# NTSB ERA15LA161: Lanshe Aerospace Lake 250, N99HB, Fernandina Beach, FL, March 18, 2015 - Type: NTSB accident investigation - Classification: Accident · Serious injuries · Limited investigation · Final report - Date: March 18, 2015, 19:00 local (23:00 UTC) - Place: Fernandina Beach, FL - Coordinates: 30.611944, -81.461112 - Nearby events: https://openairdocs.org/map.md?lat=30.6119&lon=-81.4611&mi=10 - Phase of flight: [Landing](https://openairdocs.org/ntsb-phases/550) (OpenAirDocs' grouping) - Defining event: [Landing-flare/touchdown: Landing gear not configured](https://openairdocs.org/ntsb-events/095) - Highest injury: Serious injuries - Injuries: 1 serious - Status: Completed, report September 24, 2015 - Report: Approved by Office Director - NTSB office: Eastern Region Aviation - Parties: FAA/FSDO - NTSB case key (mKey): 90892 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=ERA15LA161 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/90892/pdf - NTSB docket: https://data.ntsb.gov/Docket?ProjectID=90892 - Page: https://openairdocs.org/ntsb/ERA15LA161 ## Probable cause The pilot's failure to extend the landing gear during the approach, which resulted in a gear-up landing. ## Findings NTSB's coded findings; those marked are part of the probable cause. - [Landing gear system: landing gear selector](https://openairdocs.org/ntsb-findings/01023234): Aircraft › Aircraft systems · Not used/operated (probable cause); cases with it: [Lanshe Aerospace LAKE 250, 1 case](https://openairdocs.org/ntsb-findings/01023234/cases.md?model=5110311), [All aircraft, 54 cases](https://openairdocs.org/ntsb-findings/01023234/cases.md) - [Action: forgotten action/omission](https://openairdocs.org/ntsb-findings/02041035): Personnel issues › Action/decision · Pilot (probable cause); cases with it: [Lanshe Aerospace LAKE 250, 1 case](https://openairdocs.org/ntsb-findings/02041035/cases.md?model=5110311), [All aircraft, 440 cases](https://openairdocs.org/ntsb-findings/02041035/cases.md) - [Wind: gusts](https://openairdocs.org/ntsb-findings/03034045): Environmental issues › Conditions/weather/phenomena · Not specified; cases with it: [Lanshe Aerospace LAKE 250, 1 case](https://openairdocs.org/ntsb-findings/03034045/cases.md?model=5110311), [All aircraft, 1,199 cases](https://openairdocs.org/ntsb-findings/03034045/cases.md) - [Use of equip/info: use of equip/system](https://openairdocs.org/ntsb-findings/02063015): Personnel issues › Task performance · Pilot (probable cause); cases with it: [Lanshe Aerospace LAKE 250, 1 case](https://openairdocs.org/ntsb-findings/02063015/cases.md?model=5110311), [All aircraft, 1,391 cases](https://openairdocs.org/ntsb-findings/02063015/cases.md) ## Sequence of events The events NTSB coded, in order, by phase of flight. The defining event best describes what happened. - [Approach: Windshear or thunderstorm](https://openairdocs.org/ntsb-events/390); cases with it: [Lanshe Aerospace LAKE 250, 1 case](https://openairdocs.org/ntsb-events/390/sequence.md?model=5110311), [All aircraft, 224 cases](https://openairdocs.org/ntsb-events/390/sequence.md) - [Landing-flare/touchdown: Landing area overshoot](https://openairdocs.org/ntsb-events/380); cases with it: [Lanshe Aerospace LAKE 250, 1 case](https://openairdocs.org/ntsb-events/380/sequence.md?model=5110311), [All aircraft, 400 cases](https://openairdocs.org/ntsb-events/380/sequence.md) - [Landing-flare/touchdown: Landing gear not configured](https://openairdocs.org/ntsb-events/095) (defining event); cases with it: [Lanshe Aerospace LAKE 250, 1 case](https://openairdocs.org/ntsb-events/095/sequence.md?model=5110311), [All aircraft, 584 cases](https://openairdocs.org/ntsb-events/095/sequence.md) - [Landing-flare/touchdown: Abnormal runway contact](https://openairdocs.org/ntsb-events/090); cases with it: [Lanshe Aerospace LAKE 250, 1 case](https://openairdocs.org/ntsb-events/090/sequence.md?model=5110311), [All aircraft, 1,506 cases](https://openairdocs.org/ntsb-events/090/sequence.md) ## Analysis Several witnesses reported that, during a second landing attempt, the airplane touched down more than halfway down the 5,152-ft-long runway and then bounced several times before coming to rest near the end of the runway. The pilot reported to a first responder that the airplane encountered windshear during the approach, and the recorded weather at an airport located about 14 miles south of the accident site about the time of the accident included wind at 11 knots gusting to 19 knots. The first responder observed that the landing gear was in the retracted position. Examination of the airplane revealed that the landing gear handle was in the "up" position and that the landing gear was retracted. During recovery, the landing gear was extended normally, and no anomalies were observed with the landing gear system. The pilot had not flown for about 5 months before the accident; however, she had flown about 6 hours during the day of the accident and had conducted one prior uneventful landing during a fuel stop. ## Factual narrative On March 18, 2015, about 1900 eastern daylight time, a Lanshe Aerospace Lake 250, N99HB, operated by a private individual, was substantially damaged while landing at Fernandina Beach Municipal Airport (FHB), Fernandina Beach, Florida. The private pilot was seriously injured. The personal flight was conducted under the provisions of 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed and an instrument flight rules flight plan was filed for the flight that originated from Georgetown County Airport (GGE), Georgetown, South Carolina, about 1700.Earlier during the day, the pilot flew the airplane uneventfully from South Jersey Regional Airport (VAY), Mount Holly, New Jersey, to GGE, where it was refueled. Several witnesses at FHB reported that the airplane performed a go-around during its first approach, which was to runway 4. During the second attempt, the airplane approached runway 13, a 5,152-foot-long asphalt runway. The airplane touched down more than halfway down runway 13 and bounced several times, before coming to rest near the end of the runway. The pilot reported to a responding law enforcement officer that the airplane encountered windshear during the approach. The responding officer also observed that the landing gear was in the retracted position. Due to her injuries, the pilot was unable to complete the NTSB Pilot/Operator Aircraft Accident/Incident Report. Review of the pilot's logbook revealed that she had accumulated a total flight experience of approximately 710 hours, of which, about 110 hours were in the same make and model as the accident airplane. Prior to the day of the accident, the pilot's most recent flight was October 12, 2014, in the accident airplane. Examination of the airplane by a Federal Aviation Administration inspector revealed that the landing gear handle was in the "UP" position and the landing gear was retracted. The inspector also noted substantial damage to the lower fuselage. During recovery, a mechanic extended the landing gear normally and noted that the system appeared fully functional. The recorded weather at an airport located about 14 miles south of the accident site, at 1852, included wind from 360 degrees at 11 knots, gusting to 19 knots. ## Aircraft - Registration: [N99HB](https://openairdocs.org/deregistered/N99HB-2015-10-28), registration cancelled 2015-10-28, S/N 236, built 2004 (OpenAirDocs) - Reported make and model: LANSHE AEROSPACE LAKE 250 - Registry model: [Lanshe Aerospace LAKE 250](https://openairdocs.org/model/lanshe-aerospace-lake-250) (registry code 5110311) (OpenAirDocs) - Registry engine: [Lycoming TI0-540 series](https://openairdocs.org/engine/lycoming-ti0-540-series) (registry code 41533, turbo-prop) (OpenAirDocs) - Category: Airplane - Serial number: 236 - Year built: 2004 - Airframe hours: 725 - Engines: LYCOMING TIO-540 SER 270 horsepower reciprocating - Damage: Substantial damage - Flight: Personal, Part 91 - Operator: Christine C Mouterde - Registered owner: Manhattan Management Corp - Airworthiness certificate: Standard, Normal - Last inspection: Annual, March 20, 2014, 67 hours before - Departed: GGE, Georgetown, SC - Destination: FHB, Fernandina Beach, FL - Flight plan: IFR - Airport: FHB, Fernandina Beach Municipal, runway 13, 5,152 × 100 ft, asphalt - Equipment: Stall warning system ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 64; injuries: serious; private; airplane ratings: single-engine sea, single-engine land; instrument ratings: airplane; medical: class 3, with waivers/limitations; last flight review August 27, 2013; seat: left; flight hours: 710 total, 110 in this make and model, 6 in the last 90 days, 6 in the last 30 days, 6 in the last 24 hours ## Weather - Conditions: Visual (VMC), Day - Wind: 360° at 11 knots, gusting 19 - Visibility: 7 statute miles - Lowest ceiling: 2,000 ft broken - Temperature: 63 °F, dew point 59 °F - Altimeter: 30.04 inHg - Observed at: NRB, 14 nm away ## FAA reports on this event (1) The FAA's own accident and incident reports, matched to the aircraft by N-number and date (OpenAirDocs). - [Accident 20150318004669A](https://openairdocs.org/incident/20150318004669A), Mar 18, 2015: Lanshe Aerospace LLC LAKE 250, Fernandina Beac, FL, Substantial damage. On March 18, 2015 at 1850 EDT, a 2004 Lanshe aerospace, lake 205 registered to manhattan management corp landed wheels up at fernadina beach municipal airport… ## Docket (8 files) The files NTSB released with the investigation on August 25, 2015, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=90892. 1.7 MB in all. - Excerpts From Pilot Logbook (item 1, .PDF, 405 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40431086&FileExtension=.PDF&FileName=Excerpts%20From%20Pilot%20Logbook-Redacted.PDF - Interview Summary (item 2, .PDF, 23 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40431087&FileExtension=.PDF&FileName=Interview%20Summary-Master.PDF - Mechanic Statement (item 3, .PDF, 22 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40431088&FileExtension=.PDF&FileName=Mechanic%20Statement-Redacted.PDF - Excerpts From Police Report (item 4, .PDF, 586 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40431089&FileExtension=.PDF&FileName=Excerpts%20From%20Police%20Report-Redacted.PDF - Excerpt From Maintenance Records (item 5, .PDF, 185 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40431090&FileExtension=.PDF&FileName=Excerpt%20From%20Maintenance%20Records-Redacted.PDF - Weather Report (item 6, .PDF, 27 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40431091&FileExtension=.PDF&FileName=Weather%20Report-Master.PDF - Photo 1 – Landing Gear Selector Handle as Found (Photo Courtesy of FBPD) (item 7, .PDF, 284 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40431092&FileExtension=.PDF&FileName=Photo%201%20%E2%80%93%20Landing%20Gear%20Selector%20Handle%20as%20Found%20(Photo%20Courtesy%20of%20FBPD)-Master.PDF - Photo 2 – Main Wreckage (Photo Courtesy of FAA) (item 8, .PDF, 174 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40431093&FileExtension=.PDF&FileName=Photo%202%20%E2%80%93%20Main%20Wreckage%20(Photo%20Courtesy%20of%20FAA)-Master.PDF From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.