ANC18LA048

NTSB accident investigation · Cessna 180 · Fairbanks, AK · June 23, 2018

Accident · No injuriesLimited investigationFinal report
Date
June 22, 2018, 17:30 local (Jun 23, 2018, 01:30 UTC)
Place
Fairbanks, AK
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N3125DCessna 180
Defining event
Landing-landing roll: Sys/Comp malf/fail (non-power)
Weather
Visual (VMC) · Day
Status
Completed · report June 8, 2020
Report
Approved by Office Director
NTSB office
Alaska Regional Office
Parties
FAA
FAA report
20180622008449A
Case key
97569

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

The failure of the brake line tube due to an improper flare.

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.

Landing gear system: brakeAircraft › Aircraft systems · FailureCessna 180: 5 casesAll aircraft: 297 casesProbable cause
Landing gear system: brakeAircraft › Aircraft systems · Related maintenance infoCessna 180: 5 casesAll aircraft: 297 casesProbable cause
MaintenancePersonnel issues › Task performance · OtherCessna 180: 2 casesAll aircraft: 143 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

According to the pilot, he was landing with a right crosswind, and after touchdown, as the airplane began to decelerate, he applied left brake to maintain directional control. He stated that the left brake pedal was "soft" and traveled to its full forward limit. The airplane weathervaned and skidded sideways before the left main wheel went off the landing area and into brush. The left wing and left horizontal stabilizer impacted terrain, which resulted in substantial damage. The pilot noted in a postflight examination that the brake line had separated at the compression fitting near the brake caliper where the brake line transitioned from a rigid line to a flexible line. A laboratory examination of the brake line and its components revealed that the interior surface of the failed end had circumferential marks consistent with formation of a flared end with a flaring tool. The sleeve was trapped within the nut from the failed end, and deposits of gray metal appearing consistent with deformed brake tube material were observed deposited on internal threads of the nut. According to Federal Aviation Administration Advisory Circular AC 43-13-1B, "Acceptable Methods, Techniques, and Practices – Aircraft Inspection and Repair," a double flare is used on soft aluminum tubing having a 3/8-inch outside diameter or less. No evidence of folded walls consistent with a double flare was noted at either end of the brake line tube. No records could be found that showed the manufacture or assembly date of the fractured brake line components.

Factual narrative

On June 22, 2018, about 1730 Alaska daylight time, a tailwheel equipped Cessna 180 airplane, N3125D, sustained substantial damage during an off-airport landing at Upper St George Creek, about 50 miles south of Fairbanks, Alaska. The airplane was registered to and operated by the pilot as a 14 Code of Federal Regulations (CFR) Part 91 visual flight rules personal flight when the accident occurred. The private pilot and passenger were uninjured. Visual meteorological conditions prevailed, and no flight plan had been filed. The flight departed Fairbanks International Airport (PAFA), Fairbanks, Alaska about 1700. According to the pilot, he was landing with a right crosswind and after touchdown, as the airplane began to decelerate, he applied left brake in an effort to maintain directional control. He stated that the left rudder/brake pedal was "soft" and traveled to its full forward limit and directional control was lost. The airplane weathervaned into the wind and skidded sideways before the left main wheel went off the cleared landing area and into brush. The left wing and left horizontal stabilizer subsequently impacted terrain, which resulted in substantial damage. Upon exiting the airplane, the pilot found the brake line had separated at the compression fitting near the brake caliper where the brake line transitioned from a rigid line to a flexible line. The brake line tube and fitting hardware was removed from the airplane and sent to the NTSB Materials Laboratory in Washington DC for further evaluation. The interior surface of the failed end had circumferential marks up to 0.136 inch from the end consistent with the formation of a flared end with a flaring tool. The sleeve was trapped within the nut from the failed end, and deposits of gray metal appearing consistent with deformed brake tube material was observed deposited on internal threads of the nut up to 3 threads from the end of the sleeve. According to Federal Aviation Administration Advisory Circular AC 43-13-1B, Acceptable Methods, Techniques, and Practices – Aircraft Inspection and Repair, a double flare is used on soft aluminum tubing having a 3/8-inch outside diameter or less. No evidence of folded walls consistent with a double flare was noted at either end of the submitted brake line tube. No records could be located that showed the manufacture or assembly date of the fractured brake line components.

Aircraft

Registration
N3125D
Reported as
Cessna 180
Category
Airplane
Serial number
31923
Built
1955
Airframe hours
3,192.8
Engine
Cont Motor O-470 SERIES, 225 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · February 7, 2018 · 11 hours before
Departed
FAI · Fairbanks, AK
Destination
AK7 · Fairbanks, AK
Airport
AK7 · Gold King Creek
Equipment
Handheld GPS, Stall warning system, Electronic flight bag or handheld device

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
45
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Without waivers/limitations
Last flight review
April 30, 2017
Seat
Left
Flight hours
181 total · 132 in this make and model · 145 as pilot in command · 12 in the last 90 days · 5 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
280° at 14 knots, gusting 18
Visibility
10 statute miles
Lowest ceiling
6,000 ft broken
Temperature
68 °F, dew point 52 °F
Altimeter
29.90 inHg
Turbulence
Unknown
Observed at
PAFA, 37 nm away

Docket · 2

The files NTSB released with the investigation on April 24, 2020, on NTSB’s docket system: statements, records, photos and specialists’ reports. 9.5 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 N3125D · 3

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