National Transportation Safety Board Printed on : 1/3/2011 6:56:06 PM

Washington, DC 20594

Brief of Accident

Adopted 07/02/1999

ATL98LA078
File No. 888 05/23/1998 ORLANDO, FL Aircraft Reg No. N100DL Time (Local): 03:30 EDT

Make/Model: Learjet / 24-B Fatal Serious Minor/None

Engine Make/Model: Ge / CJ610-6 Crew 0 0 2
Aircraft Damage: Substantial Pass 0 0 4
Number of Engines: 2
Operating Certificate(s): On-demand Air Taxi
Name of Carrier: PANTHER AVIATION
Type of Flight Operation: Air Medical (Organ Transport); Non-scheduled; Domestic; Passenger Only
Reg. Flight Conducted Under: Part 135: Air Taxi & Commuter

Last Depart. Point: MIAMI, FL Condition of Light: Night/Bright

Destination: Same as Accident/Incident Location Weather Info Src: Weather Observation Facility
Airport Proximity: On Airport/Airstrip Basic Weather: Visual Conditions
Airport Name: ORLANDO EXECUTIVE AIRPORT Lowest Ceiling: None
Runway Identification: 7 Visibility: 6.00 SM
Runway Length/Width (Ft): 6003 / 150 Wind Dir/Speed: Variable / 005 Kts
Runway Surface: Asphalt Temperature (°C): 23
Runway Surface Condition: Dry Precip/Obscuration:

Pilot-in-Command Age: 59 Flight Time (Hours)

Certificate(s)/Rating(s) Total All Aircraft: 18395

Airline Transport; Flight Engineer; Multi-engine Land; Single-engine Land Last 90 Days: 125
Total Make/Model: 318
Instrument Ratings Total Instrument Time: UnK/Nr
Airplane

During landing roll, the airplanes normal braking system failed as a result of hydraulic fluid leak(s). At the pilot's request,
deployment of the drag chute and application of the emergency braking system was performed by the first officer. According to the first
officer, application of the emergency brakes caused the airplane to yaw. The first officer then pulled up on the emergency brakes handle
followed by re-application of braking pressure. This action took place several times during the landing roll. Gates' Learjet Flight
Training Manual (Page 105) states, 'In using the emergency brake lever, slow steady downward pressure is required. Each time the lever is
allowed to return upward to the normal position, nitrogen is evacuated overboard. Brace your hand so you will not allow the lever to move
up and down inadvertently on a bumpy runway.' The airplane overran the end of the runway and collided with the Instrument Landing System
back course antennae.
 Brief of Accident (Continued)

ATL98LA078
File No. 888 05/23/1998 ORLANDO, FL Aircraft Reg No. N100DL Time (Local): 03:30 EDT

Occurrence #1: OVERRUN

Phase of Operation: LANDING - ROLL

Findings
1. (C) LANDING GEAR,NORMAL BRAKE SYSTEM - FAILURE
2. LANDING GEAR,EMERGENCY BRAKE SYSTEM - ACTIVATED
3. (C) PROCEDURE INADEQUATE - COPILOT/SECOND PILOT
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Occurrence #2: ON GROUND/WATER COLLISION WITH OBJECT

Phase of Operation: LANDING - ROLL

Findings
4. OBJECT - ANTENNA

Findings Legend: (C) = Cause, (F) = Factor

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The National Transportation Safety Board determines the probable cause(s) of this accident as follows.
The first officer's failure to perform proper emergency braking procedures.