ERA13LA175

NTSB accident investigation · Mooney M20F · Leesburg, FL · March 16, 2013

Accident · No injuriesLimited investigationFinal report
Date
March 16, 2013, 11:30 local (15:30 UTC)
Place
Leesburg, FL
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N9387VMooney M20F
Defining event
Maneuvering: Sys/Comp malf/fail (non-power)
Weather
Visual (VMC) · Day
Status
Completed · report August 29, 2013
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20130316003559A
Case key
86465

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 incorrect rigging of the landing gear emergency extension system by unknown maintenance personnel, which resulted in a failure of the emergency extension cable, and jamming of the normal extension gear motor.

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.

Landing gear system: gear extension and retract sysAircraft › Aircraft systems · Incorrect service/maintenanceMooney M20F: 3 casesAll aircraft: 416 casesProbable cause
MaintenancePersonnel issues › Task performance · Maintenance personnelMooney M20F: 1 caseAll aircraft: 143 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 reported that when he attempted to extend the landing gear, he heard a "snap," and the landing gear did not extend. He then cycled the landing gear and attempted the emergency (manual) landing gear extension procedure with no success. The pilot subsequently performed a gear-up landing to a grassy area at an airport. Examination of the airplane revealed that the emergency gear extension cable terminated with a spline drive at the landing gear actuator. The emergency cable was separated from the spline drive, which was seized. The emergency gear extension cable was also misrigged, which allowed it to contact the landing gear actuator arm and engage the cable during normal gear operations. Subsequently, with a seized spline engaged to the electric landing gear motor via the actuator, during normal gear operations, the electric landing gear motor would not be able to overcome the seized spline to actuate the landing gear. The airplane had been operated about 60 hours since its most recent annual inspection, which was completed about 10 months before the accident. Review of the airplane's most recent airframe logbook (dating back 7 years) revealed that the landing gear actuator was removed and replaced about 4 years before the accident. During reinstallation of the actuator, an emergency (manual) gear extension was successfully completed. There were no other entries pertaining to emergency (manual) gear extension in the airframe logbook; however, the entry for the most recent 100 hour inspection noted three landing gear retraction cycles. The mechanic that recorded that entry stated it was a standard entry and typically more than three cycles are completed with the first one being the emergency (manual) extension. While it was likely that a mechanic checked the rigging of the emergency gear extension cable following the actuator replacement, the investigation was unable to determine if the rigging of the emergency gear extension cable was affected by any subsequent maintenance. Additionally, the cable routing and rigging wouldn't typically be inspected if the landing gear manual extension was successfully accomplished during the 100-hour or annual inspections.

Factual narrative

On March 16, 2013, about 1130 eastern daylight time, a Mooney M20F, N9387V, operated by a private individual, was substantially damaged during a gear-up landing at Leesburg International Airport (LEE), Leesburg, Florida. The commercial pilot was not injured. The personal flight was conducted under the provisions of 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed and no flight plan was filed for the local flight that departed LEE about 1030. The pilot reported that while practicing slow-flight, he attempted to extend the flaps and landing gear. The flaps extended, but he heard a "snap" and the landing gear did not extend. Additionally, there was no cockpit indication of the landing gear being retracted or extended. Utilizing the pilot operating handbook, he cycled the landing gear with no success. He then attempted the emergency (manual) landing gear extension procedure, also with no success. The pilot subsequently performed a low pass and LEE control tower personnel confirmed that the landing gear was not extended. The pilot then performed a gear-up landing on a grassy area at LEE. The airplane came to rest upright; however, the empennage sustained substantial damage. The airplane was examined by a mechanic, under the supervision of a Federal Aviation Administration inspector. The mechanic stated that the emergency (manual) gear extension cable terminated with a spline drive at the landing gear actuator. He observed that the emergency gear extension cable spline drive was seized and the cable portion behind it rotated freely in its sheath. The mechanic added that at some point in the airplane's history, the emergency gear cable separated from its terminating spline drive. This would not normally affect the landing gear system unless the emergency landing gear extension cable was engaged from the cockpit via a knob. However, the mechanic also noted that the emergency gear extension cable was previously mis-rigged, which allowed it to contact the actuator arm and engage the cable during normal gear operations. Subsequently, with a seized spline engaged to the electric landing gear motor via the actuator, during normal gear operations, the electric landing gear motor would not be able to overcome the seized spline to actuate the landing gear. Review of the airplane's most recent airframe logbook revealed entries dating back to May 2006. Further review of the airframe logbook revealed that the landing gear actuator (part number 4196-00-1C) was removed and replaced on February 16, 2009. Following its replacement, maintenance personnel cycled the landing gear five times, checked the emergency (manual) landing gear disengage system, and manually extended the landing gear. There were no other entries pertaining to the emergency gear extension system in the airframe logbook; however, the logbook entry for the most recent 100-hour inspection noted "performed three landing gear retraction cycles." The airplane's mostrecent 100 hour inspection was completed on May 24, 2012. Review of a Mooney Maintenance Manual, 100 Hour-Annual Inspection Guide, revealed "8. Check emergency landing gear extension system; extend gear using emergency gear extension system." The mechanic that had completed the most recent 100 hour inspection reported that he typically does more than the standard airframe logbook entry of three landing gear retraction cycles, with the first one being done manually (emergency), which was what he performed on the accident airplane. The mechanic added that the standard logbook entry does not differentiate between normal or emergency gear retraction cycles. Additionally, he was very familiar with that airplane as he had owned it for 14 years prior to its current owner and did not experience any problems with the landing gear system during the most recent inspection or prior. At the time of the most recent 100 hour inspection, the airplane had accumulated 3,497.9 total hours of operation. The airplane had accumulated an additional 59 hours of operation, from the time of the last annual inspection, until the accident.

Aircraft

Registration
N9387V
Reported as
Mooney M20F
Category
Airplane
Serial number
700018
Airframe hours
3,498
Engine
Lycoming IO-360, 200 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Paul S Soule
Registered owner
Paul S Soule
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 24, 2012 · 59 hours before
Departed
LEE · Leesburg, FL
Destination
LEE · Leesburg, FL
Airport
LEE · Leesburg International Airport

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
75
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
July 6, 2012
Seat
Left
Flight hours
17,000 total · 50 in this make and model · 16,800 as pilot in command · 90 in the last 90 days · 9 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
200° at 5 knots
Lowest ceiling
None
Temperature
70 °F, dew point 45 °F
Altimeter
30.19 inHg
Observed at
LEE

Docket · 10

The files NTSB released with the investigation on June 13, 2013, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.3 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.