Date & Time:
Oct 24, 2004 at 0025 LT
Type of aircraft:
Learjet 35
Operator:
Registration:
N30DK
Flight Phase:
Takeoff (climb)
Flight Type:
Ambulance
Survivors:
No
Schedule:
San Diego – Albuquerque
MSN:
35-345
YOM:
1980
Country:
United States of America
Region:
North America
Crew on board:
2
Crew fatalities:
2
Pax on board:
3
Pax fatalities:
3
Other fatalities:
0
Total fatalities:
5
Captain / Total hours on type:
600
Copilot / Total hours on type:
375
Aircraft flight hours:
10047
Circumstances:
On October 24, 2004, about 0025 Pacific daylight time, a Learjet 35A twin-turbofan airplane, N30DK, registered to and operated by Med Flight Air Ambulance, Inc. (MFAA), collided into mountainous terrain shortly after takeoff from Brown Field Municipal Airport (SDM), near San Diego, California. The captain, the copilot, and the three medical crewmembers received fatal injuries, and the airplane was destroyed. The repositioning flight was operated under the provisions of 14 Code of Federal Regulations (CFR) Part 91 with an instrument flight rules (IFR) flight plan filed. Night visual meteorological conditions prevailed. The flight, which was the fourth and final leg of a trip that originated the previous day, departed SDM at 0023.
Probable cause:
The failure of the flight crew to maintain terrain clearance during a VFR departure, which resulted in controlled flight into terrain, and the air traffic controller's issuance of a clearance that transferred the responsibility for terrain clearance from the flight crew to the controller, failure to provide terrain clearance instructions to the flight crew, and failure to advise the flight crew of the MSAW alerts. Contributing to the accident was the pilots' fatigue, which likely contributed to their degraded decision-making.
Final Report:
N30DK.pdf139.96 KB
