CEN10FA164

NTSB accident investigation · Maule M-5-235C · Lewisville, TX · March 18, 2010

Accident · FatalField investigationFinal report
Date
March 18, 2010, 16:00 local (21:00 UTC)
Place
Lewisville, TX
Injuries
1 fatal, 1 serious
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N56489Maule M-5-235C
Defining event
Landing-flare/touchdown: Landing gear not configured
Weather
Visual (VMC) · Day
Status
Completed · report March 8, 2012
Report
Approved by Office Director
NTSB office
Central Region
Parties
Federal Aviation Administraton
FAA report
20100318029639A
Case key
75534

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 pilot did not retract the landing gear before a water landing. Contributing to the accident was the pilot did not use a checklist.

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.

Use of equip/info: use of checklistPersonnel issues › Task performance · PilotMaule M-5-235C: 1 caseAll aircraft: 336 casesProbable cause
Action: forgotten action/omissionPersonnel issues › Action/decision · PilotMaule M-5-235C: 1 caseAll aircraft: 440 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

Following a short cross-country flight, the pilot performed a water landing with the amphibious float-equipped airplane. During touchdown, the airplane nosed over and came to rest inverted, partially submerged in water. A postaccident examination of the wreckage revealed that the pilot had landed with the landing gear in the extended position. The examination also revealed that the floats were equipped with four visual landing gear position indicators, all of which indicated that the landing gear was in the extended position. According to a “Before Landing On Water” checklist for the amphibious floats, the landing gear position (retracted) was to be confirmed visually before landing. No preimpact anomalies were identified during the examination that would have precluded the airplane from operating normally.

Factual narrative

HISTORY OF FLIGHT On March 18, 2010, about 1600 central daylight time, a Maule M-5-235C, N56489, nosed over during a water landing on Lake Lewisville, Lewisville, Texas. The pilot sustained serious injuries and the passenger was fatally injured. The airplane was registered to and operated by the pilot under the provisions of 14 Code of Federal Regulations Part 91 as a personal flight. Visual meteorological conditions prevailed and no flight plan was filed. The local flight departed the Addison Airport (ADS), Dallas, Texas, around 1530. According to the pilot, as he approached for the “glassy water landing,” the airplane was performing normally. The airplane touched down with no skips or bounces and quickly nosed over and began to fill with water. The pilot attempted to kick the doors open, but was unable. He could not recall how he got out of the airplane, but remembered being in a boat. When asked about the position of the landing gear before landing, the pilot responded that he did not remember anything about the position of the landing gear. The pilot later reported that after his departure from ADS, he placed the landing gear position handle in the “UP” position. An eyewitness in a nearby boat observed the airplane nose over and stopped to assist the occupants. Once near the airplane he observed the pilot unconscious with his head underwater. He jumped in the water and pulled the pilot to his boat where he proceeded to perform cardiopulmonary resuscitation (CPR), until the pilot’s breathing was restored. Two witnesses riding eastbound on US Highway 380 reported that around the time of the accident, they observed a small red and white airplane flying southbound about 20 to 30 feet above the bridge. The airplane was descending and it appeared as if the wheels where in the extended position. Another witness reported that while heading west out of the Pier 121 marina, he observed a small pontoon equipped airplane flying northbound over the boat he was in. As the plane flew over, he noticed that the landing gear was sticking out below the floats. The witness estimated the airplane to be around 1,000 feet in altitude, and believed that it was preparing to land. A fifth witness heard a loud noise. As she looked towards the lake she observed an airplane flipping over. The witness reported that approximately 2 minutes later she could only see the wheels and the bottom of the airplane extending out of the water. PERSONNEL INFORMATION The pilot, age 54, held an airline transport pilot certificate for airplane multiengine land, a commercial certificate with ratings for airplane single-engine land, single-engine sea, and rotorcraft helicopter, and a flight instructor certificate for single and multiengine airplane. His last Federal Aviation Administration (FAA) second-class medical was issued on April 11, 2008, with the limitation, “Must Wear Corrective Lenses.” The pilot reported a total flight time of 12,000 flight hours; of which 75 hours were in theaccident make and model of airplane. He logged 30 hours in the last 90 days and 10 in the last 30 days. His last noted flight review was completed June 8, 2008. AIRCRAFT INFORMATION The 1983-model Maule M-5-235C, serial number 7372C, was a high wing, tube and fabric airplane, mounted on Baumann amphibious floats, and was configured for four occupants. The airplane was powered by a Lycoming O-540-J1A5D engine, serial number L-19138-40A, rated at 235 horsepower, and was driving a two-bladed constant speed Hartzell propeller. According to the airframe logbook, the airplane's most recent annual inspection was completed in December, 2009, with an airframe total time of 806.1 hours. At the time of the accident, the airframe had accumulated 807 hours. The engine logbook revealed that the engine had been inspected in accordance with a 100 hour inspection in December, 2009. At the time of the accident, the engine had accumulated approximately 1,005 hours since major overhaul and 139.4 hours since propeller overhaul. METEOROLOGICAL INFORMATION At 1547, the automated weather observing system at ADS, located 10 nautical miles south of the accidents site, reported winds light and variable, 10 miles visibility, clear of clouds, temperature 61 degrees Fahrenheit (F), dew point 36 degrees F, and a barometric pressure setting of 30.07 inches of Mercury. WRECKAGE AND IMPACT INFORMATION Inspectors from the FAA responded to the accident site and reported that the airplane had come to rest inverted and partially submerged in water. In addition, the inspectors reported that the landing gear was found in the extended position. The airplane had sustained substantial damage to the vertical stabilizer, engine firewall, and both wings. Flight control continuity was established to all flight controls and to the water rudders. The water rudders were found in the retracted position. The floats were equipped with 4 visual landing gear position indicators; one for each wheel that could be observed from the cockpit. Each was operational and indicated that the wheels were in the extended position. MEDICAL AND PATHOLOGICAL INFORMATION The FAA’s Civil Aerospace Medical Institute performed forensic toxicology on specimens from the pilot and no drugs of abuse were detected. ADDITIONAL INFORMATION The following was noted on a checklist for the Baumann amphibious floats: E. BEFORE LANDING -- ON WATER 3. Landing Gear Position – CONFIRM VISUALY (Red mark in the UP indicator holes on top deck of each float for the main gear. Nose gear UP – tire positioned at nose bumper)

Aircraft

Registration
N56489
Reported as
Maule M-5-235C
Category
Airplane
Serial number
7372C
Airframe hours
807
Engine
Lycoming O-540-J1A5D, 235 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · December 1, 2009 · 1 hours before
Departed
ADS · Dallas, TX
Destination
Lake Lewisville, TX

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
54
Injuries
Minor
Certificates
Airline transport, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
June 8, 2008
Seat
Left
Flight hours
12,000 total · 75 in this make and model · 11,500 as pilot in command · 30 in the last 90 days · 10 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Visibility
10 statute miles
Lowest ceiling
None
Temperature
61 °F, dew point 36 °F
Altimeter
30.06 inHg
Observed at
ADS, 10 nm away

Docket · 5

The files NTSB released with the investigation on January 6, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 6.9 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.