ATL02FA113

NTSB accident investigation · Bombardier CL600-2B19 · Atlanta, GA · June 3, 2002

Accident · No injuriesField investigationFinal report
Date
June 2, 2002, 22:00 local (Jun 3, 2002, 02:00 UTC)
Place
Atlanta, GA
Injuries
53 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N849ASBombardier CL600-2B19
Weather
Visual (VMC) · Night/dark
Status
Completed · report October 27, 2005
Report
Approved by Office Director
Parties
Federal Aviation Administration, Transportation Safety Board of Canada, Transport Canada
FAA report
20020602010469A
Case key
54850

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

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Probable cause

Failure of the left main landing gear fitting due to a fatigue crack that emanated from multiple origins at the external surface of the wall at the shock strut radius run out area for undetermined reasons.

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.

Gear collapsedLanding - roll
Landing gear,main gear - fatigueCause

Analysis

A Bombardier CL6002B-19, N849AS, operated by Atlantic Southeast Airlines, Inc., as flight 4509, experienced a left main landing gear failure during landing on runway 26R, at the Atlanta Hartsfield International Airport, in Atlanta, Georgia. According to the flight crew, and confirmed by the FDR, the approach to landing was uneventful. Upon landing the pilot deployed the thrust reversers and the left main landing gear collapsed. Fracture of the main fitting for the left main landing gear was caused by a fatigue crack that emanated from multiple origins at the external surface of the wall at the shock strut radius run out area. No evidence of material anomalies, such as corrosion or gouge damage, was found at the fatigue origin area. Because the stresses leading to the fatigue crack of the main fitting have not clearly been identified, the root cause of the fatigue cracking has not been determined. During the investigation, Atlantic Southeast Airlines did a Fleet Wide inspection of all their Bombardier Inc., Model CL600-2B19 aircraft landing gear assemblies, which included visual and eddy current inspections. Their inspections found no additional cracked landing gear. Additionally, Transport Canada issued a revised AD, which eliminated the escalation of the eddy current inspection intervals as allowed in their previous AD. Also, the FAA issued an NPRM in response to Transport Canada AD, which requires repetitive detailed visual and eddy current inspection of the main landing gear main fitting. The NPRM if adopted would produce another AD that is applicable to certain Bombardier Model CL600-2B19 (Regional Jet Series 100 & 440) airplanes. The proposal would require repetitive detailed and eddy current inspections on the main fittings of the main landing gears (MLG) to detect discrepancies, and related investigative/corrective actions if necessary. The proposal also requires servicing of the shock strut of the MLGs; inspection the shock strut of the MLGs for nitrogen pressure, visible chrome dimension, and oil leakage; and servicing any discrepant strut. Transport Canada has also accepted Messier-Dowty’s redesign of the main fitting, on condition that the testing of the new design would be completed successfully. The testing is scheduled to commence in July 2004. Once the testing is completed Transport Canada will mandate the installation of the new design of the main fitting as the terminating action for the AD's.

Factual narrative

History of flight

On June 2, 2002, at 2200 eastern daylight time, a Bombardier CL600-2B19, N849AS, registered to State Street Bank and Trust Company, and operated by Atlantic Southeast Airlines, Inc., as flight 4509, had the left main landing gear collapsed during landing on runway 26R, at the Atlanta Hartsfield International Airport, in Atlanta, Georgia. The airplane was being operated under the provisions of Title 14 CFR Part 121, and instrument flight rules. Visual meteorological conditions prevailed and an instrument rules flight plan was filed for the scheduled domestic passenger flight. The air transport pilot, first officer, flight attendant, and 50 passengers were not injured, and the airplane sustained substantial damage. The flight originated in Baltimore, Maryland, on June 2, 2002, at 1940.

The airplane landed on runway 26R at 2200. The airplane made an uneventful touchdown. During the landing roll at approximately 1000 feet down the runway at 110 knots and after the thrust reversers were deployed, the left landing gear collapsed. The left main wheel assembly remained attached to the side stay and was stuck between the fuselage and the inner edge of the inner wing flap. The flaps remained in the down position at 45-degrees and the flaps along with the flap actuator assemblies helped to support the wing when the airplane slid 4,000 feet down the center of the runway. The Captain was able to keep the airplane on the runway using rudder control, thrust reversers, right brakes, and the nose wheel steering system.

According to the flight crew, the approach to landing was uneventful. Upon landing the pilot deployed the thrust reversers and felt the airplane tilt to the left. At first he believed that he had a flat tire. However, as the aircraft continued down the runway he realized that the left main landing gear had collapsed. As the airplane began slowing the Captain notified the tower that he had a problem and ordered the first officer to contact the flight attendant to prepare the cabin for an emergency evacuation out the left entry door. After the airplane slid to a stop, the evacuation began. According to the flight attendant the evacuation progressed smoothly, with 40 passengers evacuating through the left main entry door and ten passengers evacuating through the right over wing exit.

Personnel information

A review of information on file with the Federal Aviation Administration (FAA) Airman's Certification Division, Oklahoma City, Oklahoma, revealed that the Captain held a commercial pilot certificate in airplane single engine land, and an Airline Transport Pilot certificate in Multi-engine land airplanes, with type ratings in the ATR-42, ATR-72, CL-65, and the EMB-120. A review of records on file with the FAA Aero Medical Records revealed the pilot held a first-class medical certificate issued on April 16, 2002, with a restriction that he must have available glasses for near vision. The pilot reported on his application for the medical certificate that he had accumulated 15,450 total flight hours.

A review of information on file with FAA Airman's Certification Division, Oklahoma City, Oklahoma, revealed that the First Officer held a private pilot certificate in airplane single engine land, commercial pilot certificate in rotorcraft-helicopter, and airline transport pilot certificate in airplane multi-engine land airplanes, with no type ratings listed. A review of records on file with the FAA Aero Medical Records revealed the pilot held a first class medical certificate issued on March 21, 2002, with no restrictions. The First Officer reported on his application for the medical certificate that he had accumulated 3,000 total flight hours.

Aircraft information

The Canadair Regional Jet (CRJ) CL600-2B19, Serial Number 7347, N849AS, was maintained by Atlantic Southeast Airlines, Inc., on a FAA approved continuous airworthiness inspection program. The airplane's most recent maintenance inspection was conducted on May 27, 2002. At the time of the accident, the airplane had accumulated a total time of 6,831 hours, and 5,584 cycles. Further review of the maintenance records found that the left and right main landing gears had been eddy current inspected 384 cycles prior to the accident. Bombardier Alert Service Bulletin A601R-32-079D Dated December 1, 2000, and Airworthiness Directive (AD) 2001-22-09, "Main Landing Gear - Repetitive Eddy Current Inspection of Left and Right MLG Fittings" requires that an eddy current inspection of the main landing gear fittings be repeated at every subsequent 500-flight cycles. The airplane's landing gear area had been inspected eight times prior to the accident.

Meteorological information

The nearest weather reporting facility at the time of the accident was Hartsfield International Airport, in Atlanta, Georgia. The 2153 surface weather observation was: Sky Clear, visibility 8 statute miles, temperature 25-degrees Celsius, dew point 21-degrees Celsius, wind 340-degrees at 7 knots, and altimeter 29.02. Visual meteorological conditions prevailed at the time of the accident.

Wreckage and impact information

The airplane came to rest in an overrun area near taxiway B3. Emergency response vehicles arrived at the accident site and there were no signs of a fuel leak and there was no fire. The following morning on June 3, 2002 the airplane was towed from the runway by the use of a tug truck, flat bed trailers and air bags to a Delta maintenance hangar on the airport for further examination.

Examination of the left trunnion main fitting found a three-inch area of discolored material, which had penetrated through the cross section of the main fitting. The area surrounding the fracture appeared to have sheared off rapidly, showing signs of overload. The left main landing gear assembly was removed and sent to the NTSB Materials Laboratory in Washington, DC for further examination.

Examination of the left wing found the inner and outer flaps ground down as a result of the collapsed left main gear and dragging on the runway. There was leading edge damage and a detached runway light lodged in the leading edge of the left inner flap. The left wing tip had a two foot by one foot oval shape grind pattern on the under side of the wing near the wing tip. There was damage to the inboard inner flap area where the left main gear had become lodged after the collapse. The collapsed wheel assembly also damaged the electric hydraulic pump located in the wheel well. The wheel assembly remained attached to the airplane by the side stay. The level of Nitrogen gas and hydraulic fluid from the left landing gear strut could not be measured due to damage. The left main tires showed excessive wear and one tire was completely cut in a circular pattern around the tire rim.

Examination of the right wing and main landing gear showed little damage as a result of the accident. However, the right main landing gear assembly was removed and shipped to the NTSB Materials Laboratory for further examination. The nose gear showed no signs of damage. However, the left nose wheel tire showed excessive wear that indicated the airplane was leaning heavily on the left side as it slid down the runway.

The airplane's Flight Data Recorder and Cockpit Voice Recorder were recovered from the airplane and sent to the NTSB Recorder Laboratory in Washington, DC for examination. Examination of the FDR found the accident landing to be within normal limits, and the CVR found nothing noteworthy on the recording.

The airplane had 1,600 pounds of fuel remaining in the left fuel tank and 1, 710 pounds of fuel remaining in the right fuel tank. There was no fuel leaks observed.

Special tests and research information

Metalurgical examination

Visual and bench binocular microscope examination of the upper fracture face of the left main landing gear revealed a discolored thumbnail fracture area typical of a preexisting

Aircraft

Registration
N849AS
Reported as
Bombardier CL600-2B19
Category
Airplane
Serial number
7347
Airframe hours
6,831
Engines
General Electric CF 34 3B1, 8,700 lbs thrust, turbo fanGeneral Electric CF 34 3B1, 8,700 lbs thrust, turbo fan
Damage
Substantial damage
Flight
Part 121
Operator
Atlantic Southeast Airlines, Inc.
Registered owner
State Street Bank & trust Co of CT
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · May 27, 2002 · 17 hours before
Departed
BWI · Baltimore, MD
Destination
ATL · Atlanta, GA
Flight plan
IFR
Airport
ATL · Atlanta Hartsfield, runway 26R, 9,000 × 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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
44
Injuries
None
Certificates
Commercial, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
March 20, 2002
Seat
Left
Flight hours
15,577 total · 665 in this make and model
Role
Co-pilot
Age
39
Injuries
None
Certificates
Airline transport, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
May 21, 2002
Seat
Right
Flight hours
15 in this make and model

Weather

Conditions
Visual (VMC) · Night/dark
Wind
340° at 7 knots
Visibility
8 statute miles
Lowest ceiling
None
Temperature
77 °F, dew point 70 °F
Altimeter
29.02 inHg
Observed at
ATL

Docket · 44

The files NTSB released with the investigation on July 8, 2005, on NTSB’s docket system: statements, records, photos and specialists’ reports. 29.7 MB in all.

Materials Laboratory 15 - Factual Report of Group ChairmanItem 1 · .PDF · 9 photos · 479 KBBombardier Aerospace Laboratory Report no. 2002LAB02651Item 2 · .PDF · 24 photos · 3.3 MBPilot/Operator Aircraft Accident Report, NTSB Form 6120.5Item 3 · .PDF · 4.7 MBFlight Data Recorder Factual ReportItem 4 · .PDF · 530 KBAD Notice of Proposed Rule MakingItem 5 · .PDF · 191 KBCanadair Regional Jet Operator Report 601Item 6 · .PDF · 6.0 MBCanadair Operator Message 619Item 7 · .PDF · 58 KBReciept for Returned Airplane PartsItem 8 · .PDF · 5.9 MBPhoto 1. Aircraft on Runway PhotoItem 9 · .PDF · 43 KBPhoto 2. Photo of Aircraft StairsItem 10 · .PDF · 41 KBPhoto 3. Photo of Left Gear FractureItem 11 · .PDF · 267 KBPhoto 4. Closeup of Main Landing GearItem 12 · .PDF · 41 KBPhoto 5. Collapsed Gear PhotoItem 13 · .PDF · 41 KBPhoto 6. Damage on RunwayItem 14 · .PDF · 42 KBPhoto 7. Damage to Trailing Edge FlapsItem 15 · .PDF · 41 KBPhoto 8. Damage to Underside of Left WingItem 16 · .PDF · 41 KBPhoto 9. Damage to Underside of Wing TipItem 17 · .PDF · 40 KBPhoto 10. Damage to wheel wellItem 18 · .PDF · 44 KBPhoto 11. Damage to Left Main GearItem 19 · .PDF · 41 KBPhoto 12. Damage to Left WingItem 20 · .PDF · 42 KBPhoto 13. Fatigue StriationsItem 21 · .PDF · 556 KBPhoto 14. Fractured GearItem 22 · .PDF · 40 KBPhoto 15. Fractured SurfaceItem 23 · .PDF · 528 KBPhoto 16. Inboard Flap DamageItem 24 · .PDF · 42 KBPhoto 17. Main Landing Gear SeperationItem 25 · .PDF · 552 KBPhoto 18. Overall Fractured SurfaceItem 26 · .PDF · 520 KBPhoto 19. Seperated Main GearItem 27 · .PDF · 41 KBEmail from Transport CanadaItem 28 · .PDF · 37 KBAD-CF-2003-09eItem 29 · .PDF · 110 KBALPA SubmissionItem 30 · .PDF · 303 KBAmerican Stress Technologies ReportItem 31 · .PDF · 860 KBStatement of Party Representatives to NTSB InvestigationItem 32 · .PDF · 68 KBPrevious AD 2001-22-09Item 33 · .PDF · 49 KBService Bulletin A601R-32-079Item 34 · .PDF · 468 KBRelease of Aircraft Wreckage, NTSB Form 6120.15Item 35 · .PDF · 338 KBAD-2003-11-11Item 36 · .PDF · 104 KBA601R-32-088Item 37 · .PDF · 329 KBAD-CF-1999-32R2eItem 38 · .PDF · 102 KBAlert SB A601R-32-099Item 39 · .PDF · 753 KBALPAs Final SubmissionItem 40 · .PDF · 1.2 MBCF-2004-18Item 41 · .PDF · 161 KBMLG ModificationItem 42 · .PDF · 387 KBNprm 2003-NM-149-ADItem 43 · .PDF · 191 KBTC Letter to BombardierItem 44 · .PDF · 85 KB

FAA reports on this event · 1

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