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Aftermath: Failure to Focus on the Overall Situation

Accident analysis that goes behind and beyond the NTSB report. Flying
Gemini Sparkle

Key Takeaways:

  • An Embraer Phenom 100 jet crashed due to a premature aerodynamic stall, caused by ice accumulation on its wings because the pilot failed to activate anti-ice systems during a descent through icing conditions.
  • The pilot had incorrectly calculated the approach speed (Vref), underestimating the aircraft's weight and, critically, omitting the anti-ice requirement which would have increased the landing distance to barely within the runway's length.
  • The NTSB attributed the pilot's failure to use anti-ice to potential concerns about landing distance (due to a prior incident) and an insufficient understanding of how severely ice affects the Phenom 100's stall characteristics.
  • The article also suggests a potential systemic issue, where certification standards that demand a significant increase in Vref with anti-ice can discourage pilots from using it, effectively making many runways unusable.
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“The entire normal operating checklist for the new Embraer Phenom 100 light business jet fits on both sides of a laminated card that you can slide into a shirt pocket,” former Flying editor Mac McClellan wrote approvingly in his 2009 report on the airplane. “The Phenom is designed to cut pilot workload to a minimum so there is time to focus on the overall situation while the airplane and its systems take care of themselves.”

Peter Garrison

Peter Garrison taught himself to use a slide rule and tin snips, built an airplane in his backyard, and flew it to Japan. He began contributing to FLYING in 1968, and he continues to share his columns, ""Technicalities"" and ""Aftermath,"" with FLYING readers.

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