Great Bend – Nashville
Flight / Schedule
Great Bend – Nashville
Aircraft
Rockwell Gulfstream 690C Jetprop 840Registration
N840V
MSN
690-11727
Year of Manufacture
1982
Operator
Mid Kansas Agri CompanyDate
February 3, 2014 at 04:55 PM
Type
CRASHFlight Type
Private
Flight Phase
Landing (descent or approach)
Crash Site
Plain, Valley
Crash Location
Bellevue Tennessee
Region
North America • United States of America
Coordinates
36.0648°, -86.9394°
Crash Cause
Human factor
Narrative Report
On February 3, 2014 at 04:55 PM, Great Bend – Nashville experienced a crash involving Rockwell Gulfstream 690C Jetprop 840, operated by Mid Kansas Agri Company, with the event recorded near Bellevue Tennessee.
The flight was categorized as private and the reported phase was landing (descent or approach) at a plain, valley crash site.
4 people were known to be on board, 4 fatalities were recorded, 0 survivors were identified or estimated. This corresponds to an estimated fatality rate of 100.0%.
Crew on board: 1, crew fatalities: 1, passengers on board: 3, passenger fatalities: 3, other fatalities: 0.
The listed crash cause is human factor. The instrument-rated private pilot was conducting a personal cross-country flight in the multiengine airplane under instrument flight rules (IFR). As the flight neared its destination, the controller issued clearance for a GPS approach, and, shortly thereafter, the pilot informed the controller that he needed to review the approach procedure before continuing the approach. The controller acknowledged, and, after the pilot reported that he was ready to proceed with the approach, the controller again issued clearance for the GPS approach. Radar data showed that, during the approach, the airplane tracked a course that was offset about 0.5 miles right of the final approach course until it was about 1 mile from the runway threshold. The airplane then turned left towards the threshold and descended to an altitude of about 145 ft above ground level over the runway threshold before the pilot performed a missed approach. It is likely that the pilot performed the missed approach because he was unable to align the airplane with the runway before it crossed the threshold. The controller provided radar vectors for the airplane to return to the approach course and cleared the airplane a third time for the GPS approach to the runway. Radar data showed that the airplane was established on the final approach course as it passed the initial approach fix; however, before it reached the final approach fix, its airspeed slowed to about 111 knots, and it began a left turn with a 25 degree bank angle. About 18 seconds later, while still in the turn, the airplane slowed to 108 knots and began descending rapidly. The airplane's rate of descent exceeded 10,000 feet per minute, and it impacted the ground about 9 miles from the destination airport. Examination of the accident site showed that the airplane was severely fragmented and fire damaged with debris scattered for about 450 feet. Postaccident examination of the wreckage did not reveal evidence of any preimpact failures; however, damage to the left engine indicated that it was not producing power at the time of the accident. The severity of impact and fire damage to the airplane and engine precluded determination of the reason for the loss of left engine power. Weather conditions present at the time of the accident were conducive to super cooled liquid water droplets, and the airplane likely encountered moderate or greater icing conditions. Several pilot reports (PIREPs) for moderate, light, trace, and negative icing were reported to air traffic control but were not distributed publicly into the national airspace system, and there was no airmen's meteorological information (AIRMET) issued for icing. However, the pilot received standard and abbreviated weather briefings for the flight, and his most recent weather briefing included three PIREPs for icing conditions in the area of the accident site. Given the weather information provided, the pilot should have known icing conditions were possible. Even so, the public distribution of additional PIREPs would have likely increased the weather situational awareness by the pilot, weather forecasters, and air traffic controllers. The airplane was equipped with deicing and anti-icing systems that included wing and empennage deice boots and engine inlet heaters. Due to impact damage to the cockpit, the positions of the switches for the ice protection systems at the time of the accident could not be determined. Although the airplane's airspeed of 108 knots when the steep descent began was above its published stall speed of 77 knots, both bank angle and ice accretion would have increased the stall speed. In addition, the published minimum control airspeed was 93 knots. It is likely that, after the airplane passed the initial approach fix, the left engine lost power, the airplane's airspeed began to decay, and the asymmetric thrust resulted in a left turn. As the airspeed continued to decay, it decreased below either stall speed or minimum control airspeed, and the airplane entered an uncontrolled descent.
Aircraft reference details include registration N840V, MSN 690-11727, year of manufacture 1982.
Geospatial coordinates for this crash are approximately 36.0648°, -86.9394°.
Fatalities
Total
4
Crew
1
Passengers
3
Other
0
Crash Summary
The instrument-rated private pilot was conducting a personal cross-country flight in the multiengine airplane under instrument flight rules (IFR). As the flight neared its destination, the controller issued clearance for a GPS approach, and, shortly thereafter, the pilot informed the controller that he needed to review the approach procedure before continuing the approach. The controller acknowledged, and, after the pilot reported that he was ready to proceed with the approach, the controller again issued clearance for the GPS approach. Radar data showed that, during the approach, the airplane tracked a course that was offset about 0.5 miles right of the final approach course until it was about 1 mile from the runway threshold. The airplane then turned left towards the threshold and descended to an altitude of about 145 ft above ground level over the runway threshold before the pilot performed a missed approach. It is likely that the pilot performed the missed approach because he was unable to align the airplane with the runway before it crossed the threshold. The controller provided radar vectors for the airplane to return to the approach course and cleared the airplane a third time for the GPS approach to the runway. Radar data showed that the airplane was established on the final approach course as it passed the initial approach fix; however, before it reached the final approach fix, its airspeed slowed to about 111 knots, and it began a left turn with a 25 degree bank angle. About 18 seconds later, while still in the turn, the airplane slowed to 108 knots and began descending rapidly. The airplane's rate of descent exceeded 10,000 feet per minute, and it impacted the ground about 9 miles from the destination airport. Examination of the accident site showed that the airplane was severely fragmented and fire damaged with debris scattered for about 450 feet. Postaccident examination of the wreckage did not reveal evidence of any preimpact failures; however, damage to the left engine indicated that it was not producing power at the time of the accident. The severity of impact and fire damage to the airplane and engine precluded determination of the reason for the loss of left engine power. Weather conditions present at the time of the accident were conducive to super cooled liquid water droplets, and the airplane likely encountered moderate or greater icing conditions. Several pilot reports (PIREPs) for moderate, light, trace, and negative icing were reported to air traffic control but were not distributed publicly into the national airspace system, and there was no airmen's meteorological information (AIRMET) issued for icing. However, the pilot received standard and abbreviated weather briefings for the flight, and his most recent weather briefing included three PIREPs for icing conditions in the area of the accident site. Given the weather information provided, the pilot should have known icing conditions were possible. Even so, the public distribution of additional PIREPs would have likely increased the weather situational awareness by the pilot, weather forecasters, and air traffic controllers. The airplane was equipped with deicing and anti-icing systems that included wing and empennage deice boots and engine inlet heaters. Due to impact damage to the cockpit, the positions of the switches for the ice protection systems at the time of the accident could not be determined. Although the airplane's airspeed of 108 knots when the steep descent began was above its published stall speed of 77 knots, both bank angle and ice accretion would have increased the stall speed. In addition, the published minimum control airspeed was 93 knots. It is likely that, after the airplane passed the initial approach fix, the left engine lost power, the airplane's airspeed began to decay, and the asymmetric thrust resulted in a left turn. As the airspeed continued to decay, it decreased below either stall speed or minimum control airspeed, and the airplane entered an uncontrolled descent.
Cause: Human factor
Occupants & Outcome
Crew On Board
1
Passengers On Board
3
Estimated Survivors
0
Fatality Rate
100.0%
Known people on board: 4
Operational Details
Schedule / Flight
Great Bend – Nashville
Operator
Mid Kansas Agri CompanyFlight Type
Private
Flight Phase
Landing (descent or approach)
Crash Site
Plain, Valley
Region / Country
North America • United States of America
Aircraft Details
Aircraft
Rockwell Gulfstream 690C Jetprop 840Registration
N840V
MSN
690-11727
Year of Manufacture
1982
