Individually Owned: 150,657
Corporate Owned: 137,281
Baltimore Washington Intl Airport
Aircraft Accident/Incident Report
Baltimore, Maryland 21240
Wednesday, May 1, 2002 16:53 EDT
NTSB Narrative Summary Released at Completion of Accident
While on a visual approach, the captain had difficulty with the flight management system. He and the first officer exchanged words about it, and argued as to whether they were cleared for the approach. During that timeframe, with the airplane about 5 miles from the airport, 238 knots and 3,000 feet, the controller also asked the crew if they were "going to be able to get down, " to which the first officer responded, "ah, we're looking." About 30 seconds later, the first officer confirmed that the airport was in sight, and, "we'll be able to get down." After switching over to the tower frequency, the airplane was cleared to land, and about 20 seconds later, the first officer asked the captain, "You gonna be able to make it?" The captain did not respond, but 20 seconds later asked about the runway length, which the first officer gave him. The first officer then told the captain that the airplane was Vref plus forty, and twice said, "There's no way." He then said twice, "Go around." The airplane crossed the landing threshold about 150 feet agl, 166 knots, and the captain landed. The airplane subsequently overran the end of the runway, and went through some lights and antennas. A review of company standard operating procedures revealed that the crew missed numerous required callouts and checklist items, that the captain was trying to program the FMS when the first officer should have been doing it, that the captain should have initiated a go-around when advised that the airplane was not within the "visual approach window," and that after the captain did not respond to the first officer's calls, the first officer should have announced that he was assuming control, and "taken the necessary actions to return the aircraft to a safe flight condition."
NTSB Probable Cause Narrative
The captain's failure to go around. Factors included the captain's preoccupation with the flight management system, the crew's failure to adhere to company standard operating procedures, and the lack of proper crew coordination.
Event Information
| Type of Event | Accident |
| Event Date | 5/1/2002 |
| Event Day of the Week | Wednesday |
| Time of Event | 1653 |
| Event Time Zone | Eastern Daylight Time |
| Event City | Baltimore |
| Event State | MARYLAND |
| Event Country | -- |
| Zipcode of the event site | 21240 |
| Event Date Year | 2002 |
| Event Date Month | 5 |
| MidAir Collision Indicator | No |
| On Ground Collision occurred ? | No |
| Event Location Latitude | 391031N |
| Event Location Longitude | 0764006W |
| Event Location Airport | Baltimore Washington Intl |
| Event Location Nearest Airport ID | BWI |
| Indicates whether the acc/inc occurred off or on an airport | On Airport |
| Distance from airport in statute miles | -- |
| Degrees magnetic from airport | -- |
| Airport Elevation | 146 |
| Weather Briefing Completeness | Unknown |
| Investigator's weather source | Weather Observation Facility |
| Time of the weather observation | 1654 Eastern Daylight Time |
| Direction of event from weather observation facility (degrees) | -- |
| Weather Observation Facility ID | BWI |
| Elevation of weather observation facility | 146 |
| Distance of event from weather observation facility (units?) | -- |
| Time Zone of the weather observation | EDT |
| Lighting Conditions | Day |
| Lowest Ceiling Height | -- |
| Lowest Non-Ceiling Height | 25000 |
| Sky/Lowest/Cloud Conditions | Few |
| Sky Condition for Lowest Ceiling | None |
| Visibility Runway Visual Range (Feet) | -- |
| Visibility Runway Visual Value (Statute Miles) | -- |
| Visibility (Statute Miles) | 10 |
| Air Temperature at event time (in degrees celsius) | 21 |
| Dew Point at event time (in degress fahrenheit) | 8 |
| Wind Direction (degrees magnetic) | 120 |
| Variable Wind Indicator | Wind direction could be determined |
| Wind Speed (knots) | 6 |
| Wind Velocity Indicator | -- |
| Wind Gust Indicator | Not Gusting |
| Wind Gust (knots) | -- |
| Altimeter Setting at event time (in. Hg) | 29.84 |
| Density Altitude (feet) | 974 |
| Intensity of Precipitation | -- |
| 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 | 6 |
| Injury Total Serious | -- |
| Injury Total All | -- |
| Investigating Agency | NTSB |
| NTSB Docket Number (internal use) | 16085 |
| NTSB Notification Source | FAA Eastern Reg Com Ctr |
| NTSB Notification Date | May 1 2002 12:00AM |
| NTSB Notification Time | 1700 |
| Fiche Number and/or location -used to find docket information | DMS |
| Date of most recent change to record | Sep 1 2004 7:08AM |
| User who most recently changed record | NTSB\MONR |
| Basic weather conditions | Visual Meteorological Cond |
| FAA District Office | Baltimore, Maryland |
Aircraft Involved |
|
|---|---|
Aircraft #1 |
|
| Aircraft Registration Number | N498CW |
| NTSB Number | IAD02FA047 |
| Missing Aircraft Indicator | -- |
| Federal Aviation Reg. Part | Part 91: General Aviation |
| Type of Flight Plan filed | IFR |
| Flight plan Was Activated? | No |
| Damage | Substantial |
| Aircraft Fire | None |
| Aircraft Explosion | None |
| Aircraft Manufacturer's Full Name | Beech |
| Aircraft Model | 400A |
| Aircraft Series Identifier | -- |
| Aircraft Serial Number | RK-108 |
| Certified Max Gross Weight | 16100 |
| 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 | 9 |
| Number of Engines | 2 |
| Fixed gear or retractable gear | Retractable |
| Aircraft, Type of Last Inspection | Continuous Airworthiness |
| Date of Last Inspection | Apr 12 2002 12:00AM |
| Airframe hours since last inspection | 61 |
| Airframe Hours | 2410 |
| ELT Installed | Yes |
| ELT Activated | No |
| ELT Aided Location of Event Site | No |
| ELT Type | -- |
| Aircraft Owner Name | Steven E. Cauley |
| Aircraft Owner Street Address | -- |
| Aircraft Owner City | Richmond Heights |
| Aircraft Owner State | OH |
| Aircraft Owner Country | USA |
| Aircraft Owner Zipcode | 44143 |
| Operator is an individual? | No |
| Operator Name | Flight Options, Inc. |
| Operator Same as Owner? | No |
| Operator Is Doing Business As | -- |
| Operator Address Same as Owner? | No |
| Operator Street Address | 26180 Curtiss Wright Parkway |
| Operator City | Cleveland |
| Operator State | OH |
| Operator Country | USA |
| Operator Zip code | 44143 |
| Operator Code | -- |
| Owner has at least one certificate | None |
| 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 | -- |
| Indicates Domestic or International Flight | -- |
| Operator carrying Pax/Cargo/Mail | -- |
| Type of Flying (Per_Bus / Primary) | Executive/Corporate |
| Second Pilot on Board | Yes |
| Departure Point Same as Event | No |
| Departure Airport Code | RDG |
| Departure City | Reading |
| Departure State | PA |
| Departure Country | USA |
| Departure Time | 1625 |
| Departure Time Zone | EDT |
| Destination Same as Local Flt | crash at destination city |
| Destination Airport Code | BWI |
| Destination City | Baltimore |
| Destination State | MD |
| Destination Country | USA |
| Specific Phase of Flight | Landing - roll |
| Report sent to ICAO? | No |
| Evacuation occurred | Yes |
| Date of most recent change to record | Jun 22 2004 3:59PM |
| User who most recently changed record | PEAR |
| Since inspection or accident | Time of Accident |
| Event Location Runway Number and Location | 15L |
| Runway Length | 5000 |
| Runway Width | 100 |
| Sight Seeing flight | No |
| Air Medical Flight | No |
| Medical Flight | -- |