NTSB · Safety Recommendation
Safety Recommendation A-15-032
Recommendation
TO THE FEDERAL AVIATION ADMINISTRATION: Develop and issue guidance on the appropriate use and limitations of the review of engineering drawings in a design review performed as a means of showing compliance with certification regulations.
Safety Issue and Context
On May 31, 2014, about 2140 eastern daylight time, a Gulfstream Aerospace Corporation G-IV, N121JM, registered to SK Travel, LLC, and operated by Arizin Ventures, LLC, crashed after it overran the end of runway 11 during a rejected takeoff at Laurence G. Hanscom Field (BED), Bedford, Massachusetts. The airplane rolled through the paved overrun area and across a grassy area, collided with approach lights and a localizer antenna, passed through the airport’s perimeter fence, and came to a stop in a ravine. The two pilots, a flight attendant, and four passengers died. The airplane was destroyed by impact forces and a postcrash fire.
The corporate flight, which was destined for Atlantic City International Airport, Atlantic City, New Jersey, was conducted under the provisions of 14 Code of Federal Regulations (CFR) Part 91. An instrument flight rules flight plan was filed. Night visual meteorological conditions prevailed at the time of the accident. The NTSB determines that the probable cause of this accident was the flight crewmembers’ failure to perform the flight control check before takeoff, their attempt to take off with the gust lock system engaged, and their delayed execution of a rejected takeoff after they became aware that the controls were locked.
Contributing to the accident were the flight crew’s habitual noncompliance with checklists, Gulfstream Aerospace Corporation’s failure to ensure that the G-IV gust lock/throttle lever interlock system would prevent an attempted takeoff with the gust lock engaged, and the Federal Aviation Administration’s failure to detect this inadequacy during the G-IV’s certification.
Response History
February 9, 2026 · Recipient Response · FAA
The planned FAA activities for this SR continue with the final action item to close it out anticipated to be completed within a month or so. A final letter will be forthcoming once the advisory circular is published. AIR Input (in part) –
“…publish a new Advisory Circular (AC) 21-60, Means of Compliance. We had anticipated publication of the final AC in March 2025; however, during a final internal review we uncovered an issue requiring further clarification and re-evaluation by legal counsel. We completed revisions in September 2025, and have been working to complete final internal coordination, with intent to now publish the AC in the first quarter of calendar year 2026.”
Please accept this message as our email status update at this time.
February 9, 2026 · NTSB Correspondence · FAA
On February 9, 2026, FAA staff informed us that they are continuing work on Safety Recommendation A-15-32. We look forward to your next update when the proposed Advisory Circular (AC) is published.
March 19, 2025 · NTSB Correspondence · FAA
On March 12, 2025, FAA Acting Administrator Christopher J. Rocheleau informed us that the agency is continuing the work described in its previous letter regarding Safety Recommendation A-15-32. We look forward to receiving your next update.
March 12, 2025 · Recipient Response · FAA
-From Christopher J. Rocheleau, Acting Administrator: The Federal Aviation Administration (FAA) has concluded its review and disposition of the public comment submissions involving the new Advisory Circular (AC) 21-60, Means of Compliance. The AC is currently undergoing one last internal FAA review before its publication. We anticipate publishing the final AC by March 31, 2025.