Chapel Hill - Gaithersburg

Flight / Schedule
Chapel Hill - Gaithersburg
Aircraft
Embraer EMB-500 Phenom 100Registration
N100EQ
MSN
500-00082
Year of Manufacture
2009
Operator
Sage AviationDate
December 8, 2014 at 10:41 AM
Type
CRASHFlight Type
Private
Flight Phase
Landing (descent or approach)
Crash Site
City
Crash Location
Gaithersburg Maryland
Region
North America • United States of America
Coordinates
39.1399°, -77.1929°
Crash Cause
Human factor
Narrative Report
On December 8, 2014 at 10:41 AM, Chapel Hill - Gaithersburg experienced a crash involving Embraer EMB-500 Phenom 100, operated by Sage Aviation, with the event recorded near Gaithersburg Maryland.
The flight was categorized as private and the reported phase was landing (descent or approach) at a city crash site.
3 people were known to be on board, 6 fatalities were recorded, 0 survivors were identified or estimated. This corresponds to an estimated fatality rate of 200.0%.
Crew on board: 1, crew fatalities: 1, passengers on board: 2, passenger fatalities: 2, other fatalities: 3.
The listed crash cause is human factor. The airplane crashed while on approach to runway 14 at Montgomery County Airpark (GAI), Gaithersburg, Maryland. The airplane impacted three houses and the ground about 3/4 mile from the approach end of the runway. A postcrash fire involving the airplane and one of the three houses, which contained three occupants, ensued. The pilot, the two passengers, and the three people in the house died as a result of the accident. The airplane was destroyed by impact forces and postcrash fire. The flight was operating on an instrument flight rules flight plan under the provisions of 14 Code of Federal Regulations (CFR) Part 91. Visual meteorological conditions prevailed at the time of the accident. Data from the airplane’s cockpit voice and data recorder (CVDR) indicated that the takeoff about 0945 from Horace Williams Airport, Chapel Hill, North Carolina, and the cruise portion of the flight were uneventful. CVDR data showed that about 15 minutes after takeoff, the passenger in the right cockpit seat made a statement that the airplane was “in the clouds.” A few seconds later, the airplane’s engine anti-ice system and the wing and horizontal stabilizer deice system were manually activated for about 2 minutes before they were manually turned off. About 6 minutes later, a recording from the automated weather observing system (AWOS) at GAI began transmitting over the pilot’s audio channel, containing sufficient information to indicate that conditions were conducive to icing during the approach to GAI. The CVDR recorded no activity or faults during the rest of the flight for either ice protection system, indicating that the pilot did not turn the systems back on. Before the airplane descended through 10,000 ft, in keeping with procedures in the EMB-500 Pilot Operating Handbook, the pilot was expected to perform the Descent checklist items in the Quick Reference Handbook (QRH), which the pilot should have had available in the airplane during the flight. Based on the AWOS-reported weather conditions, the pilot should have performed the Descent checklist items that appeared in the Normal Icing Conditions checklist, which included turning on the engine anti-ice and wing and horizontal stabilizer deice systems. That action, in turn, would require the pilot to use landing distance performance data that take into account the deice system’s activation. CVDR data show that, before beginning the descent, the pilot set the landing reference (Vref) speed at 92 knots, indicating that he used performance data for operation with the wing and horizontal stabilizer deice system turned off and an airplane landing weight less than the airplane’s actual weight. Using the appropriate Normal Icing Conditions checklist and accurate airplane weight, the pilot should have flown the approach at 126 knots (a Vref of 121 knots +5 knots) to account for the icing conditions.
Aircraft reference details include registration N100EQ, MSN 500-00082, year of manufacture 2009.
Geospatial coordinates for this crash are approximately 39.1399°, -77.1929°.
Fatalities
Total
6
Crew
1
Passengers
2
Other
3
Crash Summary
The airplane crashed while on approach to runway 14 at Montgomery County Airpark (GAI), Gaithersburg, Maryland. The airplane impacted three houses and the ground about 3/4 mile from the approach end of the runway. A postcrash fire involving the airplane and one of the three houses, which contained three occupants, ensued. The pilot, the two passengers, and the three people in the house died as a result of the accident. The airplane was destroyed by impact forces and postcrash fire. The flight was operating on an instrument flight rules flight plan under the provisions of 14 Code of Federal Regulations (CFR) Part 91. Visual meteorological conditions prevailed at the time of the accident. Data from the airplane’s cockpit voice and data recorder (CVDR) indicated that the takeoff about 0945 from Horace Williams Airport, Chapel Hill, North Carolina, and the cruise portion of the flight were uneventful. CVDR data showed that about 15 minutes after takeoff, the passenger in the right cockpit seat made a statement that the airplane was “in the clouds.” A few seconds later, the airplane’s engine anti-ice system and the wing and horizontal stabilizer deice system were manually activated for about 2 minutes before they were manually turned off. About 6 minutes later, a recording from the automated weather observing system (AWOS) at GAI began transmitting over the pilot’s audio channel, containing sufficient information to indicate that conditions were conducive to icing during the approach to GAI. The CVDR recorded no activity or faults during the rest of the flight for either ice protection system, indicating that the pilot did not turn the systems back on. Before the airplane descended through 10,000 ft, in keeping with procedures in the EMB-500 Pilot Operating Handbook, the pilot was expected to perform the Descent checklist items in the Quick Reference Handbook (QRH), which the pilot should have had available in the airplane during the flight. Based on the AWOS-reported weather conditions, the pilot should have performed the Descent checklist items that appeared in the Normal Icing Conditions checklist, which included turning on the engine anti-ice and wing and horizontal stabilizer deice systems. That action, in turn, would require the pilot to use landing distance performance data that take into account the deice system’s activation. CVDR data show that, before beginning the descent, the pilot set the landing reference (Vref) speed at 92 knots, indicating that he used performance data for operation with the wing and horizontal stabilizer deice system turned off and an airplane landing weight less than the airplane’s actual weight. Using the appropriate Normal Icing Conditions checklist and accurate airplane weight, the pilot should have flown the approach at 126 knots (a Vref of 121 knots +5 knots) to account for the icing conditions.
Cause: Human factor
Occupants & Outcome
Crew On Board
1
Passengers On Board
2
Estimated Survivors
0
Fatality Rate
200.0%
Known people on board: 3
Operational Details
Schedule / Flight
Chapel Hill - Gaithersburg
Operator
Sage AviationFlight Type
Private
Flight Phase
Landing (descent or approach)
Crash Site
City
Region / Country
North America • United States of America
Aircraft Details
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