CEN12LA457

NTSB accident investigation · Bombardier CL-600-2C10 · Peoria, IL · July 19, 2012

Accident · Serious injuriesLimited investigationFinal report
Date
July 18, 2012, 22:00 local (Jul 19, 2012, 03:00 UTC)
Place
Peoria, IL
Injuries
1 serious, 56 uninjured
Damage
No damage
Phase of flight
Approach
Aircraft
N502AEBombardier CL-600-2C10
Defining event
Approach: Sys/Comp malf/fail (non-power)
Weather
Visual (VMC) · Night
Status
Completed · report April 10, 2013
Report
Approved by Office Director
NTSB office
Central Region
Case key
84369

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 emergency ground egress during which a passenger broke her ankle. Contributing to the accident was the failure of the environmental system, which allowed smoke from a nearby house fire to enter the airplane.

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.

Physical workspace: air quality/dust/smokeEnvironmental issues › Task environment · Decision related to conditionBombardier CL-600-2C10: 1 caseAll aircraft: 9 casesProbable cause
Action: incorrect action performancePersonnel issues › Action/decision · PassengerBombardier CL-600-2C10: 2 casesAll aircraft: 1,386 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

While on approach to the airport, the flight crew smelled smoke in the airplane. The airplane landed without incident and the crew directed an emergency ground egress. During the ground egress, one passenger broke her ankle. A postflight review of the airplane found that the airplane was operating on a single environmental pack that failed during the final approach, resulting in ambient air entering the airplane via the ram air inlet. An assessment of the airplane did not find any on-board sources of smoke. However, smoke from a large house fire was present along the airplane's approach path and likely was the source of smoke detected by the crew.

Factual narrative

On July 18, 2012, about 2200 central daylight time, a Bombardier CL-600-2C10 airplane, N502AE, operating as American Eagle Flight 3773, diverted to the General Downing-Peoria International Airport (KPIA), Peoria, Illinois, due to weather. During the approach the crew detected smoke and after landing, an emergency evacuation was performed. The two pilots, two cabin crew, and 52 passengers were uninjured. One passenger sustained a serious injury during the egress. The airplane was owned and operated by American Airlines, Inc. under the provisions of the Code of Federal Regulations Part 121 as a scheduled passenger flight. Night visual meteorological conditions prevailed for the flight that was operated on an instrument flight rules flight plan. The flight departed Denver International Airport (KDEN) about 1855 mountain daylight time, and was originally destined for the Chicago O'Hare International Airport (KORD), Chicago, Illinois. The flight had diverted from KORD to KPIA due to weather. While on a three mile final to land, the crew detected smoke in the airplane. After landing, the crew directed an emergency ground egress. The two over wing exit and the main entrance door was utilized for the evacuation. During the egress, one passenger sustained a broken ankle. No obvious source of the smoke was determined during a post-landing examination. No damage to the airplane was observed. An examination of the airplane revealed that the airplane was operating on a single environmental pack, allowed per the airplane's minimum equipment list. The remaining environmental pack failed while the airplane was on final approach, reverting the system to allow ambient air to enter the airplane. There were no sources of fire located within the airplane. However, along the airplane's approach path to the airport, it overflew a large house fire.

Aircraft

Registration
N502AE
Reported as
Bombardier CL-600-2C10
Category
Airplane
Serial number
10018
Engines
GE CF34 SERIES, 9,140 lbs thrust, turbo fanGE CF34 SERIES, 9,140 lbs thrust, turbo fan
Damage
No damage
Flight
Part 121
Operator
American Eagle Airlines Inc, doing business as American Eagle Airlines, Inc.
Registered owner
American Eagle Airlines Inc
Airworthiness certificate
Standard, Transport
Departed
DEN · Denver, CO
Destination
ORD · Chicago, IL
Flight plan
IFR
Airport
PIA · General Downing-Peoria

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
48
Injuries
None
Certificates
Airline transport, Flight instructor, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
June 4, 2012
Seat
Left
Flight hours
16,462 total · 10,474 as pilot in command
Role
Pilot
Age
24
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
August 27, 2011
Seat
Right
Flight hours
1,377 total

Weather

Conditions
Visual (VMC) · Night
Wind
190° at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
84 °F, dew point 70 °F
Altimeter
29.86 inHg
Observed at
KPIA

Docket · 1

The files NTSB released with the investigation on September 14, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 889 KB in all.