CEN10LA076

NTSB accident investigation · Beech 200 · St. Louis, MO · December 11, 2009

Accident · No injuriesLimited investigationFinal report
Date
December 10, 2009, 18:56 local (Dec 11, 2009, 00:56 UTC)
Place
St. Louis, MO
Injuries
7 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N411BLBeech 200
Defining event
Landing: Landing gear not configured
Weather
Visual (VMC) · Night
Status
Completed · report May 28, 2010
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA-St Louis FSDO
FAA report
20091210025979A
Case key
75173

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's failure to properly follow the manual landing gear extension procedure, resulting in a gear-up landing.

Findings · 4

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 equip/systemPersonnel issues › Task performance · PilotAll aircraft: 1,391 casesProbable cause
Landing gear system: gear extension and retract sysAircraft › Aircraft systems · Incorrect use/operationAll aircraft: 416 casesProbable cause
Use of equip/info: use of checklistPersonnel issues › Task performance · PilotAll aircraft: 336 cases

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

The pilot reported that the landing gear failed to extend prior to landing. His attempts to manually extend the landing gear in accordance with the manual extension procedure from the airplane flight manual were not successful. He subsequently executed an emergency gear-up landing. A postaccident inspection revealed that the emergency gear engagement handle was not in the engaged position. When the handle was engaged, subsequent movement of the extension lever manually lowered the landing gear. Further examination revealed that the landing gear motor circuit breaker was open (popped). The landing gear motor and circuit breaker were located under the cabin floor aft of the forward wing spar. When the circuit breaker was reset and electrical power applied to the airplane, the landing gear was successfully extended using the normal procedure.

Factual narrative

On December 10, 2009, at 1856 central standard time, a Beech model 200 airplane, N411BL, piloted by an airline transport pilot, was substantially damaged during an emergency gear-up landing on runway 24 (7,602 feet by 150 feet, concrete) at Lambert-St. Louis International Airport (STL), St. Louis, Missouri. The pilot reported that the landing gear failed to extend properly on initial approach. His subsequent attempts to lower the landing gear with the manual extension procedure were unsuccessful. The flight was being conducted under 14 Code of Federal Regulations Part 135 on an instrument flight rules flight plan. Night visual meteorological conditions prevailed. The pilot and 6 passengers on-board were not injured. The flight departed Charles B. Wheeler Downtown Airport (MKC), Kansas City, Missouri. The intended destination was STL. The pilot stated that he attempted to lower the landing gear on final approach about six miles from the runway. He reported that when he selected gear down nothing happened. He attempted to cycle the landing gear a few times with no effect. The pilot subsequently executed a missed approach in order to troubleshoot the problem. His efforts to lower the landing gear normally were not successful. The pilot stated: “I then followed the check list for gear malfunction and manual gear extension. I pulled the gear circuit breaker, pulled the lever out, rotated it 90 degrees clock wise to engage the system and started pumping. I felt no pressure as I was pumping; I pumped about 40 or 50 times.” During several low approaches, air traffic controllers confirmed that the landing gear was not extended. The pilot then set-up up for and executed a gear up emergency landing. The pilot and passengers exited through the main cabin door. A post accident inspection revealed that the landing lever was in the down position, the extension lever was unstowed, and the emergency engagement handle was in the down position (not engaged). Movement of the extension lever at that time did not produce any corresponding movement of the landing gear torque shafts. The engagement handle was subsequently pulled up and rotated to lock it in the engaged position. At that time, movement of the extension lever produced corresponding movement in the torque shafts. In that configuration, with the airplane supported on jacks, manual extension of the landing gear was successful. Further examination revealed that the landing gear motor circuit breaker was open (popped). The circuit breaker was located adjacent to the motor under the cabin floor panel, aft of the forward wing spar. The circuit breaker was reset and electrical power was applied to the airplane. The landing gear was operated using both the normal and manual systems with no anomalies observed. The airplane flight manual provided a procedure for manual extension of the landing gear. The procedure noted: Establish 130 knots airspeed, pull (open) the landing gear relay circuit breaker on the pilot’ssub-panel, place the landing gear handle in the down position, lift and turn the emergency engagement handle to engage the system, and pump the extension lever until all three green gear down instrument panel lights are illuminated. Maintenance records indicated that the most recent continuous airworthiness phase inspection was completed on August 25, 2009. At the time of the accident, the airframe total time was approximately 9,648 hours, with 9,670 total cycles.

Aircraft

Registration
N411BL
Reported as
Beech 200
Category
Airplane
Serial number
BB-448
Airframe hours
9,648
Engines
P&W Canada PT6A-60A, 1,050 horsepower, turbo propP&W Canada PT6A-60A, 1,050 horsepower, turbo prop
Damage
Substantial damage
Flight
Part 135
Operator
Butler Aviation Inc
Registered owner
Butler Aviation Inc
Airworthiness certificate
Standard, Normal
Last inspection
Continuous airworthiness · August 25, 2009 · 81 hours before
Departed
MKC · Kansas City, MO
Destination
STL · St. Louis, MO
Flight plan
IFR
Airport
STL · Lambert-St Louis International, runway 24, 7,602 × 150 ft, concrete

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
40
Injuries
None
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
August 20, 2009
Seat
Left
Flight hours
8,000 total · 500 in this make and model · 7,900 as pilot in command · 72 in the last 90 days · 20 in the last 30 days

Weather

Conditions
Visual (VMC) · Night
Wind
210° at 8 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
25 °F, dew point 5 °F
Altimeter
30.23 inHg
Observed at
STL, 1 nm away

Docket · 5

The files NTSB released with the investigation on April 1, 2010, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.3 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.