ENG17IA005

NTSB incident investigation · Embraer ERJ170 200LR · San Antonio, TX · December 4, 2016

Incident · Minor injuriesIncident investigationFinal report
Date
December 4, 2016, 14:53 local (20:53 UTC)
Place
San Antonio, TX
Injuries
1 minor, 58 uninjured
Damage
Minor damage
Phase of flight
Landing
Aircraft
N161SYEmbraer ERJ170 200LR
Defining event
Landing-landing roll: Landing gear collapse
Weather
Visual (VMC) · Day
Status
Completed · report November 15, 2018
Report
Approved by Office Director
NTSB office
Aviation Engineering Division
FAA report
20161204018929I
Case key
94460

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

On this page

Probable cause

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

A failure of the nose landing gear down lock spring which precluded normal downlock operation of the nose landing gear. The spring failure was due to the presence of too much retained austenite which led to the formation of progressive cracking and subsequent failure of the spring.

Findings · 1

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings.

Analysis

Based on the material laboratory examinations, the area around the failure point contained higher than allowable levels of retained austenite. The presence of too much retained austenite subsequently resulted in the formation of intergranular cracking. The intergranular cracking resulted in the formation of progressive cracking, which caused the separation and subsequent failure of the downlock spring. After the failure, the spring became lodged in the nose landing gear yoke, which prevented the nose gear from achieving a down and locked position. Without the NLG being fully down and locked, as the weight of the aircraft during landing was transferred to the nose and main landing gear, the NLG subsequently retracted back into the nose gear wheel.

Factual narrative

The factual narrative835 words

On March 1st, 2017, Embraer released a retrofit letter, in conjunction with service bulletins for the E170/175 and E190/195 fleet. The letter addressed an inspection and possible replacement of the NLG downlock springs manufactured from certain material batches. The event airplane, an Embraer ERJ 170-200 LR, registration N161SY, serial number 17000569, was manufactured and delivered to the operator in 2016 and had accumulated 1,310 hours and 740 cycles. The NLG downlock springs were installed during manufacture and had accumulated the same time and cycles as the airframe. Scraping damage was reported to the lower fuselage skin, forward of the nose landing gear bay and the nose landing gear doors. Minor scraping to the underside of the right-hand engine nacelle was also reported. During the aircraft recovery, a failed downlock spring was found lodged in a lightening hole in the nose landing gear yoke, which obstructed the downlock operation for the nose landing gear. The aircraft was equipped with two combination Cockpit Voice Flight Data Recorders (CVFDR) which recorder identical sets of voice and parametric data. One CVFDR was sent to the NTSB Vehicle Recorders laboratory in Washington, DC for examination. The CVFDR recorded relevant data for landing gear and hydraulic system for the incident flight, and several previous flights. Due to the successful download of the stored data the other CVFDR was not downloaded for the investigation. The Flight Data Recorder Specialist's Factual Report can be found in the pubic docket for this incident. On December 04, 2016, about 1453 central daylight time, N161SY, an Embraer ERJ170 200L, operated by SkyWest Airlines, experienced an uncommanded retractionof the nose landing gear during rollout after landing on runway 4 at the San Antonio International Airport (KSAT), San Antonio, TX. The aircraft was originally scheduled to land at General Mariano Escobedo Int'l Airport (MMTY), Monterrey, Nuevo Leon, Mexico. However, after departure from the George Bush Intercontinental Airport (KIAH), Houston, Texas the crew heard a loud "thud/pop" just aft of the flight deck. Because no warnings or indications were displayed on the flight deck, the crew decided to proceed to MMTY. When the landing gear was extended on approach, the crew received warning indications regarding the landing gear position and a "LDG GEAR LEVER DISAGREE" message. The crew declared a missed approach, retracted the landing gear per the quick reference handbook (QRH) procedures, and elected to divert to KSAT. Upon entering US airspace, the crew declared an emergency and performed a flyby of the control tower to verify landing gear position. The tower confirmed that the gear appeared to be in the down position. After touchdown on runway 4, during the landing rollout the nose gear retracted, without command, as the aircraft slowed to a stop. The crew and passengers evacuated the aircraft from the aft cabin doors via the evacuation slides. Theairplane sustained minor damage. The flight was conducted under the provisions of 14 Code of Federal Regulations Part 121. Visual meteorological conditions prevailed and a Federal Aviation Administration (FAA) flight plan had been filed for the flight. One minor injury was reported by a passenger which occurred during the evacuation of the aircraft. The NLG downlock springs were removed and shipped to the NTSB Materials laboratory in Washington, DC. The right NLG downlock spring was received intact. The left NLG downlock spring was received in two separate pieces. The NLG downlock spring separated in the ninth coil from the lower end due to progressive crack formation. No evidence of overstress was observed. During a visual inspection, external surfaces of the downlock spring wire had small openings, which resulted in surface roughness measurements that were above the allowable limit set by Embraer. Cross-sections prepared through multiple downlock spring coils along the length of the spring showed intergranular cracking at the openings. The openings and cracking were associated with white etching microstructure of the wire that was consistent with retained austenite, while the base material of the coils had microstructure consistent with martensite, as specified. The amount of retained austenite in a circumferential surface layer of the downlock spring coils was above the allowable limit specified by Embraer per AMS 5678. Two spring pieces (an end segment and a ring segment) were documented using radiographic images. The computed tomography (CT) slice images were examined, processed, and analyzed by the NTSB to evaluate the components. The results of the CT imaging were inconclusive in locating crack location in the spring segments. The manufacturer provided information to the NTSB regarding additional NLG and MLG downlock springs that failed during operations. The spring from this incident was the only one which resulted in an uncommanded gear retraction on landing. Manufacturing records for the incident spring were reviewed and compared with other events. The manufacturer identified a suspect batch of raw material for the springs, common to multiple events and springs with higher than allowable amounts of retained austenite. The aircraft manufacturer performed multiple quality audits throughout the supply chain for the spring manufacturing process and shared the results with the investigative team.

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident.

Aircraft

Registration
N161SY
Reported as
Embraer ERJ170 200LR (200LR)
Category
Airplane
Serial number
17000569
Built
2016
Airframe hours
1,307.3
Engines
General Electric CF34-8E5, turbo fanGeneral Electric CF34-8E5, turbo fan
Damage
Minor damage
Flight
Part 121
Operator
Skywest Airlines Inc
Registered owner
Skywest Airlines Inc
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · November 29, 2016
Departed
IAH · Houston, TX
Destination
MMTY · Monterrey
Flight plan
IFR
Airport
SAT · San Antonio Intl, runway 04, 8,505 × 150 ft, concrete
Equipment
Electronic primary flight display, Satellite tracking device, Stall warning system, Angle of attack indicator, Auto-pilot, Data recorder, Electronic multifunction display

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 · 4

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
38
Injuries
None
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Medical
Class 1, With waivers/limitations
Seat
Left
Restraint
5-point
Flight hours
2,814 total · 685 as pilot in command · 189 in the last 90 days · 46 in the last 30 days · 11 in the last 24 hours
Role
Co-pilot
Injuries
None
Certificates
Airline transport, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land
Medical
Class 1, Without waivers/limitations
Seat
Right
Restraint
5-point
Flight hours
862 total · 132 in the last 90 days · 27 in the last 30 days · 11 in the last 24 hours
Role
Cabin crew
Injuries
None
Restraint
4-point
Role
Cabin crew
Injuries
None
Restraint
4-point

Weather

Conditions
Visual (VMC) · Day
Wind
20° at 10 knots
Visibility
10 statute miles
Lowest ceiling
1,300 ft overcast
Altimeter
29.79 inHg
Observed at
KSAT

Docket · 4

The files NTSB released with the investigation on September 13, 2018, on NTSB’s docket system: statements, records, photos and specialists’ reports. 29.9 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.