CHI91MA224

NTSB accident investigation · Learjet 23 · Detroit, MI · July 23, 1991

Accident · FatalMajor investigationFinal report
Date
July 22, 1991, 21:15 local (Jul 23, 1991, 01:15 UTC)
Place
Detroit, MI
Injuries
3 fatal
Damage
Destroyed
Phase of flight
Takeoff
Aircraft
N959SCLearjet 23
Weather
Visual (VMC) · Dusk
Status
Completed · report September 11, 1992
Report
Approved by Office Director
FAA report
19910722029029A
Case key
15196

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

Improper preflight by the pilot, his failure to abort the takeoff while there was sufficient runway remaining, and his failure to assure that the aircraft attained sufficient airspeed for lift-off and climb. Factors related to the accident were: the pilot's failure to assure the aircraft was within its maximum weight limitation, his improper use of the parking brake, and insufficient information in the pilot operating handbook concerning the aircraft parking brake.

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.

Loss of control - in flightTakeoff
Aircraft preflight - inadequatePilot in commandCause
Aircraft weight and balance - improperPilot in commandFactor
Aircraft manuals,system information - inadequateFactor
Parking brakes - improper use ofPilot in commandFactor
Information insufficientManufacturerFactor
Aborted takeoff - not performedPilot in commandCause
Lift-off - prematurePilot in commandCause
Stall/mush
In flight collision with objectTakeoff
Object - tree(s)Factor
In flight collision with terrain/waterDescent - uncontrolled

Analysis

A lineman noted parking brake (p/b) was set bfr flt. Plts bgn tkof on 5147' rwy with 10 kt x-wnd. A witness said acft rotated for tkof abt 4500' dwn rwy & lifted off abt 50' ltr. Rprtdly, it rmnd low & slow (20-60 ft AGL) after lift-off, then banked (rocked) left & right in nose hi attitude, settled, hit trees & crashed abt 200' byd rwy. One person said acft went out of ctl bfr impact; another said it was 'in or on the edge of stalled flight.' Exam showed rotational dmg occurred in both engs drg impact. The braking sys had evidence that p/b ctl vlv was partially on; brake torque tube contained heat blueing. On this early model (Learjet 23/SN: 23-45A), p/b had to be rlsd by depressing brake pedals 1st; plt handbook did not address this. On ltr models (sn: 23-050 & up), p/b needed only to be moved 'off.' Inv showed left seat plt had trng in later models (Learjet 24/25); but only a biennial flt review was noted in the model 23. Company dispatcher said no trng would have been performed on acdnt flt (with psgr aboard). Acft was abt 430 lbs ovr max wt lmt.

Aircraft

Registration
N959SC
Reported as
Learjet 23
Category
Airplane
Serial number
23-045A
Engine
GE CJ-610-4, 2,850 lbs thrust, turbo jet
Damage
Destroyed
Fire
On-Ground
Flight
Positioning · Part 91
Operator
Jetstream International, Inc.
Departed
DET
Destination
MDW · Chicago, IL
Flight plan
IFR
Airport
DET · Detroit City, runway 33, 5,147 × 100 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
43
Certificates
Commercial, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Toxicology
Performed
Flight hours
9,000 total · 2,600 in this make and model

Weather

Conditions
Visual (VMC) · Dusk
Wind
240° at 10 knots
Visibility
7 statute miles
Lowest ceiling
10,000 ft overcast
Temperature
-0 °F, dew point -0 °F
Observed at
DET, 1 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.