Chicago Midway International Airport
Aircraft Accident/Incident Report

Chicago, Illinois 60638
Thursday, June 5, 2008 13:00 CDT

NTSB Narrative Summary Released at Completion of Accident

The flying pilot of a very light jet airplane encountered windshear and a high sink rate on approach which he arrested by applying engine power. During landing he lightly applied brakes and observed that the airplane was accelerating. The pilot initiated a go-around. The engines were at maximum power and the crew alerting system illuminated left and right engine control failure messages. The automatic power reserve armed light was also illuminated. The crew maneuvered the airplane and troubleshot the engine control fail indication using the quick reference handbook while on downwind. The right engine was shutdown and the left engine would not respond to throttle movements during the remainder of the incident flight. The crew subsequently completed the emergency landing. On scene and subsequent throttle quadrant assembly examinations showed the assembly could produce an out of specified range signal when the throttles had forward force applied to them. Diagnostic storage unit data showed both engines' full authority digital engine control (FADEC)s encountered a fault signal from the engine controls about the time of the pilot's reported application of the throttles in response to the windshear during the incident approach. The airplane's FADEC fault logic was designed to "latch" or hold the last good value when the upper specified parameter limit was exceeded. The data showed the left engine went to flight idle when the right engine was shut down in accordance with the fault logic. The airplane's design was Federal Aviation Administration (FAA) certified with that fault logic. As a result of the investigation, the National Transportation Safety Board issued two urgent recommendations to the FAA. A-08-46 recommended an immediate inspection of all throttle quadrants to ensure that pushing the throttle levers against the maximum power stops will not result in an engine control failure, and further require that any units that fail the inspection be replaced and that the replacement parts be similarly inspected. A-08-47 recommended an immediate emergency procedure for a dual engine control failure on the incident airplane model and incorporate the procedure into the airplane flight manual and quick reference handbook via an airworthiness directive.

NTSB Probable Cause Narrative

The airplane manufacturer's inadequate software design requirements of the engine's full authority digital electronic controls (FADEC) fault logic that resulted in a simultaneous unrecoverable loss of thrust control on both engines when the FADEC's input data values exceeded specified ranges during the approach. Contributing to the incident was the Federal Aviation Administration's failure to recognize and correct this condition during the certification of the airplane.

Event Information

Type of Event Incident
Event Date 6/5/2008
Event Day of the Week Thursday
Time of Event 1300
Event Time Zone Central Daylight Time
Event City Chicago
Event State ILLINOIS
Event Country --
Zipcode of the event site 60638
Event Date Year 2008
Event Date Month 6
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 414709N
Event Location Longitude 0874509W
Event Location Airport Chicago Midway International
Event Location Nearest Airport ID MDW
Indicates whether the acc/inc occurred off or on an airport On Airport
Distance from airport in statute miles 0.25
Degrees magnetic from airport --
Airport Elevation 620
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 1151 Central Daylight Time
Direction of event from weather observation facility (degrees) --
Weather Observation Facility ID MDW
Elevation of weather observation facility 620
Distance of event from weather observation facility (units?) --
Time Zone of the weather observation CDT
Lighting Conditions Day
Lowest Ceiling Height 15000
Lowest Non-Ceiling Height 2200
Sky/Lowest/Cloud Conditions Few
Sky Condition for Lowest Ceiling Overcast
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 28
Dew Point at event time (in degress fahrenheit) 23
Wind Direction (degrees magnetic) 190
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 13
Wind Velocity Indicator --
Wind Gust Indicator Gusting
Wind Gust (knots) 22
Altimeter Setting at event time (in. Hg) 29.72
Density Altitude (feet) --
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 4
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 25287
NTSB Notification Source FAA
NTSB Notification Date Jun 5 2008 12:00AM
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Apr 1 2009 11:27AM
User who most recently changed record male
Basic weather conditions Visual Meteorological Cond
FAA District Office AAI-100

Aircraft Involved

Aircraft #1

Aircraft Registration Number N612KB
NTSB Number CHI08IA152
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed IFR
Flight plan Was Activated? Yes
Damage None
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Eclipse Aviation Corporation
Aircraft Model EA500
Aircraft Series Identifier --
Aircraft Serial Number 000026
Certified Max Gross Weight 5800
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 5
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection May 31 2008 12:00AM
Airframe hours since last inspection --
Airframe Hours 238.9
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type Unknown
Aircraft Owner Name Kiernan Companies LLC
Aircraft Owner Street Address 1330 Orange Ave #317
Aircraft Owner City Coronado
Aircraft Owner State CA
Aircraft Owner Country USA
Aircraft Owner Zipcode 92118
Operator is an individual? No
Operator Name Kiernan Companies LLC
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address 1330 Orange Ave #317
Operator City Coronado
Operator State CA
Operator Country USA
Operator Zip code 92118
Operator Code --
Owner has at least one certificate None
Other Operator of large aircraft? No
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) Business
Second Pilot on Board Yes
Departure Point Same as Event No
Departure Airport Code CLE
Departure City CLEVELAND
Departure State OH
Departure Country USA
Departure Time 1145
Departure Time Zone CDT
Destination Same as Local Flt crash at destination city
Destination Airport Code MDW
Destination City Chicago
Destination State IL
Destination Country USA
Specific Phase of Flight Landing
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Mar 10 2009 10:58AM
User who most recently changed record male
Since inspection or accident Time of Accident
Event Location Runway Number and Location 22R
Runway Length 5507
Runway Width 150
Sight Seeing flight No
Air Medical Flight No
Medical Flight --