CEN17LA148

NTSB accident investigation · Cessna T210M · Detroit Lakes, MN · April 5, 2017

Accident · No injuriesLimited investigationFinal report
Date
April 5, 2017, 14:10 local (19:10 UTC)
Place
Detroit Lakes, MN
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N1215MCessna T210M
Defining event
Landing-flare/touchdown: Landing gear collapse
Weather
Visual (VMC) · Day
Status
Completed · report July 26, 2017
Report
Approved by Office Director
NTSB office
Central Region
Parties
Federal Aviation Administration
FAA report
20170405003379A
Case key
94979

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

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Probable cause

The malfunction of the right main landing gear actuator for reasons that could not be determined because postaccident examination revealed no mechanical anomalies that would have precluded normal operation. Contributing to the accident was the improper decision to disengage the landing gear system circuit breaker before the flight, which was contrary to the manufacturer-recommended procedures.

Findings · 5

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 actuatorAircraft › Aircraft systems · MalfunctionCessna T210M: 4 casesAll aircraft: 54 casesProbable cause
Not determinedNot determined › Not determined · Unknown/Not determinedCessna T210M: 9 casesAll aircraft: 2,247 casesProbable cause
Action: incorrect action selectionPersonnel issues › Action/decision · OtherCessna T210M: 2 casesAll aircraft: 397 casesProbable cause
Use of equip/info: use of policy/procedurePersonnel issues › Task performance · PilotCessna T210M: 1 caseAll aircraft: 191 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 commercial pilot reported that, before the accident flight, the airplane had been experiencing intermittent landing gear problems and that the purpose of the flight was to bring the airplane to a maintenance facility to examine the landing gear system. He added that, before the flight, the landing gear circuit breaker was pulled out "in order to keep the gear in the down position and eliminate the gear warning horn" for the flight. While landing, the pilot noticed that the left wing slightly dropped after touchdown, and the pilot corrected with aileron to maintain the runway centerline. Shortly thereafter, the pilot could feel the right main landing gear (MLG) slowly collapse. The pilot was unable to maintain the airplane on the runway centerline, and the airplane exited the runway surface. The airplane came to rest upright with the right MLG collapsed, and the right horizontal stabilizer was bent. During a postaccident examination, the landing gear were retracted and extended multiple times. Each gear retraction was normal; however, the gear extension cycles resulted in the left MLG and nose landing gear extending and locking, and the right MLG extending with no movement from the downlock actuator. The actuator was removed for further examination, and it was difficult to move. After removal, the actuator released, and the internal spring mechanism freely moved the actuator. The actuator was disassembled with no internal problems noted. According to the Pilot's Operating Handbook, Section 3, "Emergency Procedures, Landing Gear Malfunction Procedures," the landing gear pump circuit breaker was to be positioned to the "in" position for all landing gear malfunction scenarios.

Factual narrative

On April 5, 2017, at 1410 central daylight time, a Cessna 210M single-engine airplane, N1215M, experienced a right main landing gear collapse at the Detroit Lakes Airport (DTL), Detroit Lakes, Minnesota. The commercial pilot, who was the sole occupant, was not injured, and the airplane sustained substantial damage to the right horizontal stabilizer. The airplane was registered to Great Plains Leasing, LLC, Dickinson, North Dakota, and operated by a private individual under the provisions of 14 Code of Federal Regulations Part 91 as a positioning flight. Visual meteorological conditions prevailed at the time of the accident, and a flight plan was not filed. The flight departed the Moorhead Municipal Airport (JKJ), Moorhead, Minnesota, about 1350. According to the pilot, before the accident flight, the airplane had been experiencing intermittent landing gear problems, and the purpose of the flight was to bring the airplane to a maintenance facility at DTL to examine the landing gear system. Before the flight, the landing gear circuit breaker was pulled out "in order to keep the gear in the down position and eliminate the gear warning horn" for the flight to DTL. While landing at DTL, the pilot noticed the left wing slightly dropped after touchdown, and the pilot corrected with aileron to maintain runway centerline. Shortly thereafter, the pilot could feel the right main landing gear slowly collapse. The pilot was unable to maintain the airplane on runway centerline, and the airplane exited the runway surface. The airplane came to rest upright with the right main landing gear collapsed, and the right horizontal stabilizer was bent. On April 18, 2017, the airplane was examined by a Federal Aviation Administration (FAA) inspector and a mechanic. During the initial examination, the landing gear was retracted and extended multiple times. Each gear retraction was normal, and the gear extension cycle resulted in the left main and nose gear extending and locking, and the right gear extending with no movement from the downlock actuator. After loosening the hydraulic line fittings at the downlock actuator, hydraulic fluid was present at the actuator. The actuator was removed for further examination, and was found difficult to move. According to the inspector, after removal, the actuator released, and the internal spring mechanism freely moved the actuator. The actuator was disassembled with no internal problems noted. On April 24, 2017, a former pilot of the accident airplane stopped into the FAA office in Fargo, North Dakota, to discuss the accident. According to the pilot, he had previously flown the airplane in September 2016 from DTL to JKJ, and experienced an unsafe gear warning horn and advised the airplane owners. During his landing, he landed with the landing gear pump circuit break in and the gear warning horn functioning. He stated that with the landing gear pump operating (circuit breaker in), the pump pressure on the landing gear actuator heldthe gear in the "saddle" until the airplane was on the ground. The weight of the wheels would then keep the gear in the down position. To his knowledge, the airplane had been in storage since his flight. According to the Cessna Pilot's Operating Handbook (POH), Section 3, Emergency Procedures, Landing Gear Malfunction Procedures, all landing gear malfunction scenarios listed in the POH require the landing gear pump circuit breaker to be in the "IN" position.

Aircraft

Registration
N1215M
Reported as
Cessna T210M (M)
Category
Airplane
Serial number
21061924
Built
1977
Airframe hours
5,810
Engine
Cont Motor TSIO-520 SER, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Positioning · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · August 29, 2016 · 1 hours before
Departed
JKJ · Moorhead, MN
Destination
DTL · Detroit Lakes, MN
Airport
DTL · Detroit Lakes Airport, runway 31, 4,500 × 75 ft, asphalt
Equipment
Stall warning system, Auto-pilot

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
39
Injuries
None
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
July 31, 2016
Seat
Left
Restraint
Lap only
Flight hours
1,080 total · 1 in this make and model · 300 as pilot in command · 64 in the last 90 days · 9 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
350° at 12 knots, gusting 15
Visibility
10 statute miles
Lowest ceiling
None
Temperature
46 °F, dew point 28 °F
Altimeter
30.05 inHg
Observed at
DTL

Docket · 4

The files NTSB released with the investigation on June 6, 2017, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.8 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.

Other investigations on N1215M · 2

Matched to the same aircraft by N-number and date.