Pilot Debrief

GATES LEAR JET CORP. 36 near Newport News, VA — 2022-11-30

Final reportERA23LA075
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Date
2022-11-30
Location
Newport News, VA, USA
Airport
PHF
Aircraft
GATES LEAR JET CORP. 36
Registration
N12FN
Category
Airplane
Highest injury
None
Fatalities
0
Phase of flight
Takeoff roll

Probable cause

A left main landing gear tire rupture during takeoff, which resulted in a runway overrun.

NTSB narrative

The pilot-in-command (PIC) reported hearing a “boom” during the takeoff just before reaching V1 and a second “boom” just as he called out V1. The second-in-command (SIC), who was the pilot flying, called to abort the takeoff. Both suspected they had blown tires. They attempted to slow the airplane, but the there was no braking action. The drag chute was deployed but the airplane continued off the end of the runway, traveled through the runway end lights, and into the grass. During the accident sequence, the drag chute separated from the airplane and was located on the runway. Examination of the airplane after the accident revealed that the left main landing gear tire had ruptured and pieces of the tire and the left brake system assembly were found along the runway. The airplane sustained substantial damage to the left wing during the accident. According to the operator’s operations manager, the airplane’s tire pressures should have been checked at least every 7 days. When the tire pressures were checked about 2 weeks before the accident, the left inboard tire pressure was low. Air was added to the tire and the airplane was returned to service. The tire pressures were not documented since that entry. A mechanic from the operator stated the tire pressures were checked the day before the accident, and “the pressure was within limits set forth” by the manufacturer. In addition, the mechanic stated that no maintenance entry was made since no corrective action was needed. Although the mechanic stated he checked the tire pressure the day before the accident, the tire pressured was not checked on the day of the accident, as recommended by the airframe manufacturer. Given this information, it could not be determined whether or not the tires were appropriately inflated at the time of the accident. It is likely, that when the left main landing gear tire ruptured, the tire tread damaged the left main landing gear brake assembly as well as the hydraulic line in the left wing that was ruptured. Subsequently, the hydraulic fluid drained from the system, and the brake system was ineffective due to a lack of hydraulic fluid, and resulted in the flight crew’s inability to stop the airplane on the runway.

Analysis

Primary failure mode
Mechanical failure
First missed decision gate
Checking tire pressures before the first flight of the day could have prevented the accident.

NTSB coding

Evidence available

  • Photos
  • 12 docket documents
View NTSB final reportView NTSB docket

Docket documents12

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