DFW05LA045

NTSB accident investigation · Cessna 421C · Henderson, TX · December 21, 2004

Accident · No injuriesLimited investigationFinal report
Date
December 21, 2004, 13:30 local (19:30 UTC)
Place
Henderson, TX
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Taxi
Aircraft
N369RKCessna 421C
Weather
Visual (VMC) · Day
Status
Completed · report February 24, 2005
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20041221032739A
Case key
60764

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

The NTSB’s determination of the probable cause, and any contributing factors.

The failure of the nose landing gear trunnion lug. A contributing factor was the non-compliance of the service bulletin by maintenance personnel.

Analysis

While on a maintenance flight, a rough running engine developed and the pilot elected to make a precautionary landing at Rusk County Airport (F12), near Henderson, Texas. After a "normal" landing on runway 16, he back taxied and was turning onto taxiway bravo, when the airplane made an uncontrolled right turn, followed by the collapse of the nose landing gear. Examination of the aircraft revealed that the nose gear trunnion lug had fractured, resulting in the nose landing gear collapse and structural damage to the nose gear well. A review of the airplane logbooks revealed that Service Bulletin, MEB88-5 Revision 2, that addresses trunnion lug failure, had not been complied with.

Factual narrative

The factual narrative410 words

On December 21, 2004, about 1330 central standard time, a Cessna 421C twin-engine airplane, N369RK, was substantially damaged when the nose landing gear collapsed during taxi, following a landing at the Rusk County Airport (F12), near Henderson, Texas. The two instrument-rated commercial pilots were not injured. The airplane was registered to Yates Air LLC, of Henderson, Texas. Visual meteorological conditions prevailed, and a flight plan was not filed for the 14 Code of Federal Regulations Part 91 maintenance flight. The local flight originated from the Tyler Pounds Regional Airport (TYR), near Tyler, Texas, approximately 20 minutes earlier.

According to the pilot, while on a maintenance flight, a rough running engine developed and he elected to make a precautionary landing at Rusk County Airport. After a "normal" landing on runway 16, he back taxied and was turning onto taxiway bravo, when the airplane made an uncontrolled right turn, followed by the collapse of the nose landing gear. The pilot proceeded to shut down and secure the engines, and both pilots exited the airplane.

A witness, who observed the incident, reported the airplane was taxiing at a slow speed when the nose landing gear collapsed.

An aircraft mechanic (A&P) from the Waco Regional Airport inspected the airplane. The A&P reported that the nose gear trunnion lug had fractured, resulting in the nose gear collapse and structural damage to the nose gear well.

Inspection of the failed nose gear trunnion lug was addressed in Cessna Service Bulletin MEB88-5 Revision 2. The stated purpose of the Service Bulletin is as follows: "Field reports of cracks in the nose landing gear trunnion lugs on some airplanes indicate the need for an inspection of the trunnion to ensure cracks are not present. Non-compliance with this service bulletin may result in failure of the nose landing gear trunnion which could cause substantial damage to the airplane and possible injury to the airplane occupants and/or ground personnel."

A review of the airplane logbooks by an A&P mechanic on behalf of the National Transportation Safety Board (NTSB), revealed that Service Bulletin, MEB88-5 Revision 2, had not been complied with.

At 1353, the weather observation facility at Tyler Pounds Regional Airport, located approximately 30.7 miles northwest of the accident site, reported wind from 190 degrees at 18 knots gusting to 22 knots, visibility 10 statute miles, clouds scattered at 3,400 feet, temperature 72 degrees Fahrenheit, dew point 55 degrees Fahrenheit, and a barometric pressure setting of 29.81 inches of Mercury.

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/waterTaxi - from landing
Landing gear,nose gear attach point - failureCause
Nose gear collapsedTaxi - from landing
Maintenance,service bulletin/letter - not complied withOther maintenance personnelFactor

Aircraft

Registration
N369RK
Reported as
Cessna 421C
Category
Airplane
Serial number
0072
Airframe hours
3,805
Engines
Continental GTSIO-520-L, 375 horsepower, reciprocatingContinental GTSIO-520-L, 375 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Yates Air LLC
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 7, 2004 · 66 hours before
Departed
TYR · Tyler, TX
Airport
F12 · Rusk County

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
26
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Last flight review
December 14, 2004
Seat
Left
Flight hours
1,080 total · 5 in this make and model · 908 as pilot in command · 134 in the last 90 days · 26 in the last 30 days · 0 in the last 24 hours
Role
Co-pilot
Age
46
Injuries
None
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1
Last flight review
July 31, 2004
Seat
Rear
Flight hours
7,000 total · 800 in this make and model · 150 in the last 90 days · 25 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
190° at 18 knots, gusting 22
Visibility
10 statute miles
Lowest ceiling
4,500 ft broken
Temperature
72 °F, dew point 55 °F
Altimeter
29.80 inHg
Observed at
TYR, 30 nm away

FAA reports on this event · 1

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