LAX84FA487

NTSB accident investigation · Cessna 550 · Santa Ana, CA · September 19, 1984

Accident · No injuriesField investigationFinal report
Date
September 19, 1984, 14:20 local (21:20 UTC)
Place
Santa Ana, CA
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Taxi
Aircraft
N88MJCessna 550
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
FAA report
19840919054279A
Case key
24004

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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Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Airframe/component/system failure/malfunctionTaxi - from landing
Aircraft manuals,procedure information - unapproved
Flight manuals - not followedPilot in commandFactor
Condition(s)/step(s) not listedCompany/operator management
Inadequate certification/approval,manufacturerFaa(organization)
Inadequate certification/approval,airmanFaa(organization)Factor
Landing gear,anti-skid brake system - failure,totalCause
Maintenance,service bulletin/letter - not performedPilot in commandFactor
Inadequate training(emergency procedure(s))Check pilotFactor
On ground/water collision with objectTaxi - from landing
Emergency procedure - delayedPilot in commandCause
Landing gear,emergency brake system - engaged
Object - aircraft parked/standing

Analysis

After completing a dual instructional flt in 91 to 103 deg wx, the acft landed uneventfully. The PIC failed to follow the required procedure in the flight manual of turning off the anti-skid switch after clearing the rwy. Rather, he used the outdated procedure in an old checklist card & left the anti-skid switch on. As the PIC parked the acft the anti-skid control unit malfunctioned & released brake pressure. By the time the PIC regained control by activating the emergency pneumatic brake system, the acft had collided with a Cessna 500 & an aero commander 500S. Two years earlier a service letter had been issued stating that the anti-skid control unit could malfunction at temps over 100 deg f. the operator had failed to comply with the sl & had not submitted the unit for modification. Within the past month the PIC & the company chief plt had obtained type ratings in the acft from a designated plt examiner.

Aircraft

Registration
N88MJ
Reported as
Cessna 550
Category
Airplane
Serial number
550-0089
Airframe hours
2,113
Engine
P&W JT15D-4, 2,500 lbs thrust, turbo fan
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Atlas Hotels
Registered owner
Mangt Jet International
Airworthiness certificate
Standard, Transport
Last inspection
Annual · August 22, 1984 · 31 hours before
Departed
ONT · Ontario, CA
Destination
SNA · Santa Ana, CA
Flight plan
IFR
Airport
SNA · John Wayne Airport, runway 19R, 5,700 × 150 ft, asphalt

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
31
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land, Single-engine sea
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
3,720 total · 72 in this make and model · 2,560 as pilot in command · 112 in the last 90 days · 35 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
220° at 10 knots
Visibility
7 statute miles
Lowest ceiling
None
Temperature
91 °F, dew point 68 °F
Altimeter
29.00 inHg
Observed at
SNA

FAA reports on this event · 1

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