ANC15LA048

NTSB accident investigation · Cessna 210 · Juneau, AK · July 12, 2015

Accident · No injuriesLimited investigationFinal report
Date
July 11, 2015, 16:48 local (Jul 12, 2015, 00:48 UTC)
Place
Juneau, AK
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N3607YCessna 210
Defining event
Landing-flare/touchdown: Landing gear collapse
Weather
Visual (VMC) · Day
Status
Completed · report February 13, 2017
Report
Approved by Office Director
NTSB office
Alaska Regional Office
Parties
FAA
FAA report
20150711011479A
Case key
91545

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

A loss of hydraulic fluid due to a fractured left main landing gear hydraulic actuator as a result of a fatigue crack, which led to the landing gear collapsing upon touchdown.

Findings · 3

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Fluids: hydraulic fluidAircraft › Fluids/misc hardware · Fluid levelCessna 210C: 2 casesAll aircraft: 33 casesProbable cause
Landing gear system: landing gear actuatorAircraft › Aircraft systems · Fatigue/wear/corrosionCessna 210C: 2 casesAll aircraft: 54 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The private pilot was conducting a personal cross-country flight. In preparation for landing at the destination airport, the pilot selected the landing gear handle to the "down" position. The nose gear fully extended and locked into place, but the left and right main landing gear extended only about halfway and then stopped. The pilot's efforts to cycle the landing gear were unsuccessful, and he subsequently conducted an emergency landing to an alternate airport, during which the landing gear collapsed upon touchdown with the runway. After the accident, the airplane was lifted with a crane and positioned in a level attitude, and hydraulic fluid was observed leaking from the bottom of the airplane. A postaccident examination of the hydraulic system revealed that the left main landing gear hydraulic actuator was fractured due to a fatigue crack that had initiated at the retaining ring recess in the housing and propagated through most of the barrel housing cross-section. Once the actuator was substantially weakened, the housing cracked further from overstress.

Factual narrative

On July 11, 2015, about 1648 Alaska daylight time, a retractable landing gear-equipped Cessna 210 airplane, N3607Y, sustained substantial damage during landing at Juneau Airport (JNU), Juneau, Alaska. The pilot and passenger were uninjured. The airplane was registered to, and operated by, the pilot under the provisions of Title 14 Code of Federal Regulations (CFR) Part 91 as a personal flight. Visual meteorological conditions prevailed at the time of the accident. No flight plan was on file. During an interview with the National Transportation Safety Board (NTSB) investigator-in-charge on July 11, 2015, the pilot stated that while approaching the Hoonah Airport, Hoonah, Alaska, the flaps were set to 20 degrees down and the landing gear handle was selected to the down position. The nose gear fully extended and locked into place, but the left and right main landing gear extended about halfway and stopped. The landing gear selector was then placed back into the up position in an effort to cycle the landing gear. The pump was heard running, but the gear failed to move. The landing gear selector was placed again in the down position and in the interest of safety, the pilot decided to change the destination from the Hoonah Airport to the Juneau Airport where there was Aircraft Rescue and Fire Fighting (ARFF) equipment and personnel. He estimates that during the flight from Hoonah to Juneau, he pumped the landing gear emergency hand pump hundreds of times, but he never felt any resistance in the hydraulic lines. During removal of the airplane from the runway, it was lifted with a crane so the landing gear could be physically pulled into place and secured with pins to prevent retraction. When the airplane was lifted and positioned in a level attitude, hydraulic fluid was observed leaking from the bottom of the airplane. On August 5, 2015, an FAA air safety inspector from the Juneau Flight Standards District Office, along with a certified airframe and power plant mechanic, under the direction of the NTSB IIC, examined the airplane's hydraulic system. They hydraulic reservoir was serviced to a full level and the landing gear emergency hand pump was manipulated. A large leak was evident under the pilot seat. When the floor inspection panel was removed, the left main landing gear hydraulic actuator was discovered to be fractured at the end cap and along the side. The actuator was removed and sent to the NTSB Materials Laboratory in Washington, DC, for a more detailed examination by a Materials Research Engineer. The hydraulic actuator (P/N 1280501-1, S/N 21058107) was cracked about the barrel section adjacent the endcap with a circumferential and a longitudinal component. Once the endcap was removed, a crescent fragment of the actuator barrel with the circumferential crack fell away. The fracture surface exhibited two thumbnail-shaped cracks, which were examined using a scanning electron microscope. The thumbnail region displayed striations consistent withfatigue crack propagation. Portions of the fracture surface outside of the fatigue crack revealed dimple rupture, consistent with overstress. The thumbnail-shaped fatigue cracks exhibited ratchet marks, consistent with multiple fatigue crack initiation. Examination of these initiation sites did not reveal any discernible material or mechanical defects. However, examination of the surface of the retaining ring groove did reveal multiple corrosion pits. A detailed examination report including microscopic images is available in the public docket for this accident. The closest weather reporting facility is Juneau Airport, Juneau. At 1553, an aviation routine weather report (METAR) from the Juneau Airport was reporting in part: wind from 120 degrees at 11 knots; sky condition, few at 500 feet above ground level (agl), broken at 2,700 feet agl, overcast at 5,500 feet agl; visibility 10 statute miles; light rain; temperature 60 degrees F; dewpoint 55 degrees F; barometric pressure 29.72 inHg. The pilot did not complete and return the required NTSB Accident Reporting Form 6120.1.

Aircraft

Registration
N3607Y
Reported as
Cessna 210
Category
Airplane
Serial number
21058107
Built
1962
Engine
Cont Motor IO-470 SERIES, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Departed
JNU · Juneau, AK
Destination
HNH · Hoonah, AK
Airport
JNU · Juneau Intl, runway 08, 8,857 × 150 ft, asphalt

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
56
Injuries
None
Certificate
Private
Airplane ratings
Multi-engine land, Single-engine land
Medical
Class 3, With waivers/limitations
Seat
Left
Flight hours
2,450 total

Weather

Conditions
Visual (VMC) · Day
Wind
120° at 11 knots
Visibility
10 statute miles
Lowest ceiling
2,700 ft broken
Temperature
61 °F, dew point 55 °F
Altimeter
29.71 inHg
Icing
Unknown
Turbulence
Unknown
Observed at
PAJN, 1 nm away

Docket · 2

The files NTSB released with the investigation on November 23, 2016, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.6 MB in all.

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.

Other investigations on N3607Y · 1

Matched to the same aircraft by N-number and date.