ERA21LA246

NTSB accident investigation · Honda HA-420 · Kennesaw, GA · June 4, 2021

Accident · No injuriesClass 3 · LimitedFinal report
Date
June 4, 2021, 15:50 local (19:50 UTC)
Place
Kennesaw, GA
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N10XNHonda HA-420
Defining event
Landing-landing roll: Part(s) separation from AC
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO, Honda Aircraft Company
FAA report
20210604005959A
Case key
103242

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 mechanic’s improper installation of the left main wheel assembly.

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: main gear strut/axle/truckAircraft › Aircraft systems · Incorrect service/maintenanceHonda HA-420: 1 caseAll aircraft: 86 casesProbable cause
Landing gear system: wheel/ski/floatAircraft › Aircraft systems · Incorrect service/maintenanceHonda HA-420: 1 caseAll aircraft: 48 casesProbable cause
Maintenance: replacementPersonnel issues › Task performance · Maintenance personnelHonda HA-420: 1 caseAll aircraft: 70 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 accident flight and approach to the airport were normal. After the airplane touched down on the runway, the pilot applied the brakes; however, there was no braking action. The pilot called out that they had “no brakes” and elected to pull the emergency brake. The airplane began to skid, continued off the left side of the runway, completed a 180° turn, and came to rest in the grass. During the accident sequence, the right main landing gear collapsed, which resulted in substantial damage to the right wing. The left main landing gear wheel was located about 225 ft from the main wreckage. Examination of the axle revealed that there was damage to the bottom threads of the axle and partial thread damage on the nut that secured the wheel to the axle. The individual parts of the left wheel retention stack (axle nut, retention key, and hubcap) were found intact inside the wheel hubcap. The retention key, which contained the locking tabs, was still safety wired to the axle nut. The airplane discrepancy log indicated that the left main landing gear wheel assembly was replaced the morning of the accident due to a discrepancy the pilot wrote up the day before the accident. The mechanic who performed the work reported that during the installation of the left wheel assembly, the locking tab did not engage into the axle, so he removed and reinstalled the wheel assembly, which then “slid into place much easier.” In addition, the mechanic reported the jack he used to perform the maintenance was not the jack specified in the maintenance manual for the procedure. Although the mechanic stated the left main wheel assembly was installed correctly, it likely was not installed properly as indicated by the minimal damage to the securing nut and to the axle, which likely occurred when the axle contacted the runway surface after the wheel departed the airplane. Additionally, a study performed comparing the jack the mechanic used to the jack specified in the maintenance procedure indicated that it was possible for the unapproved jack to interfere with the proper reseating of the wheel assembly on the axle during installation. Further, the mechanic who performed the maintenance had not received specific training on the airframe. In summary, given the limited damage to the wheel assembly, the mechanic’s lack of airplane specific maintenance training, and his use of an improper jack for the maintenance, it is likely the mechanic installed the wheel assembly improperly, which resulted in the wheel separating from the airplane.

Factual narrative

On June 4, 2021, about 1550 eastern daylight time, a Honda Aircraft HA-420, N10XN, was substantially damaged when it was involved in an accident at Cobb County International Airport-McCollum Field (RYY), Atlanta, Georgia. Both airline transport pilots were not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 positioning flight. According to the pilot in command, the flight and approach to the airport were normal. After the airplane touched down on the runway, he applied the brakes; however, there was no braking action from the airplane, and there was no compression of the brake pedals. The pilot called out that they had “no brakes” and elected to pull the emergency brake. The airplane began to skid, and the pilot released the emergency brake and noted that the airplane was about 45° off centerline and turning to the left. The airplane struck the grass apron next to the runway, completed a 180° turn, and came to rest heading in the opposite direction of travel in the grass to the left side of the runway. Examination of the wreckage by a Federal Aviation Administration inspector revealed that the right main landing gear collapsed, which resulted in substantial damage to the right wing. The left main landing gear wheel assembly was located about 225 ft from the main wreckage. Examination of runway skid marks indicated that their orientation were consistent with a separation of the left wheel while the airplane was still on the runway and skidding to the left. Examination of the axle revealed that there was damage to the bottom threads of the axle and partial thread damage on the nut that secured the wheel to the axle. The individual parts of the left wheel retention stack (axle nut, retention key, and hubcap) were found intact inside the wheel hubcap. The retention key, which contained the locking tabs, was still safety wired to the axle nut. Examination of the airplane discrepancy log revealed that the accident flight was the first flight after maintenance. The left main landing gear wheel assembly was replaced the morning of the accident due to a discrepancy the pilot wrote up the day before the accident, which stated the left main landing gear tire was “worn beyond [the] thread cords.” According to the mechanic who installed the wheel assembly, he used a TRONAIR 02-7813C0100 jack to perform the wheel change. Once he received the airplane maintenance manual excerpts to perform the maintenance, he began to install the overhauled main wheel assembly. After “installing the wheel and torquing it the locking plate would not engage into the axle.” He removed and reinstalled the wheel assembly. It seemed to “slide into place much easier this time,” and the locking plate did engage “this time.” The mechanic then completed the maintenance paperwork and returned the airplane to service. The maintenance logbook entry indicated that all maintenance was performed in accordance with the HA-420 Maintenance Manual. In afollow-up interview with an FAA inspector, the mechanic stated that he was positive that the locking tabs were engaged to secure the left main landing wheel onto the axle. A review of the maintenance paperwork revealed that the mechanic signed off the maintenance rather than the repair station signing it off as the Honda HA-420 was not on the repair station’s certificate. Further, the mechanic indicated that the operator needed to send the maintenance manual excerpts since he “did not have access” to the HA-420 maintenance manuals. Honda Aircraft Company searched their database of mechanics who received HA-420 specific maintenance training, and the mechanic who performed the maintenance on the airplane had not received the approved Flight Safety International maintenance training. Section 32-441-11-401 of the Honda HA-420 Maintenance Manual described the procedure for the removal and installation of the main landing gear tire and wheel assembly. This procedure referenced another procedure (AMM 07-11-10-201), which was “Lifting the Airplane with One Jack.” Under “Special Tools and Materials,” the lifting procedure specified item number 07-10-06 as the axle jack required. The specific TRONAIR part number (02-7924C0100) for the approved jack was in the HA-420 Tool and Equipment Manual. Honda Aircraft Company performed a study comparing the jack the mechanic used (TRONAIR 02-7813C0100) and the Honda specific jack listed in the maintenance manual (TRONAIR 02-7924C0100). The results of the study indicated that it was possible for the jack used in the maintenance procedure on the accident airplane to interfere with the proper reseating of the wheel assembly on the axle during installation.

Aircraft

Registration
N10XN
Reported as
Honda HA-420
Category
Airplane
Serial number
42000038
Built
2016
Airframe hours
641
Engines
General Electric HF120, 2,000 lbs thrust, turbo jetGeneral Electric HF120, 2,000 lbs thrust, turbo jet
Damage
Substantial damage
Flight
Positioning · Part 91
Operator
FlightWorks
Registered owner
Gf Aviation LLC
Airworthiness certificate
Standard, Normal
Departed
ISM · Orlando, FL
Destination
Same as departure
Flight plan
IFR
Airport
RYY · Cobb County Intl-Mccollum Fld, runway 27, 6,295 × 100 ft, concrete
Equipment
Stall warning system, Onboard weather, Electronic primary flight display, Angle of attack indicator, Auto-pilot, Electronic multifunction display, Electronic flight bag or handheld device

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
Pilot
Age
49
Injuries
None
Certificates
Airline transport, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
February 10, 2021
Seat
Left
Restraint
4-point
Flight hours
13,778 total · 48 in this make and model · 9,987 as pilot in command
Role
Co-pilot
Age
48
Injuries
None
Certificates
Commercial, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Seat
Right
Flight hours
11,000 total · 90 in this make and model · 47 in the last 90 days

Weather

Conditions
Visual (VMC) · Day
Wind
280° at 7 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
84 °F, dew point 63 °F
Altimeter
30.05 inHg
Observed at
RYY
METAR
KRYY 041950Z 28007KT 10SM FEW047 29/17 A3005 RMK AO2 SLP896 T02890167 $

Docket · 12

The files NTSB released with the investigation on March 1, 2023, on NTSB’s docket system: statements, records, photos and specialists’ reports. 21.3 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.