ERA18LA270

NTSB accident investigation · Maule M7 · Floresville, TX · September 11, 2018

Accident · No injuriesLimited investigationFinal report
Date
September 11, 2018, 16:37 local (21:37 UTC)
Place
Floresville, TX
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N969AWMaule M7
Defining event
Landing-landing roll: Landing gear collapse
Weather
Visual (VMC) · Day
Status
Completed · report April 20, 2020
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20180911019079A
Case key
98458

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 separation of the left inboard main landing gear (MLG) attachment bolt due to insufficient torque, which resulted in the collapse of the left MLG.

Findings · 4

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.

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 flight instructor and the private pilot-rated student, who was in the left seat and was also the airplane owner, were practicing approaches. Upon landing, the pilots heard a loud popping noise, and the instructor then initiated a go-around. Subsequently, the pilot felt vibration under the floorboard. The pilots thought that a tire might have blown. The instructor flew the approach and conducted a three-point landing, and just before the airplane came to a stop, the left main landing gear (MLG) collapsed, which resulted in substantial damage to the left wing. An examination of the left MLG revealed that its inboard attachment bolt and nut were missing. After the accident, the bolt was found along the path of the landing rollout. Examination of the attachment bolt revealed that the bolt threads were undamaged. The attachment nut was not found. The right MLG's inboard attachment bolt and nut were found still attached; however, they were loose, with only two to three threads visible past the nut. The inboard attachment bolts were upgraded high-strength bolts. The airframe manufacturer had issued a service letter (SL) that stated that, when using the high-strength bolts, the outboard attachment bolts required the same amount of torque as indicated in the airplane maintenance manual but that the inboard attachment bolts required a higher torque amount than the standard bolts. However, a review of the maintenance manual revealed that it did not include the new, higher torque requirements specified in the SL. Therefore, mechanics who only follow the maintenance manual may not be aware that higher torque values are required. A review of the airplane maintenance records revealed that its last annual inspection was completed about 6 months before the accident. The mechanic who performed the inspection reported that he did not verify the torque on the bolts, that he only used his hands to confirm that they were secure, and that he did not reference the SL during the inspection. It could not be determined whether the mechanic's failure to verify the torque on the bolts or the insufficient torque values in the MM led to the torque on the left inboard MLG attachment bolt being insufficient and the resultant collapse of the left MLG.

Factual narrative

On September 11, 2018, about 1637 central daylight time, a Maule M-7-235C, N969AW, was substantially damaged after the left, main landing gear collapsed at a private, grass airstrip near Floresville, Texas. The flight instructor and a private pilot-rated student were not injured. The airplane was operated by an individual under the provisions of 14 Code of Federal Regulations Part 91 as an instructional flight. Visual meteorological conditions prevailed, and no flight plan was filed for the local flight that originated at Floresville about 1600.According to an inspector with the Federal Aviation Administration (FAA), the flight instructor and his student were practicing approaches. Upon landing, the pilots heard a loud popping noise, and the flight instructor performed a go-around. The student in the left seat could feel vibration under the floor board. Suspecting a blown tire, the pilots discussed how the airplane might handle during the next landing. The instructor flew the approach and landing. After a normal 3-point landing, and just before the airplane came to a stop, the left main landing gear collapsed. The FAA inspector responded to the accident site and examined the wreckage. He reported that the left wing sustained structural damage during the landing. The propeller struck the ground after the gear collapsed. The inspector observed that the left main landing gear inboard attachment bolt was missing. The bolt was later found along the path of the landing rollout. The bolt threads were undamaged, and the attaching nut was not located. The right inboard attachment bolt and nut were still attached; however, they were untorqued and loose, with only 2-3 threads visible past the nut. The 100-hr/annual inspection procedures in the M7-235C Maintenance Manual (MM) stated that, under the main landing gear inspection procedures, "The torque on the inboard attach bolts must be 240-300 inch pounds and on outboard clamp bolts 160-190 inch pounds." The airplane was fitted with upgraded high strength attach bolts. Maule Service Letter (SL) No. 66, revision B, dated May 2, 2006, addressed the installation of the high strength bolts. According to the SL, the torque for the outboard clamp bolts was the same as the MM inspection guide (160-190 inch pounds); however, the torque for the inboard attach bolts increased to 450-500 inch pounds. Service Letter No. 66 also stated, "Retorque bolts after 25 hours and per Maintenance Manual thereafter." The MM did not incorporate the new torque requirements for the inboard bolts. Following the MM only, this allowed the inboard bolts to be torqued to 240-300 inch pounds, or about 200 inch pounds lower than the requirement in SL No. 66. A review of the aircraft maintenance records revealed that the most recent annual inspection was completed in April, 2018. The mechanic who performed the inspection reported that he did not retorque the attachment bolts; he checked them by feeling them with his hands only. He did notreference SL No. 66 during the annual inspection.

Aircraft

Registration
N969AW
Reported as
Maule M7 (235C)
Category
Airplane
Serial number
25093C
Built
2003
Airframe hours
1,975
Engine
Lycoming IO-540 Series, 235 hp, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 30, 2018
Departed
N/A · Floresville, TX
Destination
N/A · Floresville, TX
Airport
N/A · Private
Equipment
Unknown

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
Flight instructor
Age
31
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Seat
Right
Flight hours
5,100 total
Role
Student pilot
Age
51
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Without waivers/limitations
Seat
Left
Flight hours
515 total

Weather

Conditions
Visual (VMC) · Day
Wind
360° at 5 knots
Visibility
10 statute miles
Lowest ceiling
5,500 ft broken
Temperature
82 °F, dew point 70 °F
Altimeter
29.87 inHg
Observed at
SSF, 20 nm away

Docket · 6

The files NTSB released with the investigation on October 28, 2019, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.9 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.