Butler County Airport
Aircraft Accident/Incident Report

Butler, Pennsylvania 16002
Wednesday, January 24, 2007 9:05 EST

NTSB Narrative Summary Released at Completion of Accident

The Citation 550 was being repositioned for an air ambulance transportation flight, and was on approach to land on a 4,801-foot-long, grooved, asphalt runway. The airplane was being flown manually by the copilot, who reported that the landing approach speed (Vref) was 106 knots. The pilot-in-command (PIC) estimated that the airplane "broke out" of the clouds about two miles from the runway. Both pilots stated that the airplane continued to descend toward the runway, while on the glide slope and localizer. Neither pilot could recall the airplane's touchdown point on the runway, or the speed at touchdown. Witnesses observed the airplane, "high and fast" as it crossed over the runway threshold. The airplane touched down about halfway down the runway, and continued off the departure end. It then struck a wooden localizer antenna platform, and the airport perimeter fence, before crossing a road, and coming to rest about 400 feet from the end of the runway. Data downloaded from the airplane's Enhanced Ground Proximity Warning System (EGPWS) revealed that the airplane's groundspeed at touchdown was about 140 knots. Review of the cockpit voice recorder suggested that the PIC failed to activate the airplane's speed brake upon touchdown. Braking action was estimated to be "fair" at the time of the accident, with about 1/4 to 1/2 inches of loose, "fluffy" snow on the runway. The PIC reported that he thought the runway might be covered with an inch or two of snow, which did not concern him. The copilot reported encountering light snow during the approach. Both pilots stated that they were not aware of any mechanical failures, or system malfunctions during the accident; nor were any discovered during post accident examinations. According to the airplane flight manual, the conditions applicable to the accident flight prescribed a Vref of 110 knots, with a required landing distance on an uncontaminated runway of approximately 2,740 feet. The prescribed landing distance on a runway contaminated with 1-inch of snow, at a Vref of 110 knots was approximately 5,800 feet. At Vref + 10 knots, the required landing distance increased to about 7,750 feet.

NTSB Probable Cause Narrative

The copilot's failure to maintain the proper airspeed, and failure to obtain the proper touchdown point, and the pilot-in-command's inadequate supervision, which resulted in an overrun. Contributing to the accident was the PIC's failure to activate the speed brake upon touchdown and the snow contaminated runway.

Event Information

Type of Event Accident
Event Date 1/24/2007
Event Day of the Week Wednesday
Time of Event 905
Event Time Zone Eastern Standard Time
Event City Butler
Event State PENNSYLVANIA
Event Country --
Zipcode of the event site 16002
Event Date Year 2007
Event Date Month 1
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 404644N
Event Location Longitude 0795629W
Event Location Airport Butler County
Event Location Nearest Airport ID BTP
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 1248
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 855 Eastern Standard Time
Direction of event from weather observation facility (degrees) --
Weather Observation Facility ID BTP
Elevation of weather observation facility 1248
Distance of event from weather observation facility (units?) --
Time Zone of the weather observation EST
Lighting Conditions Day
Lowest Ceiling Height 1100
Lowest Non-Ceiling Height 100
Sky/Lowest/Cloud Conditions Few
Sky Condition for Lowest Ceiling Broken
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 2.5
Air Temperature at event time (in degrees celsius) -2
Dew Point at event time (in degress fahrenheit) -5
Wind Direction (degrees magnetic) 220
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 3
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.02
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Serious
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor 3
Injury Total None --
Injury Total Serious 1
Injury Total All 4
Investigating Agency NTSB
NTSB Docket Number (internal use) 23462
NTSB Notification Source FAA EROC
NTSB Notification Date Jan 24 2007 12:00AM
NTSB Notification Time --
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Apr 30 2008 1:28PM
User who most recently changed record NTSB\johb
Basic weather conditions Instrument Meteorological Cond
FAA District Office Washington, DC

Aircraft Involved

Aircraft #1

Aircraft Registration Number N492AT
NTSB Number NYC07FA058
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed IFR
Flight plan Was Activated? Yes
Damage Substantial
Aircraft Fire Ground
Aircraft Explosion None
Aircraft Manufacturer's Full Name Cessna
Aircraft Model 550
Aircraft Series Identifier --
Aircraft Serial Number 550-0472
Certified Max Gross Weight 14500
Aircraft Category Airplane
Aircraft Registration Class --
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 7
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection Jan 1 2007 12:00AM
Airframe hours since last inspection 65
Airframe Hours 10735
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name AIR TREK INC
Aircraft Owner Street Address 3511 SILVERSIDE RD STE 109
Aircraft Owner City Wilmington
Aircraft Owner State DE
Aircraft Owner Country USA
Aircraft Owner Zipcode 19810
Operator is an individual? No
Operator Name --
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address --
Operator City --
Operator State --
Operator Country --
Operator Zip code --
Operator Code FDIA
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 --
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 No
Departure Airport Code OKV
Departure City Winchester
Departure State VA
Departure Country USA
Departure Time 820
Departure Time Zone EDT
Destination Same as Local Flt crash at destination city
Destination Airport Code BTP
Destination City Butler
Destination State PA
Destination Country USA
Specific Phase of Flight Landing
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Apr 14 2008 8:26PM
User who most recently changed record grer
Since inspection or accident Time of Accident
Event Location Runway Number and Location 8
Runway Length 4801
Runway Width 100
Sight Seeing flight No
Air Medical Flight No
Medical Flight --