Estado: | Accident investigation report completed and information captured |
Fecha: | lunes 8 diciembre 2014 |
Hora: | 10:41 |
Tipo: |  Embraer EMB-500 Phenom 100 |
Operador: | Sage Aviation |
Registración: | N100EQ |
Numéro de série: | 50000082 |
Año de Construcción: | 2009 |
Motores: | 2 Pratt & Whitney Canada PW617F-E |
Tripulación: | Fatalidades: 1 / Ocupantes: 1 |
Pasajeros: | Fatalidades: 2 / Ocupantes: 2 |
Total: | Fatalidades: 3 / Ocupantes: 3 |
Víctimas en Tierra: | Fatalidades: 3 |
Daños en la Aeronave: | Destruido |
Consecuencias: | Written off (damaged beyond repair) |
Ubicación: | 1 km (0.6 milles) NW of Gaithersburg-Montgomery County Airport, MD (GAI) ( Estados Unidos de América)
|
Fase: | Aproximación (APR) |
Naturaleza: | Privado |
Aeropuerto de Salida: | Chapel Hill-Horace Williams Airport, NC (KIGX), Estados Unidos de América |
Aeropuerto de Llegada: | Gaithersburg-Montgomery County Airport, MD (GAI/KGAI), Estados Unidos de América |
Descripción:An Embraer EMB-500 Phenom 100 corporate jet was destroyed when it crashed in a residential area at Gaithersburg, Maryland. The three occupants of the plane and three people inside a house were killed.
The takeoff about 09:45 from Chapel Hill-Horace Williams Airport, North Carolina, and the cruise portion of the flight were uneventful.
Before beginning the descent, the pilot set the landing reference (Vref) speed at 92 knots, indicating that he used performance data for operation with the wing and horizontal stabilizer deice system turned off and an airplane landing weight less than the airplane's actual weight. Using the appropriate Normal Icing Conditions checklist and accurate airplane weight, the pilot should have flown the approach at 126 knots (a Vref of 121 knots +5 knots) to account for the icing conditions.
The pilot failed to use the wing and horizontal stabilizer deice system during the approach, even after acknowledging the right seat passenger's observation that it was snowing when the airplane was about 2.8 nautical miles from the destination of Gaithersburg-Montgomery County Airport. The airplane was on approach to runway 14 when the ice accumulation caused an aerodynamic stall at a higher airspeed than would occur without ice accumulation. Because the deice system was not activated by the pilot before landing, the band indications (low speed awareness) on the airspeed display did not appropriately indicate the stall warning speed. Once the airplane stalled, its altitude was too low to recover.
The airplane impacted three houses in the 19700 block of Drop Forge Lane about 3/4 mile from the approach end of the runway.
Probable Cause:
PROBABLE CAUSE: "The NTSB determines that the probable cause of this accident was the pilot's conduct of an approach in structural icing conditions without turning on the airplane's wing and horizontal stabilizer deice system, leading to ice accumulation on those surfaces, and without using the appropriate landing performance speeds for the weather conditions and airplane weight, as indicated in the airplanes standard operating procedures, which together resulted in an aerodynamic stall at an altitude at which a recovery was not possible."
Accident investigation:
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Investigating agency: | NTSB  |
Status: | Investigation completed |
Duration: | 1 year and 6 months | Accident number: | NTSB/AAR-16/01 | Download report: | Final report
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METAR Weather report:
14:55 UTC / 09:55 local time:
KGAI 081455Z 04005KT 10SM OVC028 M01/M09 A3062 RMK AO1 5200315:15 UTC / 10:15 local time:
KGAI 081515Z 05005KT 10SM FEW023 OVC030 M01/M08 A3061 RMK AO115:35 UTC / 10:35 local time:
KGAI 081535Z 04006KT 10SM FEW021 OVC032 M01/M08 A3061 RMK AO1Wind: 040 degrees at 6 knots; Visibility: 10+ miles; Clouds: few at 2100 feet, overcast cloud deck at 3200 feet AGL; Temperature: -1°C; Dewpoint: -8°C; Pressure: 1036.7 mb
15:55 UTC / 10:55 local time:
KGAI 081555Z 05005KT 10SM OVC032 M01/M08 A3060 RMK AO1Wind: 050 degrees at 5 knots; Visibility: 10+ miles; Clouds: overcast cloud deck at 3200 feet AGL; Temperature: -1°C; Dewpoint: -8°C; Pressure: 1036.3 mb
Subsiguiente / acciones de seguridad
NTSB issued 3 Safety Recommendations
Issued: 07-JUN-2016 | To: FAA | A-16-12 |
Work with the General Aviation Manufacturers Association to develop a system that can automatically alert pilots when the ice protection systems should be activated on turbofan airplanes that require a type rating and are certified for single-pilot operations and flight in icing conditions (Open - Acceptable Response) |
Issued: 07-JUN-2016 | To: GAMA | A-16-13 |
Work with the Federal Aviation Administration to develop a system that can automatically alert pilots when the ice protection systems should be activated on turbofan airplanes that require a type rating and are certified for single-pilot operations and flight in icing conditions. (Open - Acceptable Response) |
Issued: 07-JUN-2016 | To: NBAA | A-16-14 |
Work with your members that are manufacturers and training providers of turbofan airplanes that require a type rating and are certified for single-pilot operations and flight in icing conditions to develop enhanced pilot training guidelines pertaining to risk management in winter weather operations, including the use of ice protection systems and adherence to checklists, with special emphasis given to deficiencies in pilot performance identified in this accident, and make the results of this effort available to the community of pilots who fly these airplanes. (Open - Acceptable Response) |
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Fotos

accident date:
08-12-2014type: Embraer EMB-500 Phenom 100
registration: N100EQ

accident date:
08-12-2014type: Embraer EMB-500 Phenom 100
registration: N100EQ

accident date:
08-12-2014type: Embraer EMB-500 Phenom 100
registration: N100EQ

accident date:
08-12-2014type: Embraer EMB-500 Phenom 100
registration: N100EQ

accident date:
08-12-2014type: Embraer EMB-500 Phenom 100
registration: N100EQ

accident date:
08-12-2014type: Embraer EMB-500 Phenom 100
registration: N100EQ

accident date:
08-12-2014type: Embraer EMB-500 Phenom 100
registration: N100EQ

accident date:
08-12-2014type: Embraer EMB-500 Phenom 100
registration: N100EQ

FDR parameters for last 10 minutes of the flight

FDR anti ice parameters for entire flight
Map
This map shows the airport of departure and the intended destination of the flight. The line between the airports does
not display the exact flight path.
Distance from Chapel Hill-Horace Williams Airport, NC to Gaithersburg-Montgomery County Airport, MD as the crow flies is 394 km (246 miles).
Accident location: Exact; deduced from official accident report.
This information is not presented as the Flight Safety Foundation or the Aviation Safety Network’s opinion as to the cause of the accident. It is preliminary and is based on the facts as they are known at this time.