ERA19TA133

NTSB accident investigation · Cessna 650 · Sanford, FL · March 14, 2019

Accident · No injuriesClass 3Final report
Date
March 13, 2019, 22:15 local (Mar 14, 2019, 02:15 UTC)
Place
Sanford, FL
Injuries
4 uninjured
Damage
Substantial damage
Phase of flight
Taxi
Aircraft
N220CMCessna 650
Defining event
Taxi-from runway: Miscellaneous/other
Weather
Visual (VMC) · Night
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20190314001369A
Case key
99149

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 failure to keep the airplane on the taxiway while taxiing at night. Contributing to the accident was a miscommunication between the flight crewmembers about the position of the airplane.

Findings · 3

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.

Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotCessna 650: 1 caseAll aircraft: 9,295 casesProbable cause
Communication (personnel): interpretation/understandingPersonnel issues › Task performance · Flight crewCessna 650: 1 caseAll aircraft: 10 casesProbable cause
Performance/control parameters: heading/courseAircraft › Aircraft oper/perf/capability · Not attained/maintainedCessna 650: 1 caseAll aircraft: 82 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 pilot stated that after landing the airplane at night, the taxiway that he normally used was occupied, so he taxied toward the ramp via an alternate taxiway. As he approached the ramp, there were four or five airplanes on the ramp, and the pilot asked the copilot if the area was clear on the right side. The pilot was referring to the ground path, but the copilot thought he was referring to the other airplanes. When the copilot replied that they were clear, the pilot turned right. The airplane then exited the taxiway onto grass and the nosewheel struck concrete, which resulted in substantial damage to the fuselage structure above the nose landing gear. The pilot reported that there were no preimpact mechanical malfunctions with the airplane.

Factual narrative

On March 14, 2019, about 2215 eastern daylight time, a Cessna 650, N220CM, was substantially damaged during taxi at Orlando Sanford International Airport (SFB), Orlando, Florida. The two airline transport pilots and two passengers were not injured. The personal flight was conducted under the provisions of Title 14 Code of Federal Regulations Part 91. Night visual meteorological conditions prevailed and an instrument flight rules flight plan was filed for the flight that departed Yeager Airport (CRW), Charleston, West Virginia, about 2100. The pilot stated that after landing, the taxiway that he normally used had an airplane on it, so he taxied toward the ramp via an alternate taxiway. As he approached the ramp, there were four or five airplanes on the ramp and the pilot asked the copilot if the area was clear on the right side. The pilot was referring to the ground and the copilot thought he was referring to the other airplanes. When the copilot replied that they were clear, the pilot turned right. The airplane then exited the taxiway on to grass and the nosewheel struck concrete before the airplane came to rest. The pilot added that there were no preimpact mechanical malfunctions with the airplane. Examination of the airplane by a Federal Aviation Administration inspector revealed damage to the structure above the nose landing gear and the pressure bulkhead.

Aircraft

Registration
N220CM
Reported as
Cessna 650 (No Series)
Category
Airplane
Serial number
650-0160
Built
1988
Airframe hours
9,655
Engines
Honeywell TFE-731, turbo fanHoneywell TFE-731, turbo fan
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Rp Sales And Leasing Inc
Registered owner
Rp Sales And Leasing Inc
Airworthiness certificate
Standard, Transport
Departed
CRW · Charleston, WV
Destination
SFB · Sanford, FL
Flight plan
IFR
Airport
SFB · Orlando Sanford International
Equipment
Data recorder, Auto-pilot, Angle of attack indicator, Stall warning system, Satellite tracking device, Electronic primary flight display

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
83
Injuries
None
Certificates
Airline transport, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
March 2, 2019
Seat
Left
Restraint
3-point
Flight hours
30,000 total · 4,000 in this make and model · 29,000 as pilot in command · 75 in the last 90 days · 30 in the last 30 days · 6 in the last 24 hours
Role
Co-pilot
Age
69
Injuries
None
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
March 4, 2019
Seat
Right
Restraint
3-point
Flight hours
4,353 total · 261 in this make and model · 3,640 as pilot in command · 86 in the last 90 days · 31 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night
Wind
110° at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
66 °F, dew point 61 °F
Altimeter
30.13 inHg
Observed at
SFB

Docket · 2

The files NTSB released with the investigation on April 15, 2019, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.4 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.