CEN11IA264

NTSB incident investigation · Bombardier CL-600-2B19 · Detroit, MI · March 30, 2011

Incident · No injuriesIncident investigationFinal report
Date
March 30, 2011, 19:46 local (23:46 UTC)
Place
Detroit, MI
Injuries
27 uninjured
Damage
No damage
Phase of flight
Unknown
Aircraft
N8505QBombardier CL-600-2B19
Defining event
Unknown: Part(s) separation from AC
Weather
Visual (VMC) · Dusk
Status
Completed · report May 3, 2012
Report
Approved by Office Director
NTSB office
Central Region
Parties
Transportation Safety Board of Canada, Federal Aviation Administration, Bombardier Aerospace
FAA report
20110330010559I
Case key
78755

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

On this page

Probable cause

The mechanic's incomplete securing of all the wheel well bin's fasteners, which resulted in separation of the bin from the airplane.

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 systemAircraft › Aircraft systems · Incorrect service/maintenanceBombardier CL-600-2B19: 1 caseAll aircraft: 113 casesProbable cause
Action: incomplete actionPersonnel issues › Action/decision · Maintenance personnelBombardier CL-600-2B19: 1 caseAll aircraft: 105 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

The operator reported that the flight crew received a main landing gear overheat fail message on the engine indication and crew alerting system as the landing gear was being retracted after takeoff. During the remainder of the flight, the message came on every 15 to 20 seconds, remained on for about 5 seconds, and then extinguished. The flight crew contacted maintenance control and were advised that the flight could continue to the destination since the message was intermittent. The airplane landed at its intended destination without incident. During postincident troubleshooting to determine the reason for the message, maintenance personnel discovered that the right wheel well bin, which incorporated the landing gear overheat temperature sensor, had departed the aircraft. Examination revealed that only 3 of the 11 fasteners that attached the bin to the fuselage remained in place, and those 3 fasteners retained torn sections of bin under their heads. According to the operator, the last maintenance that involved removal and reinstallation of the wheel well bin was the repair of a flap discrepancy six days prior to the incident. Subsequent to the repair, the airplane completed 29 flights before the incident flight. After the incident, the operator published a warning in its airplane maintenance manual cautioning mechanics not to use electric, battery, or pneumatic powered screw guns to secure wheel well bins.

Factual narrative

On March 30, 2011, about 1946 eastern daylight time, a Bombardier Inc. CL-600-2B19, N8505Q, operated by Pinnacle Airlines as flight 4067, sustained no damaged when its wheel well bin was found missing after the flight which landed at the Detroit Metropolitan Wayne County Airport (DTW), near Detroit, Michigan. Visual meteorological conditions prevailed at the time of the incident. The 14 Code of Federal Regulations Part 121 scheduled domestic passenger flight was operating on an activated instrument flight rules flight plan. The captain, first officer, flight attendant, and 24 passengers were uninjured during the incident. The bin has not been located and no injuries have been reported by persons on the ground. The flight originated from the Theodore Francis Green State Airport, near Providence, Rhode Island, about 1823. The operator reported that the flight crew received an engine indication and crew alerting system main landing gear overheat fail message as the landing gear was being retracted. The flight crew performed the quick reference handbook procedures and the message persisted. During the remainder of the flight, the message came on every 15 to 20 seconds and then extinguished. The message did not stay on for more than about five seconds. The flight crew contacted maintenance control and were advised that the flight could continue to DTW since the message was intermittent. On landing at DTW the flight crew noted a rise in the left side temperature indicated on the brake temperature monitoring system. During the troubleshooting of the cause of the main landing gear overheat fail message, maintenance personnel in DTW discovered that the right wheel well bin, P/N 601R31039-162, had departed the aircraft. The wheel well bin incorporated a temperature sensor. Federal Aviation Administration inspectors examined the airplane and main landing gear (MLG) wheel wells. The MLG wheel well bin is attached to the fuselage with 11 fasteners. The inspectors took pictures that revealed that three of the MLG wheel well bin’s fasteners were in place and those fasteners had torn sections of wheel well retained under their heads. According to the operator, the MLG wheel bin is removed to facilitate scheduled maintenance at 100-hour intervals. The last maintenance that involved removal and installation of the wheel well bin was repair of a flap discrepancy on March 24, 2011. Subsequent to release from maintenance on March 24, 2011, the airplane completed 29 flights without incident. At the completion of the incident flight the airplane had 68.5 hours remaining until the next scheduled inspection that required the removal of the MLG wheel bin. Subsequent to the incident, the operator published a warning in their airplane maintenance manual fuselage aerodynamic faring section. The warning stated: Do not use electric, battery or pneumatic powered screw guns to secure MLG wheel bins. Doing so could cause damage to the fasteners and could cause departure from theaircraft.

Aircraft

Registration
N8505Q
Reported as
Bombardier CL-600-2B19
Category
Airplane
Serial number
7505
Airframe hours
22,800.2
Engines
GE CF34-3B1, 9,220 lbs thrust, turbo fanGE CF34-3B1, 9,220 lbs thrust, turbo fan
Damage
No damage
Flight
Part 121
Operator
Pinnacle Airlines Inc
Registered owner
Wells Fargo Bank Northwest Na Trustee
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · March 24, 2011
Departed
PVD · Providence, RI
Destination
DTW · Detroit, MI
Flight plan
IFR
Airport
DTW · Detroit Metro - Wayne County, runway 23, 7,166 × 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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
30
Injuries
None
Certificates
Commercial, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
February 9, 2011
Seat
Left
Flight hours
4,950 total · 3,725 in this make and model · 142 in the last 90 days · 81 in the last 30 days · 7 in the last 24 hours
Role
Co-pilot
Injuries
None
Certificates
Airline transport, Flight engineer
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
January 26, 2011
Seat
Right
Flight hours
9,600 total · 1,737 in this make and model

Weather

Conditions
Visual (VMC) · Dusk
Wind
60° at 4 knots
Visibility
10 statute miles
Lowest ceiling
11,000 ft broken
Temperature
37 °F, dew point 19 °F
Altimeter
29.96 inHg
Observed at
DTW

Docket · 6

The files NTSB released with the investigation on April 2, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 6.1 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.