ERA21LA077

NTSB accident investigation · Embraer EMB-500 · Jacksonville, FL · December 16, 2020

Accident · No injuriesClass 3 · LimitedFinal report
Date
December 16, 2020, 14:19 local (19:19 UTC)
Place
Jacksonville, FL · airport location
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N661EPEmbraer EMB-500
Defining event
Landing-landing roll: Runway excursion
Weather
Instrument (IMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20201216019189A
Case key
102425

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

The flight crew’s failure to apply maximum braking immediately upon touchdown, which resulted in a runway excursion. Contributing to the accident were 1) the slightly excessive approach airspeed and 2) the flight crew’s decision to land on a wet runway during heavy rain with little margin between the unfactored landing distance required and the landing distance available.

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.

Ceiling/visibility/precip: rainEnvironmental issues › Conditions/weather/phenomena · Use of related infoEmbraer-Empresa Brasileira De EMB-500: 1 caseAll aircraft: 56 casesProbable cause
Performance/control parameters: airspeedAircraft › Aircraft oper/perf/capability · Incorrect use/operationEmbraer-Empresa Brasileira De EMB-500: 2 casesAll aircraft: 1,681 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 flight crew performed an instrument landing system approach in heavy rain. The published unfactored landing distance, which assumes ideal conditions for airplane speed, flightpath, and maximum braking immediately after touchdown, was about 330 ft shorter than the landing distance available. The factored landing distance, which 1) provides a safety margin and 2) allows for some variance from the ideal conditions, was about 1,360 ft longer than the landing distance available. During the approach, when the airplane was about 50 ft above the runway, the airspeed was about 4 knots higher than the target speed. After touchdown, the pilot(s) began braking within 1-2 seconds; however, the brake pedals did not reach their maximum braking position until about 8 seconds after touchdown. The brake pedals remained in the maximum position for 3 seconds before the parking/emergency brake was applied. The parking brake activation, which is not protected by the anti-skid system, resulted in the locking of both main landing gear wheelsets, reducing braking performance significantly. As a consequence of the wheels locking, the anti-skid system was deactivated, as designed. The airplane departed the end of the runway at a speed of about 60 knots and sustained substantial damage.

Factual narrative

On December 16, 2020, at 1419 eastern standard time, an Embraer EMB-500, N661EP, was substantially damaged when it overran the runway during landing at Jacksonville Executive Airport at Craig (CRG), Jacksonville, Florida. The pilot, copilot, and passenger were not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 corporate flight. According to the pilot, he performed an instrument landing system approach to runway 32 at CRG. He landed in the touchdown zone at a speed of 100 knots. After the airplane slowed to 80 knots, he applied full manual braking, but the airplane “was not reducing speed for stop as expected.” As the airplane approached the departure end of the runway, he attempted to apply the emergency brake three times, with no response. As the airplane rolled into the grass, he attempted to activate the emergency brake again, with no response. He applied left rudder to avoid colliding with the approach lights. As the airplane came to a stop the right wing contacted the ground. The airplane sustained substantial damage to the right wing, a portion of the right main landing gear punctured the right wing near its root. The automated terminal information system (ATIS) information Kilo, issued at 1353 was tuned in on the airplane’s radio and recorded on the cockpit voice recorder at about 1355. The weather information included wind from 100° at 4 knots, visibility of ¾ mile, thunderstorms in the vicinity with heavy rains and mist, few clouds at 300 ft and an overcast layer at 4,000 ft. The 1418 weather conditions reported at CRG included wind from 250° at 3 knots, visibility ¼ statute mile, heavy rain in thunderstorms, and mist, and a broken cloud ceiling at 300 ft above ground level (AGL). The remarks section of the weather observation included a note indicating the previous 1-hour precipitation water equivalent was 0.32 inches. According to the airplane Quick Reference Handbook (QRH), for a gross weight of 9,500 lbs. (the appropriate next higher value in the landing data from the pilot’s reported value of 9,331 lbs.), the landing reference speed was 104 knots, and the unfactored wet runway landing distance required was 3,679 ft. Unfactored landing distances are not adjusted (or ‘factored’) for any safety margin additives and assume that several criteria are met during landing. According to the airplane flight manual (AFM) these criteria are): · Steady three degree angle approach at VREF in landing configuration · VREF airspeed maintained at runway threshold · Idle thrust established at runway threshold · Attitude maintained until MLG touchdown · Maximum brake applied immediately after MLG touchdown · Antiskid system operative The AFM further advises “If these performance techniques are not strictly used for a typical landing made during normal operations, the distances may be longer.” Additionally, the QRH lists factored landing distances, which are intended to provide a safety margin to the landingdistance required, as well as account for other variables such as the effects of temperature, increased approach speed, and reduced wheel braking. The factored wet runway landing distance in this case was 5,368 ft. Runway 32 at CRG is 4,008 x 100 ft with an asphalt surface that was not grooved. A review of the cockpit voice recorder revealed that the crew performed a standard approach briefing at 1358, shortly after tuning in the ATIS. At 1411, air traffic control (ATC) asked the crew if they wanted to try the approach, or instead hold due to heavy precipitation over the airfield. The crew advised that they would like to try the approach, and ATC cleared them for the ILS to runway 32. At 1413 the flight was cleared to land on runway 32, and the control tower advised that there was a broken cloud layer at 300 ft. The crew continued the approach and touched down at 1417:29. A review of data from the flight data recorder revealed that when the airplane was on approach about 50 ft above ground level, the airspeed was about 108 knots (groundspeed 107 kts). The touchdown occurred about 1,250 ft from the threshold of runway 32 at an airspeed (and groundspeed) of 100 knots. The brake pedals began to move 1-2 seconds after touchdown and increased until they reached 100 percent travel about 8 seconds after touchdown, at which time the airspeed and was 88 knots. About 11 seconds after touchdown at an airspeed of 81 knots, the parking brake was applied for 9 seconds, and the main landing gear wheels stopped rotating. After the parking brake was released, the right main landing gear began to rotate again, the brake pedal position reduced before increasing again, asymmetrically, with more pressure on the left pedal than the right. The airplane departed the end of runway within about 1 second of the parking brake release, at an airspeed of about 60 knots. The airplane was not equipped with thrust reversers or ground spoilers. Examination and testing of the brake control unit (BCU) was performed at the manufacturer’s facility and overseen remotely by NTSB investigators. A review of the data captured by the unit’s non-volatile memory revealed that one fault that pertained to the accident landing was recorded, “Lt whl not turning” (left main landing gear wheel not turning). This fault would cause the BCU to send an “Anti-Skid” fault annunciation to a display in the cockpit. This annunciation was captured by the flight data recorder and occurred just after the application of the emergency brake and locking of both main landing gear wheelsets, which disables the anti-skid system by design. Testing of the BCU revealed no anomalies that would have precluded normal operation.

Aircraft

Registration
N661EP
Reported as
Embraer EMB-500
Category
Airplane
Serial number
50000123
Built
2009
Airframe hours
2,466
Engines
Pratt & Whitney Canada PW617F-E, 1,695 lbs thrust, turbo fanPratt & Whitney Canada PW617F-E, 1,695 lbs thrust, turbo fan
Damage
Substantial damage
Flight
Executive/Corporate · Part 91
Operator
Executive Aviation Investors Inc
Registered owner
Executive Aviation Investors Inc
Airworthiness certificate
Standard, Normal
Departed
OPF · Miami, FL
Destination
Same as departure
Flight plan
IFR
Airport
CRG · Jacksonville Executive Airport at Craig, runway 32, 4,008 × 100 ft, asphalt
Equipment
Stall warning system, ADS-B, Angle of attack indicator, Auto-pilot, Data recorder, Electronic flight bag or handheld device, Electronic multifunction display, Electronic primary flight display, Handheld GPS, Onboard weather, Satellite tracking device

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
39
Injuries
None
Certificate
Commercial
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
January 9, 2020
Seat
Left
Flight hours
2,162 total · 358 in this make and model · 1,055 as pilot in command · 38 in the last 90 days · 18 in the last 30 days · 1 in the last 24 hours
Role
Co-pilot
Age
25
Injuries
None
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
March 28, 2020
Seat
Right
Flight hours
2,125 total · 18 in this make and model · 1,350 as pilot in command · 69 in the last 90 days · 18 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Day
Wind
250° at 3 knots
Visibility
0.25 statute miles
Lowest ceiling
300 ft broken
Temperature
54 °F, dew point 52 °F
Altimeter
29.93 inHg
Observed at
CRG, 1 nm away
METAR
KCRG 161918Z 25003KT 1/4SM +TSRA FG BKN003 BKN013 OVC037 12/11 A2993 RMK AO2 LTG DSNT S AND SW TSB06 PRESRR P0032 T01220106

Docket · 13

The files NTSB released with the investigation on February 7, 2023, on NTSB’s docket system: statements, records, photos and specialists’ reports. 25.7 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.