ATL05CA085

NTSB accident investigation · Canadair CL600 · Augusta, GA · May 22, 2005

Accident · Serious injuriesData collectionFinal report
Date
May 21, 2005, 20:40 local (May 22, 2005, 00:40 UTC)
Place
Augusta, GA
Injuries
1 serious, 2 uninjured
Damage
No damage
Phase of flight
Enroute
Aircraft
N699CWCanadair CL600
Weather
Visual (VMC) · Night
Status
Completed · report December 28, 2006
Report
Approved by Office Director
Parties
Atlanta FSDO-11
FAA report
20050521012789A
Case key
61530

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

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Probable cause

The pilot-in-command's improper use of the flight controls during climb which resulted in the flight attendant injury. A factor was the flight crew failure to follow written procedures during transfer of flight controls.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Abrupt maneuverClimb - to cruise
Flight controls - improper use ofPilot in commandCause
Procedures/directives - not followedPilot in commandFactor

Analysis

The co-pilot was flying the airplane climbing to an assigned altitude. Air Traffic Control instructed the flight to expedite their climb through flight level 250.The co-pilot rotated the speed bug to 300 knots. The pilot-in-command (PIC) verbally instructed the co-pilot to, "get this thing climbing." At the same time the PIC pulled back on the control column and disconnected the autopilot and the nose of the airplane pitched up. The PIC did not establish a positive transfer of the flight controls as required by company standard operating procedures. The flight attendant was subsequently heard calling for help from the back of the airplane. The PIC departed the flight deck and found the flight attendant on the floor in the aft part of the cabin with serious injuries. The flight continued to the destination airport and landed without further incident.

Factual narrative

On May 21, 2005, at 2040 eastern daylight time, a Canadair CL600, N699CW, registered to Ramona Aviation LLC, operated by Flight Options LLC, as a 14 CFR Part 91 positioning flight, made an abrupt pitch-up attitude and injured the flight attendant during climb out from Chattanooga, Tennessee, while enroute to Augusta, Georgia. Visual meteorological conditions prevailed and an instrument rules flight plan was filed. The airplane was not damaged. The pilot-in command (PIC) and co-pilot reported no injuries. The flight attendant received serious injuries. The flight departed Lovell Field, Chattanooga, Tennessee, on May 21, 2005, at 2026.

During the climb to the assigned altitude, the pilot was instructed by the air traffic controller to expedite its climb through flight level 250 within two minutes and to maintain flight level 290. The co-pilot was flying the airplane and rotated the speed bug to 300 knots. The PIC verbally instructed the co-pilot to, "get this thing climbing." At the same time the PIC pulled back on the control column which disconnected the autopilot and the nose of the airplane pitched up. The flight attendant was subsequently heard calling for help from the back of the airplane. The PIC departed the flight deck and found the flight attendant injured on the floor in the aft part of the cabin. The flight continued to and landed at August, Georgia, with out further incident.

Review of Flight Option Standard Operating Procedures, Section 2-4, Manipulation of Flight Controls b. Transfer of Control states, If it is necessary to transfer control from one pilot to the other a positive, verbal command will be given. The pilot flying will state "You have the flight controls." The pilot taking the flight controls will state, "I have the controls."

Aircraft

Registration
N699CW
Reported as
Canadair CL600
Category
Airplane
Serial number
5009
Airframe hours
10,956
Engine
General Electric CF34-3A, 9,220 lbs thrust, turbo fan
Damage
No damage
Flight
Positioning · Part 91
Operator
Flight Options LLC
Registered owner
Ramona LLC
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · April 1, 2005 · 95 hours before
Departed
CHA · Chattanooga, TN
Destination
AGS · Augusta, GA
Flight plan
IFR

Flight crew · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
59
Injuries
None
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1
Last flight review
November 1, 2004
Seat
Left
Flight hours
18,400 total · 2,567 in this make and model · 15,600 as pilot in command
Role
Co-pilot
Age
44
Injuries
None
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Helicopter, Airplane
Medical
Class 1
Last flight review
October 1, 2004
Seat
Right
Flight hours
4,800 total · 2,018 in this make and model · 3,800 as pilot in command

Weather

Conditions
Visual (VMC) · Night
Wind
170° at 4 knots
Visibility
9 statute miles
Lowest ceiling
7,500 ft broken
Temperature
66 °F, dew point 64 °F
Altimeter
29.77 inHg
Observed at
AGS, 30 nm away

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.