Aviation Accident Summaries

Aviation Accident Summary DCA90MA055

MARANA, AZ, USA

Aircraft #1

N320MJ

BOEING 707-321B

Analysis

WITNESSES RPRTD 1ST ATMT TO TKOF WAS ABORTED AFTER ACFT SWERVED LEFT & RGT. ON 2ND TRY, ACFT LIFTED OFF ABT HALFWAY DWN RWY. AFTER LIFT-OFF, IT ROLLED RGT, RGT WING HIT GND & ACFT CRASHED. INV REVEALED RUDDER TRIM WAS 7.9 TO 8.3 UNITS (79% TO 83%) NOSE RGT. SIMULATOR TESTS WITH THAT SETTING RESULTED IN CONSISTENT RGT WING COLLISIONS WITH GND AFTER LIFT-OFF. CREW'S CHECKLIST REFERRED TO MECH CHECKLIST FOR CRITICAL ITEMS TO CHECK BFR TKOF. MECH CHECKLIST & 50 OF 54 FLT INST HAD BEEN REMOVED FM ACFT, LEAVING 2 AIRSPEED INDCRS, ALTIMETER & STBY GYRO HORIZON. IN 60 SIMULATED TKOFS IN THIS CONFIGURATION, THERE WAS EVIDENCE OF INSUFFICIENT ATTITUDINAL REF TO RECOGNIZE ROLLING OF ACFT BFR SUFFICIENT ALT WAS ATTAINED. FAA'S DESIGNATED AIRWORTHINESS REP (DAR) HAD INSPD ACFT 3 DAYS BFR & ISSUED FERRY PERMIT. HE LACKED FAA MECH CERT & EXPERIENCE WITH LARGE ACFT. FAA ORDER 8000.62 & AC 183.33 LACKED SPEC GUIDANCE FOR SELECTION, TRNG & OVERSIGHT OF DAR ACTIVITY. ALSO, LACK OF GUIDANCE CONCERNING MIN EQUIP LIST. PLT NOT CURRENT OR MED QUALIFIED TO FLY ACFT.

Probable Cause and Findings

IMPROPER PREFLIGHT PLANNING/PREPARATION BY THE PILOT, AND HIS FAILURE TO USE A CHECKLIST. FACTORS RELATED TO THE ACCIDENT WERE: THE FAA'S INADEQUATE SURVEILLANCE OF THE OPERATION, THE FAA'S INSUFFICIENT STANDARDS/REQUIREMENTS, THE PILOT'S OPERATION OF THE AIRCRAFT WITH KNOWN DEFICIENCES, AND HIS LACK OF RECENT EXPERIENCE IN THE TYPE OF AIRCRAFT.

 

Source: NTSB Aviation Accident Database

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