CEN18LA112

NTSB accident investigation · Piper PA 28 · Mackinac Island, MI · February 26, 2018

Accident · No injuriesLimited investigationFinal report
Date
February 26, 2018, 07:45 local (12:45 UTC)
Place
Mackinac Island, MI
Injuries
5 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N1722JPiper PA 28
Defining event
Approach-VFR pattern final: Part(s) separation from AC
Weather
Visual (VMC) · Day
Status
Completed · report March 18, 2019
Report
Approved by Office Director
NTSB office
Central Region
Parties
Federal Aviation Administration
Case key
96810

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 improper reinstallation of the right main landing gear by maintenance personnel which resulted in the separation of the landing gear and the subsequent abnormal runway contact during the landing.

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 system: main landing gearAircraft › Aircraft systems · Incorrect service/maintenancePiper PA-28-140: 1 caseAll aircraft: 241 casesProbable cause
Maintenance: installationPersonnel issues › Task performance · Maintenance personnelPiper PA-28-140: 4 casesAll aircraft: 371 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

During the final approach for the short cross country flight, the pilot heard a "thud." During the landing flare the pilot suspected a landing gear issue and landed as gently as possible. However, the right wing settled onto the runway and was substantially damaged. A postaccident examination revealed that the landing gear had not been reinstalled correctly during maintenance performed in 2013. Only one of the 8 fasteners required for installation was recovered and it was sheered. The damage to the wing and landing gear was consistent with the improper installation of the fasteners and was not impact related. It is likely that the fasteners were either not installed or not torqued properly during the previous maintenance. Subsequent annual and 100-hour inspections did not detect this discrepancy.

Factual narrative

On February 26, 2018, about 0745 eastern standard time, a Piper PA 28-140 airplane, N1722J, was substantially damaged while landing at the Mackinac Island Airport (KMCD), Mackinac Island, Michigan. The commercial certificated pilot and 4 passengers were not injured. The airplane was owned and operated by Great Lakes Air Inc., under the provisions of Title 14 Code of Federal Regulations Part 135 as a non-scheduled passenger flight. Visual meteorological conditions prevailed and no Federal Aviation Administration (FAA) flight plan was filed for the flight. The flight departed Mackinac County Airport (83D), St Ignace, Michigan, about 0730, and was en route to KMCD. According to written statement submitted by the pilot, the airplane was on final approach when he heard a "thud." During the landing flare, the airplane seemed to settle more than normal. The pilot suspected a landing gear problem or a blown tire and decided to continue with the landing. The pilot landed as "gently" as possible; however, the airplane continued to settle, and the right wing touched the ground. He moved the engine throttle control to idle and maintained directional control with the rudder. A post-accident examination of the airplane, conducted by the responding FAA inspector, revealed substantial damage to the right wing spar. The right main landing gear had separated and was located on the runway, about 200 ft from the arrival threshold. Further examination revealed that the attachment hardware for the right main landing gear was not present in 7 of the 8 mounting holes on the top or bottom mounting brackets. One screw remained in the outboard top bracket of the assembly and was sheered consistent with overload. Several of the holes were elongated consistent with inadequate torque of the fasteners. In addition, fretting was noted at the gear/spar attach point. The sheet metal and mounting surfaces on the wing were otherwise unremarkable. A review of the maintenance records for the airplane revealed that the right main landing gear cylinder was removed and replaced on December 31, 2013. Several annual inspections had taken place since the replacement of the cylinder. The maintenance records indicated that the work was done in accordance with the Piper Maintenance Manual. According to the Piper service manual for the airplane, the upper bracket of the assembly required 4 screws to attach the bracket to the wing. The lower bracket of the assembly requires 4 bolt/nut combinations to attach the bracket to the wing. Each fastener should have been torqued to 50 to 70 inch-pounds at installation.

Aircraft

Registration
N1722J
Reported as
Piper PA 28 (140)
Category
Airplane
Serial number
28-24134
Built
1968
Airframe hours
6,344.9
Engine
Lycoming O-540-E4B5, 260 horsepower, reciprocating
Damage
Substantial damage
Flight
Part 135
Operator
Great Lakes Air Inc
Registered owner
Great Lakes Air Inc
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · January 26, 2018
Departed
83D · Saint Ignace, MI
Destination
KMCD · Mackinac Island, MI
Airport
KMCD · Mackinac Island Airport, runway 26, 3,501 × 75 ft, asphalt
Equipment
Stall warning system

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
28
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine sea, Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
January 16, 2018
Seat
Left
Flight hours
2,621 total · 104 in this make and model · 2,494 as pilot in command · 243 in the last 90 days · 104 in the last 30 days · 0.5 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
250° at 9 knots, gusting 15
Visibility
10 statute miles
Lowest ceiling
None
Temperature
27 °F, dew point 23 °F
Altimeter
30.04 inHg
Observed at
KMCD, 5 nm away

Docket · 5

The files NTSB released with the investigation on June 13, 2018, on NTSB’s docket system: statements, records, photos and specialists’ reports. 6.5 MB in all.