CEN17LA212

NTSB accident investigation · Cessna 210F · Anoka, MN · June 3, 2017

Accident · No injuriesLimited investigationFinal report
Date
June 2, 2017, 19:11 local (Jun 3, 2017, 00:11 UTC)
Place
Anoka, MN
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N1854FCessna 210F
Defining event
Initial climb: Landing gear not configured
Weather
Visual (VMC) · Day
Status
Completed · report November 15, 2018
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA Minneapolis FSDO
FAA report
20170602009209A
Case key
95299

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 failure of the landing gear to fully extend due to insufficient hydraulic fluid in the hydraulic system as a result of inadequate maintenance by the airplane owner.

Findings · 3

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: main landing gearAircraft › Aircraft systems · Incorrect service/maintenanceCessna 210F: 1 caseAll aircraft: 241 casesProbable cause
ActionPersonnel issues › Action/decision · Owner/builderCessna 210F: 1 caseAll aircraft: 111 casesProbable cause
MaintenancePersonnel issues › Task performance · Owner/builderCessna 210F: 1 caseAll aircraft: 143 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 private pilot, who was the owner of the airplane, reported that the airplane's landing gear did not fully retract when he raised the gear handle after takeoff. He attempted to lower the landing gear using emergency procedures without success. He subsequently conducted a full-flap landing, and as the airplane settled onto the runway, the main landing gear retracted into the landing gear bay. The airplane veered off the runway and the right horizontal stabilizer was substantially damaged as the airplane skidded to a stop. Examination of the airplane revealed that there was insufficient hydraulic fluid in the system to manually pump the landing gear into the fully-extended position. The pilot reported that the airplane's hydraulic system had been over-pressurized by a mechanic a few years before the accident and that there had been trouble with hydraulic leaks ever since. He reported that he added hydraulic fluid to the reservoir every 12 flight hours; however, there were no aircraft maintenance logbook entries concerning the work performed. He also reported that, a few days before the accident, he had filled the hydraulic reservoir and then flew the airplane for between 45 and 60 minutes. He did not recheck the hydraulic fluid level after that flight.

Factual narrative

On June 2, 2017 about 1911 central daylight time, a Cessna 210F, N1854F, sustained substantial damage during landing at the Anoka County-Blaine Airport (ANE), Anoka, Minnesota. The pilot was not injured. The airplane was owned and operated by the pilot under the provisions of the Title 14 Code of Federal Regulations Part 91 as a personal flight. Visual meteorological conditions prevailed at the time of the flight, which was not operated on a flight plan. The flight was departing at the time of the accident with Park Rapids Municipal Airport (PKD), Park Rapids, Minnesota, as the destination. The pilot reported that the airplane's landing gear did not fully retract when he raised the gear handle during the takeoff climb. The pilot reported that he attempted to lower the landing gear using emergency procedures without success. He returned to ANE and continued to fly over the airport for about an hour to burn off more fuel, and to continue trying to lower the landing gear using emergency procedures. He stated that he tried manually extending the landing gear with the master switch in the On and OFF position, but without effect. The ANE tower controller confirmed that the main landing gear were in a partially retracted position, and that the nose wheel was in the down position. The pilot conducted a full flap landing to runway 18. As the airplane settled onto the runway, the main landing gear retracted into the landing gear bay. The airplane veered off the runway and the right horizontal stabilizer was substantially damaged as the airplane skidded to a stop. A Federal Aviation Administration inspector's examination of the airplane revealed that there was insufficient hydraulic fluid in the system to manually pump the landing gear into the fully extended position. The hydraulic hoses were original equipment from 1966 but they appeared functional. No obvious hydraulic fluid leaks were observed. The pilot reported that the airplane's hydraulic system had been over pressurized by a mechanic a few years before the accident, and that there had been trouble with hydraulic leaks ever since. He reported that he added hydraulic fluid to the reservoir every 12 hours, but there were no aircraft maintenance logbook write-ups concerning the work performed. He reported that a few days before the accident, he had filled the hydraulic reservoir and then flew the airplane for about 45 to 60 minutes. He did not recheck the hydraulic reservoir after that flight. The airplane's owner reported that the last annual maintenance inspection was performed on December 1, 2016, and the airplane had a total airframe time of 6,736 hours. However, the mechanic reported that he conducted the last annual maintenance inspection of the airplane on December 20, 2016. He stated that he gave the airplane's owner a maintenance entry on a "sticky note" that indicated that an annual maintenance inspection had been performed. The mechanic did not have a copy of the maintenance entry. Themechanic reported that although the airplane has a history of hydraulic system leaks due to an apparent over pressurization of the system by another mechanic in the past, during the last annual inspection, the landing gear operated satisfactorily with no obvious leaks. The mechanic stated that he was unaware that the pilot had to continually add hydraulic fluid. The mechanic stated that about a year earlier, he replaced an O-ring in the hydraulic filter screen.

Aircraft

Registration
N1854F
Reported as
Cessna 210F
Category
Airplane
Serial number
21058754
Built
1966
Airframe hours
6,736
Engine
Continental IO-540-A, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · December 1, 2016
Departed
ANE · Blaine, MN
Destination
PKD · Park Rapids, MN
Airport
ANE · Anoka County Airport, runway 18, 4,855 × 100 ft, asphalt
Equipment
Stall warning system, Onboard weather, Handheld GPS

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
64
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land, Multi-engine land
Medical
Class 3, With waivers/limitations
Seat
Left
Restraint
Lap only
Flight hours
1,500 total · 500 in this make and model · 1,300 as pilot in command · 25 in the last 90 days · 10 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
170° at 7 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
88 °F, dew point 55 °F
Altimeter
29.85 inHg
Observed at
ANE

Docket · 5

The files NTSB released with the investigation on April 26, 2018, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.2 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.