ERA18LA220

NTSB accident investigation · Czech Sport Piper Sport · Stuart, FL · August 15, 2018

Accident · No injuriesLimited investigationFinal report
Date
August 15, 2018, 12:00 local (16:00 UTC)
Place
Stuart, FL
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N425AZCzech Sport Piper Sport
Defining event
Landing-landing roll: Landing gear collapse
Weather
Visual (VMC) · Day
Status
Completed · report September 27, 2019
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20180815016819A
Case key
98090

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

Inadequate maintenance inspection of the airplane's nose landing gear, which resulted in a nose landing gear collapse during landing due to cracking and corrosion.

Findings · 2

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.

Inspection: scheduled/routine inspectionPersonnel issues › Task performance · Maintenance personnelCzech Sport PIPER SPORT: 2 casesAll aircraft: 167 casesProbable cause
Landing gear system: nose/tail gear strut/axleAircraft › Aircraft systems · Inadequate inspectionCzech Sport PIPER SPORT: 1 caseAll aircraft: 36 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 sport pilot was conducting a personal flight in the special light sport airplane. During landing, the airplane touched down normally on the main landing gear. After 50 ft of ground roll, the nose landing gear touched down and collapsed; one propeller blade subsequently separated, and the airplane came to rest upright on the runway. Examination of the airplane revealed that the nose landing gear had separated at a location that the airplane maintenance manual (AMM) and a service bulletin (SB) indicate should be inspected for cracks. The separated fracture surfaces exhibited cracking and corrosion. Review of the SB revealed that due to the development of cracks, an inspection for cracks per the AMM should occur every 25 flight hours or 50 cycles, whatever occurs first. The AMM stated to use a flashlight and 10x magnifier to visually inspect the nose landing gear leg lower section and verify that there is no evidence of cracking in paint on or around the place of the weld between the tube and the bracket. The most recent documented nose landing gear inspection was about 2 years 5 months before the accident. Thus, it is likely that the nose landing gear was not adequately inspected and cracks and corrosion were therefore undetected, which led to the nose landing gear collapse during landing.

Factual narrative

On August 15, 2018, about 1200 eastern daylight time, a special light sport aircraft (S-LSA) Czech Sport Aircraft AS Piper Sport, N425AZ, operated by the sport pilot, was substantially damaged during landing at Witham Field (SUA), Stuart, Florida. The sport pilot and passenger were not injured. The personal flight was conducted under the provisions of Title 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed and no flight plan was filed for the local flight that departed SUA about 1100. The sport pilot reported that during landing on runway 16, the airplane touched down normally on the main landing gear. After 50 ft of ground roll, the nose landing gear touched down and collapsed. One propeller blade subsequently separated and the airplane came to rest upright on the runway. Examination of the wreckage by a Federal Aviation Administration (FAA) inspector revealed that the nose landing gear had penetrated the engine firewall. The inspector added that the nose landing gear had separated at a location where the airplane maintenance manual (AMM) and a service bulletin direct to inspect for cracks. The inspector further stated that the separated fracture surfaces exhibited cracking and corrosion. Review of SB-CR-016, published October 9, 2013, revealed: "…REASON: Some SportCruiser / PiperSport / PS-28 Cruiser aircraft have developed cracks in the bottom side of the lower section of the nose landing gear (NLG). The cracks develop on the NLG assembly along the weld of the tube and the bracket. Furthermore, on several aircraft bending of the pivot connecting the fork with leg was discovered and cracks from holes of bolts on the fork. To address this potentially unsafe condition, a repetitive inspection is required of the bottom side of the lower section, in the area of the weld of the tube, the bracket and the pivot and the fork in the place of the bolts mounting the fork to the landing gear. COMPLIANCE: A. Before next flight after issue of this bulletin. B. Periodically at each 25 FH or 50 cycles whatever occurs first check as described in documents [1] for PS-28 Cruiser and [2] for SportCruiser (see REFERENCES). C. During pre-flight check (see POH , Section 4, 4.1 Pre-flight check, Inspection Check List, Point 4 - Nose gear) visually inspect pivot (see the picture on the Page 3 of 4 of this Service Bulletin) and verify that there is no evidence of cracks or bending…" Review of the AMM, 8.4.3, revealed: "…(d) Using flashlight and 10x magnifier, visually inspect nose landing gear leg lower section and verify there is no evidence of cracking in paint on or around place of the weld of the tube and the bracket…" The two-seat, low-wing, fixed tricycle-gear airplane, was manufactured in 2010. It was powered by a Rotax 912 ULS, 100-horsepower engine, equipped with a ground-adjustable, two-blade Sensenich propeller. Review of maintenance records revealed that the airplane's most recent annual inspection was completed on March 26,2018. At that time, the airframe and engine had accrued 487.8 hours since new. The airplane flew an additional 24.8 hours from the time of the most recent inspection, until the accident. The most recent nose gear inspection documented in the maintenance records was dated March 14, 2016.

Aircraft

Registration
N425AZ
Reported as
Czech Sport Piper Sport
Category
Airplane
Serial number
P1001082
Built
2010
Airframe hours
488
Engine
Rotax 912 ULS, 100 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · March 26, 2018 · 25 hours before
Departed
SUA · Stuart, FL
Destination
SUA · Stuart, FL
Airport
SUA · Witham Field, runway 16, 4,998 × 100 ft, asphalt
Equipment
Electronic multifunction display, Auto-pilot, Airframe parachute, Electronic primary flight display

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
58
Injuries
None
Certificate
Sport Pilot
Airplane ratings
Single-engine land
Medical
Sport pilot
Last flight review
November 18, 2017
Seat
Left
Restraint
4-point
Flight hours
428 total · 144 in this make and model · 334 as pilot in command · 12 in the last 90 days · 5 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
120° at 10 knots
Visibility
7 statute miles
Lowest ceiling
None
Temperature
90 °F, dew point 75 °F
Altimeter
30.12 inHg
Observed at
SUA

Docket · 7

The files NTSB released with the investigation on December 3, 2018, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.9 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.