Panama City - Sundance

The two commercial pilots were conducting a personal, cross-country flight. A video surveillance camera at the airport captured their airplane’s approach. Review of the video revealed that, as the airplane approached the approach end of the landing runway, it began to climb, rolled left, became inverted, and then impacted terrain. The left thrust reverser (T/R) was found open and unlatched at the accident site. An asymmetric deployment of the left T/R would have resulted in a left roll/yaw. The lack of an airworthy and operable cockpit voice recorder, which was required for the flight, precluded identifying which pilot was performing pilot flying duties, as well as other crew actions and background noises, that would have facilitated the investigation. Postaccident examination of the airplane revealed that it was not equipped, nor was required to be equipped, with a nose landing gear (NLG) ground contact switch intended to preclude inflight operation of the thrust reverser (T/R). The left T/R door was found unlatched and open, and the right T/R door was found closed and latched. Further, electrical testing of the T/R left and right stow microswitches within the cockpit throttle quadrant revealed that the left stow microswitch did not operate within design specifications. Disassembly of the left and right stow microswitches revealed evidence of arc wear due to aging. Based on this information, it is likely that the airplane’s lack of an NLG ground contact switch and the age-related failure of the stow microswitches resulted in an asymmetric T/R deployment while on approach and a subsequent loss of airplane control. Also, there were additional T/R system components that were found to unairworthy that would have affected the control of the T/R system. Operational testing of the T/R system could not be performed due to the damage the airplane incurred during the accident. Toxicology testing results of the pilot’s specimens indicated that the pilot had taken diazepam, which is considered impairing at certain levels. However, the detected amounts of both diazepam and its metabolite nordiazepam were at subtherapeutic levels, and given the long half-life of these compounds, it appears that the medication was taken several days before the accident; therefore, it is unlikely that the pilot was impaired at the time of the accident and thus that his use of diazepam was a not factor in the accident.

Flight / Schedule

Panama City - Sundance

Registration

N4MH

MSN

232

Year of Manufacture

1978

Date

March 18, 2019 at 03:31 PM

Type

CRASH

Flight Type

Private

Flight Phase

Landing (descent or approach)

Crash Site

Airport (less than 10 km from airport)

Crash Location

Sundance Oklahoma

Region

North America • United States of America

Coordinates

35.4445°, -97.3075°

Crash Cause

Technical failure

Narrative Report

On March 18, 2019 at 03:31 PM, Panama City - Sundance experienced a crash involving IAI 1124 Westwind, operated by Sundance Airport FBO, with the event recorded near Sundance Oklahoma.

The flight was categorized as private and the reported phase was landing (descent or approach) at a airport (less than 10 km from airport) crash site.

2 people were known to be on board, 2 fatalities were recorded, 0 survivors were identified or estimated. This corresponds to an estimated fatality rate of 100.0%.

Crew on board: 2, crew fatalities: 2, passengers on board: 0, passenger fatalities: 0, other fatalities: 0.

The listed crash cause is technical failure. The two commercial pilots were conducting a personal, cross-country flight. A video surveillance camera at the airport captured their airplane’s approach. Review of the video revealed that, as the airplane approached the approach end of the landing runway, it began to climb, rolled left, became inverted, and then impacted terrain. The left thrust reverser (T/R) was found open and unlatched at the accident site. An asymmetric deployment of the left T/R would have resulted in a left roll/yaw. The lack of an airworthy and operable cockpit voice recorder, which was required for the flight, precluded identifying which pilot was performing pilot flying duties, as well as other crew actions and background noises, that would have facilitated the investigation. Postaccident examination of the airplane revealed that it was not equipped, nor was required to be equipped, with a nose landing gear (NLG) ground contact switch intended to preclude inflight operation of the thrust reverser (T/R). The left T/R door was found unlatched and open, and the right T/R door was found closed and latched. Further, electrical testing of the T/R left and right stow microswitches within the cockpit throttle quadrant revealed that the left stow microswitch did not operate within design specifications. Disassembly of the left and right stow microswitches revealed evidence of arc wear due to aging. Based on this information, it is likely that the airplane’s lack of an NLG ground contact switch and the age-related failure of the stow microswitches resulted in an asymmetric T/R deployment while on approach and a subsequent loss of airplane control. Also, there were additional T/R system components that were found to unairworthy that would have affected the control of the T/R system. Operational testing of the T/R system could not be performed due to the damage the airplane incurred during the accident. Toxicology testing results of the pilot’s specimens indicated that the pilot had taken diazepam, which is considered impairing at certain levels. However, the detected amounts of both diazepam and its metabolite nordiazepam were at subtherapeutic levels, and given the long half-life of these compounds, it appears that the medication was taken several days before the accident; therefore, it is unlikely that the pilot was impaired at the time of the accident and thus that his use of diazepam was a not factor in the accident.

Aircraft reference details include registration N4MH, MSN 232, year of manufacture 1978.

Geospatial coordinates for this crash are approximately 35.4445°, -97.3075°.

Fatalities

Total

2

Crew

2

Passengers

0

Other

0

Crash Summary

The two commercial pilots were conducting a personal, cross-country flight. A video surveillance camera at the airport captured their airplane’s approach. Review of the video revealed that, as the airplane approached the approach end of the landing runway, it began to climb, rolled left, became inverted, and then impacted terrain. The left thrust reverser (T/R) was found open and unlatched at the accident site. An asymmetric deployment of the left T/R would have resulted in a left roll/yaw. The lack of an airworthy and operable cockpit voice recorder, which was required for the flight, precluded identifying which pilot was performing pilot flying duties, as well as other crew actions and background noises, that would have facilitated the investigation. Postaccident examination of the airplane revealed that it was not equipped, nor was required to be equipped, with a nose landing gear (NLG) ground contact switch intended to preclude inflight operation of the thrust reverser (T/R). The left T/R door was found unlatched and open, and the right T/R door was found closed and latched. Further, electrical testing of the T/R left and right stow microswitches within the cockpit throttle quadrant revealed that the left stow microswitch did not operate within design specifications. Disassembly of the left and right stow microswitches revealed evidence of arc wear due to aging. Based on this information, it is likely that the airplane’s lack of an NLG ground contact switch and the age-related failure of the stow microswitches resulted in an asymmetric T/R deployment while on approach and a subsequent loss of airplane control. Also, there were additional T/R system components that were found to unairworthy that would have affected the control of the T/R system. Operational testing of the T/R system could not be performed due to the damage the airplane incurred during the accident. Toxicology testing results of the pilot’s specimens indicated that the pilot had taken diazepam, which is considered impairing at certain levels. However, the detected amounts of both diazepam and its metabolite nordiazepam were at subtherapeutic levels, and given the long half-life of these compounds, it appears that the medication was taken several days before the accident; therefore, it is unlikely that the pilot was impaired at the time of the accident and thus that his use of diazepam was a not factor in the accident.

Cause: Technical failure

Occupants & Outcome

Crew On Board

2

Passengers On Board

0

Estimated Survivors

0

Fatality Rate

100.0%

Known people on board: 2

Operational Details

Schedule / Flight

Panama City - Sundance

Flight Type

Private

Flight Phase

Landing (descent or approach)

Crash Site

Airport (less than 10 km from airport)

Region / Country

North America • United States of America

Aircraft Details

Registration

N4MH

MSN

232

Year of Manufacture

1978