CHI05LA099

NTSB accident investigation · Cessna 195A · Jackson, MI · April 18, 2005

Accident · No injuriesLimited investigationFinal report
Date
April 18, 2005, 11:55 local (15:55 UTC)
Place
Jackson, MI
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N1082DCessna 195A
Weather
Visual (VMC) · Day
Status
Completed · report May 30, 2006
Report
Approved by Office Director
Parties
Federal Aviation Administration - Detroit FSDO
FAA report
20050418014119A
Case key
61505

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 fracture of the left brake master cylinder piston rod, which resulted in the total failure of the left-side brake system and the subsequent loss of directional control during landing roll. An additional cause was the encountered ground-loop.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of control - on ground/waterLanding - roll
Directional control - not possibleCause
Landing gear,normal brake system - failure,totalCause
Ground loop/swerve - encounteredFlightcrewCause
In flight collision with terrain/waterLanding - roll
Terrain condition - ground

Analysis

The tailwheel-equipped airplane ground-looped during the landing rollout. The pilot reported that a "normal approach and landing" was made and that "control was lost" at approximately 40 knots during the landing rollout. The pilot stated that the airplane "ground looped to the right." The pilot reported that, "Proper control inputs and operation were utilized until control surface [rudder authority] became ineffective." The pilot stated that the tailwheel steering "did not seem to work" and that use of asymmetric braking "had no effect." The pilot reported that "negligible wind conditions" prevailed. The runway contained a faint tire-track mark 336 feet in length curving toward the right, consistent with being left by the left main landing gear. The airplane traveled an additional 57 feet after the left main landing gear had separated from the fuselage. The left main landing gear spring fractured due to higher than normal side loads experienced during the ground-loop encounter. The tailwheel assembly was inspected after the accident and no anomalies were found with the strut, wheel, or steering linkages. The piston-rod for the left brake master cylinder was found fractured in two portions. The rod fractured at the mid-span snap ring grove. The master cylinder cover was deformed downward, adjacent to the center hole where the rod passed through the cover.

Factual narrative

On April 18, 2005, at 1155 eastern daylight time, a Cessna 195A, N1082D, piloted by an airline transport pilot, was substantially damaged when it ground-looped while landing on runway 14 (3,501 feet by 100 feet, asphalt) at the Jackson County Airport (JXN), Jackson, Michigan. Visual meteorological conditions prevailed at the time of the accident. The instructional flight was operating under the provisions of 14 Code of Federal Regulations (CFR) Part 91 without a flight plan. The pilot and his flight instructor were not injured. The local area flight departed JXN around 1045.

The pilot reported that the purpose of the flight was to obtain a flight review, as required by regulation 14 CFR Part 61.56. The pilot's previous flight review was completed on October 18, 2002.

The pilot stated that after completing some maneuvers in the practice area they returned to the airport to perform stop-and-go landings. The pilot reported that a "normal approach and landing" was made and that "control was lost" at approximately 40 knots during the landing rollout. The pilot stated that the airplane "ground looped to the right." The pilot reported that, "Proper control inputs and operation were utilized until control surface [rudder authority] became ineffective." The pilot stated that the tailwheel steering "did not seem to work" and that use of asymmetric braking "had no effect."

The flight instructor reported that the pilot "flew a stabilized approach" and the right main landing gear touched down first, followed by the left main landing gear and tailwheel. The flight instructor stated, "There was no aggressive forcing of the tailwheel onto the ground, and there was no bounce." The flight instructor reported that the airplane "swung violently" to the right after the tailwheel had made contact with the runway. The flight instructor stated, "Aggressive left rudder and even brake were applied by both pilots to no avail."

Wind information was collected from the weather observing station located at JXN. The wind data recorded at 1156 indicated the wind direction was variable at 3 knots with no gusts. The pilot reported that "negligible wind conditions" prevailed at the time of the accident.

The left main landing gear was found separated from the fuselage, resting on the runway. The runway contained a faint tire-track mark 336 feet in length curving toward the right, consistent with being left by the left main landing gear. The airplane traveled an additional 57 feet after the left main landing gear had separated from the fuselage.

The left main landing gear spring was sent to the National Transportation Safety Board (NTSB) Materials Laboratory for examination. The left spring fractured at the inboard end, approximately where the spring passed through the fillet plate and seal. The smooth appearance, the presence of crack arrest marks, and the presence of a ratchet mark were consistent with the features of fatigue cracking from multiple origins. The remainder of the fracture face had a coarser, grainy appearance, clear chevron markings originating adjacent to the fatigue crack, and a shear lip - all features consistent with overstress fracture. The overstress fracture features initially propagated across the top of the spring (inboard), consistent with damage associated with a ground-loop event. Additional metallurgical information can be found in the NTSB Materials Laboratory Factual Report included in the docket information associated with this factual report.

The tailwheel assembly was inspected after the accident and no anomalies were found with the strut, wheel, or steering linkages. The piston-rod for the left brake master cylinder was found fractured in two portions. The rod fractured at the mid-span snap ring grove. The master cylinder cover was deformed downward, adjacent to the center hole where the rod passed through the cover.

Aircraft

Registration
N1082D
Reported as
Cessna 195A
Category
Airplane
Serial number
7694
Airframe hours
5,821
Engine
Jacobs R755B-2, 275 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 1, 2004 · 6.4 hours before
Departed
JXN · Jackson, MI
Destination
JXN · Jackson, MI
Airport
JXN · Jackson County Airport, runway 14, 3,501 × 100 ft, asphalt

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
Flight instructor
Age
40
Injuries
None
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land, Single-engine sea
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
November 1, 2004
Seat
Rear
Flight hours
2,392 total · 0 in this make and model · 2,280 as pilot in command · 79 in the last 90 days · 30 in the last 30 days · 4 in the last 24 hours
Role
Pilot
Age
53
Injuries
None
Certificates
Commercial, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
October 1, 2002
Seat
Left
Flight hours
12,144 total · 9 in this make and model · 8,668 as pilot in command · 0 in the last 90 days · 0 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Variable at 3 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
72 °F, dew point 48 °F
Altimeter
30.13 inHg
Observed at
JXN

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.