CHI05FA059

NTSB accident investigation · Learjet 35A · Kansas City, MO · January 29, 2005

Accident · No injuriesField investigationFinal report
Date
January 28, 2005, 22:17 local (Jan 29, 2005, 04:17 UTC)
Place
Kansas City, MO
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N911AELearjet 35A
Weather
Instrument (IMC) · Night
Status
Completed · report February 26, 2007
Report
Approved by Office Director
Parties
Federal Aviation Administration, Million Air
FAA report
20050128002139A
Case key
60987

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 contaminated runway conditions during landing. Contributing factors were the operation of the airplane without thrust reversers, flight to the planned alternate airport not performed by the flightcrew, and the insufficient runway information. Additional factors were the airport property and terrain that the airplane impacted.

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
Flight to destination alternate - not performedFlightcrewFactor
Information insufficientFlightcrewFactor
Thrust reverser - inoperativeFactor
Airport facilities,runway/landing area condition - otherCause
Other system - inoperative
On ground/water collision with objectLanding - roll
Object - antennaFactor
Object - fenceFactor
Object - otherFactor
On ground/water encounter with terrain/waterLanding - roll

Analysis

The Learjet 35A received substantial damage on impact with airport property and terrain during a landing overrun on runway 19 (7,002 feet by 150 feet, grooved asphalt) at Charles B. Wheeler Downtown Airport (MKC), Kansas City, Missouri. The airplane was operated by a commercial operator as a positioning flight to Kansas City International Airport (MCI), Kansas City, Missouri, with a filed alternate destination of Lincoln Airport (LNK), Lincoln, Nebraska. Night instrument meteorological conditions prevailed at the time of the accident. LNK was a certificated airport with a snow removal plan and was served by runway 17R (12,901 feet by 200 feet, grooved asphalt and concrete). The flight was en route to MCI to pick up passengers and continue on as an on-demand charter but diverted to MKC following the closure of MCI. MCI was closed due to a McDonnell Douglas MD83 sliding off a taxiway during an after landing taxi on contaminated runway/taxiway conditions. MKC held a limited airport certificate that did not have a snow removal plan and was served by runway 19. Following a precision approach and landing on runway 19 at MKC, the Learjet 35A slid off the departure end of the runway and impacted airport property and terrain. The Learjet 35A was operated with inoperative thrust reversers as per the airplane's minimum equipment list at the time of the accident. About 1:05 hours before the accident, runway 19 Tapley values were recorded as 21-22-22 with 1/2 inch of wet snow. About 17 minutes before the accident, MKC began snow removal operations. About 7 minutes before the accident, the MKC air traffic control tower (TWR) instructed the snow removal vehicles to clear the runway for inbound traffic. TWR was advised by airport personnel that runway 19 was plowed and surface conditions were 1/4 inch of snow of snow; friction values were not taken or reported. While inbound, the Learjet 35A requested any braking action reports from TWR. The first airplane to land was a Cessna 210 Centurion, and the pilot reported braking action to the TWR as "moderate", which was then transmitted by TWR as "fair" from a Centurion in response to the Learjet 35A's query. The Cessna 210 Centurion pilot did not use brakes during landing and did not indicate this to TWR during his braking action report. The Aeronautical Information Manual states that no correlation has been established between MU values and the descriptive terms "good," fair," and "nil" used in braking action reports. The Airport Winter Safety and Operations advisory circular (AC) states that "pilot braking action reports oftentimes have been found to vary significantly, even when reported on the same frozen contaminant surface conditions." The AC also states, "It is generally accepted that friction surveys will be reliable as long as the depth of snow does not exceed 1 inch (2.5 cm) and/or depth of wet snow/slush does not exceed 1/8 inch (3mm). The Learjet 35A flightcrew calculated a landing distance 5,400 feet. Two of the cockpit voice recording channels, which normally contain the pilot and copilot audio panel information, were blank.

Factual narrative

History of flight

On January 28, 2005, at 2217 Central Standard Time (CST), a Learjet 35A, N911AE, operated by Business Aviation Management Group Inc. (d.b.a. Million Air), overran runway 19 during landing rollout at Charles B. Wheeler Downtown Airport (MKC), Kansas City, Missouri. The airplane received substantial damage when it impacted airport property and terrain. Night instrument meteorological and contaminated runway conditions prevailed at the time of the accident. The Title 14 Code of Federal Regulations (CFR) Part 91 positioning flight was operating on an instrument rules flight plan with a filed alternate destination of Lincoln Airport (LNK), Lincoln, Nebraska. The pilot and copilot were uninjured. The flight originated from Salt Lake City International Airport (SLC), Salt Lake City, Utah, at 1905 Mountain Standard Time, and was en route to Kansas City International Airport (MCI), Kansas City, Missouri, when it diverted to MKC.

The positioning flight was to pick up five passengers at MCI for a return Title 14 CFR Part 135 flight to SLC. At 2102 CST, the Learjet 35A was on approach to MCI when a McDonnell Douglas MD83 slid off runway 19L at taxiway E during an after landing taxi resulting in the closure of MCI for approximately 90 minutes. The Learjet 35A then diverted to MKC.

A Federal Aviation Administration (FAA) partial transcript of transmissions from MKC Air Traffic Control Tower (TWR), N911AE, FLX745 (Cessna 210 Centurion), Airport Vehicles (ARPT) 5, 10, 24, 26, and MCI Approach Control (APP) follows.

2206:50 CST; TWR; and ah airport five

2206:59 CST; ARPT 5; airport five

2207:01 CST; TWR; airport five why don't you guys ahead ah start to ah exiting on runway one niner and all vehicles please report clear traffic on nine mile final

2207:03 CST; ARPT 5; airport five we copy

2207:10 CST; TWR; look like I am going to have three right in a row inbound and I'll get you guys going again

2207:12 CST; ARPT 24; airport twenty four is clear

2207:33 CST; FLX745; downtown tower flight express seven forty five on the I L S for one niner

2207:33 CST; ARPT 5; airport five is clear

2207:35 CST; TWR; flight express seven forty five downtown tower continue inbound at the present time I do have plows on the runway they will be exiting here shortly

2207:36 CST; FLX 745; ah roger flight express seven forty five

2207:37 CST; TWR; o k ah I had a couple of you are stepping on each other I know that twenty four is clear, twenty five is clear who else

2207:38 CST; ARPT 26; airport twenty six

2207:39 CST; ARPT 10; airport ten is clear

2207:41 CST; ARPT 5; airport five is clear

2207:47 CST; TWR; roger understand all vehicles are clear of the runway thank you hold short of runway one niner for landing traffic you can proceed onto runway three two one just remain clear of the intersection to runway one

2208:02 CST; TWR; flight express seven forty five is cleared to land on runway one niner and r v r is ah better than six thousand five hundred the runway has been plowed fifty feet either side of the centerline

2208:09 CST; FLX745; roger cleared to land flight express seven forty five understand they just plowed the runway

2208:24 CST; TWR; affirmative and once your down just ah I'd appreciate any pilot reports you can give me regarding ice and [braking] action

2208:30 CST; FLX745; roger flight express seven forty five

2208:41 CST; TWR; approach downtown

2208:43 CST; APP; approach

2208:45 CST; TWR; hey our runway one niner has been plowed fifty feet ah either side of the centerline

2208:46 CST; APP; o k

2208:47 CST; TWR; but I don't have a [braking] action yet

2208:48 CST; APP; alright t t

2208:49 CST; TWR; d x

2211:12 CST; FLX745; ah tower the ride down was pretty good there's quite a bit of fog right before you get to the runway though

2211:20 CST; TWR; roger thanks

2211:22 CST; FLX745; icing was just a trace of rime

2211:23 CST; TWR; roger thanks

2211:32 CST; N911AE; downtown tower lear jet one one alpha echo at two thousand six hundred on the I L S one niner

2211:38 CST; TWR; lear niner one one alpha echo downtown tower runway one niner cleared to land centurion ahead reported a trace of rime on the decent runway has been plowed fifty feet either side of the centerline

2211:48 CST; N911AE; o k ah cleared to land runway one niner and any [braking] reports

2212:00 CST; TWR; one alpha echo I am sorry I was on another frequency say again

2212:03 CST; N911AE; ah any [braking] reports on runway one niner one alpha echo

2212:06 CST; TWR; I'll have it for you in just a second

2212:07 CST; N911AE; thank you

2212:21 CST; TWR; flight express seven forty five how's the [braking] action

2212:22 CST; FLX745; ah we are just slipping just a little bit it's pretty good I'd say it's moderate to ah (unintelligible)

2212:27 CST; TWR; understand that breaking action is fair

2212:29 CST; FLX745; ah yea I'd call it fair

2212:35 CST; TWR; o k use caution down from there it hasn't been touched at all foxtrot looks like it's been plowed proceed into the ramp this frequency good night

2212:37 CST; FLX745; roger we'll stay with you flight express seven forty five

2212:43 CST; MKLC TWR; lear one alpha echo centurion that just landed reported [braking] action fair and I'd appreciate a [braking] action report from you also

2214:48 CST; N911AE; will do one alpha echo

2217:45 CST; TWR; lear one alpha echo tower

2217:48 CST; N911AE; o k we are all right

2217:49 CST; MKC TWR; o k are you off the runway sir

2217:51 CST; N911AE; we are

2218:04 CST; TWR; one alpha echo understand you are on your way to the ramp I don't have you in sight sir

2218:09 CST; N911AE; one alpha echo off the end of the runway pass the localizer

2218:14 CST; TWR; o k understand you are off the end of the runway

2218:18 CST; N911AE; we have departed the end of the runway through the perimeter fence

The copilot stated that following the closure of MCI, APP indicated at least a one-hour holding time was to be expected and numerous aircraft were diverting to Omaha. The copilot asked APP if MKC was available and was issued a clearance to MKC. He obtained Automated Terminal Information Service (ATIS) Echo, which reported a visibility of 1/2 statute mile (sm) with light snow and freezing fog. He told APP that MKC was below approach minimums and requested clearance to their alternate, LNK. After turning to a direct route to LNK, APP reported ATIS information Foxtrot as: 1 1/4 sm visibility in light snow and mist; sky condition as few at 1,000 feet above ground level (agl) and scattered at 1,800 feet agl with instrument landing system (ILS) 19 approach in use. They were then cleared to MKC.

The copilot stated that he heard TWR talking to an aircraft that just landed regarding braking action. The copilot stated TWR then reported braking action to the Learjet 35A as fair but did not specify the aircraft type that reported the braking action. The copilot stated that the approach was flown "stabilized" with a speed of REF + 30 until flaps were selected, then REF + 10 for the remainder of the approach, slowing to REF + 5 over the fence. The glideslope was followed to touchdown, about 1,000 feet from the threshold. The touchdown was made to the right. The deceleration appeared "normal" as brakes were applied, until 1,500 - 2,000 feet from the departure end of the runway when the speed appeared to "stabilize" about 20-30 knots. The copilot stated that he called for maximum braking and they both noted the brakes were "ineffective" at slowing the airplane and they knew that they would not stop by the end of the runway.

The pilot of FLX745 stated that he was cleared for approach and heard TWR asking the snow removal crew to get clear of the runway. As he broke out of the clouds, he could see the runway was not completely cleared; however, it was cle

Aircraft

Registration
N911AE
Reported as
Learjet 35A
Category
Airplane
Serial number
109
Airframe hours
11,138.9
Engine
Allied Signal TFE 731-2-2B, 3,500 lbs thrust, turbo fan
Damage
Substantial damage
Flight
Business · Part 91
Operator
Business Aviation Management Group Inc, doing business as Million Air
Registered owner
Keystone Aviation LLC
Airworthiness certificate
Standard, Transport
Last inspection
AAIP · October 1, 2004 · 102.4 hours before
Departed
SLC · Salt Lake City, UT
Destination
MKC · Kansas City, MO
Flight plan
IFR
Airport
MKC · Charles B. Wheeler Downtown, runway 19, 7,002 × 150 ft, snow

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
54
Injuries
None
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1
Last flight review
January 1, 2005
Seat
Left
Flight hours
5,127 total · 1,236 in this make and model · 3,886 as pilot in command · 99 in the last 90 days · 50 in the last 30 days · 2 in the last 24 hours
Role
Co-pilot
Age
38
Injuries
None
Certificates
Flight instructor, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1
Last flight review
January 1, 2005
Seat
Right
Flight hours
4,301 total · 482 in this make and model · 3,621 as pilot in command · 76 in the last 90 days · 38 in the last 30 days

Weather

Conditions
Instrument (IMC) · Night
Wind
0° at 0 knots
Visibility
0.75 statute miles
Lowest ceiling
1,600 ft broken
Temperature
30 °F, dew point 28 °F
Altimeter
30.19 inHg
Observed at
MKC

Docket · 17

The files NTSB released with the investigation on January 16, 2007, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.2 MB in all.

FAA reports on this event · 1

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