NYC06FA137

NTSB accident investigation · Gates Learjet 35A · Groton, CT · June 2, 2006

Accident · FatalField investigationFinal report
Date
June 2, 2006, 14:40 local (18:40 UTC)
Place
Groton, CT
Injuries
2 fatal, 3 minor
Damage
Destroyed
Phase of flight
Approach
Aircraft
N182KGates Learjet 35A
Weather
Instrument (IMC) · Day
Status
Completed · report December 20, 2007
Report
Approved by Office Director
Parties
FAA/FSDO, Bombardier Learjet, International Jet Charter, Honeywell
FAA report
20060602021799A
Case key
63819

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 crew's failure to properly monitor the airplane's altitude, which resulted in the captain's inadvertent descent of the airplane into water. Contributing to the accident were the foggy weather conditions, and the captain's decision to descend below the decision height without sufficient visual cues.

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.

In flight collision with terrain/waterApproach - faf/outer marker to threshold (ifr)
Altitude - not maintainedFlightcrew
Diverted attentionFlightcrewCause
Visual illusionPilot in command
Weather condition - fogFactor
Ifr procedure - not followedPilot in commandFactor
Terrain condition - water

Analysis

The crew briefed the Instrument Landing System approach, including the missed approach procedures. Weather at the time included a 100-foot broken cloud layer, and at the airport, 2 miles visibility. The approach was flown over water, and at the accident location, there was dense fog. Two smaller airplanes had successfully completed the approach prior to the accident airplane. The captain flew the approach and the first officer made 100-foot callouts during the final descent, until 200 feet above the decision height. At that point, the captain asked the first officer if he saw anything. The first officer reported "ground contact," then noted "decision height." The captain immediately reported "I got the lights" which the first officer confirmed. The captain reduced the power to flight idle. Approximately 4 seconds later, the captain attempted to increase power. However, the engines did not have time to respond before the airplane descended into the water and impacted a series of approach light stanchions, commencing about 2,000 feet from the runway. Neither crew member continued to call out altitudes after seeing the approach lights, and the captain descended the airplane below the decision height before having the requisite descent criteria. The absence of ground references could have been conducive to a featureless terrain illusion in which the captain would have believed that the airplane was at a higher altitude than it actually was. There were no mechanical anomalies which would have precluded normal airplane operation.

Factual narrative

"This case was modified December 17, 2007."

History of flight

On June 2, 2006, at 1440 eastern daylight time, a Gates Learjet 35A, N182K, operated by International Jet Charter, Inc. (IJC), was destroyed when it impacted water and light stanchions while approaching Groton-New London Airport (GON), Groton, Connecticut. The two certificated airline transport pilots were fatally injured, and three passengers incurred minor injuries. Instrument meteorological conditions prevailed. The airplane was operating on an instrument flight rules flight plan between Atlantic City International Airport (ACY), Egg Harbor Township, New Jersey, and Groton. The non-scheduled (on-demand) passenger charter flight was conducted under 14 CFR Part 135.

According to one of the passengers, the airplane initially left Norfolk International Airport (ORF), Norfolk, Virginia, with five passengers onboard. The airplane then flew to Atlantic City International Airport and deplaned two of the passengers before departing for Groton.

Approaching Groton, the passenger looked out his window and saw sailboats about 300 feet below. The airplane continued its descent, until the passenger felt it "thrust up," followed by an impact, and "the jet tumbled across the water" before coming to rest upside down.

Another passenger stated that there was nothing unusual about the accident flight except that it was a little bumpier than usual. The passenger could not see outside because of his seat position. Suddenly, it became "very rocky," the airplane hit the water "real hard," and water quickly entered the upside-down cabin.

A witness fishing from a nearby sandbar, could barely see the approach light stanchions in the water because of the fog. (Light stanchions were located along the approach path, in the water, at 200-foot intervals, beginning 2,400 feet from runway 5.) He heard "several" airplanes land, then heard one "coming in that was much louder than the others." He looked up, saw that the airplane was very low, and "a part of the plane hit one of the light [stanchions]." The front of the airplane then hit a second stanchion, "causing the plane to flip hard" and impact a third stanchion. The witness and two friends then proceeded by boat to the wreckage to assist the occupants.

Air traffic control information received from the Federal Aviation Administration (FAA) revealed that as the airplane approached Groton, it briefly entered holding while awaiting the landing of two smaller airplanes ahead of it. The crew was then cleared for the instrument landing system (ILS) runway 5 approach. About 600 feet msl, radar service was terminated, and the crew switched radio frequencies from the approach controller to the tower controller.

A review of cockpit voice recorder (CVR) information revealed that, approximately 30 minutes prior to the accident, the crew completed the approach checklist, including a brief of the ILS runway 5 approach, along with the missed approach procedures. The crew also listened to the Automatic Terminal Information Service (ATIS) broadcast information Foxtrot several times, which included 2 miles visibility and a broken ceiling of 100 feet.

After holding briefly, and descending in holding, the first officer completed the before landing checklist to the point of holding flaps twenty. The airplane was cleared for the approach, and the first officer switched over to tower frequency. Awaiting glideslope capture, the first officer asked the tower controller if the ceiling had changed, who responded "ah negative, it's still pretty foggy out that way."

The crew completed the before landing checklist, and the captain asked the first officer to ask the tower controller if the runway lights were "turned up all the way" which they were. Just after that, as the airplane was descending, the first officer started calling out the altitudes, beginning with "seven hundred above," down to "three hundred," "speed's good," and "two hundred." The captain then asked, "see anything," and the first officer responded, "got some ground contact." Four seconds later, the first officer stated, "decision height." The captain responded, "I got lights" about the same time the first officer stated, "got the, got the lights." One second later, there was a tone, similar to an autopilot/yaw dampener disconnect. One second after that, the first officer said, "continue," then, "you still on the ah" and the captain responded with, "whoa." The recording ended 1 second later.

The accident occurred during daylight hours, in the vicinity of 41 degrees, 19.24 minutes north latitude, 72 degrees, 03.14 minutes west longitude.

Aircraft information

The airplane was owned by Robertson Asset Management Company, Virginia Beach, Virginia. According to a written "Aircraft Agreement," IJC was responsible for the "operational control" of the airplane. In addition, IJC was responsible for ensuring the airplane was "operated and maintained in accordance with FAR Part 135 for on-demand charters."

Company information

IJC operated five airplanes and managed one. According to the company president, and as confirmed by an FAA records search, IJC, which was founded in the early 1990's, had no previous accidents.

Personnel information

The captain held an airline transport pilot certificate with Learjet, G-159, and CA-212 type ratings. He also held a flight instructor certificate for airplane single and multi-engine airplane, and instrument airplane. On his latest Federal Aviation Administration (FAA) first class medical certificate application, dated December 12, 2005, the captain indicated 17,509 hours of flight time. Estimated flight time at the time of the accident was 18,750 hours total time, with 7,500 hours in type and 1,050 hours of instrument time. According to company training records, the captain's latest FAR Part 135 competency check was completed on February 4, 2006.

The first officer held an airline transport pilot certificate with a Learjet type rating. He also held a flight instructor certificate for single and multi-engine airplane, and instrument airplane. On his latest Federal Aviation Administration (FAA) first class medical certificate application, dated April 12, 2005, the pilot indicated 3,255 hours of flight time. Estimated flight time at the time of the accident was 3,275 hours of flight time, with 750 hours of instrument time. According to company training records, the first officer's latest FAR Part 135 competency check was completed on September 28, 2005. The first officer was also a retired FAA air traffic controller.

The crew were employees of IJC, and the passengers, who were onboard for a casino charter, were not affiliated with Robertson Asset Management Company.

Airport information

Groton-New London Airport runway 5 was 5,000 feet long and 150 feet wide. The runway was equipped with High Intensity Runway lights (HIRL), a Medium Intensity Approach Lighting System with Runway Alignment Indicator Lights (MALSR), and a 4-light Precision Approach Path Indicator (PAPI).

The inbound course for the ILS runway 5 approach was 048 degrees magnetic, the decision altitude was 207 feet msl, and the decision height was 200 feet agl. Glideslope angle was 3 degrees.

Meteorological information

Weather, recorded at the airport at 1356, included winds from 190 degrees true at 7 knots, 2 statute miles visibility in mist, a broken cloud layer at 600 feet, temperature 68 degrees Fahrenheit (F), dew point 64 degrees F, altimeter setting 29.86 inches of mercury.

Weather, recorded at the airport at 1456, included winds from 170 degrees true at 8 knots, 2 statute miles visibility in mist, a broken cloud layer at 100 feet, temperature 66 degrees F, dew point 63 degrees F, altimeter setting 29.84 inHg.

ATIS information was noted several times on the CVR recording, and included winds from 200 degrees true at 7 knots,

Aircraft

Registration
N182K
Reported as
Gates Learjet 35A
Category
Airplane
Serial number
239
Airframe hours
11,704
Engines
Honeywell TFE731-2-2B, 3,500 lbs thrust, turbo fanHoneywell TFE731-2-2B, 3,500 lbs thrust, turbo fan
Damage
Destroyed
Flight
Part 135
Operator
International Jet Charter, Inc.
Registered owner
Robertson Asset Management
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · June 1, 2006 · 12 hours before
Departed
ACY · Atlantic City
Destination
GON · Groton, CT
Flight plan
IFR
Airport
GON · Groton, runway 05, 5,000 × 150 ft, asphalt

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
59
Injuries
Fatal
Certificates
Airline transport, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1
Last flight review
September 1, 2005
Seat
Left
Toxicology
Performed
Flight hours
18,750 total · 7,500 in this make and model · 91 in the last 90 days
Role
Co-pilot
Age
55
Injuries
Fatal
Certificates
Airline transport, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1
Seat
Right
Toxicology
Performed
Flight hours
3,275 total · 289 in this make and model

Weather

Conditions
Instrument (IMC) · Day
Wind
170° at 8 knots
Visibility
2 statute miles
Lowest ceiling
100 ft broken
Temperature
66 °F, dew point 63 °F
Altimeter
29.84 inHg
Observed at
GON, 1 nm away

FAA reports on this event · 1

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