G. Bush Intercontinental Airport
Aircraft Accident/Incident Report

Houston, Texas 77205
Tuesady, January 13, 1998 8:10 CST

NTSB Narrative Summary Released at Completion of Accident

The flight crew was positioning the airplane in preparation for a revenue flight when it crashed 2 nautical miles (nm) short of the runway during a second instrument landing system approach in instrument meteorological conditions. Except for the final 48 seconds of the 25-minute flight, the captain was the flying pilot, and the first officer was the nonflying pilot. When the airplane was about 0.5 nm inside the outer marker on the first approach, the compass warning flag on the captain's course deviation indicator appeared, indicating that the heading display was unreliable. The airplane deviated from the localizer centerline to the left but continued to descend. After about 1 minute, during which time the airplane's track continued to diverge from the localizer centerline, the flight crew executed a missed approach. The flight crew then unsuccessfully attempted to clear the compass flag by resetting circuit breakers. The captain directed the first officer to request a second approach. Contrary to company crew coordination procedures, the flight crew did not conduct an approach briefing or make altitude callouts for either approach. Although accurate heading information was available to the captain on his radio magnetic indicator, he experienced difficulty tracking the localizer course as the airplane proceeded past the outer marker on the second approach. The captain transferred control to the first officer when the airplane was 1.9 nm inside the outer marker. The airplane then began to deviate below the glideslope. The descent continued through the published decision height of 200 feet above ground level, and the airplane struck 80-foot-tall trees. Postaccident testing revealed that the first officer's instruments were displaying a false full fly-down glideslope indication because of a failed amplifier in the navigation receiver. The glideslope deficiency was discovered 2 months before the accident by another flight crew. An FAA repair station attempted to resolve the problem and misdiagnosed it as "sticking" needles in the cockpit instruments. The operator was immediately advised of the problem. The operator's minimum equipment list for the airplane required that the problem be repaired within 10 days, but the operator improperly deferred maintenance on it for 60 days and allowed the unairworthy airplane to be flown by the accident flight crew. The airplane was not equipped with, nor was it required to be equipped with, a ground proximity warning system, which would have sounded 40 seconds before impact.

NTSB Probable Cause Narrative

The flight crew's continued descent of the airplane below the glideslope and through the published decision height without visual contact with the runway environment. Also, when the captain encountered difficulty tracking the localizer course, his improper decision to continue the approach by transferring control to the first officer instead of executing a missed approach contributed to the cause. In addition, the following were factors to the accident: (1) American Corporate Aviation's failure to provide an airworthy airplane to the flight crew following maintenance, resulting in a false glideslope indication to the first officer; (2) the flight crew's failure to follow company crew coordination procedures, which called for approach briefings and altitude callouts; and (3) the lack of an FAA requirement for a ground proximity warning system on the airplane.

Event Information

Type of Event Accident
Event Date 1/13/1998
Event Day of the Week Tuesday
Time of Event 810
Event Time Zone Central Standard Time
Event City HOUSTON
Event State TEXAS
Event Country --
Zipcode of the event site 77205
Event Date Year 1998
Event Date Month 1
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude --
Event Location Longitude --
Event Location Airport G. BUSH INTERCONTINENTAL
Event Location Nearest Airport ID IAH
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 2
Degrees magnetic from airport 80
Airport Elevation 98
Weather Briefing Completeness Full
Investigator's weather source Weather Observation Facility
Time of the weather observation 804 Central Standard Time
Direction of event from weather observation facility (degrees) 260
Weather Observation Facility ID IAH
Elevation of weather observation facility 98
Distance of event from weather observation facility (units?) 2
Time Zone of the weather observation CST
Lighting Conditions Day
Lowest Ceiling Height 800
Lowest Non-Ceiling Height 200
Sky/Lowest/Cloud Conditions Scattered
Sky Condition for Lowest Ceiling Broken
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 0.25
Air Temperature at event time (in degrees celsius) 64
Dew Point at event time (in degress fahrenheit) 63
Wind Direction (degrees magnetic) 360
Variable Wind Indicator Unknown
Wind Speed (knots) 8
Wind Velocity Indicator Unknown
Wind Gust Indicator Not Gusting
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 30
Density Altitude (feet) --
Intensity of Precipitation Light
METAR weather report --
Event Highest Injury Fatal
On Ground, Fatal Injuries 0
On Ground, Minor Injuries 0
On Ground, Serious Injuries 0
Injury Total Fatal 2
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 2
Investigating Agency NTSB
NTSB Docket Number (internal use) 1289
NTSB Notification Source --
NTSB Notification Date Jan 13 1998 12:00AM
NTSB Notification Time 915
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Jul 25 2001 4:45AM
User who most recently changed record dbo
Basic weather conditions Instrument Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N627WS
NTSB Number FTW98MA096
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed IFR
Flight plan Was Activated? --
Damage Destroyed
Aircraft Fire Ground
Aircraft Explosion None
Aircraft Manufacturer's Full Name Gates Learjet
Aircraft Model 25B
Aircraft Series Identifier 25B
Aircraft Serial Number 170
Certified Max Gross Weight 15000
Aircraft Category Airplane
Aircraft Registration Class U.S. Registered/U.S. Soil
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 10
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection Aug 31 1997 12:00AM
Airframe hours since last inspection 30
Airframe Hours 8943
ELT Installed Unknown
ELT Activated Unknown
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name FIRST STAR, INC.
Aircraft Owner Street Address 3446 36TH AVENUE SW
Aircraft Owner City SEATTLE
Aircraft Owner State WA
Aircraft Owner Country
Aircraft Owner Zipcode 98126
Operator is an individual? --
Operator Name AMERICAN CORPORATE AVIATION
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address 14630 BRAMBLEWOOD DRIVE
Operator City HOUSTON
Operator State TX
Operator Country
Operator Zip code 77079
Operator Code ANDA
Owner has at least one certificate Yes - certificate holder
Other Operator of large aircraft? No
Certified for Part 133 or 137 Operation Unknown
Operator Certificate Number --
Indicates whether an air carrier operation was scheduled or not --
Indicates Domestic or International Flight --
Operator carrying Pax/Cargo/Mail --
Type of Flying (Per_Bus / Primary) Positioning
Second Pilot on Board Yes
Departure Point Same as Event Yes
Departure Airport Code HOU
Departure City
Departure State
Departure Country
Departure Time 745
Departure Time Zone CST
Destination Same as Local Flt dest & departure same, accident can occur anywhere
Destination Airport Code IAH
Destination City
Destination State
Destination Country
Specific Phase of Flight Approach
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jul 25 2001 4:05AM
User who most recently changed record dbo
Since inspection or accident --
Event Location Runway Number and Location 26
Runway Length 9401
Runway Width 150
Sight Seeing flight No
Air Medical Flight No
Medical Flight --