ERA12LA188

NTSB accident investigation · Piper PA-30 · Culpeper, VA · February 6, 2012

Accident · No injuriesLimited investigationFinal report
Date
February 6, 2012, 18:16 local (23:16 UTC)
Place
Culpeper, VA
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N1WEPiper PA-30
Defining event
Landing-flare/touchdown: Landing gear collapse
Weather
Visual (VMC) · Dusk
Status
Completed · report January 22, 2013
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20120206001439A
Case key
82939

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 pilot's failure to use the manufacturer's checklist to troubleshoot the perceived malfunction and thereby ensure the position of the landing gear before landing. The reason the landing gear were not down and locked could not be determined, as no mechanical failures or anomalies were reported before the accident or observed during postaccident testing.

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.

Use of equip/info: use of checklistPersonnel issues › Task performance · PilotAll aircraft: 336 casesProbable cause
Performance/control parameters: configurationAircraft › Aircraft oper/perf/capability · Related operating infoAll aircraft: 80 casesProbable cause
Landing gear system: gear position and warningAircraft › Aircraft systems · Incorrect use/operationAll aircraft: 37 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.

Landing gear collapseLanding-flare/touchdownAll aircraft: 1,787 casesDefining event

Analysis

While approaching the destination airport, the pilot did not observe the green landing gear down-and-locked light illuminate when she moved the landing gear handle to the "down" position. She manipulated the handle several times and still did not observe the green light. The pilot stated that after she tried to manually extend the landing gear, the nose landing gear appeared to be extended in the viewing mirror, and she heard a "whistling" sound consistent with gear extension; however, the green down-and-locked light in the cockpit was not illuminated. The pilot continued to the airport to land. She reported that she heard the gear warning horn during the landing flare, but that it was "too late" to abort the landing, and the landing gear collapsed upon touchdown. After the accident, the landing gear was cycled and operated normally, although the gear down-and-locked light did not appear to be illuminated. However, the airplane’s navigation lights were observed to be in the “on” position. By design, the gear down-and-locked light illuminated more dimly with the navigation lights on (nighttime use) than with the navigation lights off (daytime use). When the emergency landing gear extension procedure was performed after the airplane’s navigation lights were turned off, the gear extended and locked down, and the corresponding gear down-and-locked light was visibly illuminated. The emergency checklist that the pilot used during the accident flight did not instruct the pilot to confirm the position of the navigation lights, and the pilot stated that she did not consult the pilot's operating handbook (POH) during the flight. If the pilot had reviewed the emergency gear extension checklist in the POH or if the checklist she used had included a check of the navigation lights, the pilot may have been better able to determine the position of the landing gear before touchdown.

Factual narrative

On February 6, 2012, at 1816 eastern standard time, a Piper PA-30, N1WE, was substantially damaged when its landing gear collapsed during landing at Culpeper Regional Airport (CJR), Culpeper, Virginia. The certificated airline transport pilot and 2 passengers were not injured. Visual meteorological conditions prevailed, and no flight plan was filed for the personal flight, which departed Hagerstown Regional Airport (HGR) about 1740. The flight was conducted under the provisions of Title 14 Code of Federal Regulations Part 91. The pilot stated that, while approaching CJR to land, she did not observe the green landing gear down-and-locked light illuminate when she moved the landing gear handle to the "down" position. She manipulated the handle "several" times and did not observe the green light. The pilot then initiated the manual gear extension checklist with the assistance of the front seat passenger. Review of air traffic control audio recordings revealed that the pilot contacted her husband, a controller at the Potomac Terminal Radar Approach Control facility, via radio and stated, "I have no gear light." When asked if the airplane's instrument panel lights were on, the pilot replied that they were, that she did not observe the gear down-and-locked indicator light, and that the landing gear would not extend. The controller instructed the pilot to check the landing gear circuit breaker, and the passenger confirmed that the circuit breaker was in. The controller proceeded to guide the pilot through the manual gear extension procedure. She stated that after completing the manual gear extension, the nose landing gear appeared to be extended in the viewing mirror, and that she heard a "whistling" sound consistent with gear extension, but the green down-and-locked light was not illuminated. The pilot elected to continue the landing, and upon hearing the propellers strike the runway just after touchdown, shut down both engines and exited the airplane on the runway. The pilot reported that she heard the gear warning horn during the landing flare, but that it was "too late" to abort the landing. The pilot held an airline transport pilot certificate with a rating for airplane multiengine land, and a commercial pilot certificate with a rating for airplane single-engine land. She also held a flight instructor certificate with ratings for airplane single- and multiengine, and instrument airplane. Her most recent FAA first-class medical certificate was issued in October, 2011. The pilot reported 4,100 total hours of flight experience, of which 175 hours were in the accident airplane make and model. The airplane was manufactured in 1966, and was equipped with two Lycoming IO-320, 160 horsepower reciprocating engines. The airplane had accumulated 4,128 total flight hours at the time of its most recent annual inspection, which was completed in accordance with the manufacturer's inspection checklist on July 22, 2011. The 1815 automated weather observation atCJR recorded calm winds, 10 miles visibility, clear skies, temperature 5 degrees C, dew point 0 degrees C, and an altimeter setting of 30.10 inches of mercury. Postaccident examination by an FAA inspector revealed substantial damage to the fuselage. The airplane was placed on jacks and visual inspection of the landing gear system revealed no anomalies. The gear motor assembly was reconnected, and the landing gear was cycled and operated normally, though the gear down-and-locked light was not illuminated. The inspector observed that the navigation lights were on, and only when turned off did the gear down-and-locked light illuminate. The gear was retracted, and the yellow gear up-and-locked light illuminated. The emergency gear extension procedure was then performed, and the gear extended and locked down, with the corresponding down-and-locked light illuminated. The inspector stated that initially, the gear light would not illuminate until the navigation light rheostat was in the off, or daytime use, position. However, after manipulating the rheostat several times during the test, the gear down-and-locked light illuminated with the navigation lights on (nighttime use position), though the light was illuminated more dimly than with the navigation lights off. According to the manufacturer's checklist, the landing, navigation, cabin, and instrument lights were required to be inspected at 100, 500, and 1000-hour intervals. In a postaccident interview with the FAA inspector, the pilot provided the emergency checklist she had used during the accident flight. The inspector observed that the checklist contained in the airplane's Pilot Operating Handbook (POH) contained the item, "If landing gear operates, but green (gear down – locked) lamp fails to illuminate: Navigation lights…check off." The checklist being utilized by the pilot at the time of the accident did not contain this item. The pilot further stated that she did not consult the POH during the flight.

Aircraft

Registration
N1WE
Reported as
Piper PA-30
Category
Airplane
Serial number
30-1193
Airframe hours
4,128
Engines
Lycoming IO-320 SERIES, 150 horsepower, reciprocatingLycoming IO-320 SERIES, 150 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Ridley Louis Charles Jr
Registered owner
Ridley Louis Charles Jr
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 22, 2011
Departed
HGR · Hagerstown, MD
Destination
CJR · Culpeper, VA
Airport
CJR · Culpeper Regional, runway 22, 5,000 × 100 ft, asphalt

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
51
Injuries
None
Certificates
Commercial, Airline transport, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Unknown
Last flight review
September 21, 2011
Seat
Left
Flight hours
4,100 total · 175 in this make and model · 3,900 as pilot in command · 85 in the last 90 days · 28 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Dusk
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
41 °F, dew point 32 °F
Altimeter
30.10 inHg
Observed at
CJR

Docket · 9

The files NTSB released with the investigation on October 10, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 8.7 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.