NYC06CA063

NTSB accident investigation · Gulfstream Aerospace G-200 · Baltimore, MD · December 30, 2005

Accident · Serious injuriesData collectionFinal report
Date
December 30, 2005, 08:20 local (13:20 UTC)
Place
Baltimore, MD
Injuries
1 serious, 3 uninjured
Damage
No damage
Phase of flight
Taxi
Aircraft
N885RRGulfstream Aerospace G-200
Weather
Visual (VMC) · Day
Status
Completed · report April 25, 2006
Report
Approved by Office Director
Case key
63150

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 passenger's improper decision to get up from her seat while the airplane was taxiing. A factor was the inadvertent excessive application of the emergency brake.

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.

Abrupt maneuverTaxi
Checklist - performedPilot in command
Planning/decision - improperPassengerCause
Landing gear,emergency brake system - activatedFactor

Analysis

Prior to engine start, the co-pilot seated the passengers "to make sure they had their seat belts fastened." After startup, as the pilot started to taxi the airplane, he called for the taxi checklist, which included an emergency brake check. The hand-operated brake lever, which slid into an emergency brake position as well as a parking brake position, was "abnormally stiff," and when the pilot moved it, it slid forward enough that full hydraulic pressure was applied to the brakes, and the airplane came to a sudden stop without any pedal input. Unknown to the crew, during the brake check, a passenger had released her seat belt, and was in the process of changing seats, when the sudden stoppage occurred. She fell to the aisle, but when the co-pilot subsequently attended her, she decided to continue the trip to its destination. About 1 week later, the pilot learned that the passenger had incurred a hairline fracture to her collarbone.

Factual narrative

According to the pilot, prior to engine start, the co-pilot seated the passengers "to make sure they had their seat belts fastened." After startup, as the pilot started to taxi the airplane, he called for the taxi checklist, which included an emergency brake check. The hand-operated brake lever, which slid into an emergency brake position as well as a parking brake position, was "abnormally stiff," and when the pilot moved it, it slid forward enough that full hydraulic pressure was applied to the brakes, and the airplane came to a sudden stop without any pedal input. Unknown to the crew, during the brake check, a passenger had released her seat belt, and was in the process of changing seats, when the sudden stoppage occurred. She fell to the aisle, but when the co-pilot subsequently attended her, she decided to continue the trip to its destination. About 1 week later, the pilot learned that the passenger had incurred a hairline fracture to her collarbone.

Aircraft

Registration
N885RR
Reported as
Gulfstream Aerospace G-200
Category
Airplane
Serial number
055
Engine
Pratt & Whitney 306A, turbo fan
Damage
No damage
Flight
Executive/Corporate · Part 91
Operator
International Jet Management, Inc.
Registered owner
Rabbit Run
Airworthiness certificate
Standard, Normal
Departed
BWI · Baltimore, MD
Destination
APF · Naples, FL
Flight plan
IFR

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
59
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1
Last flight review
December 1, 2005
Flight hours
12,000 total · 300 in this make and model

Weather

Conditions
Visual (VMC) · Day