Accident Details
Probable Cause and Findings
A loss of braking effectiveness during landing for reasons that could not be determined, which resulted in a runway excursion.
Aircraft Information
Analysis
HISTORY OF FLIGHTOn August 21, 2023, about 1315 central daylight time, an Israel Aircraft Industries 1125 Westwind Astra airplane, N39TT, sustained substantial damage when it was involved in an accident near Wheeling, Illinois. The pilot and co-pilot were not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 positioning flight.
The flight crew reported that they were cleared to land on runway 16 at Chicago Executive Airport, Wheeling, Illinois, and the airplane touched down within the touchdown zone. The pilot reported that he applied the brakes and deployed the thrust reversers (TR), however, the brakes “were not grabbing.” The pilot released the brakes and reapplied brake pressure with no effect and advised the co-pilot that he had no brakes. The co-pilot applied his brakes, also with no effect. The pilot then selected the emergency brake handle and applied emergency braking. The pilot reported that the emergency braking produced some slowing, and with the airplane’s nose wheel tiller, he attempted a left turn to exit the runway onto the 45° taxiway D, which he thought provided additional stopping distance. Due to the airplane’s energy and momentum, the airplane slid off the taxiway and into the adjacent grass. The airplane’s right main landing gear collapsed, and the airplane came to rest upright (see Figure 1). The flight crew reported that they did not observe any normal or abnormal cockpit annunciators during the approach and landing sequence.
Figure 1. Accident airplane (Source: Airport operations)
Surveillance videos from nearby airport facilities captured portions of the landing sequence. Based on the videos, the flaps appeared to be in the 40° extended position, and the TRs were not deployed during the landing sequence. The position of the airbrakes (stowed or deployed) could not be determined due to the video quality. AIRCRAFT INFORMATIONAccording to airplane maintenance manual, the ground and flight airbrakes (A/B) have four control surfaces, two on each wing, that are electrically controlled and hydraulically operated. The airbrake system operates in flight via deployment of the inboard surfaces and on the ground via deployment of the inboard and outboard surfaces. The ground airbrakes are activated by the flight crew using the ground A/B switch, set to the ON position. The system requirements for ground airbrake deployment included airplane electrical power, main system hydraulic pressure, at least one of two main landing gear weight-on-wheel switches in ground mode, both throttle quadrant angle levers below 18°, and the ground A/B switch set to ON. If these parameters were met, the ground airbrakes would deploy automatically upon landing.
According to the airplane flight manual, if the ground airbrakes were inoperative for landing, landing performance would be affected. If all ground airbrakes were inoperative, the landing distance must be increased by 30%. AIRPORT INFORMATIONAccording to airplane maintenance manual, the ground and flight airbrakes (A/B) have four control surfaces, two on each wing, that are electrically controlled and hydraulically operated. The airbrake system operates in flight via deployment of the inboard surfaces and on the ground via deployment of the inboard and outboard surfaces. The ground airbrakes are activated by the flight crew using the ground A/B switch, set to the ON position. The system requirements for ground airbrake deployment included airplane electrical power, main system hydraulic pressure, at least one of two main landing gear weight-on-wheel switches in ground mode, both throttle quadrant angle levers below 18°, and the ground A/B switch set to ON. If these parameters were met, the ground airbrakes would deploy automatically upon landing.
According to the airplane flight manual, if the ground airbrakes were inoperative for landing, landing performance would be affected. If all ground airbrakes were inoperative, the landing distance must be increased by 30%. WRECKAGE AND IMPACT INFORMATIONSubstantial damage was confirmed to the right wing spar on September 7, 2024, and the event was classified as an accident. Before the confirmation of substantial damage, maintenance tests were completed on the airplane and its braking system components and under the supervision of the FAA. No anomalies were noted during the airbrake system (in air and ground modes) and TR tests, which were performed in accordance with maintenance manual procedures. The configuration of the airplane’s cockpit switch positions was not documented, and the switch positions at the time of the accident could not be determined. According to the operator who assisted in the recovery operations, the flaps were found in the 40° extended position, and the slats were extended.
A review of airport operations photographs revealed tire skid marks beginning on the runway surface and continuing onto taxiway D (see Figure 2) until the airplane departed the runway surface. Measurements of the tire skids marks were not recorded.
Figure 2. Airplane tire skid marks (Source: Airport operations).
The following components were removed for additional examination and testing at the original equipment manufacturers: anti-skid control box, anti-skid control valves, wheel speed transducers, and brake power valve. The examinations did not reveal any anomalies that would have resulted in a loss or reduced performance of wheel braking.
Landing performance calculations and simulations were completed based on ADS-B data, reported weather, and available data from the onboard Honeywell N1 Digital Electronic Engine Control (DEEC) devices. The simulation results were consistent with reduced deceleration or loss of anti-skid efficiency during the accident landing roll (assuming full-braking efforts by the flight crew immediately after touchdown). The magnitude of the deficiency required to match the ADS-B data depended on whether the airbrakes were stowed or deployed; however, the simulations could not help resolving whether the airbrakes were deployed or not. If the reduced deceleration evidenced by the ADS-B data could be explained simply by the airbrakes being stowed (while keeping wheel braking friction coefficient close to its expected dry-runway value), that could help to inform a conclusion that the airbrakes were indeed stowed. However, the simulations indicated that even when the airbrakes are deployed, wheel braking friction coefficient must be reduced by half from its expected value to match the ADS-B data. Consequently, the lack of deceleration during the accident could not be explained solely be postulating that the airbrakes were stowed, and the simulation results could not be used to determine the actual airbrake position.
Review of the landing distance data for the approximate weather conditions and a Vref of 121 knots, revealed that at a landing weight of 17,576 lbs, the dry – unfactored landing distance was 2,525 ft with anti-skid and ground airbrakes on and about 4,200 ft with anti-skid and ground airbrakes off. There is no landing distance credit for TRs on a dry runway. FLIGHT RECORDERSThe airplane was equipped with a CVR. Readout of the recorder revealed two short segments of voice from two individuals discussing powering the aircraft electrically on the ground. Some other voice data in another small segment was consistent with performing maintenance operations; however, there was not enough context in the conversation to determine the type of maintenance operation or the date of the conversation. The audio ended with no sounds associated with aircraft operations. Several maintenance actions were performed on the airplane between the time of the accident and the removal of the CVR.
According to the operator’s general operations manual, in part, section 21.15 Cockpit Voice Recorder, “Where installed, the CVR shall be operated continuously from the time the electrical power is first applied to the time that the aircraft is shut down and the electrical power is removed. No communications may be erased from the CVR from the time that the electrical power is applied for the purpose of flight. After completing all emergency procedures [in accordance with] this manual and with the aircraft at a complete stop, personal safety permitting, the flight crew shall make every effort to preserve CVR data including but not limited to pulling the CVR circuit breaker, if applicable, or other means provided in the aircraft.”
The airplane was not equipped with a flight data recorder, nor was it required to be.
Data from the Honeywell N1 DEECs were downloaded. A review of the data revealed that both engines were rotating, operating, and responding to power lever inputs throughout the flight and accident sequence. The data did not indicate a TR deployment. The TR deployment indication is not a discrete input, rather a calculation based on weight-on-wheels, MACH, and commanded N1. In this event, DEEC logic requirements for TR deployment indication were not met, nor were low pressure spool % speed (N1), high pressure spool % speed (N2), power lever angle (PLA), or inter-turbine temperature (ITT) increases observed. Typical thrust reverser usage is evidenced by an increase in PLA, N1, N2, and ITT, in addition to the TR deployment indication.
Data Source
Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# CEN23LA403