CEN23LA403

NTSB accident investigation · Israel Aircraft Industries 1125 Westwind Astra · Wheeling, IL · August 21, 2023

Accident · No injuriesClass 3 · LimitedFinal report
Date
August 21, 2023, 13:15 local (18:15 UTC)
Place
Wheeling, IL
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N39TTIsrael Aircraft Industries 1125 Westwind Astra
Defining event
Landing-landing roll: Runway excursion
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
Gulfstream Aerospace, FAA, Honeywell, Aircraft Safety Investigation Authority Israel
FAA report
20230821015189A
Case key
193022

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

A loss of braking effectiveness during landing for reasons that could not be determined, which resulted in a runway excursion.

Findings · 2

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.

Landing gear system: brakeAircraft › Aircraft systems · Unknown/Not determinedAll aircraft: 297 casesProbable cause
Not determinedNot determined › Not determined · Unknown/Not determinedAll aircraft: 2,247 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

According to the flight crew, the airplane touched down within the touchdown zone. The pilot reported that he applied the brakes and deployed the thrust reversers (TRs), but the brakes “were not grabbing.” The pilot released and reapplied brake pressure with no effect and advised the co-pilot he had no brakes. The co-pilot applied his brakes with no effect. The pilot selected the emergency brake handle and applied emergency braking. The emergency braking produced some slowing, and with the airplane’s nose wheel tiller, the pilot attempted a left turn to exit the runway onto a 45° taxiway, which he thought provided additional stopping distance; however, the airplane slid off the taxiway and into the adjacent grass. The right main landing gear collapsed, and the airplane came to rest upright, resulting in substantial damage to the right wing spar. Examination and testing of the airplane systems did not reveal any evidence of preimpact mechanical malfunctions with the wheel brakes or any other systems. Video evidence and recorded airplane data revealed the TRs were not deployed during the landing sequence. The cockpit voice recorder was overwritten during postaccident maintenance actions, and the accident flight communications were not available. Landing simulations based on available data were consistent with reduced deceleration during the landing roll; however, the simulations could not determine if the airbrakes were stowed or extended during the landing, and the airplane was not equipped with a flight data recorder, which could have captured airbrake deployment and position. Landing performance calculations showed that, without ground airbrakes, the landing ground roll distance exceeded the runway available from the airplane’s touchdown point. Tire skid marks indicated that heavy wheel braking occurred on the runway and taxiway surfaces. Based on the available information, the reason for the flight crew’s reported loss of braking effectiveness during landing could not be determined.

Factual narrative

According to airplane maintenance manual, the ground and flight airbrakes (A/B) have four control surfaces, two on each wing, that are electrically controlled and hydraulically operated. The airbrake system operates in flight via deployment of the inboard surfaces and on the ground via deployment of the inboard and outboard surfaces. The ground airbrakes are activated by the flight crew using the ground A/B switch, set to the ON position. The system requirements for ground airbrake deployment included airplane electrical power, main system hydraulic pressure, at least one of two main landing gear weight-on-wheel switches in ground mode, both throttle quadrant angle levers below 18°, and the ground A/B switch set to ON. If these parameters were met, the ground airbrakes would deploy automatically upon landing. According to the airplane flight manual, if the ground airbrakes were inoperative for landing, landing performance would be affected. If all ground airbrakes were inoperative, the landing distance must be increased by 30%. The airplane was equipped with a CVR. Readout of the recorder revealed two short segments of voice from two individuals discussing powering the aircraft electrically on the ground. Some other voice data in another small segment was consistent with performing maintenance operations; however, there was not enough context in the conversation to determine the type of maintenance operation or the date of the conversation. The audio ended with no sounds associated with aircraft operations. Several maintenance actions were performed on the airplane between the time of the accident and the removal of the CVR. According to the operator’s general operations manual, in part, section 21.15 Cockpit Voice Recorder, “Where installed, the CVR shall be operated continuously from the time the electrical power is first applied to the time that the aircraft is shut down and the electrical power is removed. No communications may be erased from the CVR from the time that the electrical power is applied for the purpose of flight. After completing all emergency procedures [in accordance with] this manual and with the aircraft at a complete stop, personal safety permitting, the flight crew shall make every effort to preserve CVR data including but not limited to pulling the CVR circuit breaker, if applicable, or other means provided in the aircraft.” The airplane was not equipped with a flight data recorder, nor was it required to be. Data from the Honeywell N1 DEECs were downloaded. A review of the data revealed that both engines were rotating, operating, and responding to power lever inputs throughout the flight and accident sequence. The data did not indicate a TR deployment. The TR deployment indication is not a discrete input, rather a calculation based on weight-on-wheels, MACH, and commanded N1. In this event, DEEC logic requirements for TR deployment indication were not met, nor were low pressure spool % speed (N1), high pressure spool %speed (N2), power lever angle (PLA), or inter-turbine temperature (ITT) increases observed. Typical thrust reverser usage is evidenced by an increase in PLA, N1, N2, and ITT, in addition to the TR deployment indication. On August 21, 2023, about 1315 central daylight time, an Israel Aircraft Industries 1125 Westwind Astra airplane, N39TT, sustained substantial damage when it was involved in an accident near Wheeling, Illinois. The pilot and co-pilot were not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 positioning flight. The flight crew reported that they were cleared to land on runway 16 at Chicago Executive Airport, Wheeling, Illinois, and the airplane touched down within the touchdown zone. The pilot reported that he applied the brakes and deployed the thrust reversers (TR), however, the brakes “were not grabbing.” The pilot released the brakes and reapplied brake pressure with no effect and advised the co-pilot that he had no brakes. The co-pilot applied his brakes, also with no effect. The pilot then selected the emergency brake handle and applied emergency braking. The pilot reported that the emergency braking produced some slowing, and with the airplane’s nose wheel tiller, he attempted a left turn to exit the runway onto the 45° taxiway D, which he thought provided additional stopping distance. Due to the airplane’s energy and momentum, the airplane slid off the taxiway and into the adjacent grass. The airplane’s right main landing gear collapsed, and the airplane came to rest upright (see Figure 1). The flight crew reported that they did not observe any normal or abnormal cockpit annunciators during the approach and landing sequence. Figure 1. Accident airplane (Source: Airport operations) Surveillance videos from nearby airport facilities captured portions of the landing sequence. Based on the videos, the flaps appeared to be in the 40° extended position, and the TRs were not deployed during the landing sequence. The position of the airbrakes (stowed or deployed) could not be determined due to the video quality. Substantial damage was confirmed to the right wing spar on September 7, 2024, and the event was classified as an accident. Before the confirmation of substantial damage, maintenance tests were completed on the airplane and its braking system components and under the supervision of the FAA. No anomalies were noted during the airbrake system (in air and ground modes) and TR tests, which were performed in accordance with maintenance manual procedures. The configuration of the airplane’s cockpit switch positions was not documented, and the switch positions at the time of the accident could not be determined. According to the operator who assisted in the recovery operations, the flaps were found in the 40° extended position, and the slats were extended. A review of airport operations photographs revealed tire skid marks beginning on the runway surface and continuing onto taxiway D (see Figure2) until the airplane departed the runway surface. Measurements of the tire skids marks were not recorded. Figure 2. Airplane tire skid marks (Source: Airport operations). The following components were removed for additional examination and testing at the original equipment manufacturers: anti-skid control box, anti-skid control valves, wheel speed transducers, and brake power valve. The examinations did not reveal any anomalies that would have resulted in a loss or reduced performance of wheel braking. Landing performance calculations and simulations were completed based on ADS-B data, reported weather, and available data from the onboard Honeywell N1 Digital Electronic Engine Control (DEEC) devices. The simulation results were consistent with reduced deceleration or loss of anti-skid efficiency during the accident landing roll (assuming full-braking efforts by the flight crew immediately after touchdown). The magnitude of the deficiency required to match the ADS-B data depended on whether the airbrakes were stowed or deployed; however, the simulations could not help resolving whether the airbrakes were deployed or not. If the reduced deceleration evidenced by the ADS-B data could be explained simply by the airbrakes being stowed (while keeping wheel braking friction coefficient close to its expected dry-runway value), that could help to inform a conclusion that the airbrakes were indeed stowed. However, the simulations indicated that even when the airbrakes are deployed, wheel braking friction coefficient must be reduced by half from its expected value to match the ADS-B data. Consequently, the lack of deceleration during the accident could not be explained solely be postulating that the airbrakes were stowed, and the simulation results could not be used to determine the actual airbrake position. Review of the landing distance data for the approximate weather conditions and a Vref of 121 knots, revealed that at a landing weight of 17,576 lbs, the dry – unfactored landing distance was 2,525 ft with anti-skid and ground airbrakes on and about 4,200 ft with anti-skid and ground airbrakes off. There is no landing distance credit for TRs on a dry runway.

Aircraft

Registration
N39TT
Reported as
Israel Aircraft Industries 1125 Westwind Astra
Category
Airplane
Serial number
053
Built
1991
Airframe hours
8,307
Engines
Honeywell TFE731-3C-200G, 3,700 lbs thrust, turbo fanHoneywell TFE731-3C-200G, 3,700 lbs thrust, turbo fan
Damage
Substantial damage
Flight
Positioning · Part 91
Operator
Astra053 LLC
Registered owner
Astra053 LLC
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · August 16, 2023
Departed
MDW · Chicago, IL
Destination
Same as departure
Flight plan
IFR
Airport
PWK · Chicago Exec, runway 16, 5,001 × 150 ft, asphalt
Equipment
Angle of attack indicator, ADS-B, Stall warning system, Onboard weather, Electronic primary flight display, Electronic multifunction display, Electronic flight bag or handheld device, Data recorder, Auto-pilot

Flight crew · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
64
Injuries
None
Certificates
Commercial, Private, Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
June 1, 2023
Seat
Left
Restraint
5-point
Flight hours
7,500 total · 2,000 in this make and model · 6,500 as pilot in command · 18 in the last 90 days · 10 in the last 30 days · 3 in the last 24 hours
Role
Co-pilot
Age
61
Injuries
None
Certificates
Private, Flight instructor, Commercial, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
April 1, 2023
Seat
Right
Restraint
5-point
Flight hours
8,500 total · 2,300 in this make and model · 1,700 as pilot in command · 22 in the last 90 days · 14 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
80° at 7 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
81 °F, dew point 66 °F
Altimeter
30.24 inHg
Observed at
PWK

Docket · 24

The files NTSB released with the investigation on March 5, 2025, on NTSB’s docket system: statements, records, photos and specialists’ reports. 53.1 MB in all.

Aircraft performance memorandum - performance plots during landingItem 1 · PDF · 10 pages · 490 KBFAA ADS-B dataItem 2 · CSV · 2.0 MBADS-B exchange dataItem 3 · KML · 86 KBPilot/operator aircraft accident report, NTSB form 6120.1Item 4 · PDF · 8 pages · 3.2 MBFlight crew record of conversation (FAA)Item 5 · PDF · 2 pages · 1.9 MBCompany trip reportItem 6 · PDF · 17 pages · 1.9 MBSurveillance video 1 - landingItem 7 · MP4 · 3.5 MBSurveillance video 2 - landingItem 8 · AVI · 15.3 MBEmail - pilotItem 9 · PDF · 1 page · 119 KBEmail - Gulfstream landing distance calculationItem 10 · PDF · 1 page · 95 KBAirplane company checklistItem 11 · PDF · 2 pages · 90 KBEmail - company director of maintenanceItem 12 · PDF · 1 page · 86 KBEmail - company recovery notesItem 13 · PDF · 1 page · 118 KBComponent examination summaryItem 14 · PDF · 3 pages · 114 KBPower brake valve test resultsItem 15 · PDF · 10 pages · 2.4 MBEmail - weight on wheel test resultsItem 16 · PDF · 1 page · 100 KBHoneywell deec summaryItem 17 · PDF · 3 pages · 73 KBExcerpt of airplane maintenance manual - airbrakes systemItem 18 · PDF · 14 pages · 474 KBStatement of party representatives to NTSB investigation - operatorItem 19 · PDF · 1 page · 570 KBStatement of party representatives to NTSB investigation - GulfstreamItem 20 · PDF · 1 page · 193 KBStatement of party representatives to NTSB investigation - HoneywellItem 21 · PDF · 1 page · 132 KBRelease of aircraft wreckage, NTSB form 6120.15Item 22 · PDF · 1 page · 333 KBInvestigation photographs - companyItem 23 · PDF · 8 pages · 19.0 MBICAO accredited representative draft report commentsItem 24 · PDF · 2 pages · 826 KB

FAA reports on this event · 1

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