GAA18CA174

NTSB accident investigation · Cessna P210 · Jacksonville, FL · February 20, 2018

Accident · No injuriesData collectionFinal report
Date
February 20, 2018, 15:06 local (20:06 UTC)
Place
Jacksonville, FL
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N81MTCessna P210
Defining event
Landing-flare/touchdown: Landing gear not configured
Weather
Visual (VMC) · Day
Status
Completed · report September 10, 2018
Report
Approved by Office Director
NTSB office
General Aviation Accidents
Parties
FAA
FAA report
20180220002919A
Case key
96908

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

The pilot’s failure to extend the landing gear before landing. Contributing to the accident were pilot fatigue and his failure to use the before landing checklist.

Findings · 6

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: landing gear/wheel fairingAircraft › Aircraft systems · Not used/operatedCessna P210N: 1 caseAll aircraft: 9 casesProbable cause
Use of equip/info: use of equip/systemPersonnel issues › Task performance · PilotCessna P210N: 5 casesAll aircraft: 1,391 casesProbable cause
Alertness/FatiguePersonnel issues › Physical · PilotCessna P210N: 1 caseAll aircraft: 48 casesProbable cause
Use of equip/info: use of checklistPersonnel issues › Task performance · PilotCessna P210N: 7 casesAll aircraft: 336 casesProbable cause
Landing gear system: gear extension and retract sysAircraft › Aircraft systems · Not used/operatedCessna P210N: 12 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 in the retractable landing gear-equipped airplane reported that he had been flying an instrument flight rules cross-country flight for about 6 continuous hours. He reported that he felt fatigued and anxious to get out of the airplane, so he decided to refuel enroute. He contacted a nearby tower, and, at that time, he was notified of two aircraft in the pattern. He was able to identify only one airplane before he initiated the approach. During the approach about 100ft above ground level, the tower controller informed the pilot that he needed to go around but did not say why. The pilot thought it to be unwise to abort the landing because he did not know the location of the second airplane in the pattern and continued the approach and landing. He reported that he did not accomplish the GUMPS (Gas Undercarriage Mixture Props) checklist because of the distractions, and the airplane touched down with the landing gear retracted. The airplane sustained substantial damage to the lower fuselage longerons and bulkhead. The pilot reported that there were no mechanical malfunctions or failures with the airplane that would have precluded normal operation.

Factual narrative

The pilot in the retractable landing gear-equipped airplane reported that he had been flying an instrument flight rules cross-country flight for about six continuous hours. He reported that he felt fatigued and anxious to get out of the airplane, so he decided to refuel enroute and contacted a nearby tower, and at that time he was notified of two aircraft in the pattern. He was able to identify only one of the airplanes before he initiated the approach. During the approach about 100ft AGL, tower informed the pilot that he needed to go around but did not say why. The pilot felt it to be unwise to abort the landing because he did not know the location of the second airplane in the pattern and continued the approach and landing. He reported that he did not accomplish the GUMPS checklist because of the distractions and the airplane touched down with the landing gear retracted. The airplane sustained substantial damage to the lower fuselage longerons and bulkhead. The pilot reported that there were no mechanical malfunctions or failures with the airplane that would have precluded normal operation.

Aircraft

Registration
N81MT
Reported as
Cessna P210 (N)
Category
Airplane
Serial number
P21000794
Built
1981
Airframe hours
6,057
Engine
Continental TSIO520T, 325 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Coleman Industrial Aviation And Equip Le
Registered owner
Coleman Industrial Aviation And Equip Le
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · May 12, 2017
Departed
GVQ · Batavia, NY
Destination
CRG · Jacksonville, FL
Flight plan
IFR
Airport
CRG · Jacksonville Executive At Crai, runway 14, 4,008 × 100 ft, asphalt
Equipment
Onboard weather, Auto-pilot, ADS-B, Stall warning system, Satellite tracking 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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
78
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
March 10, 2016
Seat
Front
Restraint
3-point
Flight hours
6,057 total · 4,000 in this make and model · 6,057 as pilot in command · 34 in the last 90 days · 13 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
120° at 11 knots, gusting 18
Visibility
10 statute miles
Lowest ceiling
3,000 ft broken
Temperature
81 °F, dew point 70 °F
Altimeter
30.32 inHg
Observed at
KCRG

Docket · 2

The files NTSB released with the investigation on July 5, 2018, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.0 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.