ERA14LA159

NTSB accident investigation · Cessna 500 · Zephyrhills, FL · March 16, 2014

Accident · No injuriesLimited investigationFinal report
Date
March 16, 2014, 10:37 local (14:37 UTC)
Place
Zephyrhills, FL
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N125DSCessna 500
Defining event
Landing-landing roll: Runway excursion
Weather
Visual (VMC) · Day
Status
Completed · report November 3, 2014
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
FAA report
20140316004309A
Case key
88942

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 pilots' inadequate in-flight planning and improper selection of runway 36 for landing, which resulted in a significant quartering tailwind during the landing, exceedance of the airplane's braking capability, and a subsequent runway overrun.

Findings · 4

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: tire casingAircraft › Aircraft systems · Capability exceededCessna 500: 1 caseAll aircraft: 36 cases
Performance/control parameters: surface speed/brakingAircraft › Aircraft oper/perf/capability · Capability exceededCessna 500: 1 caseAll aircraft: 238 casesProbable cause
Info processing/decision: decision making/judgmentPersonnel issues › Action/decision · Flight crewCessna 500: 2 casesAll aircraft: 3,098 casesProbable cause
Wind: tailwindEnvironmental issues › Conditions/weather/phenomena · Effect on operationCessna 500: 1 caseAll aircraft: 594 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 two flight crewmembers reported that, after landing on runway 36, the pilot, who was the pilot flying, applied the brakes normally; however, the airplane did not decelerate as expected. The pilot applied the brakes a second time, and the right main landing gear tire subsequently failed. The airplane departed the end of runway 36 and came to rest in an area of unfinished gravel, which resulted in structural damage to the airframe. Examination of the 4,954-feet-long runway revealed that the airplane touched down about 1,400 feet from the approach end. Skid marks were visible for about 2,982 feet, and the tire failure occurred about 3,153 feet into the landing. Examinations revealed that the right main landing gear tire had a flat spot with a 4-inch diameter hole consistent with a locked brake. The airplane was equipped with an optional antiskid wheel braking system; however, it was disabled in 2004. The pilots reported that they decided to land on runway 36 based on the wind at flight level 180 and that they did not check the surface wind at the airport. The surface wind at the airport at the time of the accident was from 158 degrees at 15 knots gusting to 25 knots. Thus, the airplane landed with a significant quartering tailwind, which resulted in it touching down at a location and speed at which the pilots were unable to stop the airplane on the runway using normal braking.

Factual narrative

On March 16, 2014, about 1037 eastern daylight time, a Cessna 500, N125DS, was substantially damaged following a runway excursion at Zephyrhills Municipal Airport (ZPH), Zephyrhills, Florida. The airline transport pilot-rated pilot and co-pilot were not injured. The airplane was operated by JJ Aeronautics, Inc. under the provisions of 14 Code of Federal Regulations Part 91 as a personal flight. Day, visual meteorological conditions prevailed for the flight, and an instrument flight rules flight plan was filed. The flight originated at Opa Locka, Florida (OPF), about 0952. The pilots reported the following. The pilot was the flying pilot and the co-pilot was the pilot monitoring. After the landing and touchdown on runway 36, the brakes were applied normally; however, the airplane did not decelerate as expected. The brakes were applied a second time and the right main landing gear tire failed. The airplane departed the end of runway 36 and came to a stop in an area of unfinished gravel. An inspector with the Federal Aviation Administration responded to the accident site and inspected the wreckage. He reported the following. The nose gear was separated from the airplane. The right main gear tire had a flat spot and a four-inch diameter hole in the tread area. The tread was otherwise normal in appearance. There was a creased area in the pressure vessel. The airplane was equipped with an anti-skid braking system; however, it was optional equipment and was disabled in 2004. The airplane was not equipped with a cockpit voice recorder. An examination of the landing runway revealed visible skid marks that began about 1,400 feet from the approach end of runway 36, and continued for about 2,982 feet. Evidence of the tire failure was observed about 3,153 feet into the landing. Runway 36 was 4,954 feet in length. According to airport personnel, the recorded surface wind near the time of the accident was from 158 degrees at 15 knots, with gusts to 23 knots. The pilots reported that they made their landing runway determination for runway 36 based on the wind at flight level 180 and not the actual surface wind at the airport.

Aircraft

Registration
N125DS
Reported as
Cessna 500
Category
Airplane
Serial number
500-0258
Built
1975
Airframe hours
8,736
Engines
P&W JT15D-4B, 2,500 lbs thrust, turbo fanP&W JT15D-4B, 2,500 lbs thrust, turbo fan
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Jj Aeronautics Inc
Registered owner
Jj Aeronautics Inc
Airworthiness certificate
Standard, Normal
Last inspection
Continuous airworthiness · August 13, 2013
Departed
OPF · Opa Locka, FL
Destination
ZPH · Zephyrhills, FL
Flight plan
IFR
Airport
ZPH · Zephyrhills Muni, runway 36, 4,954 × 100 ft, asphalt
Equipment
Auto-pilot

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
40
Injuries
None
Certificate
Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
November 22, 2013
Seat
Left
Flight hours
3,921 total · 530 in this make and model · 2,362 as pilot in command · 257 in the last 90 days · 131 in the last 30 days · 6 in the last 24 hours
Role
Co-pilot
Age
32
Injuries
None
Certificate
Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Seat
Right
Flight hours
5,289 total · 1,380 in this make and model · 3,286 as pilot in command · 120 in the last 90 days · 30 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
170° at 14 knots, gusting 22
Visibility
10 statute miles
Lowest ceiling
None
Temperature
73 °F, dew point 61 °F
Altimeter
29.94 inHg
Observed at
ZPH

Docket · 5

The files NTSB released with the investigation on May 29, 2014, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.4 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.