Bizjet Crash at Teterboro, New Jersey

[Airbubba]

Reports of a crash near TEB, some say it is a Lear 35.

A small plane crashed into a neighborhood in Carlstadt, New Jersey, while attempting to land at Teterboro Airport on Monday afternoon, according to the FAA.

Police said multiple buildings were on fire after the crash, and black smoke was seen rising above the crash site.

The FAA said the Learjet 35 was approaching Runway 1 at the airport at 3:30 p.m. when it went down in a residential area about 1/4 mile from the airport.

The flight departed from Philadelphia International Airport.

"There's nothing really left of the plane at all - you just see the two engines that are burnt up and stuff," one witness said.

Plane Crashes at Teterboro Airport, Multiple Buildings on Fire: Police | NBC New York (http://www.nbcnewyork.com/news/local/NJ-Plane-Crashes-Into-Building-in-Carlstadt-422365794.html)

[Airbubba]

Apparently N452DA, a Lear 35A with two crew onboard doing a circling approach to runway 1 at KTEB.

Wind given by the tower as 360/16G32.

The plane checks in about three minutes before the end of this recording:

http://archive-server.liveatc.net/kteb/KTEB1-May-15-2017-1900Z.mp3

FlightAware plot:

https://flightaware.com/live/flight/N452DA/history/20170515/1830Z/KPHL/KTEB

[Kewbick]

N452DA, Lear 35A built in 1981, operated by A&C Big Sky Aviation LLC, Billings, Montana:
http://i1047.photobucket.com/albums/b477/gumpjr_bucket/N452DA.jpg

[Airbubba]

Eyewitness Instagram reports from Steve Case, AOL founder:

stevecasePlane just crashed trying to land at Teterboro Airport in NJ. Missed runway and landed in adjacent industrial area. Airport closed.

judeseeeeOmg. Wow. Hope everyone is ok

mark.crudelehey steve its mark at channel 7. do you know if this was a jet or trying to land at teterboro. im at 212.456.3173 or [email protected]

chadrockHello @stevecase, I'm a photo editor @nypost. Could we please publish your photo?

thezackrsmithhi there. it's zack smith from PIX11. wondering if we may use your photo on our air

ny1newsdeskHi, Can NY1 Use your photo on air, we will give you on screen credit of course.

stevecaseIt looked like a Learjet. Was trying to land, but missed the turn. Crashed a few hundred yards from airport.

stevecaseYes, you may use photo.

wcbsdeskHey, @stevecase this is Maryanne with WCBS. May WCBS use this photo with credit to you?

waterfaulHi, I’m with ABC News. Is this your photo? Can we use it on all platforms and partners with credit to you?

weatherchannelHi @stevecase, did you take this photo? We were wondering if we could have permission to use it on our platforms. Respond with #yesweather if we can. View the terms over at capture.com/terms

tomdinkdavismay I use it too? I am NJ editor of Patch.com

stevecaseAll are authorized to use my photo

stevecaseAirport remains closed. We are sitting on the runway, a few hundred yards from the crash. Fire appears to now be under control.

https://www.instagram.com/p/BUIA3sqA7Oy/?hl=en

[paperHanger]

FlightAware plot:

https://flightaware.com/live/flight/N452DA/history/20170515/1830Z/KPHL/KTEB

Odd plot ... departure heading 45 degrees off planned track, turn onto the final leg 45 degrees off the other way ... makes me wonder if they had some systems issue as the tracks flown earlier in the week generally appear to be neat and accurate.

[FIRESYSOK]

Could be different crew, radar headings, etc. How would a systems issue as you've speculated go unnoticed?

[oyster cracker]

I have about 1200 hr. in a Lear 25. My first thought is a yaw damper issue. It was a critical item during landing with the 25 series, don't know if the 35 was as squirrelery as the 25 was with the YD inop or disabled.

[AKAAB]

My gut says late turn to final based on the controller's comment about starting the turn. Overshot final, then buttonhooked back towards the runway with overbanking to compensate for the overshoot.

A recipe for disaster.

[wjcandee]

There's security camera video of it going in, the third video in this report: 2 Killed When Learjet Crashes In Carlstadt, N.J. « CBS New York (http://newyork.cbslocal.com/2017/05/15/small-plane-crashes-in-carlstadt-nj/)

It's hard to tell but it seems to be at a high bank-angle (80-90 degrees) and say 40 degrees nose down. Perhaps consistent with the speculation above?

Lots of comments about the wind, many of dubious import, but one obvious observation is that the wind could have caused a misjudgment as to the turn, followed by the overcompensation described above.

But speculation is probably pointless; presumably this will be one that the NTSB/FAA can figure out.

[Airbubba]

I have about 1200 hr. in a Lear 25. My first thought is a yaw damper issue. It was a critical item during landing with the 25 series, don't know if the 35 was as squirrelery as the 25 was with the YD inop or disabled.

I've got a few hundred hours in Lear 35A's many years ago. I was thinking the yaw damper was critical at high speeds but maybe even off in the flare for landing on some 35A's? You had to have both yaw dampers operational for dispatch, right?

One thing that made the Lear 35A squirrelly on landing was fuel in the tip tanks. It seemed the closer you got to the runway the more the roll and yaw axes wanted to couple in this condition.

My gut says late turn to final based on the controller's comment about starting the turn. Overshot final, then buttonhooked back towards the runway with overbanking to compensate for the overshoot.

That would be my guess with the little information we have at the moment. The impact was near the extended runway centerline on short final.

About the only other idea would be a flap and/or spoilereron asymmetry when final flaps were selected after the circle, which was actually a dogleg from the runway 6 final course I would think.

This plane had Aeronca reversers. I think the other options on the 35A were Dee Howard's and none. Dee Howard's famous thrust reverser sales pitch: 'What's stopping you?'

[AerocatS2A]

Odd plot ... departure heading 45 degrees off planned track, turn onto the final leg 45 degrees off the other way ... makes me wonder if they had some systems issue as the tracks flown earlier in the week generally appear to be neat and accurate.

Diverting around weather?

[500 above]

Lots of comments about the wind, many of dubious import, but one obvious observation is that the wind could have caused a misjudgment as to the turn, followed by the overcompensation described above.

Why on earth is it a circling approach here anyway? One of the busiest GA airports around, very noise sensitive, not the best approach lighting on RW01. Surely in this day and age at least an RNAV app could be built for 01.

[aterpster]

Must be a significant obstacle or airspace problem or there would be at least an RNP AR approach.

[B2N2]

Why on earth is it a circling approach here anyway? One of the busiest GA airports around, very noise sensitive, not the best approach lighting on RW01. Surely in this day and age at least an RNAV app could be built for 01.

Because Newark is in the way.
Flew that approach and the circle maybe a dozen times.
It's tight in on the best of days.

[aterpster]

I suspect KLGA also enters into the dynamics. Otherwise, and RNP AR could be a feasible solution for Runway 1.

[B2N2]

That whole area is a bit of a beehive with HPN, TEB, LGA, JFK and EWR all within sight of each other.
Departures on 24 out of TEB have a level off at 1500' as you get the heavy iron for EWR overhead.

[Flight Safety]

Don't know if he overshot the runway center line, but he lost it on the turn to final. Looks like a classic stall/spin. One eyewitness said he saw the aircraft in a 90 degree bank, then saw it roll on its back as it went down.

[B2N2]

Appears to have been a 4-leg day with a 0715 departure which means a wake-up around 0445-0500.
NTSB/FAA will generally request cellphone records to determine periods of inactivity to get an idea of rest opportunity.

[Airbubba]

A report on the owners of the aircraft:

The aircraft was being flown by Trans-Pacific Jets, a charter aircraft company based in Honolulu, the jet’s owner said in an interview. Chandra Hanson of Billings, Montana, said she owns the plane with her husband Brad. The Hansons fly on the aircraft, which is based in Salt Lake City, and allow it to be flown for hire when it’s not in use, Hanson said in a telephone interview.

The plane was being moved from Philadelphia to Teterboro, according to a person who answered the phone at Trans-Pacific who wouldn’t give his name.

Hanson said she and her husband own A&C Big Sky Aviation LLC of Billings, Montana, which is the registered owner of the plane, according to the FAA records

https://www.bloomberg.com/politics/articles/2017-05-15/small-learjet-crashes-near-new-jersey-s-teterboro-airport

Trans-Pacific lists the following addresses on its website:

Trans-Pacific Jets
Corporate Headquarters
95 Nakolo Pl.
Honolulu, HI 96819

Van Nuys Airport Base (VNY)
7415 Hayvenhurst Place,
Van Nuys, California 91406

Trans-pacific Jets | Van Nuys Charter PlaneTrans-Pacifc Jets (http://www.transpacjets.com/)

[aterpster]

Don't know if he overshot the runway center line, but he lost it on the turn to final. Looks like a classic stall/spin. One eyewitness said he saw the aircraft in a 90 degree bank, then saw it roll on its back as it went down.

A friend of mine, who knows Lear Jets very well, told me this model has an inclination to Dutch Roll, if they switched off the part-time yaw damper prior to the turn to final.

[Old Boeing Driver]

Have been to KTEB many times. Unless KEWR is landing north, you usually get a VOR/DME-B, circle to 19. (Sometimes 24)

Here is a link to a security camera video of the actual impact.

https://youtu.be/QhNrAjgXTe0

I assume it's OK to post. If not, apologies.

[Airbubba]

From this afternoon's NTSB brief it appears that the plane had a CVR which was recovered. It did not have an FDR and was not required to have one.

The Lear was shooting the ILS Runway 6, circle to land runway 1.

More in this article:


Pilots in deadly Teterboro crash wanted to stay in New York instead of Philly

Abbott Koloff , James M. O'Neill and Steve Janoski , NorthJersey Published 6:57 a.m. ET May 16, 2017 | Updated 11 minutes ago

Federal investigators said on Tuesday that they had recovered a cockpit voice recorder from the Learjet that crashed in Carlstadt as it approached Teterboro Airport, killing both crew members, and that wind conditions at the time were difficult.

Jim Silliman, a National Transportation Safety Board investigator, said at an afternoon press conference that the plane left a debris field that was 440 feet long and 100 feet wide.The crash and resulting fire damaged three buildings and 16 cars, he said, adding that there were cross winds and gusting winds when the plane plunged from the sky at about 3:30 p.m. Monday.

“Airplanes land in cross winds every day,” he said. “Gusts make it harder, and the gusts were high.”

The twin-engine plane, a 1981 Learjet 35, was registered to a company called A&C Big Sky Aviation, of Billings, Mont., according to an FAA database.

The owners of the company are Amy Smith and Chandra Hanson of Billings, according to Montana state records. The owners did not respond to requests for comment on Monday and Tuesday.

The owners, when not using the plane themselves, leased the jet to a charter company, Trans-Pacific Jets, which began operating in 2013 and is based in Honolulu.

A spokesman for the charter company said the pilot, who had been with the company for about a year, and co-pilot had decided to spend the night at a hotel they were familiar with in New York rather than stay overnight in Philadelphia.

They were bringing the plane to Teterboro to reposition it for additional charter flights scheduled for later in the week. He declined to identify the pilot or co-pilot.

The captain, he said, had at least 20 years of experience as a pilot with various charter operators in the western United States, and flew that particular plane quite a bit. The co-pilot had about four years of piloting experience with charter companies that operated mainly in New Mexico and Arizona, the spokesman said.

He said the plane was last inspected in February at a large independent maintenance facility and had been flown without issues. It is a common practice in the industry for private jet owners to lease their planes out to charter companies to generate extra revenue when not using it, he said.

Silliman, who is in charge of the NTSB investigation, said investigators believe they know the identity of the pilots but declined to reveal their identities during the press conference. Bergen County authorities said that Medical Examiner’s Office was still working to make positive identifications.

Surveillance video from local businesses shows the plane’s right wing was at a sharp low angle and the nose was down as it hit the ground, Silliman said.

“The aircraft was out of control,” he said.

He said it appeared that the plane glanced off one building just before crashing into the borough’s DPW parking lot. The last DPW worker left the building and closed the gate to the parking lot just 15 minutes before the crash.

The NTSB is working with the FAA, as well as Bombardier, the plane’s manufacturer, and Honeywell, which made the engines, Silliman said.

On approach while talking to the control tower, the pilots did not express any sense of having an emergency or a problem with the aircraft, Silliman said. They were cleared to land, and then there was no further communication.

Air traffic in the area around Teterboro was moderate and not out of the ordinary at the time of the crash, Silliman said.

However, just minutes before the Learjet plunged from the sky, another pilot taking off from runway 24 reported wind shear to the Teterboro tower after taking off Monday.

Eyewitnesses on Monday said the Learjet appeared to be coming in low and struck power lines before clipping buildings in an industrial area of the borough that often bustles with activity in the afternoon.

The Port Authority had reopened Teterboro Airport for outbound flights by 7 p.m. Monday, and for incoming flights by 8:30 p.m., according to an agency spokesperson.

Pilots in deadly Teterboro crash wanted to stay in New York instead of Philly (http://www.northjersey.com/story/news/transportation/2017/05/16/federal-investigators-expected-site-deadly-plane-crash-carlstadt/324449001/)

[Old Boeing Driver]

I should have known with the winds as they were that it would probably been an approach to 06 with the circle to 01.

I wonder how they got so out of position. Lots of wind that day. The crash was on the centerline of 01.

Maybe an overshoot with too much correction and all eyes outside the cockpit?

[givdrvr]

Flew this a hundred times over the years. Typical TEB ILS6 circle approach instructions have you start circling at TORBY (1284'msl on the glide slope of ILS 6) at 3.8nm from the rwy 6 threshold. Even when you initiate the circle in a timely manner, with strong NW winds, this maneuver is very challenging. The rwy 1 threshold is also displaced closer to the circling radius.

KTEB 151952Z 34016G30KT 10SM SCT045 19/04 A2976

[Old Boeing Driver]

I wonder if they were a bit inside of TORBY and that's why the tower controller asked if they were going to start their turn.

Would Flightaware show any of the track that close in?

[Airbubba]

Would Flightaware show any of the track that close in?

It appears that the plane did not have working ADS-B equipment, at least I can't find an ADS-B or MLAT plot on any of the usual sources.

The FlightAware data has a final point at 150 knots and 600 feet from New York TRACON:

https://flightaware.com/live/flight/N452DA/history/20170515/1830Z/KPHL/KTEB/tracklog

The Port Authrority has one of those nimby noise tracking pages that sometimes yields another plot but I'm not sure I see the Lear at about 1530 local on 15 May:

WebTrak (http://webtrak5.bksv.com/panynj4)

Even when you initiate the circle in a timely manner, with strong NW winds, this maneuver is very challenging. The rwy 1 threshold is also displaced closer to the circling radius.

I've done airliner sidestep maneuvers at places like Mexico City and Atlanta where you shoot an approach to one runway and then swing over to land on a parallel runway with a closer threshold. You are instantly high on path, have to pull off power while judging the bank and rate of descent to remain stable.

Pulling off power to get on the VGSI while wrapping up the turn for a late transition to runway 1 might have been the setup for this seemingly experienced crew. Although the CVR readout and transcript publication normally take a while, there is often a gist of the contents released within a few days stating whether there were indications of an abnormal situation in the voice recording.

[ramble on]

Yaw coupling can bite in this type at low speeds. High bank, low speed, turbulence and low level shear not the place to be.

IIRC any spoileron problem causing an uncommanded roll will also only appear after selection of landing flaps.

There are also several massive transmission towers south east of KTEB.

[piperboy84]

Novice here with a question, at Tererboro on a RWY1 circle to land from the ILS6 when you break off at TORBAY do you turn right putting you on a modified LEFT base for RWY1 or do you overfly 1 and join midfield on a RIGHT downwind for RWY1? . I understand that circling is not allowed to the NW but given the 2 choices above where in the plate does it say which visual join method on a circling approach to RWY1 is the correct one?

[Old Boeing Driver]

You turn right at TORBY and then you're on a left base for 01.

https://www.youtube.com/watch?v=DWodeB26I3s Lear 35

https://www.youtube.com/watch?v=cuHiGajt1Dg
(https://www.youtube.com/watch?v=cuHiGajt1Dg)

[Airbubba]

Here's Jim Silliman's NTSB briefing from May 16, 2017:

ctFupwSCvz0

[Airbubba]

NTSB preliminary report, the turn for the circle to runway 1 was indeed late as earlier surmised by a couple of posts on this thread:

NTSB Identification: CEN17FA183
14 CFR Part 91: General Aviation
Accident occurred Monday, May 15, 2017 in Teterboro, NJ
Aircraft: GATES LEARJET 35A, registration: N452DA
Injuries: 2 Fatal.

On May 15, 2017, at 1529 eastern daylight time, a Gates Learjet 35A, N452DA, operated by Trans-Pacific Jets, departed controlled flight while on a circling approach to runway 1 at the Teterboro Airport (TEB), Teterboro, New Jersey, and impacted a commercial building and parking. The captain and first officer died; no one on the ground was injured. The airplane was destroyed by impact forces and postcrash fire. The airplane was registered to A&C Big Sky Aviation LLC and operated by Trans-Pacific Air Charter LLC under the provisions of 14 Code of Federal Regulations Part 91 as a positioning flight. Visual meteorological conditions prevailed, and an instrument flight rules (IFR) flight plan was filed. The flight departed from the Philadelphia International Airport (PHL), Philadelphia, Pennsylvania, about 1504 and was destined for TEB.

The accident flight was the crewmembers' third flight of the day. The first flight departed TEB about 0732 on a Part 91 positioning flight and landed about 0815 at the Laurence G. Hanscom Field (BED), Bedford, Massachusetts, where they refueled and boarded a passenger. They departed BED about 1009 on a Part 135 on-demand charter flight and landed at PHL about 1104.

The captain filed an IFR flight plan to TEB planning a 28-minute flight at a cruising altitude of flight level 270 (27,000 feet) with a cruise speed of 441 knots and a departure time of 1430. After departure about 1504, the flight was cleared to climb to 4,000 feet above mean sea level (msl). The flight reached a maximum altitude of 4,000 feet msl. About 1515, the flight was cleared to descend to 3,000 ft msl. The New York Terminal Radar Approach Control (TRACON) cleared the flight for the TEB ILS Runway 6 Approach, circle to land runway 1. TRACON instructed the flight to switch frequencies and contact TEB air traffic control (ATC) about 9 miles from the airport; however, the flight did not check onto the ATC's frequency until 4 miles from the airport. ATC cleared the flight to land on runway 1 and issued the TEB winds of 320 degrees at 16 knots, gusting to 32 knots.

Radar track data indicated that the flight did not start its right circling turn until it was less than 1 mile from the approach end of runway 6. According to TEB ATC, aircraft typically start the right turn at the final approach fix for runway 6, which is located 3.8 nm from the approach end of runway 6.

A TEB ATC controller reported that he observed the airplane bank hard to the right and he could see the belly of the airplane with the wings almost perpendicular to the ground. The airplane then appeared to level out for just a second or two before the left wing dropped, showing the entire top of the airplane. Other ground witnesses also reported that they observed the airplane in a right turn with the wings in a high angle of bank. Some witnesses described seeing the airplane's wings "wobbling" before the left wing dropped and the airplane descended to the ground. Security video cameras installed at numerous commercial buildings also captured the last moments of the flight, showing the airplane at high angles of bank. One security camera showed the airplane in a steep right wing low, nose down attitude at impact.

The accident site was located on a 180-degree bearing about 1/2 nautical miles from the threshold of runway 1 at TEB. The main wreckage was distributed in the parking lots of commercial businesses. The wreckage path and debris field was about 440 ft. long on a 135-degree heading, and 3 buildings and 16 vehicles were damaged by impact or fire. Although impact forces and postcrash fire destroyed and consumed much of the airplane, the examination of the wreckage revealed that all components of the airplane were located at the accident site.

The cockpit voice recorder (CVR) was located in the wreckage and was sent to the National Transportation Safety Board's (NTSB) Vehicle Recorder Laboratory. The CVR was auditioned by NTSB senior management staff and found to be operating at the time of the accident. A CVR Group will be formed and a transcript of the flight will be produced.

Four other airplane components that store non-volatile memory (NVM) and an iPhone were collected and sent to the NTSB Vehicle Recorder Laboratory for examination. All 4 components and the iPhone exhibited impact and fire damage. The 4 components were: 2 Honeywell N1 Digital Electronic Engine Controls (DEEC); 1 Flight Management System (FMS); and 1 Honeywell KGP-56 Enhanced Ground Proximity Warning System (EGPWS).

At 1452, the surface weather observation at TEB was: wind 350 degrees at 20 knots gusting to 30 knots; 10 miles visibility; scattered clouds at 4,500 ft; temperature 19 degrees C; dew point 6 degrees C; altimeter 29.75 inches of mercury.

The TEB automated terminal information services (ATIS) Z was in effect at the time of the accident. The 1451 ATIS Information Z stated that the current weather was: wind 350 degrees at 18 knots gusting to 29 knots; visibility 10; light rain, 5,500 ft scattered; temperature 18 degrees C; dew point 6 degrees C; altimeter 29.74 inches of mercury. ILS Runway 6 circle approach in use…Low level wind shear advisory in effect… ."

https://www.ntsb.gov/_layouts/ntsb.aviation/brief.aspx?ev_id=20170515X80533&key=1

[Airbubba]

The CVR is released here:

https://dms.ntsb.gov/public/60000-60499/60373/611541.pdf

A quick reading seems to me to indicate a very sloppy approach with a first officer at the controls who was behind the aircraft and getting a cockpit GCA from the captain.

Not much in the way of an approach briefing, confusion about distance to the field, maybe forgot to arm the approach. Flaps 20 were set, don't think they did a landing checklist. Never got flaps 40, slowed to v-ref, stalled turning to final on the ILS 6 circle to land runway 1. :sad:

The FO gave the controls to the captain and a stall was called less than fifteen seconds later.

Rest of the accident docket here:

https://go.usa.gov/xnsUu

Today's media release:

NTSB Opens Docket on Teterboro Aviation Accident Investigation
2/7/2018

​WASHINGTON (Feb. 7, 2018) — The National Transportation Safety Board opened the public docket Wednesday on its ongoing investigation of a Gates Learjet 35A crash that occurred during a circling approach to a runway at Teterboro Airport, Teterboro, New Jersey, killing both crewmembers.

The docket contains over 900 pages of factual information including: investigative group reports, witness statements, interview summaries and a transcript of the cockpit voice recorder. It does not provide analysis, findings, recommendations or probable cause determinations. No conclusions about how or why an accident occurred should be drawn from the docket.

The docket opening marks a transition in the investigative process where the majority of facts needed for the investigation have been gathered and the NTSB can move ahead with analysis of those facts. Opening the docket affords those with a need and desire for its contents the opportunity to review what factual information has been gathered about the accident. Any analysis, findings, recommendations, or probable cause determinations related to the accident will be issued by the Board at a later date.

[ThreeThreeMike]

Seems like a very disjointed operation with no SOPs, and the pilot spent much of his time coaching the copilot (and saying f***).

As said above, no approach briefing, and the flight appeared to be a make-it-up-as-we-go affair.

[Airbubba]

Confusion over whether the 1500 feet restriction was at DANDY or TORBY. Told to circle at TORBY but chasing the glideslope from above and missed the turn until prompted by the tower it seems.

From the wreckage it appears that the flaps were set to 40 after all at some point but I don't see it verbalized on the CVR transcript.

[Airbubba]

Seems like a very disjointed operation with no SOPs, and the pilot spent much of his time coaching the copilot (and saying f***).

As said above, no approach briefing, and the flight appeared to be a make-it-up-as-we-go affair.

I think the NTSB report agrees:

...Cockpit voice recorder data indicated that the SIC was the pilot flying (PF) from PHL to TEB, despite a company policy prohibiting the SIC from acting as PF based on his level of experience. Although the accident flight was likely not the first time that the SIC acted as PF (based on comments made during the flight), the PIC regularly coached the SIC (primarily on checklist initiation and airplane control) from before takeoff to the final seconds of the flight. The extensive coaching likely distracted the PIC from his duties as PIC and pilot monitoring, such as executing checklists and entering approach waypoints into the flight management system.

Collectively, procedural deviations and errors resulted in the flight crew’s lack of situational awareness throughout the flight and approach to TEB. Because neither pilot realized that the airplane’s navigation equipment had not been properly set for the instrument approach clearance that the flight crew received, the crew improperly executed the vertical profile of the approach, crossing an intermediate fix and the final approach fix hundreds of feet above the altitudes specified by the approach procedure...

Probable Cause

The NTSB determines that the probable cause of this accident was the PIC’s attempt to salvage an unstabilized visual approach, which resulted in an aerodynamic stall at low altitude. Contributing to the accident was the PIC’s decision to allow an unapproved SIC to act as PF, the PIC’s inadequate and incomplete preflight planning, and the flight crew’s lack of an approach briefing. Also contributing to the accident were Trans-Pacific’s lack of safety programs that would have enabled the company to identify and correct patterns of poor performance and procedural noncompliance and the FAA’s ineffective SAS procedures, which failed to identify these company oversight deficiencies.

https://ntsb.gov/news/events/Documents/Abstract-Teterboro-20190312.pdf

[avionimc]

New NTSB video summarizing the accident flight:
https://youtu.be/67Yw87l3Atw

[Airbubba]

NTSB Final Report is published:

https://www.ntsb.gov/investigations/AccidentReports/Reports/AAR1902.pdf

[Joejosh999]

....rated 0 on 0-4 training scale, only certified to be PM. Cap also had spotty training records.
Yikes.