is consistent with the controllers not recognizing new NOTAM information in a timely manner due to equipment limitations, and the pilots not transmitting or monitoring the common traffic advisory frequency. Additionally, the accident identifies a potential problem for flight crews when information critical to inflight decision-making changes while en route, and problems when controller workload interferes with information monitoring and dissemination.
Probable cause:
The limitations of the air traffic control equipment that prevented the controller's timely recognition of NOTAM information that was effective immediately and resulted in the issuance of an approach clearance to a closed runway. Also causal was the pilots' omission to monitor and transmit their intentions on the airport common frequency. Contributing to the accident was the controller's heavy workload and the limitations of the NOTAM system to distribute information in a timely manner.
Final Report: