CEN19LA246

NTSB accident investigation · Swearingen SA227 · El Paso, TX · July 27, 2019

Accident · No injuriesClass 3 · LimitedFinal report
Date
July 27, 2019, 05:35 local (11:35 UTC)
Place
El Paso, TX
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N681TRSwearingen SA227
Defining event
Approach-VFR pattern downwind: Sys/Comp malf/fail (non-power)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
FAA Flight Standards
FAA report
20190727023539A
Case key
99971

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

On this page

Probable cause

Failure of the left main landing gear to fully extend due to a lack of hydraulic fluid and during emergency extension procedures, which resulted in the collapse of the landing gear during landing and the subsequent runway excursion and collision with a sign.

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.

Performance/control parameters: directional controlAircraft › Aircraft oper/perf/capability · Attain/maintain not possibleFairchild SA227-AC: 1 caseAll aircraft: 3,958 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 captain noted that the purpose of the flight was second-in-command pilot training for the first officer and the observer, in turn. He reported that after takeoff, the landing gear retracted normally. The captain executed a practice instrument approach to a missed approach. When they attempted to retract the landing gear after initiating the missed approach, the left main gear in-transit light remained illuminated. The right main and nose landing gears retracted normally. Both hydraulic system low pressure warning lights subsequently illuminated. Efforts to troubleshoot using the emergency checklist and to extend the landing gear manually were not successful. The captain ultimately landed the airplane with the left main landing gear partially extended and subsequently lost directional control, which resulted in a runway excursion and impact with an airport sign. The airplane sustained damage to the outboard left wing, left main landing gear, and left propeller. During a postaccident examination, hydraulic fluid was observed in the left main landing gear wheel well; no hydraulic fluid was observed in the reservoir sight gauge or on the dip stick. Hydraulic pressure was subsequently applied to the airplane, and no leaks were observed in the landing gear system. Thus, the source of the hydraulic fluid leak could not be determined. In addition, the reason that the landing gear failed to fully extend during the emergency extension procedure could not be determined because no preaccident anomalies were observed.

Factual narrative

On July 27, 2019, about 0535 mountain daylight time, a Swearingen SA227 airplane, N681TR, was substantially damaged when the left main landing gear collapsed during landing at the El Paso International Airport (ELP), El Paso, Texas. The captain, first officer, and observer were not injured. The airplane was registered to Sierra West Airlines, Inc. and operated by Pak West Airline dba Sierra West Airlines as a Title 14 Code of Federal Regulations Part 91 instructional flight. Visual meteorological conditions prevailed, and the flight was not operated on a flight plan. The local flight originated from ELP about 0430. The captain noted the purpose of the flight was second-in-command pilot training for the first officer and the observer in turn. He reported that after takeoff the landing gear retracted normally. They executed a practice instrument approach to a missed approach. When attempting to retract that landing gear after initiating the missed approach, the left main gear in-transit light remained illuminated. The right main and nose landing gears retracted normally. Both hydraulic system low pressure warning lights subsequently illuminated. Efforts to troubleshoot the problem using the emergency checklist and extend the landing gear manually were not successful. The captain ultimately landed with the left main landing gear partially extended. The subsequent loss of directional control resulted in a runway excursion and an impact with an airport sign. A postaccident examination revealed damage to the outboard left wing, left main landing gear and left propeller. Some hydraulic fluid was present in the left main landing gear wheel well and no hydraulic fluid was observed in the reservoir sight gauge or on the dip stick. The base manager for the airline reported that the left main landing gear drag brace failed consistent with the accident. The actuator and brace were replaced to allow the airplane to "stand" on the left main landing gear. Hydraulic pressure was subsequently applied to the airplane, and no leaks were observed in the landing gear system. A leak was observed in the hydraulic line to the left flap; however, that also appeared to have been a result of the accident. Airplane maintenance records indicated that hydraulic fluid leaks in the left main landing gear wheel well were noted on June 25th and again on 26th; about 30 days before the accident flight. These were repaired and the airplane was returned to service. On June 30th, the hydraulic fluid level was low and was replenished. About 30 hours flight time elapsed between that maintenance action and the accident.

Aircraft

Registration
N681TR
Reported as
Swearingen SA227 (AC)
Category
Airplane
Serial number
AC682
Built
1987
Airframe hours
23,963
Engines
Garrett TPE331, 1,000 horsepower, turbo propGarrett TPE331, 1,000 horsepower, turbo prop
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Pak West Airlines, doing business as Sierra West Airlines
Registered owner
Sierra West Airlines Inc
Airworthiness certificate
Standard, Normal
Last inspection
Continuous airworthiness · June 20, 2019
Departed
ELP · El Paso, TX
Destination
ELP · El Paso, TX
Airport
ELP · El Paso Int'l, runway 26L, 9,025 × 150 ft, concrete
Equipment
Stall warning system, ADS-B, Angle of attack indicator, 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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
36
Injuries
None
Certificates
Flight instructor, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
April 20, 2019
Seat
Left
Restraint
4-point
Flight hours
4,950 total · 3,900 in this make and model · 4,500 as pilot in command · 170 in the last 90 days · 51 in the last 30 days · 2 in the last 24 hours
Role
Co-pilot
Age
25
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
July 1, 2019
Seat
Right
Restraint
4-point
Flight hours
900 total · 800 as pilot in command · 14 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
90° at 6 knots
Visibility
10 statute miles
Lowest ceiling
11,000 ft broken
Temperature
79 °F, dew point 45 °F
Altimeter
30.12 inHg
Observed at
ELP

Docket · 7

The files NTSB released with the investigation on April 3, 2020, on NTSB’s docket system: statements, records, photos and specialists’ reports. 8.3 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.