# NTSB CEN11IA264: Bombardier CL-600-2B19, N8505Q, Detroit, MI, March 30, 2011 - Type: NTSB incident investigation - Classification: Incident · No injuries · Incident investigation · Final report - Date: March 30, 2011, 19:46 local (23:46 UTC) - Place: Detroit, MI - Coordinates: 42.212223, -83.353332 (estimated) - Nearby events: https://openairdocs.org/map.md?lat=42.2122&lon=-83.3533&mi=10 - Phase of flight: [Unknown](https://openairdocs.org/ntsb-phases/990) (OpenAirDocs' grouping) - Defining event: [Unknown: Part(s) separation from AC](https://openairdocs.org/ntsb-events/338) - Highest injury: No injuries - Injuries: 27 uninjured - 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 - NTSB case key (mKey): 78755 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=CEN11IA264 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/78755/pdf - NTSB docket: https://data.ntsb.gov/Docket?ProjectID=78755 - Page: https://openairdocs.org/ntsb/CEN11IA264 ## 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 NTSB's coded findings; those marked are part of the probable cause. - [Landing gear system](https://openairdocs.org/ntsb-findings/01023200): Aircraft › Aircraft systems · Incorrect service/maintenance (probable cause); cases with it: [Bombardier CL-600-2B19, 1 case](https://openairdocs.org/ntsb-findings/01023200/cases.md?model=1390008), [All aircraft, 113 cases](https://openairdocs.org/ntsb-findings/01023200/cases.md) - [Action: incomplete action](https://openairdocs.org/ntsb-findings/02041040): Personnel issues › Action/decision · Maintenance personnel (probable cause); cases with it: [Bombardier CL-600-2B19, 1 case](https://openairdocs.org/ntsb-findings/02041040/cases.md?model=1390008), [All aircraft, 105 cases](https://openairdocs.org/ntsb-findings/02041040/cases.md) ## Sequence of events The events NTSB coded, in order, by phase of flight. The defining event best describes what happened. - [Prior to flight: Aircraft servicing event](https://openairdocs.org/ntsb-events/020); cases with it: [Bombardier CL-600-2B19, 2 cases](https://openairdocs.org/ntsb-events/020/sequence.md?model=1390008), [All aircraft, 70 cases](https://openairdocs.org/ntsb-events/020/sequence.md) - [Unknown: Part(s) separation from AC](https://openairdocs.org/ntsb-events/338) (defining event); cases with it: [Bombardier CL-600-2B19, 1 case](https://openairdocs.org/ntsb-events/338/sequence.md?model=1390008), [All aircraft, 563 cases](https://openairdocs.org/ntsb-events/338/sequence.md) ## 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](https://openairdocs.org/aircraft/N8505Q), registered now, S/N 7505, built 2001 (OpenAirDocs) - Reported make and model: BOMBARDIER INC CL-600-2B19 - Registry model: [Bombardier CL-600-2B19](https://openairdocs.org/model/bombardier-cl-600-2b19) (registry code 1390008) (OpenAirDocs) - Registry engine: [GE CF34 series](https://openairdocs.org/engine/ge-cf34-series) (registry code 30015, turbo-fan) (OpenAirDocs) - Category: Airplane - Serial number: 7505 - Airframe hours: 22800.2 - Engines: GE CF34-3B1 9220 lbs thrust turbo fan; GE CF34-3B1 9220 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 ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 30; injuries: none; 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 - Co-pilot; injuries: none; 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 ## FAA reports on this event (1) The FAA's own accident and incident reports, matched to the aircraft by N-number and date (OpenAirDocs). - [Incident 20110330010559I](https://openairdocs.org/incident/20110330010559I), Mar 30, 2011: Bombardier Inc CL-600-2B19, Detroit, MI, Minor damage. On 3/30/2011, pinnacle airlines flight 4067 (aircraft N8505Q), had a "gear bay overheat" message displayed on the eicas. The crew ran the qrh and continued to… ## Docket (6 files) The files NTSB released with the investigation on April 2, 2012, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=78755. 6.1 MB in all. - Pilot/Operator Aircraft Accident Report, NTSB Form 6120.1 (item 1, .PDF, 5.0 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40360304&FileExtension=.PDF&FileName=Pilot%2FOperator%20Aircraft%20Accident%20Report,%20NTSB%20Form%206120.1-Redacted.PDF - Photo - View of a wheel well bin (item 2, .PDF, 1 photo, 251 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40360414&FileExtension=.PDF&FileName=Photo%20-%20View%20of%20a%20wheel%20well%20bin-Master.PDF - Photo - View of torn sections of wheel well bin retained under fasteners (item 3, .PDF, 1 photo, 254 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40360415&FileExtension=.PDF&FileName=Photo%20-%20View%20of%20torn%20sections%20of%20wheel%20well%20bin%20retained%20under%20fasteners-Master.PDF - Photo - View of the wheel well with bin fasteners found not in place (item 4, .PDF, 1 photo, 175 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40360420&FileExtension=.PDF&FileName=Photo%20-%20View%20of%20the%20wheel%20well%20with%20bin%20fasteners%20found%20not%20in%20place-Master.PDF - Other Pertinent Forms and Reports - Airplane Maintenance Manual Excerpt (item 5, .PDF, 303 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40363659&FileExtension=.PDF&FileName=Other%20Pertinent%20Forms%20and%20Reports%20-%20Airplane%20Maintenance%20Manual%20Excerpt-Master.PDF - Miscellaneous - Accredited Representative and Technical Advisor Comment Excerpt (item 6, .PDF, 145 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40365333&FileExtension=.PDF&FileName=Miscellaneous%20-%20Accredited%20Representative%20and%20Technical%20Advisor%20Comment%20Excerpt-Redacted.PDF From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.