Aircraft Accident/Incident Report

West Palm Beach, Florida
Monday, March 19, 2001 18:30 EST

NTSB Narrative Summary Released at Completion of Accident

On March 19, 2001, about 1825 eastern standard time, an Empresa Brasileira de Aeronautica, S/A (Embraer) EMB-120, N266CA, operated by Comair Airlines, Inc., as flight 5054, encountered icing conditions while in cruise flight at 17,000 feet mean sea level (msl) and departed controlled flight, descending to an altitude of about 10,000 feet. The pilots recovered control of the airplane and diverted to West Palm Beach, Florida, where they landed without further incident. The 2 flight crewmembers, 1 flight attendant, and 25 passengers were uninjured, and the airplane sustained substantial damage to the elevators and the horizontal stabilizer. Flight 5054 was operating under 14 Code of Federal Regulations Part 121 as a scheduled international passenger flight from Nassau International Airport, Bahamas, to Orlando International Airport, Florida. The flight departed in visual meteorological conditions (VMC). In postaccident interviews, the captain stated that while in VMC, the airplane flew normally. Flight data recorder (FDR) data indicate that about 7 minutes before the upset occurred, the airplane was at about 17,000 feet msl, with the autopilot engaged and airspeed stabilized near 200 knots indicated airspeed (KIAS). These data indicate that beginning about 1818, the airspeed slowed to 185 KIAS over a 1?minute period as the autopilot began trimming airplane nose-up (ANU) to maintain altitude. The airspeed then decreased to about 137 KIAS over the next 3 minutes. The airplane continued to maintain a constant altitude as the autopilot trimmed the airplane from about 0 to about 7 degrees ANU. The first officer stated that immediately before the upset occurred, he switched the leading-edge deicing system inflation cycles switch from "light" to "heavy" and the propeller deicing system cycles switch from "norm" to "cold" because he saw "more ice accumulation than he had ever seen" on the wing and spinner. FDR data indicate that when torque indications for both engines were about 55 percent and the airspeed was about 141 KIAS, the autopilot was disengaged. The airplane then pitched down and rolled about 80 degrees to the left, then rolled back to near level. During the next 20 seconds, engine torque increased to about 98 percent on both engines, the airplane rolled about 110 degrees to the left, returned to level flight, rolled about 130 degrees to the right, returned to level flight, then rolled 360 degrees to the right before returning to near wings level, with torque on both engines stabilized at about 22 percent. The airplane's behavior during the upset is consistent with an ice-induced stall event. The first officer stated in postaccident interviews that the stick shaker and aural stall warning, which is part of the airplane's stall warning/protection system, activated but did not indicate whether it was before, during, or after the upset. The Safety Board's investigation could not precisely determine whether or when the stick shaker and aural stall warning activated. Meteorological data at the time of the accident indicate that Comair flight 5054 may have encountered an area of icing conducive to the formation of super-cooled large droplets (SLD). The EMB-120 is not certified for flight in SLD conditions. FDR data indicate that airspeed had decreased to only about 137 KIAS before control of the airplane became difficult and altitude was no longer maintained. However, according to the Embraer EMB-120 Airplane Flight Manual (AFM) performance section, the airplane stalling speed is about 115 knots calibrated airspeed for an airplane at the accident airplane's approximate gross weight at the time of the event (23,800 pounds).

NTSB Probable Cause Narrative

the failure of the flight crew to maintain airspeed during an encounter with severe icing conditions, which resulted in an inadvertent stall, loss of control, and structural damage to the airplane.

Event Information

Type of Event Accident
Event Date 3/19/2001
Event Day of the Week Monday
Time of Event 1830
Event Time Zone Eastern Standard Time
Event City West Palm Beach
Event State FLORIDA
Event Country --
Zipcode of the event site --
Event Date Year 2001
Event Date Month 3
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude --
Event Location Longitude --
Event Location Airport --
Event Location Nearest Airport ID --
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation --
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation
Direction of event from weather observation facility (degrees) --
Weather Observation Facility ID --
Elevation of weather observation facility --
Distance of event from weather observation facility (units?) --
Time Zone of the weather observation --
Lighting Conditions Dusk
Lowest Ceiling Height 8000
Lowest Non-Ceiling Height 800
Sky/Lowest/Cloud Conditions Scattered
Sky Condition for Lowest Ceiling Broken
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) --
Air Temperature at event time (in degrees celsius) 22
Dew Point at event time (in degress fahrenheit) 21
Wind Direction (degrees magnetic) 100
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 8
Wind Velocity Indicator --
Wind Gust Indicator Unknown
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 29.91
Density Altitude (feet) --
Intensity of Precipitation Moderate
METAR weather report --
Event Highest Injury None
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor --
Injury Total None 28
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 12840
NTSB Notification Source Comm Center
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Dec 18 2002 3:11PM
User who most recently changed record NTSB\JOHB
Basic weather conditions --
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N266CA
NTSB Number DCA01MA031
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 121: Air Carrier
Type of Flight Plan filed --
Flight plan Was Activated? No
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Embraer
Aircraft Model EMB-120
Aircraft Series Identifier --
Aircraft Serial Number 120.258
Certified Max Gross Weight 25353
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 --
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection --
Airframe hours since last inspection --
Airframe Hours 22154.8
ELT Installed Unknown
ELT Activated Unknown
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name --
Aircraft Owner Street Address --
Aircraft Owner City --
Aircraft Owner State --
Aircraft Owner Country --
Aircraft Owner Zipcode --
Operator is an individual? No
Operator Name COMAIR INC
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address --
Operator City --
Operator State --
Operator Country --
Operator Zip code --
Operator Code COMR
Owner has at least one certificate --
Other Operator of large aircraft? --
Certified for Part 133 or 137 Operation --
Operator Certificate Number --
Indicates whether an air carrier operation was scheduled or not Scheduled
Indicates Domestic or International Flight Domestic
Operator carrying Pax/Cargo/Mail Passenger Only
Type of Flying (Per_Bus / Primary) --
Second Pilot on Board Yes
Departure Point Same as Event No
Departure Airport Code NAS
Departure City Nassau
Departure State --
Departure Country BF
Departure Time --
Departure Time Zone --
Destination Same as Local Flt --
Destination Airport Code MCO
Destination City ORLANDO
Destination State FL
Destination Country USA
Specific Phase of Flight Cruise
Report sent to ICAO? --
Evacuation occurred No
Date of most recent change to record Dec 17 2002 5:22PM
User who most recently changed record HAUT
Since inspection or accident Time of Accident
Event Location Runway Number and Location --
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --