ANC97IA035

NTSB incident investigation · Piper PA-31-350 · Kotzebue, AK · March 15, 1997

Incident · No injuriesIncident investigationFinal report
Date
March 15, 1997, 19:57 local (23:57 UTC)
Place
Kotzebue, AK
Injuries
3 uninjured
Damage
Minor damage
Phase of flight
Enroute
Aircraft
N3542HPiper PA-31-350
Weather
Visual (VMC) · Day
Status
Completed · report June 26, 1998
Report
Approved by Office Director
NTSB office
Alaska Regional Office
Safety recommendations
Yes
Case key
2946

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

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Probable cause

the jammed main landing gear which was caused by a binding main landing gear door with a broken hinge. The fractured, inadequate main landing gear door hinge was also causal.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Airframe/component/system failure/malfunctionCruise
Door,landing gear - binding(mechanical)Cause
Landing gear,main gear - jammedCause
Acft/equip,inadequate aircraft componentManufacturerCause
Wheels up landingLanding
Wheels up landing - intentionalPilot in command

Analysis

The airplane was landed with the landing gear retracted because the pilot was unable to lower the left main landing gear, although the nose gear and the right main landing gear would extend and lock properly. Postaccident inspection disclosed a fractured left main landing gear door hinge. The door hinge was the new, improved, version of an older hinge which had a history of cracking in the radius of the hinge. The hinge on the incident airplane was a replacement hinge mandated by an airworthiness directive. The replacement hinge also fractured in the radius. A review of Service Difficulty Reports disclosed at least eight other instances of cracks in the new hinge.

Factual narrative

On March 15, 1997, about 1957 Alaska Standard Time, a wheel equipped Piper PA-31-350 airplane, N3542H, received minor damage during a gear up landing at the Ralph Wien Memorial Airport, Kotzebue, Alaska. The airline transport certificated pilot and two passengers aboard reported no injuries. The 14 CFR Part 135 scheduled commuter flight was operated by Cape Smythe Air Service as Flight 270. The airplane last departed Kivalina, Alaska, about 1822, and operated in visual meteorological conditions. A VFR flight plan was filed.

According to company personnel, the pilot reported he encountered turbulence while en route from Kivalina. Shortly after the turbulence encounter, the pilot said the main landing gear unsafe light illuminated. He recycled the gear (lowered and retracted), but the light remained illuminated. A subsequent low pass at Kotzebue allowed confirmation from personnel on the ground that the left main landing gear was not completely retracted, and that it would not move from the wheel well when the landing gear handle was selected down. The nose gear and the right main landing gear would extend properly to the down position.

The pilot elected to make a gear up landing on the snow and ice covered runway.

Postlanding inspection of the left main landing gear disclosed a broken, inboard main gear door hinge. According to company maintenance personnel, the broken hinge occurred prior to the landing, and kept the left main gear from extending.

The left, inboard main landing gear door hinge, Piper ID number 46652-2, was sent to the NTSB metallurgical laboratory in Washington, D.C., for inspection. The metallurgist who inspected the hinge noted the hinge material met the manufacturing specifications for composition, hardness, and dimensions. He discovered a fatigue crack which emanated from multiple origins at the tip of a forging flash adjacent to the inside radius of the hinge (see attached metallurgical report). The metallurgical report says, in part: "Most of the fatigue crack region exhibited mud crack features and scale which is characteristic of a severely oxidized surface of aluminum alloy."

Piper Service Bulletin (SB) 982, dated July 24, 1980, and Airworthiness Directive (AD)80-25-05, addresses cracking of the main landing gear door hinge. The SB notes three types of hinge assemblies are made for the Piper PA-31 airplane. One type is the hinge mentioned above. The other two hinges are made from 0.25 inch thick aluminum plates or steel. The SB requires inspections of the curved portion of the hinge for cracking at the next 100 hours of operation, or the next scheduled inspection, whichever occurs first, and every 100 hours thereafter, unless/until an acceptable replacement part is installed. No inspection is required for a steel door hinge assembly. A door hinge that has a crack, is to be replaced with the newer, thicker, version (0.44 inch) door hinge, Piper Part number 46652-2.

The incident airplane had been retrofitted with the new, thicker, version of the door hinge. This hinge failed in the same curved portion as was noted in the older, thinner version of the hinges, and which was the subject of the above SB/AD.

Maintenance information supplied by the Operator disclosed the new type landing gear door hinge was installed on the incident airplane in 1988. The airplane had operated approximately 9,938 hours with the new hinge until the hinge failed.

A review of Service Difficulty Reports from 1980 through February 1998, disclosed eight instances of cracking or failures of the new, thicker, hinge, which had been installed to resolve cracking problems with the old version of the hinge.

Aircraft

Registration
N3542H
Reported as
Piper PA-31-350
Category
Airplane
Serial number
31-7952233
Airframe hours
13,988
Engine
Lycoming TIO-540-J2BD, 350 horsepower, reciprocating
Damage
Minor damage
Flight
Part 135
Registered owner
Cape Smythe Air
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · January 31, 1997 · 81 hours before
Departed
IAN · Kiana, AK
Destination
OTZ
Flight plan
VFR
Airport
PAOT · Ralph Wien Memorial, runway 35, 3,896 × 50 ft, gravel

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
32
Certificates
Airline transport, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
7,900 total · 700 in this make and model · 7,750 as pilot in command · 270 in the last 90 days · 100 in the last 30 days · 8 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
310° at 14 knots
Visibility
35 statute miles
Lowest ceiling
None
Temperature
14 °F, dew point 5 °F
Altimeter
30.00 inHg
Observed at
OTZ

Other investigations on N3542H · 1

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