ATL98LA078

NTSB accident investigation · Learjet 24-B · Orlando, FL · May 23, 1998

Accident · No injuriesLimited investigationFinal report
Date
May 23, 1998, 03:30 local (07:30 UTC)
Place
Orlando, FL
Injuries
6 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N100DLLearjet 24-B
Weather
Visual (VMC) · Night/bright
Status
Completed · report July 2, 1999
Report
Approved by Office Director
FAA report
19980523610499A
Case key
3995

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 first officer's failure to perform proper emergency braking procedures.

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.

OverrunLanding - roll
Landing gear,normal brake system - failureCause
Landing gear,emergency brake system - activated
Procedure inadequateCopilot/second pilotCause
On ground/water collision with objectLanding - roll
Object - antenna

Analysis

During landing roll, the airplanes normal braking system failed as a result of hydraulic fluid leak(s). At the pilot's request, deployment of the drag chute and application of the emergency braking system was performed by the first officer. According to the first officer, application of the emergency brakes caused the airplane to yaw. The first officer then pulled up on the emergency brakes handle followed by re-application of braking pressure. This action took place several times during the landing roll. Gates' Learjet Flight Training Manual (Page 105) states, 'In using the emergency brake lever, slow steady downward pressure is required. Each time the lever is allowed to return upward to the normal position, nitrogen is evacuated overboard. Brace your hand so you will not allow the lever to move up and down inadvertently on a bumpy runway.' The airplane overran the end of the runway and collided with the Instrument Landing System back course antennae.

Factual narrative

On May 23, 1998, about 0330 eastern daylight time, a Learjet 24-B, N100DL, overran the end of runway 07 on landing roll at Orlando Executive Airport (ORL) in Orlando, Florida. The airplane was owned by AJM Airplane Company and operated by Panther Aviation for the purpose of transporting a human organ transplant team. The flight was conducted under Title 14 CFR Part 135, and instrument flight rules. Visual meteorological conditions prevailed and an IFR flight plan was filed. The Airline Transport Pilot (ATP), first officer and four passengers were not injured and the airplane received substantial damage. The on-demand non-scheduled passenger flight originated in Miami, Florida at 0230.

According to the pilot, while on approach to ORL, at 1500 feet MSL, he asked for "full flaps" and noticed that the flap indicator had not moved from the 20 degree position. According to the pilot, the airplane touched down on the first 1000 feet of runway at approximately 115 knots, spoilers were extended and the engines were reversed. The pilot stated, "At 80 knots I put pressure on the brake pedals and they went to the floor with no results." At the pilots' request, the first officer deployed the drag chute followed by application of the emergency brakes. The first officer stated, "Upon downward movement of the emergency brake handle, he felt the airplane yaw. He then pulled up on the handle, evacuating the pressure and negating any braking action." This action took place several times during the landing roll. Gates' Learjet Flight Training Manual (Page 105) states, "In using the emergency brake lever, slow steady downward pressure is required. Each time the lever is allowed to return upward to the normal position, nitrogen is evacuated overboard. Brace your hand so you will not allow the lever to move up and down inadvertently on a bumpy runway." After colliding with the Instrument Landing System (ILS) back course antennae for runway 25, the airplane was evacuated.

According to the FAA inspector who visited the site, the right wing main attachment brackets were broken on impact and the wing was pushed rearward approximately 3 inches in the fuselage. Damage to several fuel and hydraulic lines in the wing area was noted. Inspector's noted evidence of hydraulic leak(s) in the aft fuselage, outside bottom of the fuselage and on the drag chute. Sources of leak(s) were not ascertained due to the damage incurred by airplane impact. A possible leak from the front lower brake puck on the right inboard brake was evident. Inspector's activated the emergency braking system several times with no discrepancies and no previous abnormalities in the system noted. No identifiable skid marks from the airplane could be found on the runway or the over run area.

Aircraft

Registration
N100DL
Reported as
Learjet 24-B
Category
Airplane
Serial number
201
Airframe hours
8,138
Engine
GE CJ610-6, 2,950 lbs thrust, turbo jet
Damage
Substantial damage
Flight
Part 135
Operator
Panther Aviation
Registered owner
Ajm Airplane Company
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · December 20, 1997
Departed
MIA · Miami, FL
Destination
ORL
Flight plan
IFR
Airport
ORL · Orlando Executive Airport, runway 7, 6,003 × 150 ft, asphalt

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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
59
Certificates
Flight engineer, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
18,395 total · 318 in this make and model · 10,248 as pilot in command · 125 in the last 90 days · 44 in the last 30 days · 4 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night/bright
Wind
Variable at 5 knots
Visibility
6 statute miles
Lowest ceiling
None
Temperature
73 °F, dew point 70 °F
Altimeter
29.00 inHg
Observed at
ORL

FAA reports on this event · 1

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