ERA23LA075

NTSB accident investigation · Gates Lear Jet 36 · Newport News, VA · November 30, 2022

Accident · No injuriesClass 3 · LimitedFinal report
Date
November 30, 2022, 07:35 local (12:35 UTC)
Place
Newport News, VA
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N12FNGates Lear Jet 36
Defining event
Takeoff: Sys/Comp malf/fail (non-power)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20221130021419A
Case key
106398

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

A left main landing gear tire rupture during takeoff, which resulted in a runway overrun.

Findings · 1

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 · FailureGates Lear Jet 36: 1 caseAll aircraft: 36 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-in-command (PIC) reported hearing a “boom” during the takeoff just before reaching V1 and a second “boom” just as he called out V1. The second-in-command (SIC), who was the pilot flying, called to abort the takeoff. Both suspected they had blown tires. They attempted to slow the airplane, but the there was no braking action. The drag chute was deployed but the airplane continued off the end of the runway, traveled through the runway end lights, and into the grass. During the accident sequence, the drag chute separated from the airplane and was located on the runway. Examination of the airplane after the accident revealed that the left main landing gear tire had ruptured and pieces of the tire and the left brake system assembly were found along the runway. The airplane sustained substantial damage to the left wing during the accident. According to the operator’s operations manager, the airplane’s tire pressures should have been checked at least every 7 days. When the tire pressures were checked about 2 weeks before the accident, the left inboard tire pressure was low. Air was added to the tire and the airplane was returned to service. The tire pressures were not documented since that entry. A mechanic from the operator stated the tire pressures were checked the day before the accident, and “the pressure was within limits set forth” by the manufacturer. In addition, the mechanic stated that no maintenance entry was made since no corrective action was needed. Although the mechanic stated he checked the tire pressure the day before the accident, the tire pressured was not checked on the day of the accident, as recommended by the airframe manufacturer. Given this information, it could not be determined whether or not the tires were appropriately inflated at the time of the accident. It is likely, that when the left main landing gear tire ruptured, the tire tread damaged the left main landing gear brake assembly as well as the hydraulic line in the left wing that was ruptured. Subsequently, the hydraulic fluid drained from the system, and the brake system was ineffective due to a lack of hydraulic fluid, and resulted in the flight crew’s inability to stop the airplane on the runway.

Factual narrative

On November 30, 2022, about 0735 eastern standard time, a Lear Jet 36, N12FN, was substantially damaged when it was involved in an accident at Newport News/Williamsburg International Airport (PHF), Newport News, Virginia. The PIC, SIC, and another flight crew member were not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 public use flight. According to the PIC, the preflight inspection, engine start-up, and taxi were “normal.” During the takeoff roll, he heard “one boom” and one second later called V1, which is the maximum speed at which a rejected takeoff could be initiated in the event of an emergency. At the same time he called “V1,” the PIC heard a second “boom” and the SIC, who was the pilot flying, called to abort the takeoff. The PIC reported to air traffic control that they were aborting the takeoff with a suspected blown tire. They attempted to slow the airplane, but the there was no braking action. The crew elected to deploy the drag parachute, but the airplane continued off the end of the runway, traveling through the runway end lights, and into the grass. After the airplane came to rest, about 300 ft off the departure end of the runway, the crew egressed without injury. A postaccident examination of the airplane revealed that the left wing sustained substantial damage in the accident sequence. In addition, the drag parachute had separated from the airplane and was located on the runway. Pieces of the left main landing gear brake assembly were located along the runway and embedded in the left wing. Sections of the left main landing gear tires were also located along the runway. Examination of the hydraulic reservoir revealed that the reservoir was empty and a section of the hydraulic line in the left wing was ruptured. A review of the Learjet 36A Airplane Flight Manual, “Aborted Takeoff” checklist read as follows: 1. Thrust Levers – IDLE 2. Wheel Brakes - Apply 3. Spoilers - EXT 4. Drag Chute or Thrust Reversers (if installed) - Deploy, if necessary The airplane maintenance manual stated a special inspection of the drag chute needed to be performed after certain conditions. “A special inspection also is required if deployment was made above 150 KIAS, or if jettison or failure occurred above 100 KIAS.” Furthermore, the drag chute should be functionally tested every 6 months to check the release mechanism, then inspected and repacked. In addition, there was a required 12,000-hour inspection to “inspect the drag chute mechanism for proper operation, security, and general condition.” According to the operator, the most recent 6-month inspection was complied with on October 26, 2022, and the 12,000 hour requirement was complied with March 20, 2012. According to the operator’s operations manager, the airplane’s tire pressures should have been checked at least every 7 days. Review of the airplane’s maintenance records revealed that the tire pressures were last checked on November 8, 2022, and at thattime the tires were at the proper pressure. When the tire pressures were checked on November 15, 2022, the left inboard tire was low (90 PSI). Air was added to the tire and the airplane was returned to service. The tire pressures were not documented between November 15, 2022, and the accident flight. The operator provided a statement from a mechanic that the tire pressures were checked on November 29, 2022, and “the pressure was within limits set forth” by the manufacturer. In addition, no maintenance entry was made since no corrective action was needed. The airplane’s maintenance manual recommended that the tire pressures be checked before the first flight of every day. The tire pressure for the main landing gear tires should be between 157 psig (pounds per square inch gauge) and 167 psig when the airplane is not jacked. Furthermore, it stated that “Tire pressures are affected by temperature. Tire pressures must be measured when the tires are at ambient temperature. An ambient temperature change of 5°F will change the tire pressure by 1%. Temperature/pressure changes must be kept in mind particularly when the aircraft is parked in a hot hangar and is rolled onto a cold runway.”

Aircraft

Registration
N12FN
Reported as
Gates Lear Jet 36 (NO SERIES)
Category
Airplane
Serial number
016
Built
1975
Airframe hours
20,693
Engines
Garret TFE731-2-2B, 3,500 lbs thrust, turbo jetGarret TFE731-2-2B, 3,500 lbs thrust, turbo jet
Damage
Substantial damage
Flight
Public aircraft - federal · Part 91
Operator
Aery Aviation, doing business as Aery Aviation
Registered owner
Gh Equipment LLC
Airworthiness certificate
Standard, Transport; Special, Restricted (Special)
Last inspection
AAIP · April 30, 2022
Flight plan
IFR
Airport
PHF · Newport News/Williamsburg Intl, runway 25, 8,003 × 150 ft, concrete
Equipment
Stall warning system

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
67
Injuries
None
Certificate
Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
November 9, 2022
Seat
Right
Restraint
3-point
Flight hours
22,700 total · 438 in this make and model · 15,000 as pilot in command · 76 in the last 90 days · 9 in the last 30 days
Role
Pilot
Age
63
Injuries
None
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 1, With waivers/limitations
Last flight review
July 1, 2022
Seat
Left
Restraint
3-point
Flight hours
8,873 total · 1,303 in this make and model · 4,421 as pilot in command · 64 in the last 90 days · 12 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
180° at 7 knots
Visibility
10 statute miles
Lowest ceiling
3,500 ft broken
Temperature
55 °F, dew point 54 °F
Altimeter
30.04 inHg
Observed at
PHF, 1 nm away
METAR
KPHF 301254Z 18007KT 10SM -RA BKN035 BKN043 OVC065 13/12 A3004 RMK AO2 RAB18 SLP170 P0001 T01330122

Docket · 12

The files NTSB released with the investigation on May 2, 2024, on NTSB’s docket system: statements, records, photos and specialists’ reports. 506 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.