CEN19LA322

NTSB accident investigation · Cessna 195A · Pocahontas, IA · September 6, 2019

Accident · No injuriesClass 3 · LimitedFinal report
Date
September 6, 2019, 12:30 local (17:30 UTC)
Place
Pocahontas, IA
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N9895ACessna 195A
Defining event
Landing: Part(s) separation from AC
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
Federal Aviation Administration; Des Moines FSDO
FAA report
20190906016909A
Case key
100268

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

Overload failure of the left main landing gear during landing, which resulted in a loss of directional control.

Findings · 4

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 possibleCessna 195A: 11 casesAll aircraft: 3,958 casesProbable cause
Landing gear system: main gear strut/axle/truckAircraft › Aircraft systems · Capability exceededCessna 195A: 1 caseAll aircraft: 86 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotCessna 195A: 13 casesAll aircraft: 9,295 casesProbable cause
Landing gear system: main gear strut/axle/truckAircraft › Aircraft systems · Fatigue/wear/corrosionCessna 195A: 1 caseAll aircraft: 86 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 airline transport pilot reported that, upon landing, he immediately felt a shift to the left. The left main landing gear fractured and collapsed, and the airplane went off the runway. Postaccident metallurgical examination of the landing gear revealed that the fracture occurred from a thumbnail-shaped fatigue crack in the gear spring strut with multiple origins near the inboard attachment location at the forward edge of its upper surface. Final overstress fracture propagation direction was consistent with a downward-and-aft bending failure mode; thus, the fracture was more likely due to overload rather than the fatigue crack. This was consistent with drag loading of the left main landing gear wheel in combination with side-loading of the outboard side of the left main landing gear wheel, such as that encountered during a crosswind landing, ground loop, and/or hard left turn event. The loads experienced by the landing gear during the accident landing could not be determined, and a structural analysis was not performed to determine if the loads exceeded design load limitations.

Factual narrative

On September 6, 2019, at 1230 central daylight time, a Cessna 195A airplane, N9895A, impacted terrain after it veered off runway 30 at Pocahontas Municipal Airport (POH), Pocahontas, Iowa. The airplane sustained substantial damage. The airline transport pilot and a passenger were uninjured. The airplane was registered to and operated by the pilot under Title 14 Code of Federal Regulations Part 91 as a personal flight that was not operating on a flight plan. Day visual meteorological conditions prevailed at the time of the accident. The flight originated from Bismarck Municipal Airport (BIS), Bismarck, North Dakota, and was destined to POH. The pilot stated the wind was from the north and he determined that runway 30 was an appropriate runway to land on. He stated that during the landing touchdown, he immediately felt a shift to the left. The left main landing gear separated and collapsed, and the airplane went off the runway. The airplane came to a stop with only the tail remaining on the runway. The airplane sustained substantial damage that included wrinkling and upward bending of the left wing. The fractured left main landing gear spring strut was fractured through and shipped to the National Transportation Safety Board Materials Laboratory for examination. The spring strut fractured at approximately 7 inches from the inboard edge at the forward side and approximately 6 inches from the inboard edge at the aft side. A light gray paint coating appeared over the entire part surface and a darker gray paint coating was only present on the outboard piece with a clearly delineated inboard boundary. Both gray coatings were chipped and absent from numerous locations over the part surface thereby exposing areas of the underlying light gray coating as well as areas of brownish-red oxidized metal. A visibly distinct band of brighter light-gray coating and exposed oxidized metal was apparent on the upper and lower surfaces of the spring strut on both sides of the fracture as indicated between the white dashed lines. The upper surface of the spring strut was visibly smoother than the lower surface, which exhibited a dimpled texture. The mating outboard fracture surface of the strut exhibited significant post-fracture mechanical damage and oxidation which obscured some of the finer fracture details. The fracture origin was located on the upper surface at the forward edge of the spring strut. Chevron marks radiated outward from this location along the upper surface and toward the lower surface consistent with an aft and downward crack propagation direction. Closer examination of the origin area revealed a small discolored thumbnail shaped crack and ratchet mark features which were consistent with fatigue cracking from multiple origins. The upper surface of the spring strut adjacent to the thumbnail shaped crack at the fracture origin was absent of gray coating and had exposed oxidized metal over an area approximately 1 inch inboard of the fracture surfaceand approximately 0.75 inch aft of the forward edge. This area was pitted and rougher than the surrounding upper surface where gray coating was intact. Reddish-orange staining was also observed near the fracture origin on the surrounding gray coating. The thumbnail shaped pre-existing crack region was relatively flat and smooth compared to the rest of the fracture surface. Crack arrest lines were evident progressing from at least three origins separated by two visible ratchet marks. Smaller, semi-elliptical sections bounded by crack arrest lines within the thumbnail crack were brownish-red in color, and progressively lighter in color away from the origins. The pre-existing crack measured approximately 0.131 inch along the upper surface of the spring strut and extended approximately 0.058 inch into the part. The fracture surface morphology outside of the thumbnail shaped pre-existing crack was dull and rough in appearance, consistent with overstress separation. The loads experienced by the landing gear during the accident landing are unknown, and a structural analysis was not performed to determine if the loads exceeded design load limits.

Aircraft

Registration
N9895A
Reported as
Cessna 195A
Category
Airplane
Serial number
7598
Built
1950
Airframe hours
4,186.3
Engine
Jacobs R755A SERIES, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Pilot
Registered owner
Pilot
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 1, 2019
Departed
BIS · Bismark, ND
Destination
POH · Pocahontas, IA
Airport
POH · Pocahontas Municipal Airport, runway 30, 4,100 × 60 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
60
Injuries
None
Certificates
Flight engineer, Airline transport
Airplane ratings
Multi-engine land, Single-engine land, Single-engine sea
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
June 13, 2019
Seat
Left
Restraint
3-point
Flight hours
24,800 total · 1,155 in this make and model · 200 in the last 90 days · 70 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
350° at 7 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
72 °F, dew point 61 °F
Altimeter
30.15 inHg
Observed at
FOD, 25 nm away

Docket · 2

The files NTSB released with the investigation on October 17, 2020, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.7 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.