2 fatalities

2019-03-18: IAI 1124 Westwind (N4MH) — Sundance Airport FBO — Sundance, United States of America

Sundance, United States of AmericaLanding (descent or approach)

On March 18, 2019, an IAI 1124 Westwind (registration N4MH) operated by Sundance Airport FBO was involved in an aviation accident near Sundance, United States of America during landing or approach. 2 people were killed. Investigators recorded the probable cause as: The airplane’s unairworthy thrust reverser (T/R) system due to inadequate maintenance that resulted in an asymmetric T/R deployment during an approach to the airport and the subsequent loss of airplane control. This summary draws on records from the Bureau of Aircraft Accidents Archives (B3A).

Sourcesthe Bureau of Aircraft Accidents Archives (B3A)Primary reportUpdated 1781191061Data APIEditorial standards

An accident occurred when a personal flight's aircraft experienced an asymmetric thrust reverser deployment during approach, resulting in a loss of control and impact. Investigation revealed unairworthy components and maintenance issues.

Accident Sequence

Video surveillance captured the approach of the airplane to the airport. As the airplane neared the approach end of the landing runway, it began to climb, rolled left, became inverted, and then impacted terrain.

Thrust Reverser Examination

Postaccident examination revealed that the left thrust reverser (T/R) door was found open and unlatched, while the right T/R door was closed and latched. An asymmetric deployment of the left T/R would have resulted in a left roll/yaw. The airplane was not equipped with a nose landing gear (NLG) ground contact switch intended to preclude inflight operation of the T/R, nor was it required to be so equipped. Electrical testing of the T/R left and right stow microswitches within the cockpit throttle quadrant showed that the left stow microswitch did not operate within design specifications. Disassembly of those microswitches revealed evidence of arc wear due to aging. Additional T/R system components were found to be unairworthy, but operational testing could not be performed due to accident damage.

Cockpit Voice Recorder

The flight was required to have an airworthy and operable cockpit voice recorder (CVR), but the lack of such a device precluded identifying which pilot was performing pilot flying duties, as well as other crew actions and background noises that would have facilitated the investigation.

Toxicology Findings

Toxicology testing of the pilot’s specimens indicated the presence of diazepam at subtherapeutic levels. Given the long half-life of diazepam and its metabolite nordiazepam, it appeared that the medication was taken several days before the accident. The detected amounts were not at impairing levels, and it was determined that the pilot was unlikely to have been impaired at the time of the accident; thus, diazepam use was not a factor.

Probable Cause

The probable cause was the airplane’s unairworthy thrust reverser system due to inadequate maintenance, which resulted in an asymmetric T/R deployment during an approach to the airport and the subsequent loss of airplane control.