CHI89MA047

NTSB accident investigation · Dassault-Breguet Falcon 900 · South Bend, IN · January 20, 1989

Accident · No injuriesMajor investigationFinal report
Date
January 20, 1989, 08:14 local (13:14 UTC)
Place
South Bend, IN
Injuries
4 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N901BDassault-Breguet Falcon 900
Weather
Visual (VMC) · Day
Status
Completed · report July 12, 1991
Report
Approved by Office Director
FAA report
19890120001059A
Case key
14428

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

Failure of the thrust reverser actuator links due to a manufacturing/design problem. Factors related to the accident were: the adverse runway conditions and the crosswind.

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.

Airframe/component/system failure/malfunctionLanding - roll
Thrust reverser,actuator - failure,totalCause
Acft/equip,inadequate designManufacturerFactor
Airport facilities,runway/landing area condition - snow coveredFactor
Airport facilities,runway/landing area condition - slush coveredFactor
Landing gear,tire - failure,total
Loss of control - on ground/waterLanding - roll
Weather condition - crosswindFactor
Directional control - not possible
Main gear collapsedLanding

Analysis

The plts rprtd that while lndg on a snow & slush cvrd rwy, they used full reverse thrust & max braking with anti-skid, but the acft did not decelerate. They selected the #2 brake sys without anti-skid. Subsequently, the main tires failed (blew-out) & the acft slid off the left side of the rwy, collapsing the left main gear. Inv revealed that both thrust reverser actuator links on the #2 eng had failed. With these failures the #2 eng would have contd to provide fwd thrust,propelling the acft dwn the rwy. (On this model of acft, only the #2 eng was equipped with reverse thrust capability.) Metallurgical exams of the fwd rod end fittings of both reverse thrust actuator links (p/n 8140-06LK) revealed the bearing loops had failed from overstress. Mandatory service bulletin (s/b) F900-78-1 was issued on 5/18/89 to provide a safety system to prevent activation of the thrust reverser above idle, while the aircraft is on the ground. Also, mandatory s/b F900-78-2 was issued on 7/19/89 to reinforce the thrust reverser actuating mechanisms.

Aircraft

Registration
N901B
Reported as
Dassault-Breguet Falcon 900
Category
Airplane
Serial number
024
Airframe hours
886
Engine
Garrett TFE-731, 4,500 lbs thrust, turbo fan
Damage
Substantial damage
Flight
Executive/Corporate · Part 91
Registered owner
Bristol-Myers Co.
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · December 22, 1988 · 74 hours before
Departed
PHL · Philadelphia, PA
Flight plan
IFR
Airport
SBN · Michiana Regional, runway 27, 7,089 × 150 ft, asphalt

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
42
Certificates
Flight instructor, Commercial, Flight engineer, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Right
Flight hours
10,985 total · 500 in this make and model · 8,400 as pilot in command · 119 in the last 90 days · 52 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
330° at 13 knots, gusting 27
Visibility
7 statute miles
Lowest ceiling
4,100 ft overcast
Temperature
30 °F, dew point 25 °F
Altimeter
30.00 inHg
Observed at
SBN, 5 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.