CEN09LA415

NTSB accident investigation · Cessna 441 · Albuquerque, NM · July 3, 2009

Accident · No injuriesLimited investigationFinal report
Date
July 3, 2009, 05:40 local (11:40 UTC)
Place
Albuquerque, NM
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N988AECessna 441
Defining event
Approach: Sys/Comp malf/fail (non-power)
Weather
Night/dark
Status
Completed · report October 19, 2009
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA FSDO
FAA report
20090703010499A
Case key
74214

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 malfunction of the landing gear selector switch and a loose fitting on the emergency extension system which rendered the landing gear system inoperable.

Findings · 2

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: landing gear selectorAircraft › Aircraft systems · MalfunctionCessna 441: 1 caseAll 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

While on final approach to the intended destination airport, the landing gear was selected and the landing gear circuit breaker popped. After initial troubleshooting of the system, the pilot initiated the "Landing Gear Will Not Extend Normally" checklist. The pilot activated the nitrogen blowdown bottle, but the landing gear did not extend. The pilot elected to land gear up utilizing a longer runway at an alternate airport. During the flare, the pilot shut off both engines, and the airplane settled on to the runway. An examination of the landing gear system found that a fitting had separated on the blowdown bottle system resulting in a failure of the emergency extension system. In addition, the airplane's operator discovered a faulty landing gear selector switch.

Factual narrative

On July 3, 2009, approximately 0540 mountain daylight time, a Cessna 441, N988AE, owned and operated by Air Evac Services Incorporated, was substantially damaged following an intentional gear-up landing at Albuquerque International Sunport (KABQ), Albuquerque, New Mexico. The repositioning flight was operated under the provisions of Title 14 Code of Federal Regulations Part 91 with an instrument flight plan. Night visual meteorological conditions prevailed. The airline transport pilot and two crew members were not injured. The flight departed the Double Eagle II Airport (KAEG), Albuquerque, New Mexico, at 0320. According to a statement provided by the pilot, the flight was dispatched to pick up a trauma patient in Socorro, New Mexico. While en route, thunderstorms developed along the intended route of flight, so the pilot decided to return to KAEG. While on final approach to KAEG, the gear down position was selected and the landing gear circuit breaker popped. After one minute, the pilot reset the circuit breaker and again the circuit breaker popped. After putting the landing gear handle up, the circuit breaker would remain reset until the landing gear handle was selected down. The pilot initiated the "Landing Gear Will Not Extend Normally" checklist. After activating the nitrogen blowdown bottle, the crew heard the nitrogen flow but the landing gear did not extend. The pilot attempted to maneuver the airplane in an attempt to lower the landing gear. Despite troubleshooting the malfunction, the gear was confirmed in the retracted position by another pilot utilizing night vision goggles during a low approach at KAEG. The pilot elected to land gear up utilizing runway 03 at KABQ. During the landing flare, the pilot shut off both engines, and the airplane settled on to the runway. The airplane slid to the right side of the runway and came to a stop. An inspection of the airplane revealed substantial damage to the fuselage. After recovering the airplane, an examination of the airplane was conducted under the supervision of a Federal Aviation Administration inspector. A fitting was found loose on the nitrogen bottle distribution system resulting in a failure of the emergency extension system. A review of maintenance records indicated that maintenance was performed in the are of the loose fitting in July 2008. A gear extension and retraction tested was performed and no anomalies were detected. However, addition testing on the landing gear selector switch, performed by the operator at a later time, replicated the popped circuit breaker condition, when the landing gear down position was selected.

Aircraft

Registration
N988AE
Reported as
Cessna 441
Category
Airplane
Serial number
441-0175
Airframe hours
15,299
Engines
Airesearch TPE331 SERIES, 904 horsepower, turbo propAiresearch TPE331 SERIES, 904 horsepower, turbo prop
Damage
Substantial damage
Flight
Positioning · Part 91
Operator
Air Evac Services Inc, doing business as Phi Air Medical
Registered owner
Air Evac Services Inc
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · April 14, 2009 · 74 hours before
Departed
KAEG · Albuquerque, NM
Destination
KABQ · Albuquerque, NM
Flight plan
IFR
Airport
KABQ · Albuquerque International, runway 03, 10,000 × 150 ft, concrete

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
Injuries
None
Certificates
Flight instructor, Airline transport, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
April 23, 2009
Seat
Left
Flight hours
5,500 total · 1,400 in this make and model · 3,400 as pilot in command · 21 in the last 90 days · 17 in the last 30 days · 5 in the last 24 hours

Weather

Conditions
Night/dark
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
5,500 ft broken
Temperature
64 °F, dew point 61 °F
Altimeter
30.23 inHg
Observed at
KABQ

Docket · 4

The files NTSB released with the investigation on August 25, 2009, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.7 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.