ANC18LA049

NTSB accident investigation · Learjet 60 · Salt Lake City, UT · June 26, 2018

Accident · No injuriesClass 3 · LimitedFinal report
Date
June 26, 2018, 08:50 local (14:50 UTC)
Place
Salt Lake City, UT
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Taxi
Aircraft
N57Learjet 60
Defining event
Taxi-to runway: Fire/smoke (non-impact)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Alaska Regional Office
Parties
Bombardier, Federal Aviation Administration
Case key
97627

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

The flight crew’s failure to fully disengage the parking brake before taxi, which resulted in a brake fire.

Findings · 3

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Use of equip/info: use of equip/systemPersonnel issues › Task performance · PilotLearjet 60: 1 caseAll aircraft: 1,391 casesProbable cause
Use of equip/info: use of equip/systemPersonnel issues › Task performance · CopilotLearjet 60: 1 caseAll aircraft: 1,391 casesProbable cause
Landing gear system: brakeAircraft › Aircraft systems · Incorrect use/operationLearjet 60: 1 caseAll aircraft: 297 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The pilots reported that, while taxiing to the runway for departure, the nose wheel steering seemed unusually sensitive and the airplane pulled slightly to the right. As they neared the runway threshold, they smelled what they thought to be overheated brakes. The crew confirmed the position of the parking brake handle, which had not been fully stowed, and once the handle was completely stowed (parking brake OFF position), the airplane moved more freely. The crew then cancelled their takeoff clearance and taxied the airplane to the runup area to allow the brakes to cool. Shortly thereafter, the control tower notified the flight crew that the airplane was on fire. Examination of the airplane revealed substantial damage to the underside of the fuselage and right wing due to fire that originated at the right main landing gear. A detailed examination of the airplane’s brake system revealed no preaccident mechanical failures or malfunctions that would have precluded normal operation. A review of the cockpit voice recorder information confirmed that the crew did not completely release the parking brake before taxi.

Factual narrative

On June 26, 2018, about 0850 mountain daylight time (MDT), a Bombardier Learjet 60 airplane, N57Z, sustained substantial damage when it was involved in an accident at Salt Lake City International Airport (KSLC), Salt Lake City, Utah. The two pilots and one technician were uninjured. The airplane was operated as a Title 14 Code of Federal Regulations Part 135 flight. The mission-specific modified airplane was registered to and operated by the Federal Aviation Administration (FAA) and was used to perform flight inspections of the National Airspace navigational systems. The captain was the pilot flying at the time of the accident. According to the flight crew, while taxiing to the runway for departure, the nose wheel steering seemed unusually sensitive and the airplane pulled slightly to the right. As they neared the runway threshold, they smelled what they thought was overheated brakes. The crew confirmed the position of the parking brake handle and the airplane moved more freely. The crew then cancelled their takeoff clearance and taxied the airplane to the runup area to allow the brakes to cool. Shortly thereafter, the control tower notified the crew that the airplane was on fire. The crew secured and then evacuated the airplane. The cockpit voice recorder (CVR) recorded the captain’s and first officer’s comments and revealed that, as the airplane taxied, both pilots felt that the airplane’s movement was jerky and they could hear a squealing noise that was not audible on the CVR. The captain indicated that the airplane wanted to pull to the right and that it seemed like more power was required to taxi. The first officer indicated that it felt like the captain was "riding" the brakes. Shortly thereafter, the captain realized the parking brake was not completely released. Examination of the airplane by an FAA inspector revealed that the right tire and landing gear were fire-damaged, and that the underside of the fuselage and right wing was substantially damaged due to the fire. A detailed examination of the airplane’s brake system revealed no pre-accident mechanical failures or malfunctions that would have precluded normal operation. The parking brake handle was located on the pedestal below the thrust levers and labeled PARKING BRAKE. The parking brake was operated by depressing and holding the toe brakes and pulling the parking brake handle to set the brakes. The parking brake was released by returning the handle to the off, or in, position. Whenever the parking brake handle was not fully in, the PARK BRAKE light would illuminate. A review of the Lear 60 Single Card Checklist, Revision 1, dated June 4, 2017, revealed that the Before Taxi, Taxi and Before Takeoff, Quick Turnaround, and Taxi checklists did not contain a line item for the release of the parking brake.

Aircraft

Registration
N57
Reported as
Learjet 60 (NO SERIES)
Category
Airplane
Serial number
039
Built
1994
Engines
P&W Canada PW305A, turbo fanP&W Canada PW305A, turbo fan
Damage
Substantial damage
Fire
On-Ground
Flight
Part 135
Operator
Federal Aviation Administration
Registered owner
Federal Aviation Administration
Airworthiness certificate
Standard, Normal
Departed
SLC · Salt Lake City, UT
Destination
Idaho Falls, ID
Flight plan
IFR
Airport
SLC · Salt Lake City Intl
Equipment
Stall warning system, Angle of attack indicator, Airframe parachute

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
60
Injuries
None
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine sea
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
April 9, 2018
Seat
Left
Restraint
5-point
Flight hours
7,824 total · 2,524 in this make and model · 6,210 as pilot in command · 117 in the last 90 days · 34 in the last 30 days · 6 in the last 24 hours
Role
Co-pilot
Age
57
Injuries
None
Certificate
Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
March 16, 2018
Seat
Right
Restraint
5-point
Flight hours
8,199 total · 1,990 in this make and model · 4,208 as pilot in command · 134 in the last 90 days · 37 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
290° at 7 knots
Visibility
10 statute miles
Temperature
86 °F, dew point 37 °F
Altimeter
30.04 inHg
Observed at
KSLC

Docket · 5

The files NTSB released with the investigation on March 12, 2021, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.6 MB in all.