ERA11LA507

NTSB accident investigation · Mitsubishi MU-2B-25 · Atlanta, GA · September 28, 2011

Accident · No injuriesLimited investigationFinal report
Date
September 28, 2011, 17:15 local (21:15 UTC)
Place
Atlanta, GA
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N344KLMitsubishi MU-2B-25
Defining event
Landing: Sys/Comp malf/fail (non-power)
Weather
Visual (VMC) · Day
Status
Completed · report October 9, 2012
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA Atlanta FSDO
FAA report
20110928022269A
Case key
81926

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 improper installation of the nose landing gear strut and subsequent collapse of the nose landing gear during landing.

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.

Maintenance: installationPersonnel issues › Task performance · Maintenance personnelMitsubishi MU-2B-25: 1 caseAll aircraft: 371 cases
Landing gear system: nose/tail landing gearAircraft › Aircraft systems · Incorrect service/maintenanceMitsubishi MU-2B-25: 1 caseAll aircraft: 185 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 pilot stated that after landing, the nose landing gear collapsed. Examination of the airplane nose strut down-lock installation revealed that the strut on the right side of the nose landing gear trunnion was installed incorrectly; the strut installed on the right was a left-sided strut. Incorrect installation of the strut could result in the bearing pulling loose from the pin on the right side of the trunnion, which could allow the nose landing gear to collapse. A review of maintenance records revealed recent maintenance activity on the nose gear involving the strut. The design of the strut is common for the left and right. Both struts have the same base part number, and a distinguishing numerical suffix is added for left side and right side strut determination. If correctly installed, the numbers should be oriented facing outboard. The original MU-2 Maintenance Manual did not address the installation or correct orientation of the strut. The manufacturer issued MU-2 Service Bulletin (SB) No. 200B, dated June 24, 1994, to address the orientation and adjustment. Service Bulletin 200B states on page 8 of 10 that the “Part Number may be visible in this (the) area from the out board sides (Inked P/N may be faded out).”

Factual narrative

On September 28, 2011, at 1715 eastern daylight time, a Mitsubishi MU-2B-25, N344KL, registered to Laurel Mountain Aviation LLC, experienced a nose landing gear collapse during landing roll out at Cobb County Airport-McCollum Field (RYY), Atlanta, Georgia. Visual meteorological conditions prevailed and an instrument flight rules flight plan was filed. The corporate flight was operated under the provisions of 14 Code of Federal Regulations Part 91. The airplane received structural damage to the airplane nose and structure aft of the primary bulkhead. The certificate airline transport rated pilot and two passengers reported no injuries. The flight originated from Huntsville International Airport-Carl T. Jones Field (HSV), Huntsville, Alabama, at 1541 central daylight time. The pilot stated that after departing HSV, he climbed to his cruise altitude of 11,000 feet mean sea level. Upon arrival in the vicinity of RYY, he was cleared for a visual approach to runway 27. He entered a right closed traffic pattern and completed all required checklist items. The airplane touched down on the runway and the nose landing gear collapsed. The airplane came to rest upright on the runway. Examination of the airplane nose strut down lock installation revealed the strut, part number (PN) 010A-39117-11, that was installed on the right side of the nose landing gear trunnion, was installed incorrectly. The bearing "stake marks" should have been on the outboard side of the 010A-39117 strut. Incorrect installation of the strut could result in the bearing pulling loose from the pin on the right side of the trunnion. A review of maintenance records revealed recent maintenance activity on the nose gear involving the strut. The design of the strut is typical for the left and right. Both struts have the base PN 010A-39117, permanently marked by cast numbers on the outboard side of the strut. According to the manufacturer, the part should display the PN 010A- 39117-12 for the right and -11 for the left. The manufacturer issued MU-2 Service Bulletin (SB) No. 200B, dated June 24, 1994, to address the orientation and adjustment. The MU-2 Maintenance Manual did not address the installation or correct orientation of the strut. Service Bulletin 200B states on page 8 of 10 that the “Part Number may be visible in this (the) area from the out board sides (Inked P/N may be faded out)”. The accident strut only exhibited the base number. The left strut was installed in accordance with the SB. The last annual and 200-hour inspection was conducted on July 11, 2011, 10 hours before the accident. The airplane was flown to a repair station for additional maintenance prior to the accident. The airplane had a previous nose landing gear failure and had been repaired by the pilot's mechanic. A mechanic at the repair station looked at the nose landing gear down lock and observed it only had a 2 millimeter clearance. The mechanic called the pilot and informed him the airplane did not have enoughdown lock engagement. The pilot informed the mechanic to fix the problem. The mechanic installed a short block PN 010A-39108-125 to get the proper engagement as outlined in the maintenance manual. A review of the logbooks revealed no determination could be made as to who had previously worked on the drag strut.

Aircraft

Registration
N344KL
Reported as
Mitsubishi MU-2B-25
Category
Airplane
Serial number
257
Airframe hours
6,196
Engines
Honeywell TPR331-6-251M, 715 horsepower, turbo propHoneywell TPE331-6-251M, 715 horsepower, turbo prop
Damage
Substantial damage
Flight
Executive/Corporate · Part 91
Operator
Laurel Mountain Aviation LLC
Registered owner
Laurel Mountain Aviation LLC
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · June 27, 2011 · 10 hours before
Departed
HSV · Hunstville, AL
Destination
RYY · Atlanta, GA
Flight plan
IFR
Airport
RYY · Cobb County Airport Mc Collum, runway 27, 6,311 × 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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
37
Injuries
None
Certificates
Flight instructor, Airline transport, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
May 2, 2011
Seat
Left
Flight hours
11,100 total · 1,500 in this make and model · 10,800 as pilot in command · 40 in the last 90 days · 20 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
66 °F, dew point 61 °F
Altimeter
29.90 inHg
Observed at
RYY

Docket · 19

The files NTSB released with the investigation on July 30, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 16.5 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.