NYC05LA085

NTSB accident investigation · Cessna 525A · Atlantic City, NJ · May 15, 2005

Accident · Minor injuriesLimited investigationFinal report
Date
May 15, 2005, 15:48 local (19:48 UTC)
Place
Atlantic City, NJ
Injuries
1 minor, 3 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
OY-JETCessna 525A
Weather
Visual (VMC) · Day
Status
Completed · report May 30, 2006
Report
Approved by Office Director
Parties
FAA/FSDO, Cessna Aircraft Company
Case key
61495

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 pilot's improper decision to plan a flight to a runway of insufficient length, his improper in-flight decision to land on that inadequate runway with a tailwind, and his failure to obtain the proper touchdown point. A factor in the accident was the tailwind condition.

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.

OverrunLanding
Weather condition - tailwindFactor
Preflight planning/preparation - improperPilot in commandCause
In-flight planning/decision - improperPilot in commandCause
Proper touchdown point - not obtainedPilot in commandCause
Distance/speed - misjudgedPilot in command
On ground/water encounter with terrain/waterLanding - roll
Terrain condition - water

Analysis

The pilot performed "a low pass" over the runway, and then touched down approximately 1,000 feet beyond the approach end of the 2,948-foot long runway, with a tailwind of approximately 10 knots. After touchdown, the airplane continued off the end of the runway, and subsequently impacted water. According to the Cessna 525A Landing Distance Chart, an airplane with a landing weight of 11,400 pounds required 3,000 feet of landing distance, in a no wind situation. With a 10 knot tailwind, the airplane required 3,570 feet of landing distance. The published airport diagram for the airport, was observed attached to the pilot's control column after the accident. A notation, which read, "airport closed to jet aircraft" was observed on the diagram. Additionally, the same notation, "Arpt CLOSED to jet traffic," was observed in the FAA Airport/Facility Directory. Examination of the airplane revealed no mechanical deficiencies.

Factual narrative

On May 15, 2005, at 1548 eastern daylight time, a Danish-registered (OY-JET), Cessna Citation 525A, was substantially damaged during a runway overrun at Atlantic City Municipal Airport/Bader Field (AIY), Atlantic City, New Jersey. The certificated private pilot received minor injuries, and three passengers received no injuries. Visual meteorological conditions prevailed and an instrument flight rules (IFR) flight plan was filed for the flight which originated at the Burlington International Airport (BTV), Burlington, Vermont. The business flight was conducted under 14 CFR Part 91.

The pilot reported to a Federal Aviation Administration (FAA) inspector, that he performed "one circle" around the airport, observed the windsock, and then performed a landing on runway 11. During the landing roll, approximately 2/3 down the runway, the pilot "lost the brakes," and was unable to stop on the remaining runway. The airplane then continued off the departure end of the runway and impacted the water.

A review of recorded radar data and air traffic control (ATC) communications revealed the pilot contacted Atlantic City (ACY) Approach Control at 1538, and stated he was inbound to "alpha charlie yankee." The pilot was instructed to descend to an altitude of 2,000 feet, and fly heading 220 degrees.

At 1540, ATC instructed the pilot to "proceed direct Bader, descend and maintain 1,500 feet. Expect visual approach." The pilot read back the instructions, stating, "thank you, direct Bader, descend to 1,500."

At 1544, ATC informed the pilot that "the airport is 12 o'clock and 4 miles." The pilot responded that he had the airport in sight, and the controller then cleared the pilot for a "visual approach at Bader airport."

Radar data indicated that the airplane was at an altitude of 800 feet, at 1545, continuing on a heading of 220 degrees. About 1 minute later, the airplane made a 360-degree right turn, and rolled out on it's previous heading of 220-degrees. At 1547:10, the airplane crossed abeam the departure end of runway 11, at AIY, at an altitude of 100 feet. The airplane then continued on a westerly (downwind) heading and climbed to an altitude of 300 feet.

The airplane then initiated a right turn back toward runway 11, at an altitude of approximately 200 feet. During the turn, the airplane's groundspeed was approximately 180 knots.

At 1548:42, the airplane was at an altitude of 200 feet, 1.24 nautical miles from the approach end of runway 11, with a groundspeed of 155 knots. Over the next 10 seconds, the airplane's altitude decreased to 0 feet, and the airspeed decreased to 140 knots. The last radar return was recorded approximately 1,000 feet beyond the approach end of runway 11, at an airspeed of 128 knots.

A witness, who was an employee at AIY, was inside a trailer, located about 400 feet to the right of the midfield point of runway 11, at the time of the accident. The witness was in communication with a Cessna 182, on a downwind leg of the traffic pattern for runway 29, when he looked out the window and observed the accident airplane make a "low pass on runway 29 with a climbing right turn out." The witness went outside the trailer and observed the accident airplane touchdown "about halfway down" runway 11. The airplane appeared to slow as it approached the end of the runway; however, it did not stop, and subsequently impacted the water. The witness further reported that the pilot of the accident airplane did not communicate any intentions on the UNICOM frequency.

Several other witnesses reported that as the airplane touched down, they thought braking was occurring, since smoke was coming from the airplane's tires.

Examination of a video recording, which was taken by a witness at the airport, revealed the airplane touched down about 800-1,000 feet beyond the approach end of runway 11. The video also displayed the windsock at the airport, and according to the witness, it indicated a tailwind at 10-15 knots.

The airplane was examined by an FAA inspector after the accident. According to the inspector, the brake system and emergency brake system were functionally checked, and no abnormalities were noted. The anti-skid system could not be tested, due to salt water damage. Examination of the emergency brake system revealed it had not been used, and the nitrogen bottle gauge indicated 1,800 psi. The flap selector was in the "ground" position, but the indicator was in the 15 degree position. The left throttle lever was observed in idle cut off, and the right throttle lever was bent to the right at the idle stop.

Examination of the runway revealed tread marks beginning approximately two-thirds down the runway, and continuing off the departure end into the grass and dirt.

The winds reported at Atlantic City International Airport (ACY), 9 miles to the northwest, at 1554, were from 280 degrees at 9 knots.

A review of the FAA Airport/Facility Directory for the Northeast U.S., revealed the following notation listed in the Airport Remarks section of the Atlantic City/Bader Field Airport entry, "Arpt CLOSED to jet traffic." Additionally, runway 11 was a 2,948 foot-long, 100 foot-wide, asphalt runway.

Additionally, the airport diagram for Bader Field, was observed attached to the pilot's control column after the accident. A notation, which read, "airport closed to jet aircraft" was observed on the diagram.

According to the Cessna 525A Landing Distance Chart, an airplane with a landing weight of 11,400 pounds required 3,000 feet of landing distance, in a no wind situation. With a 10 knot tailwind, the airplane required 3,570 feet of landing distance.

Aircraft

Registration
OY-JET
Reported as
Cessna 525A
Category
Airplane
Serial number
525A-0089
Airframe hours
360
Engines
Williams International FJ44-2C, 2,400 lbs thrust, turbo jetWilliams International FJ44-2C, 2,400 lbs thrust, turbo jet
Damage
Substantial damage
Flight
Business · Part 91
Registered owner
Eric Larsen
Airworthiness certificate
Standard, Normal
Last inspection
Continuous airworthiness · September 1, 2004 · 28 hours before
Departed
BTV · Burlington, VT
Destination
AIY · Atlantic City, NJ
Flight plan
IFR
Airport
AIY · Atlantic City Municipal Airpor, runway 11, 2,948 × 100 ft, asphalt

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
61
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine land, Multi-engine land
Medical
Class 2, Unknown
Seat
Left
Flight hours
2,500 total · 368 in this make and model · 2,500 as pilot in command · 10 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
280° at 9 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
73 °F, dew point 55 °F
Altimeter
29.79 inHg
Observed at
ACY, 9 nm away

Docket · 14

The files NTSB released with the investigation on March 3, 2006, on NTSB’s docket system: statements, records, photos and specialists’ reports. 31.4 MB in all.