DCA15MA029

NTSB accident investigation · Embraer EMB-500 · Gaithersburg, MD · December 8, 2014

Accident · FatalClass 1 · MajorFinal report
Date
December 8, 2014, 10:41 local (15:41 UTC)
Place
Gaithersburg, MD
Injuries
6 fatal; on the ground: 3 fatal
Damage
Destroyed
Phase of flight
Approach
Aircraft
N100EQEmbraer EMB-500
Defining event
Approach-IFR final approach: Loss of control in flight
Weather
Instrument (IMC) · Day
Status
Completed · report June 21, 2016
Report
Board-adopted at Board Meeting
Investigation class
Class 1
NTSB office
Major Investigations Division
Parties
Transportation Safety Board of Canada, Aeronautical Accidents Investigation and Preventio, Federal Aviaton Administration
Safety recommendations
Yes
FAA report
20141208024529A
Case key
90473

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 pilot's conduct of an approach in structural icing conditions without turning on the airplane's wing and horizontal stabilizer deice system, leading to ice accumulation on those surfaces, and without using the appropriate landing performance speeds for the weather conditions and airplane weight, as indicated in the airplane's standard operating procedures, which together resulted in an aerodynamic stall at an altitude at which a recovery was not possible.

Findings · 6

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.

LoadingAircraft › Aircraft handling/service · Related operating infoEmbraer-Empresa Brasileira De EMB-500: 1 caseAll aircraft: 35 cases
Ceiling/visibility/precipEnvironmental issues › Conditions/weather/phenomena · Effect on equipmentEmbraer-Empresa Brasileira De EMB-500: 1 caseAll aircraft: 65 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

The NTSB's full report is available at http://www.ntsb.gov/investigations/AccidentReports/Pages/AccidentReports.aspx. The Aircraft Accident Report number is NTSB/AAR-16/01. On December 8, 2014, about 1041 eastern standard time, an Embraer EMB-500 airplane (marketed as the Phenom 100), N100EQ, registered to and operated by Sage Aviation LLC, crashed while on approach to runway 14 at Montgomery County Airpark (GAI), Gaithersburg, Maryland. The airplane impacted three houses and the ground about 3/4 mile from the approach end of the runway. A postcrash fire involving the airplane and one of the three houses, which contained three occupants, ensued. The pilot, the two passengers, and the three people in the house died as a result of the accident. The airplane was destroyed by impact forces and postcrash fire. The flight was operating on an instrument flight rules (IFR) flight plan under the provisions of 14 Code of Federal Regulations (CFR) Part 91. Visual meteorological conditions prevailed at the time of the accident.

Factual narrative

The NTSB's full report is available at http://www.ntsb.gov/investigations/AccidentReports/Pages/AccidentReports.aspx. The Aircraft Accident Report number is NTSB/AAR-16/01. On December 8, 2014, about 1041 eastern standard time, an Embraer EMB-500 airplane (marketed as the Phenom 100), N100EQ, registered to and operated by Sage Aviation LLC, crashed while on approach to runway 14 at Montgomery County Airpark (GAI), Gaithersburg, Maryland. The airplane impacted three houses and the ground about 3/4 mile from the approach end of the runway. A postcrash fire involving the airplane and one of the three houses, which contained three occupants, ensued. The pilot, the two passengers, and the three people in the house died as a result of the accident. The airplane was destroyed by impact forces and postcrash fire. The flight was operating on an instrument flight rules (IFR) flight plan under the provisions of 14 Code of Federal Regulations (CFR) Part 91. Visual meteorological conditions prevailed at the time of the accident.

Aircraft

Registration
N100EQ
Reported as
Embraer EMB-500
Category
Airplane
Serial number
50000082
Built
2009
Airframe hours
633.8
Engines
P&W Canada PW617F-E, turbo jetP&W Canada PW617F-E, turbo jet
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Operator
Sage Aviation LLC
Registered owner
Sage Aviation LLC
Airworthiness certificate
Standard, Normal
Last inspection
Continuous airworthiness · November 14, 2014
Departed
IGX · Chapel Hill, NC
Destination
GAI · Gaithersburg, MD
Flight plan
IFR
Airport
GAI · Montgomery County Airpark, runway 14, 4,202 × 75 ft, asphalt
Equipment
Stall warning system, Data recorder

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
66
Injuries
Fatal
Certificates
Airline transport, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
April 28, 2014
Seat
Left
Toxicology
Performed
Flight hours
4,736.5 total · 135.8 in this make and model

Weather

Conditions
Instrument (IMC) · Day
Wind
40° at 6 knots
Visibility
10 statute miles
Lowest ceiling
3,200 ft overcast
Temperature
30 °F, dew point 19 °F
Altimeter
30.61 inHg
Observed at
GAI

Docket · 39

The files NTSB released with the investigation on January 20, 2016, on NTSB’s docket system: statements, records, photos and specialists’ reports. 93.1 MB in all.

Cockpit Voice Recorder - Group Chairman's Factual ReportItem 1 · .PDF · 1.4 MBPersonal Electronic Devices - Specialist's Factual ReportItem 2 · .PDF · 9 photos · 1.1 MBPowerplant Group Chairman's ReportItem 3 · .PDF · 32 photos · 4.3 MBMaintenance RecordsItem 4 · .PDF · 371 KBMeteorologyItem 5 · .PDF · 5.9 MBStructures Factual ReportItem 6 · .PDF · 31 photos · 10.4 MBSystems Factual ReportItem 7 · .PDF · 950 KBErrata - Systems Group Chairman's FactualItem 8 · .PDF · 16 KBATC Factual ReportItem 9 · .PDF · 347 KBATC Factual Report - Attachment 1Item 10 · .PDF · 270 KBATC Factual Report - Attachment 2Item 11 · .PDF · 265 KBATC Factual Report - Attachment 3Item 12 · .PDF · 129 KBATC Factual Report - Attachment 4Item 13 · .PDF · 495 KBATC Factual Report - Attachment 5Item 14 · .PDF · 553 KBSurvival Factors - Specialist's Factual ReportItem 15 · .PDF · 519 KBFlight Data Recorder - Specialist's Factual ReportItem 16 · .PDF · 998 KBFlight Data Recorder - Attachment 1 (FDR tabular data for event flight)Item 17 · .CSV · 55.1 MBFlight Data Recorder - Attachment 2 (FDR tabular data for previous flight)Item 18 · .PDF · 97 KBGarmin Integrated Avionics (GIA) Units - Specialist's Factual ReportItem 19 · .PDF · 1 photo · 204 KBGarmin Integrated Avionics (GIA) Units - Attachment 1Item 20 · .PDF · 295 KBGarmin Integrated Avionics (GIA) Units - Attachment 2Item 21 · .PDF · 324 KBFlight Data Recorder Addendum - Additional ParametersItem 22 · .PDF · 340 KBFlight Data Recorder Addendum - Additional Parameters Attachement 1 (Tabular data for additional parameters)Item 23 · .CSV · 1.3 MBOperations Group Factual ReportItem 24 · .PDF · 406 KBOperations - Attachment 1 - Interview SummariesItem 25 · .PDF · 360 KBOperations - Attachment 2 - POH excerpt - Ice Protection SystemItem 26 · .PDF · 180 KBOperations - Attachment 3 - POH excerpt - Stall Warning SystemItem 27 · .PDF · 37 KBOperations - Attachment 4 - POH excerpt - Landing PerformanceItem 28 · .PDF · 89 KBOperations - Attachment 5 - Weight and Balance InformationItem 29 · .PDF · 496 KBOperations - Attachment 6 - GAI RNAV (GPS) RWY 14 IAPItem 30 · .PDF · 228 KBOperations - Attachment 7 - Pilot Training RecordsItem 31 · .PDF · 1.1 MBOperations - Attachment 8 - Pilot Logbook (02.10.15)Item 32 · .PDF · 100 KBOperations - Attachment 9 - Quick Reference Handbook - Excerpts - Landing PerformanceItem 33 · .PDF · 387 KBOperations Attachment 10 -- Quick Reference Handbook -- Excerpts -- ChecklistsItem 34 · .PDF · 125 KBOperations Attachment 11 - Photographs of non-standard checklistItem 35 · .PDF · 510 KBAircraft Performance StudyItem 36 · .PDF · 8 photos · 2.0 MBAircraft Performance Study Addendum 1 - CVDR ExtractionItem 37 · .PDF · 541 KBAircraft Performance Study Addendum 2 - LEWICE Icing ReportItem 38 · .PDF · 878 KBAircraft Performance Study ErrataItem 39 · .PDF · 40 KB

FAA reports on this event · 1

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