Accident Details
Probable Cause and Findings
The contaminated runway conditions during landing. Contributing factors were the operation of the airplane without thrust reversers, flight to the planned alternate airport not performed by the flightcrew, and the insufficient runway information. Additional factors were the airport property and terrain that the airplane impacted.
Aircraft Information
Registered Owner (Historical)
Analysis
HISTORY OF FLIGHT
On January 28, 2005, at 2217 Central Standard Time (CST), a Learjet 35A, N911AE, operated by Business Aviation Management Group Inc. (d.b.a. Million Air), overran runway 19 during landing rollout at Charles B. Wheeler Downtown Airport (MKC), Kansas City, Missouri. The airplane received substantial damage when it impacted airport property and terrain. Night instrument meteorological and contaminated runway conditions prevailed at the time of the accident. The Title 14 Code of Federal Regulations (CFR) Part 91 positioning flight was operating on an instrument rules flight plan with a filed alternate destination of Lincoln Airport (LNK), Lincoln, Nebraska. The pilot and copilot were uninjured. The flight originated from Salt Lake City International Airport (SLC), Salt Lake City, Utah, at 1905 Mountain Standard Time, and was en route to Kansas City International Airport (MCI), Kansas City, Missouri, when it diverted to MKC.
The positioning flight was to pick up five passengers at MCI for a return Title 14 CFR Part 135 flight to SLC. At 2102 CST, the Learjet 35A was on approach to MCI when a McDonnell Douglas MD83 slid off runway 19L at taxiway E during an after landing taxi resulting in the closure of MCI for approximately 90 minutes. The Learjet 35A then diverted to MKC.
A Federal Aviation Administration (FAA) partial transcript of transmissions from MKC Air Traffic Control Tower (TWR), N911AE, FLX745 (Cessna 210 Centurion), Airport Vehicles (ARPT) 5, 10, 24, 26, and MCI Approach Control (APP) follows.
2206:50 CST; TWR; and ah airport five
2206:59 CST; ARPT 5; airport five
2207:01 CST; TWR; airport five why don't you guys ahead ah start to ah exiting on runway one niner and all vehicles please report clear traffic on nine mile final
2207:03 CST; ARPT 5; airport five we copy
2207:10 CST; TWR; look like I am going to have three right in a row inbound and I'll get you guys going again
2207:12 CST; ARPT 24; airport twenty four is clear
2207:33 CST; FLX745; downtown tower flight express seven forty five on the I L S for one niner
2207:33 CST; ARPT 5; airport five is clear
2207:35 CST; TWR; flight express seven forty five downtown tower continue inbound at the present time I do have plows on the runway they will be exiting here shortly
2207:36 CST; FLX 745; ah roger flight express seven forty five
2207:37 CST; TWR; o k ah I had a couple of you are stepping on each other I know that twenty four is clear, twenty five is clear who else
2207:38 CST; ARPT 26; airport twenty six
2207:39 CST; ARPT 10; airport ten is clear
2207:41 CST; ARPT 5; airport five is clear
2207:47 CST; TWR; roger understand all vehicles are clear of the runway thank you hold short of runway one niner for landing traffic you can proceed onto runway three two one just remain clear of the intersection to runway one
2208:02 CST; TWR; flight express seven forty five is cleared to land on runway one niner and r v r is ah better than six thousand five hundred the runway has been plowed fifty feet either side of the centerline
2208:09 CST; FLX745; roger cleared to land flight express seven forty five understand they just plowed the runway
2208:24 CST; TWR; affirmative and once your down just ah I'd appreciate any pilot reports you can give me regarding ice and [braking] action
2208:30 CST; FLX745; roger flight express seven forty five
2208:41 CST; TWR; approach downtown
2208:43 CST; APP; approach
2208:45 CST; TWR; hey our runway one niner has been plowed fifty feet ah either side of the centerline
2208:46 CST; APP; o k
2208:47 CST; TWR; but I don't have a [braking] action yet
2208:48 CST; APP; alright t t
2208:49 CST; TWR; d x
2211:12 CST; FLX745; ah tower the ride down was pretty good there's quite a bit of fog right before you get to the runway though
2211:20 CST; TWR; roger thanks
2211:22 CST; FLX745; icing was just a trace of rime
2211:23 CST; TWR; roger thanks
2211:32 CST; N911AE; downtown tower lear jet one one alpha echo at two thousand six hundred on the I L S one niner
2211:38 CST; TWR; lear niner one one alpha echo downtown tower runway one niner cleared to land centurion ahead reported a trace of rime on the decent runway has been plowed fifty feet either side of the centerline
2211:48 CST; N911AE; o k ah cleared to land runway one niner and any [braking] reports
2212:00 CST; TWR; one alpha echo I am sorry I was on another frequency say again
2212:03 CST; N911AE; ah any [braking] reports on runway one niner one alpha echo
2212:06 CST; TWR; I'll have it for you in just a second
2212:07 CST; N911AE; thank you
2212:21 CST; TWR; flight express seven forty five how's the [braking] action
2212:22 CST; FLX745; ah we are just slipping just a little bit it's pretty good I'd say it's moderate to ah (unintelligible)
2212:27 CST; TWR; understand that breaking action is fair
2212:29 CST; FLX745; ah yea I'd call it fair
2212:35 CST; TWR; o k use caution down from there it hasn't been touched at all foxtrot looks like it's been plowed proceed into the ramp this frequency good night
2212:37 CST; FLX745; roger we'll stay with you flight express seven forty five
2212:43 CST; MKLC TWR; lear one alpha echo centurion that just landed reported [braking] action fair and I'd appreciate a [braking] action report from you also
2214:48 CST; N911AE; will do one alpha echo
2217:45 CST; TWR; lear one alpha echo tower
2217:48 CST; N911AE; o k we are all right
2217:49 CST; MKC TWR; o k are you off the runway sir
2217:51 CST; N911AE; we are
2218:04 CST; TWR; one alpha echo understand you are on your way to the ramp I don't have you in sight sir
2218:09 CST; N911AE; one alpha echo off the end of the runway pass the localizer
2218:14 CST; TWR; o k understand you are off the end of the runway
2218:18 CST; N911AE; we have departed the end of the runway through the perimeter fence
The copilot stated that following the closure of MCI, APP indicated at least a one-hour holding time was to be expected and numerous aircraft were diverting to Omaha. The copilot asked APP if MKC was available and was issued a clearance to MKC. He obtained Automated Terminal Information Service (ATIS) Echo, which reported a visibility of 1/2 statute mile (sm) with light snow and freezing fog. He told APP that MKC was below approach minimums and requested clearance to their alternate, LNK. After turning to a direct route to LNK, APP reported ATIS information Foxtrot as: 1 1/4 sm visibility in light snow and mist; sky condition as few at 1,000 feet above ground level (agl) and scattered at 1,800 feet agl with instrument landing system (ILS) 19 approach in use. They were then cleared to MKC.
The copilot stated that he heard TWR talking to an aircraft that just landed regarding braking action. The copilot stated TWR then reported braking action to the Learjet 35A as fair but did not specify the aircraft type that reported the braking action. The copilot stated that the approach was flown "stabilized" with a speed of REF + 30 until flaps were selected, then REF + 10 for the remainder of the approach, slowing to REF + 5 over the fence. The glideslope was followed to touchdown, about 1,000 feet from the threshold. The touchdown was made to the right. The deceleration appeared "normal" as brakes were applied, until 1,500 - 2,000 feet from the departure end of the runway when the speed appeared to "stabilize" about 20-30 knots. The copilot stated that he called for maximum braking and they both noted the brakes were "ineffective" at slowing the airplane and they knew that they would not stop by the end of the runway.
The pilot of FLX745 stated that he was cleared for approach and heard TWR asking the snow removal crew to get clear of the runway. As he broke out of the clouds, he could see the runway was not completely cleared; however, it was cleared enough to make a landing. As he neared the runway, he heard the Learjet 35A pilot asking for a braking action report, and TWR said to the Learjet 35A, "as soon as the Centurion lands, I will give you one." His landing was "normal," but he didn't use brakes until just prior to turning off runway 19 at taxiway D. He taxied with additional power to get through deeper snow on the taxiway because it had not been plowed. He taxied onto runway F, which was plowed, and completed his taxi to the ramp at hanger 8. As he was unloading cargo from the airplane, the pilot of FLX75 noticed that the Learjet 35A missed the high-speed turn off to the left of runway 19 and continued at a very high rate of speed until he heard a "thud" when the Learjet 35A impacted the airport fence.
The MKC assistant manager stated that he reported for work at 2130 CST with the intention to relieve the airport manager at 2300 CST.
About 2150 CST, the assistant airport manager contacted TWR to begin snow removal operations. TWR said that they could start with runway 01 as a Hawker was in the final stage of preflight in hangar 1. There was approximately 1 1/2 - 2 inches of wet snow on all surfaces. After a few passes plowing runway 01-19, about 50 feet of the runway 01-19 was plowed on either side of the centerline.
About 2205 CST, TWR called to clear the runway for the Hawker's departure. The Hawker departed from runway 01 without incident. After the Hawker's departure, snow removal was resumed and another 15 feet on either side of runway 01-19 centerline was cleared for a total of 130 feet.
About 2210 CST, TWR called to clear the runway for an arrival of a Cessna 210 Centurion. The assistant airport manager, who was also assisting in the snow removal operations, notified TWR that the runway was plowed 130 feet wide and the condition was 1/4 inch wet snow. The Cessna 210 Centurion landed and reported that the braking action was fair. TWR requested that the snow plowing equipment continue holding for another arrival. The assistant manager was holding on runway 19 ILS hold short marking, and...
Data Source
Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# CHI05FA059