ERA24LA386

NTSB accident investigation · Cessna 402 · Boston, MA · September 17, 2024

Accident · No injuriesClass 3 · LimitedFinal report
Date
September 17, 2024, 17:30 local (21:30 UTC)
Place
Boston, MA
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N18VVCessna 402
Defining event
Initial climb: Sys/Comp malf/fail (non-power)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20240917013899A
Case key
195144

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 failure of a solid hydraulic fluid line, which resulted in a loss of hydraulic fluid that prevented the landing gear extension process from completing normally. Contributing to the outcome was the pilot’s failure to fully activate the emergency landing gear extension system.

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.

Use of equip/info: use of equip/systemPersonnel issues › Task performance · PilotCessna 402C: 3 casesAll aircraft: 1,391 casesProbable cause
Landing gear system: gear extension and retract sysAircraft › Aircraft systems · Incorrect use/operationCessna 402C: 2 casesAll aircraft: 416 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 during climb out, he noticed a flicker of both the left and right hydraulic flow lights. He thought the airplane was losing hydraulic pressure, so he tried to extend the landing gear before all pressure was lost. Only the left main landing gear position green light illuminated. The hydraulic flow lights then illuminated steadily. He returned to the airport and performed the emergency landing gear extension checklist; however, the right and nose landing gear did not extend, and he landed with only the left main landing gear extended. A postaccident examination of the airplane revealed that a solid hydraulic line connected to the hydraulic filter was fractured and the system contained no hydraulic fluid. It is likely that the fracture of the hydraulic line and the subsequent loss of hydraulic fluid resulted in the partial landing gear extension. A review of the airplane’s maintenance records could not determine the age of the hydraulic line or if any maintenance had been performed on the hydraulic line. Postaccident testing of the emergency landing gear extension system revealed that if functioned normally when the activation handle was fully extended. Based on this information, it is likely the pilot did not pull the emergency handle out far enough to activate the system.

Factual narrative

On September 17, 2024, about 1730 eastern daylight time, a Cessna 402C, N18VV, was substantially damaged when it was involved in an accident near Boston, Massachusetts. The pilot and two passengers were not injured. The airplane was operated by Cape Air as a Title 14 Code of Federal Regulations Part 135 scheduled passenger flight. According to the pilot, during climb out, he noticed a flicker of both the left and right hydraulic flow lights. He thought the airplane was losing hydraulic pressure, so he tried to extend the landing gear before all pressure was lost. Only the left main landing gear position green light illuminated. The hydraulic flow lights then illuminated steadily. He made the decision to return to the departure airport, notified air traffic control of the situation, and asked for delaying radar vectors to the airport in order to run the checklists. The pilot then followed the "Landing Gear Will Not Extend Hydraulically" checklist. He noted that the landing gear position indicating lights were working when he checked the “press to test,” just as they were on the ground before takeoff. He slowed the airplane to under 130 knots with the landing gear switch already in the down position. He then pulled the “GEAR HYD” circuit breaker and pulled the emergency landing gear extension handle. There was no change of position indicator lights or any indication/noise that the landing gear had extended. He subsequently landed on the left main landing gear and began lowering the airplane’s nose. During the landing roll, the airplane’s right wing contacted a runway light, after which it started to leak fuel. The airplane came to rest upright on the right side of the runway, at an intersection of the runway and taxiway. Further examination of the airplane’s hydraulic system by the operator’s maintenance department revealed that a solid hydraulic line connected to the hydraulic system filter was fractured, and that all of the hydraulic fluid had drained out of the system. The maintenance personnel performed the emergency landing gear extension procedure by pulling the landing gear emergency extension handle all the way out and observed all three landing gear come down and lock. A review of the airplane’s maintenance records could not determine the age of the hydraulic line or if any maintenance had been performed on the hydraulic line. Following the accident, the operator issued a Technical Notice to all maintenance personnel to stress the importance of general inspection criteria while performing maintenance on the airplanes.

Aircraft

Registration
N18VV
Reported as
Cessna 402 (C)
Category
Airplane
Serial number
402C0619
Built
1981
Airframe hours
29,516
Engines
Continental TSIO520VB, reciprocatingContinental TSIO520VB, reciprocating
Damage
Substantial damage
Flight
Part 135
Operator
Hyannis Air Service Inc, doing business as Cape Air
Registered owner
Hyannis Air Service Inc
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · September 3, 2024
Destination
BHB · Bar Harbor, ME
Flight plan
IFR
Airport
BOS · General Edward Lawrence Logan International Airport, runway 4L, 7,864 × 150 ft, asphalt
Equipment
ADS-B, Auto-pilot, Onboard weather, Stall warning system

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
29
Injuries
None
Certificates
Airline transport, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
May 24, 2024
Seat
Left
Restraint
3-point
Flight hours
1,777 total · 277 in this make and model · 1,000 as pilot in command · 277 in the last 90 days · 90 in the last 30 days · 7 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
140° at 7 knots
Visibility
10 statute miles
Lowest ceiling
19,000 ft broken
Temperature
73 °F, dew point 43 °F
Altimeter
30.17 inHg
Observed at
BOS
METAR
KBOS 172154Z 14007KT 10SM BKN190 OVC250 23/06 A3017 RMK AO2 SLP215 T02280056

Docket · 7

The files NTSB released with the investigation on April 1, 2025, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.0 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.