# NTSB ATL05CA085: Canadair CL600, N699CW, Augusta, GA, May 22, 2005 - Type: NTSB accident investigation - Classification: Accident · Serious injuries · Data collection · Final report - Date: May 21, 2005, 20:40 local (May 22, 2005, 00:40 UTC) - Place: Augusta, GA - Coordinates: 33.371944, -81.96389 - Nearby events: https://openairdocs.org/map.md?lat=33.3719&lon=-81.9639&mi=10 - Phase of flight: [Enroute](https://openairdocs.org/ntsb-phases/400) (OpenAirDocs' grouping) - Highest injury: Serious injuries - Injuries: 1 serious, 2 uninjured - Status: Completed, report December 28, 2006 - Report: Approved by Office Director - Parties: Atlanta FSDO-11 - NTSB case key (mKey): 61530 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=ATL05CA085 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/61530/pdf - Page: https://openairdocs.org/ntsb/ATL05CA085 ## 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 In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf). - Abrupt maneuver, climb - to cruise - flight controls - improper use of, pilot in command (cause) - procedures/directives - not followed, pilot in command (contributing factor) ## 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 (not matched to a registry record) - Reported make and model: Canadair CL600 - Category: Airplane - Serial number: 5009 - Airframe hours: 10956 - Engines: General Electric CF34-3A 9220 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 As NTSB recorded them. NTSB leaves out names. - Pilot; age 59; injuries: none; 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 - Co-pilot; age 44; injuries: none; 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 (OpenAirDocs). - [Accident 20050521012789A](https://openairdocs.org/incident/20050521012789A), May 21, 2005: Cndair CL6002B16, Atlanta, GA. (-23) At approximately 0037Z, on 05/21/2005, N699CW, on an IFR flight plan, climbing from chattanooga, TN, to augusta, GA, the pilot [privacy data omitted]… From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.