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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:

  • A Phenom 100 light jet crashed, killing six, after an aerodynamic stall caused by ice accretion during approach, which the NTSB attributed to the pilot's failure to activate anti-ice systems.
  • The pilot likely avoided using anti-ice because it would have significantly increased the required approach speed (vref) and reduced the safe landing distance margin on the destination runway.
  • The article suggests that current certification standards, which impose a large performance penalty for anti-ice use, may inadvertently incentivize pilots to omit critical icing protection, indicating a broader systemic issue.
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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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