National Transportation Safety Board Printed on : 11/18/2010 6:26:09 PM

Washington, DC 20594

Brief of Accident

Adopted 04/30/2008

NYC07LA018
File No. 23370 10/31/2006 Teterboro, NJ Aircraft Reg No. N322FX Time (Local): 17:09 EST

Make/Model: Bombardier, Inc. / CL-600-2B16 Fatal Serious Minor/None

Engine Make/Model: General Electric / CF34-3B Crew 0 1 2
Aircraft Damage: None Pass 0 0 0
Number of Engines: 2
Operating Certificate(s): Fractional Ownership
Type of Flight Operation: Positioning
Reg. Flight Conducted Under: Part 91: General Aviation

Last Depart. Point: Dulles, VA Condition of Light: Dusk

Destination: Teterboro, NJ Weather Info Src: Weather Observation Facility
Airport Proximity: Off Airport/Airstrip Basic Weather: Visual Conditions
Lowest Ceiling: None
Visibility: 10.00 SM
Wind Dir/Speed: 220 / 006 Kts
Temperature (°C): 19
Precip/Obscuration: No Obscuration; No Precipitation

Pilot-in-Command Age: 52 Flight Time (Hours)

Certificate(s)/Rating(s) Total All Aircraft: 16400

Airline Transport; Flight Instructor; Commercial; Multi-engine Land; Single-engine Land; Glider Last 90 Days: Unk/Nr
Total Make/Model: 2000
Instrument Ratings Total Instrument Time: UnK/Nr
Airplane

While level at 3,000 feet above mean sea level and receiving radar vectors for an instrument approach, the pilots received a traffic
advisory (TA) from the airplane's Traffic Alert and Collision Avoidance System (TCAS). The co-pilot was flying the airplane when the TA
was issued, and began a visual scan for the traffic. The pilot-in-command then "yanked the controls" out of the copilot's hands, and
began a banking left turn. Moments later, the TCAS issued a resolution advisory (RA) commanding a climb, so the pilot increased the
airplane's pitch attitude, and climbed approximately 800 feet while simultaneously rolling wings level. Neither pilot made visual contact
with the airplane for which the RA was issued. During the maneuver, the flight attendant broke her left leg. The airplane, which
triggered the TA passed within 0.75 nautical miles laterally, and 100 feet vertically of the accident airplane. While air traffic control
did not consider the airplane to be on a collision course, they did notify the accident crew of the airplane's position. The accident
airplane's flight data recorder indicated a maximum angle of attack of 15.6 degrees, a maximum bank of 32 degrees, and an altitude
increase to 3,778 feet in 16 seconds. The entire maneuver lasted 40 seconds, rate of climb peaked at 2,628.75 feet per minute, and
maximum acceleration reached 2.3 Gs. According to the operator a typical RA response consisted of a maneuver requiring a G-force of +/-
.25g and when using the information from the TCAS traffic advisory display the flight crew should commence a visual search for the
intruder and if, and only if, the intruder is visually acquired, maneuver the aircraft to maintain separation. They also warned their
flight crews that maneuvers based solely on TCAS traffic advisories (TA), without visual acquisition of the intruder were not
recommended, and that, "certain vertical speeds were not safe" and that the flight crew should monitor their vertical speed indicator
(VSI) and keep the VSI pointer out of the "red prohibited area." The guidance provided also advised to "be prepared to maneuver," should
an RA sound 10 to 15 seconds later and that the pilot flying should maneuver the airplane "promptly and smoothly" in response to an RA.
 Brief of Accident (Continued)

NYC07LA018
File No. 23370 10/31/2006 Teterboro, NJ Aircraft Reg No. N322FX Time (Local): 17:09 EST

Occurrence #1: ABRUPT MANEUVER

Phase of Operation: CRUISE

Findings
1. (C) PROCEDURES/DIRECTIVES - NOT FOLLOWED - PILOT IN COMMAND
2. EVASIVE MANEUVER - INITIATED - PILOT IN COMMAND
3. (C) MANEUVER - EXCESSIVE - PILOT IN COMMAND
4. COLLISION AVOIDANCE SYSTEM - ACTIVATED
5. SEAT BELT - NOT USED - FLIGHT ATTENDANT

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

__________________________________________________________________________________________________________________________________________

The National Transportation Safety Board determines the probable cause(s) of this accident as follows.
The pilot's excessive maneuver while in cruise flight in response to a traffic collision alert, and failure to follow company procedures.