ERA12LA117

NTSB accident investigation · Piper PA-44-180 · Lawrenceville, GA · December 19, 2011

Accident · No injuriesLimited investigationFinal report
Date
December 19, 2011, 11:00 local (16:00 UTC)
Place
Lawrenceville, GA
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N790GKPiper PA-44-180
Defining event
Landing-landing roll: Landing gear collapse
Weather
Visual (VMC) · Day
Status
Completed · report January 31, 2013
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO, Piper Aircraft, Inc.
FAA report
20111219028589A
Case key
82551

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 mechanic's improper installation and lubrication of the bushing on the right main landing gear truss assembly, which resulted in the landing gear not locking in the down position.

Findings · 3

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.

MaintenancePersonnel issues › Task performance · Maintenance personnelPiper PA-44-180: 2 casesAll aircraft: 143 casesProbable cause
Maintenance: installationPersonnel issues › Task performance · Maintenance personnelPiper PA-44-180: 1 caseAll aircraft: 371 casesProbable cause
Landing gear system: main landing gearAircraft › Aircraft systems · MalfunctionPiper PA-44-180: 3 casesAll aircraft: 241 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

While configuring the airplane for a power-off stall, the pilots noted that there was an unsafe gear indication after selecting the landing gear to the down position. The flight instructor made several unsuccessful attempts to extend the landing gear using the emergency gear extension procedures, but the light did not illuminate. The pilot reported the condition to the air traffic controller, and he maneuvered the airplane for a low approach, and the controller advised the pilot that the gear appeared to be down. During the landing roll all three landing gears remained extended, but as the airplane slowed, the right main landing gear collapsed, and the airplane veered off the runway colliding with a runway light. A postaccident examination of the right main landing gear revealed that the truss assembly hook assembly did not travel over the truss pin. The landing gear was tested, and the right main landing gear did not lock on any attempt. In addition, the right main landing gear truss bracket and stud had excessive friction and prevented the side brace from fully rotating, subsequently preventing the truss hook from traveling over the lock pin. The right main landing gear truss bracket pin had little or no grease present; however, the left main landing gear truss bracket pin had grease indications around the pin and zerk fitting. A review of the airframe maintenance records indicated that about a month before the accident, the airplane had completed a 100-hour inspection and a side brace mount assembly was installed in the right main landing gear. The mechanic who performed the maintenance stated that he could not find any guidance in the maintenance manual on how to remove and install the new bushing; therefore, he replaced the bushing and verified that there was movement between the two parts, and then reinstalled the side brace assembly on the airplane. The mechanic did not follow the proper procedures as described in the manufacturer maintenance manual. The accident occurred about 38 hours after the 100-hour inspection.

Factual narrative

On December 19, 2011, at 1100, eastern standard time, a Piper PA-44-180, N790GK, registered to and operated by Airline Transport Professionals (ATP), incurred substantial damage when the right main gear collapsed during the landing roll at the Gwinnet County Airport (LZU), Lawrenceville, Georgia. The flight instructor and pilot rated student were not injured. Visual meteorological conditions prevailed and no flight plan was filed for the 14 Code of Federal Regulations Part 91, instructional flight. The flight originated, earlier that day, from the DeKalb-Peachtree Airport (PDK), Atlanta, Georgia, about 1000. While configuring the airplane for a power off stall, the pilots noted an unsafe gear indication after selecting the landing gear down position. There were two green lights, but the right main landing gear indicator light was not on. The flight instructor recycled the landing gear, but right main landing gear indicator light did not illuminate. The flight instructor changed the landing gear indicator light bulbs in an unsuccessful attempt to get the right main landing gear indicator light to ignite. He recycled the landing gear five more times, but the light still did not illuminate. The flight instructor followed the emergency landing gear extension procedures in the pilot’s operating handbook (POH), but the right main landing gear indicator light would not illuminate. The pilots reported the condition to an air traffic controller and he maneuvered the airplane for a low approach and the controller advised them that the gear appeared down. The flight instructor then entered the traffic pattern and landed on runway 07. During the landing, all three main landing gear were extended, but as the airplane slowed, the right main landing gear collapsed, the airplane veered off the runway, and struck a runway light. The airplane incurred damage to the right engine’s propeller, right wing outboard leading edge, right flap, and the right aileron incurred structural damage. The airplane was manufactured in 1979 and was equipped with two Lycoming O-360 series, 180-horsepower engines. The airplane's most recent 100-hour inspection was completed on November 16, 2011. At the time of the inspection, the reported aircraft time was 9781.3 total hours and the recorded hobbs time was 7073.6 hours. The accident occurred about 38 hours after the most recent 100-hour inspection. A postaccident examination of the right main landing gear revealed that the truss assembly hook assembly did not travel over the truss pin. Federal Aviation Administration inspectors tested the landing gear and the right main landing gear did not lock on any attempt. In addition, the right main landing gear truss bracket and stud had excessive friction and prevented the side brace from fully rotating, subsequently preventing the truss hook from traveling over the lock pin. The right main landing gear truss bracket pin had little or no grease present; however, the left main landing geartruss bracket pin had grease indications around the pin and zerk fitting. A review of the airframe maintenance records indicated that a new bushing was installed in the right main landing gear side brace mount assembly on November 16, 2011. The mechanic who performed the maintenance stated that he could not find any guidance in the maintenance manual on how to remove and install the new bushing; therefore, he replaced the bushing and verified that there was movement between the two parts, and then reinstalled the side brace assembly on the airplane. In the same maintenance entry the mechanic noted that he greased the landing gear and performed a landing gear retraction, extension, and free-fall test without defects. The Piper Aircraft PA-44-180/180T Airplane Maintenance Manual, Page 32-15, Installation of the Main Landing Gear, indicated that the procedures for installing the gear side brace link assembly were: A. Position link support bracket with swivel stud installed at its attachment point on the web of the spar and secure with bolts and washers. B. Ascertain that the upper and lower links are assembled with downlock hook, retraction fitting, c.. attached, and through travel of the links and downlock hook clearance checked. C. Attach the upper link to the swivel stud of the support fitting and secure with bolt, bushing, washer, nut and cotter pin. D. The actuating cylinder rod end bearing and lower side brace link may be attached respectively to the retraction fitting and strut housing during the adjustment of the landing gear. In addition, the airplane maintenance manual stated "when assembling components of the landing gear, lubricate bearings, bushings, and friction surfaces with proper lubricant as described in Chapter 12."

Aircraft

Registration
N790GK
Reported as
Piper PA-44-180
Category
Airplane
Serial number
44-7995316
Airframe hours
9,819
Engines
Lycoming O&VO-360 SER, 180 horsepower, reciprocatingLycoming O&VO-360 SER, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Airline Transport Professionals Corp Of USA
Registered owner
Airline Transport Professionals Corp Of USA
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · November 16, 2011 · 38 hours before
Departed
PDK · Atlanta, GA
Destination
LZU · Lawrenceville, GA
Airport
LZU · Gwinnett County Airport, runway 07, 6,000 × 1,000 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
Pilot
Age
28
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
June 29, 2010
Seat
Right
Flight hours
1,212 total · 312 in this make and model · 123 in the last 90 days · 64 in the last 30 days · 3 in the last 24 hours
Role
Student pilot
Age
41
Injuries
None
Certificate
Private
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
December 20, 2011
Seat
Left
Flight hours
360 total · 5 in this make and model · 260 as pilot in command · 5 in the last 90 days · 5 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
52 °F, dew point -8 °F
Altimeter
30.35 inHg
Observed at
LZU

Docket · 11

The files NTSB released with the investigation on November 27, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports.

FAA reports on this event · 1

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