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Accidents · NTSB DCA11MA076 · Final report

Gulfstream GVI accident near Roswell, New Mexico, April 2, 2011

On April 2, 2011 at about 3:34 pm local time, a Gulfstream GVI, registered N652GD, was substantially damaged in an accident during takeoff near Roswell, New Mexico (Roswell Intl Air Center Airpor airport). It was a flight test under general aviation rules (Part 91). 4 people were killed. The weather was visual conditions (good weather).

The NTSB's probable cause their words, unchanged

The National Transportation Safety Board determines the probable cause(s) of this accident as follows: an aerodynamic stall and subsequent uncommanded roll during a one engine-inoperative takeoff flight test, which were the result of (1) Gulfstream’s failure to properly develop and validate takeoff speeds for the flight tests and recognize and correct the takeoff safety speed (V2) error during previous G650 flight tests, (2) the G650 flight test team’s persistent and increasingly aggressive attempts to achieve V2 speeds that were erroneously low, and (3) Gulfstream’s inadequate investigation of previous G650 uncommanded roll events, which indicated that the company’s estimated stall angle of attack while the airplane was in ground effect was too high. Contributing to the accident was Gulfstream’s failure to effectively manage the G650 flight test program by pursuing an aggressive program schedule without ensuring that the roles and responsibilities of team members had been appropriately defined and implemented, engineering processes had received sufficient technical planning and oversight, potential hazards had been fully identified, and appropriate risk controls had been implemented and were functioning as intended.

Source: NTSB aviation accident database, copy made October 12, 2026. Docket and reports at the NTSB.

What the record shows

Date
April 2, 2011 · about 3:34 pm local time · cases in 2011
Place
Roswell, New Mexico · Roswell Intl Air Center Airpor · cases near this airport · map
Type
Accident
Injuries
4 people were killed.
Weather
visual conditions (good weather)
Aircraft
Gulfstream GVI G650 · all GVIs on the register
Registration
N652GD · no longer on the register · serial 6002
Damage
Substantial damage
Flight
Flight test · general aviation rules (Part 91)

The NTSB's narrative final · quoted from the NTSB record

The Safety Board’s full report is available at http://www.ntsb.gov/investigations/reports_aviation.html. The Aircraft Accident Report number is NTSB/AAR-12-02. On April 2, 2011, about 0934 mountain daylight time, an experimental Gulfstream Aerospace Corporation GVI (G650), N652GD, crashed during takeoff from runway 21 at Roswell International Air Center Airport, Roswell, New Mexico. The two pilots and the two flight test engineers were fatally injured, and the airplane was substantially damaged by impact forces and a postcrash fire. The airplane was registered to and operated by Gulfstream as part of its G650 flight test program. The flight was conducted under the provisions of 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed at the time of the accident.

The complete narrative as the NTSB published it. The NTSB's docket holds the report as a PDF and any photographs, statements and other documents from the investigation.

The factual record from the NTSB's investigation tables, in plain English

What happened, in order

  1. Preflight or dispatch event during prior to flight
  2. Simulated/training event during takeoff
  3. Aerodynamic stall/spin during takeoff defining event
  4. Fire/smoke (post-impact) during post (impact)

The NTSB's findings

  • cause Aircraft › Aircraft oper/perf/capability › Performance/control parameters › Airspeed › Related operating info
  • cause Aircraft › Aircraft oper/perf/capability › Aircraft capability › Engine out capability › Related operating info
  • cause Aircraft › Aircraft oper/perf/capability › Performance/control parameters › Angle of attack › Related operating info
  • cause Personnel issues › Task performance › Use of equip/info › Use of equip/system › Flight crew
  • cause Organizational issues › Development › Selection/certification/testing › Equip certification/testing › Manufacturer
  • cause Organizational issues › Management › Scheduling › Task scheduling/workload › Manufacturer
  • cause Organizational issues › Support/oversight/monitoring › Oversight › Oversight of operation › Manufacturer
  • cause Organizational issues › Development › Design › Policy/procedure development › Manufacturer
  • Organizational issues › Management › Communication (organizational) › Between groups/organizations › Emergency services
  • Organizational issues › Management › Communication (organizational) › Between groups/organizations › Airport
  • Organizational issues › Management › Communication (organizational) › Between groups/organizations › Manufacturer
  • Organizational issues › Management › Resources › Availability of personnel › Airport
  • Environmental issues › Operating environment › Communication system › (general) › Not specified

Pilot

  • Certificate: airline transport pilot, flight instructor, commercial pilot
  • Ratings: multi-engine land; single-engine land; instructor: airplane multi-engine; instructor: airplane single-engine; instructor: glider; instrument: airplane; rotorcraft: glider
  • Flight time: 11,237 hours in all; 263 in this make and model
  • Medical certificate: Class 1 (with waivers/limitations)
  • Seat: left
  • Injury: fatal

Co-pilot

  • Certificate: airline transport pilot, commercial pilot
  • Ratings: multi-engine land; single-engine land; instrument: airplane
  • Flight time: 3,940 hours in all; 140 in this make and model
  • Medical certificate: Class 1 (with waivers/limitations)
  • Seat: rgt
  • Injury: fatal

The aircraft

  • Airframe total time: 434 hours
  • Maximum gross weight: 100,000 lb
  • Seats: 8
  • Landing gear: retractable
  • Engine 1: Rolls-Royce Deutschland BR700-725A1 (turbofan); 0 hours total
  • Engine 2: Rolls-Royce Deutschland BR700-725A1 (turbofan); 0 hours total
  • Fire on the ground
  • Operator: Gulfstream Aerospace Corporation

The flight

  • Departed from: ROW Roswell NM at 1:00 pm
  • Destination: ROW Roswell NM
  • Flight plan: none
  • Runway 21, 13,001 ft by 150 ft
  • A second pilot was aboard

Weather at the time

  • Light: daylight
  • Wind: from 210° at 4 knots
  • Visibility: 10 statute miles
  • Sky: clear
  • Temperature: 63°F (17°C), dew point 25°F (-4°C)
  • Altimeter: 30.01 inHg
  • Observation at 2:51 pm from KROW

Injuries

FatalSeriousMinorNone
Flight crew4

Documents from the investigation the NTSB's docket: the evidence folder behind the report

87 documents, released by the NTSB on March 5, 2012. View them here, or download them; the NTSB redacts some personal details before release, and this site shows the NTSB's own titles rather than its file names.

#DocumentWhat it is
1 Pilot/operator Aircraft Accident Report, NTSB Form 6120.1 PDF, 11 pages View Download
2 Accident Report Photographs with 2 Embedded Photographs) PDF, 3 pages View Download
3 Operations Group Report PDF, 66 pages View Download
4 Operations Group Attachment 1 - Flight Crew Company File PDF, 43 pages View Download
5 Operations Group Attachment 2 - Aircraft 6002 Flight Log (September 10, 2010 - April 1, 2011) PDF, 7 pages View Download
6 Operations Group Attachment 3 - Gulfstream Standard Practice Manual, Rev F (October 1998) PDF, 60 pages View Download
7 Operations Group Attachement 4 - Excerpt of Safety Review Board Meeting Minutes (October 2010) PDF, 70 pages View Download
8 Gulfstream Flight Operations Standard Operating Procedures (November 2009) PDF, 32 pages View Download
9 Gulfstream Problem Reporting Process Description Document PDF, 15 pages View Download
10 Gulfstream Problem Reporting Quick Reference Guide PDF, 23 pages View Download
11 Excerpts of Gulfstream Presentations of Roswell I and Flight 132 PDF, 15 pages View Download
12 Gulfstream Flight Test Standard Practice Manual (November 2011) PDF, 88 pages View Download
13 Written Witness Statements by Accident Witnesses PDF, 22 pages View Download
14 Errata for Interviews of Gulfstream Personnel (June 2011) PDF, 13 pages View Download
15 Interviews of Gulfstream Personnel (June 2011) PDF, 463 pages View Download
16 Errata for Interviews of Gulfstream Personnel (October 2011) PDF, 39 pages View Download
17 Interviews of Gulfstream Personnel (October 2011) - PDF, 1061 pages View Download
18 Errata for Interview of Gulfstream Personnel (November 2011) PDF, 2 pages View Download
19 Interview of Gulfstream Personnel (November 2011) PDF, 104 pages View Download
20 Interviews with FAA Atlanta Aco Personnel PDF, 47 pages View Download
21 Interview with Former Gulfstream Personnel PDF, 23 pages View Download
22 Meteorology 5 - Factual Report of Group Chairman PDF, 25 pages View Download
23 Meteorology 5 - Attachment 1 PDF, 15 pages View Download
24 Survival Factors 6 - Factual Report of Group Chairman [see Also Errata to the Factual Report of Group Chairman, Dated May 11, 2012] PDF, 28 pages View Download
25 Survival Factors 6 - Errata to the Factual Report of Group Chairman PDF, 4 pages View Download
26 Survival Factors 6 - Attachment 1: Photographs PDF, 12 pages View Download
27 Survival Factors 6 - Attachment 2: Gulfstream G650 Personnel Door Operation Interviews PDF, 31 pages View Download
28 Survival Factors 6 - Attachment 3: Injury Chart PDF, 2 pages View Download
29 Survival Factors 6 - Attachment 4: Airport Personnel, Emergency Response and Witness Interviews PDF, 13 pages View Download
30 Survival Factors 6 - Attachment 5: Row Airport Diagram PDF, 2 pages View Download
31 Survival Factors 6 - Attachment 6: Rfd Arff Training Records PDF, 2 pages View Download
32 Survival Factors 6 - Attachment 7: G650 Crash Crew Information Booklet PDF, 16 pages View Download
33 Survival Factors 6 - Attachment 8: Pecos Valley Regional Communication Center Dispatch Report PDF, 26 pages View Download
34 Survival Factors 6 - Attachment 9: Rfd Incident Report PDF, 17 pages View Download
35 Survival Factors 6 - Attachment 10: Arff Response Route PDF, 2 pages View Download
36 Survival Factors 6 - Attachment 11: FAA Letter of Correction for 2010 Row Inspection PDF, 9 pages View Download
37 Survival Factors 6 - Attachment 12: Row Triennial Drill Information PDF, 2 pages View Download
38 Survival Factors 6 - Attachment 13: Row After-accident Debrief Information PDF, 2 pages View Download
39 Survival Factors 6 - Attachment 14: On-site Accident Photographs with Timestamps PDF, 7 pages View Download
40 Airworthiness Specialist's Report of Investigation with 73 Embedded Photos) PDF, 72 pages View Download
41 Airworthiness Specialist Report - Attachment 1 PDF, 18 pages View Download
42 Data Recorder - Factual Report of Group Chairman PDF, 45 pages View Download
43 Data Recorder - Attachment 1 - Tabular Data - Flight 153 - (Csv Format) data file Download
44 Data Recorder - Attachment 2 - FDR Tabular Data - Flight 153 - (Csv Format) data file Download
45 Data Recorder - Attachment 3 - Tabular Data - Flight 132 - (Csv Format) data file Download
46 Data Recorder - Attachment 4 - Tabular Data - Flight 088 - (Csv Format) data file Download
47 Data Recorder - Factual Report of Group Chairman Addendum 1 PDF, 2 pages View Download
48 Data Recorders Factual Report Addendum 1 - Attachment 1 - Tabular Data - (Csv Format) data file Download
49 Cockpit Voice Recorder 12 - Factual Report of Group Chairman PDF, 28 pages View Download
50 Aircraft Performance 13 - Group Chairman's Aircraft Performance Study PDF, 72 pages View Download
51 Aircraft Performance 13 - Errata 1 to Aircraft Performance Study PDF, 1 page View Download
52 Aircraft Performance 13 - Aircraft Performance Study Addendum #1 PDF, 96 pages View Download
53 Aircraft Performance 13 - Errata 1 to Addendum 1 PDF, 3 pages View Download
54 Human Performance 14 - Factual Report of Group Chairman PDF, 26 pages View Download
55 Human Performance 14 - Errata to the Human Performance Group Chairman's Factual Report PDF, 2 pages View Download
56 Human Performance 14 - Attachment 1, Interviews with On-board Crew Next of Kin PDF, 15 pages View Download
57 Human Performance 14 - Attachment 2, Toxicological Test Results for the PIC PDF, 3 pages View Download
58 Human Performance 14 - Attachment 3, Toxicological Test Results for the SIC PDF, 2 pages View Download
59 Human Performance 14 - Attachment 4, Toxicological Test Results for the Lead Fte PDF, 2 pages View Download
60 Human Performance 14 - Attachment 5, Toxicological Test Results for the Second Fte PDF, 2 pages View Download
61 Human Performance 14 - Attachment 6, Emails Documenting FTE1 and SIC Use of the Itf PDF, 2 pages View Download
62 Human Performance 14 - Attachment 7, Summary of Overtime for Selected G650 Flight Test Team Members spreadsheet Download
63 Human Performance 14 - Attachment 8, Organizational Charts Reflecting the Company's Pre-accident Structure PDF, 7 pages View Download
64 Human Performance 14 - Attachment 9, FAA Letters to Gulfstream PDF, 8 pages View Download
65 Human Performance 14 - Attachment 9, Addendum 1 PDF, 1 page View Download
66 Human Performance 14 - Attachment 10, Flight Test Safety Mou Between FAA and Gulfstream PDF, 5 pages View Download
67 On Board Video Recording - Factual Report of Group Chairman PDF, 143 pages View Download
68 G650 Field Performance Test Plan Excerpt PDF, 82 pages View Download
69 Gulfstream Flight Test Organization Abstract of Process and Procedures (April 2011) PDF, 11 pages View Download
70 Postaccident Test Card and Test Safety Hazard Analysis for Flaps 10, Oei Takeoff PDF, 4 pages View Download
71 On-scene Interviews of Gac Personnel PDF, 6 pages View Download
72 Written Witness Statement by Gulfstream Personnel (March 2012) PDF, 3 pages View Download
73 Correspondence - Gac Letter to Chairman Hersman NTSB 2-22-12 PDF, 2 pages View Download
74 Correspondence - Gac Letter to Chairman Hersman NTSB 3-30-12 PDF, 3 pages View Download
75 Correspondence - NTSB Letter to Mr Flynn Gac 4-04-12 PDF, 4 pages View Download
76 Errata for Operational Factors Report PDF, 3 pages View Download
77 Aircraft Performance 13 - Errata 2 to Aircraft Performance Study PDF, 1 page View Download
78 Gulfstream Party Submission PDF, 51 pages View Download
79 Parker Party Submission PDF, 1 page View Download
80 Human Performance 14 - Second Errata to Factual Report of Group Chairman PDF, 2 pages View Download
81 Errata Operations Group Report - Former Gac Director of Flight Test Interview PDF, 2 pages View Download
82 Addendum to on Board Video Recording - Factual Report of Group Chairman PDF, 4 pages View Download
83 Safety Recommendation Letters A-12-71 and -72 PDF, 1 page View Download
84 Safety Recommendation Letters A-12-54 and 58 PDF, 1 page View Download
85 Safety Recommendation Letter A-12-59-61 PDF, 1 page View Download
86 Safety Recommendation Letter A-12-62 and -63 PDF, 1 page View Download
87 Final Accident Report PDF, 1 page View Download

The same docket at the NTSB · documents without a copy here are fetched from the NTSB when you open them.

Connections how this case links to the rest of the register

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The whole map of how records connect · these connections as data: /graph/accident/DCA11MA076.json.

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Everything on this page comes from the NTSB's public records. The narrative, probable cause and findings are the NTSB's own words; the coded tables behind the report are written out in plain English, with pilots' ages, home towns and medical details left out. The documents and photographs are the NTSB's docket, shown as the NTSB released them. This site's own text does not name anyone involved, its policy at this time. A preliminary report can change; the final report usually follows one to two years later, and the page is refreshed when it does.