GAA17CA023

NTSB accident investigation · North American Navion · Palmer, AK · October 5, 2016

Accident · No injuriesData collectionFinal report
Date
October 5, 2016, 11:45 local (19:45 UTC)
Place
Palmer, AK
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N8895HNorth American Navion
Defining event
Landing: Landing gear not configured
Weather
Visual (VMC) · Day
Status
Completed · report January 18, 2017
Report
Approved by Office Director
NTSB office
General Aviation Accidents
Parties
FAA
FAA report
20161005021749A
Case key
94219

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 pilot's failure to extend the landing gear for landing.

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.

Action: forgotten action/omissionPersonnel issues › Action/decision · PilotNorth American NAVION: 1 caseAll aircraft: 440 casesProbable cause
Landing gear system: landing gear selectorAircraft › Aircraft systems · Not used/operatedNorth American NAVION: 1 caseAll aircraft: 54 casesProbable cause
Physical workspace: noiseEnvironmental issues › Task environment · Awareness of conditionNorth American NAVION: 1 caseAll aircraft: 3 cases

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 of a retractable landing gear equipped airplane reported that he landed with the landing gear retracted. He further reported that the airplane slid about 100 feet to a stop near the right edge of the runway. The fuselage sustained substantial damage. The pilot reported no preaccident mechanical malfunctions or failures with the airplane that would have precluded normal operation. The Federal Aviation Administration (FAA) Aviation Safety Inspector assigned to the accident, by coincidence, was already at the accident airport for an unrelated event. The inspector observed the landing gear retracted into the wheel wells and observed the landing gear handle in the up position. He further reported that the pilot was using a "noise cancelling headset." According to the inspector, the landing gear warning horn was not designed to sound through the headset/ intercom system, but would be audible in the cockpit. He reported that during the airplane recovery process the landing gear handle was moved to the down position and the landing gear extended and locked normally. The FAA Special Airworthiness Information Bulletin (SAIB), CE-16-08, Noise Cancelling Headsets, in part states: "In many cases, pilots are using the noise cancelling headsets as supplementary equipment during operations. When wearing these headsets, the pilot may be unaware of environmental sounds and audible warning annunciations in the cockpit that do not come through the intercom system." The FAA SAIB recommends that general aviation pilots and operators: • Become familiar with the safety information in FAA InFO 0700 • Elect to find other solutions to discern such alarms or sounds, or discontinue using these headsets if any audible alarms or environmental sounds cannot be discerned while wearing a noise cancelling headset. The pilot did not report whether or not he had heard the landing gear warning horn prior to landing.

Factual narrative

The pilot of a retractable landing gear equipped airplane reported that he landed with the landing gear retracted. He further reported that the airplane slid about 100 feet to a stop near the right edge of the runway. The fuselage sustained substantial damage. The pilot reported no preaccident mechanical malfunctions or failures with the airplane that would have precluded normal operation. The Federal Aviation Administration (FAA) Aviation Safety Inspector assigned to the accident, by coincidence, was already at the accident airport for an unrelated event. The inspector observed the landing gear retracted into the wheel wells and observed the landing gear handle in the up position. He further reported that the pilot was using a "noise cancelling headset." According to the inspector, the landing gear warning horn was not designed to sound through the headset/ intercom system, but would be audible in the cockpit. He reported that during the airplane recovery process the landing gear handle was moved to the down position and the landing gear extended and locked normally. The FAA Special Airworthiness Information Bulletin (SAIB), CE-16-08, Noise Cancelling Headsets, in part states: "In many cases, pilots are using the noise cancelling headsets as supplementary equipment during operations. When wearing these headsets, the pilot may be unaware of environmental sounds and audible warning annunciations in the cockpit that do not come through the intercom system." The FAA SAIB recommends that general aviation pilots and operators: • Become familiar with the safety information in FAA InFO 0700 • Elect to find other solutions to discern such alarms or sounds, or discontinue using these headsets if any audible alarms or environmental sounds cannot be discerned while wearing a noise cancelling headset. The pilot did not report whether or not he had heard the landing gear warning horn prior to landing.

Aircraft

Registration
N8895H
Reported as
North American Navion (A)
Category
Airplane
Serial number
NAV-4-895
Built
1947
Airframe hours
4,174
Engine
Continental IO-470-C, 250 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 2, 2016
Departed
BCV · Birchwood, AK
Destination
PAQ · Palmer, AK
Flight plan
Company VFR
Airport
PAQ · Palmer Muni, runway 34, 6,009 × 100 ft, asphalt
Equipment
Electronic flight bag or handheld device, Electronic multifunction display, 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
79
Injuries
None
Certificate
Private
Airplane ratings
Single-engine sea, Single-engine land
Medical
Class 3, With waivers/limitations
Last flight review
June 9, 2015
Seat
Left
Flight hours
2,227 total · 1,190 in this make and model · 35 in the last 90 days · 23 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
46 °F, dew point 27 °F
Altimeter
30.12 inHg
Observed at
PAAQ

Docket · 5

The files NTSB released with the investigation on December 1, 2016, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.7 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.

Other investigations on N8895H · 1

Matched to the same aircraft by N-number and date.