LAX02LA027

NTSB accident investigation · Cessna 210K · North Las Vegas, NV · November 10, 2001

Accident · No injuriesLimited investigationFinal report
Date
November 9, 2001, 18:49 local (Nov 10, 2001, 02:49 UTC)
Place
North Las Vegas, NV
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Unknown
Aircraft
N8232MCessna 210K
Weather
Visual (VMC) · Night
Status
Completed · report April 23, 2003
Report
Approved by Office Director
Parties
FAA Flt Stnds Dist Office
FAA report
20011109030649A
Case key
53766

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 NTSB’s determination of the probable cause, and any contributing factors.

The failure of maintenance personnel to properly diagnose the cause of a reported maintenance discrepancy resulting in the airplane being released from an annual inspection with a worn hydraulic pump which lacked sufficient output to operate the landing gear. Another cause was the pilot's improper execution of the landing gear emergency extension procedure by failing to fully extend the manual hydraulic pump handle prior to attempting emergency gear extension.

Analysis

On the first flight following an annual inspection, in night, visual meteorological conditions, when the pilot attempted to retract airplane's landing gear, the gear would neither fully retract nor fully extend. The pilot attempted to extend the landing gear using the emergency manual extension hand pump. He reported the ". . .pump handle was locked solid and would not move. . ." He couldn't get the selector handle to recenter as it was supposed to and he didn't get a landing gear extended cockpit indication. The pilot elected to return to the departure airport. The pilot performed a flyby past the air traffic control tower and the controller radioed that all three gear appeared to be down; however, the pilot's wife, in the right seat, told him she couldn't see a wheel on that side of the airplane. During the ensuing landing, the right main landing gear collapsed, the right wing contacted the runway, and the airplane veered off the runway to the right. The aircraft was delivered for the annual inspection with a landing gear extension discrepancy. A misrigging problem on the left main landing gear seemed to explain all of the symptoms and was repaired. The gear was satisfactorily cycled 10 times using an external hydraulic pressure source (mule). Inspection subsequent to the accident revealed that, although functional, the output of the engine-driven hydraulic pump was deficient and insufficient to operate the gear. The emergency hand pump and emergency gear extension system operated normally. The maintenance facility manager speculated that the reason the pilot was not able to extend the landing gear with the emergency hand pump was because he didn't first fully extend the handle. If the telescoping handle shaft is not fully extended the handle cannot be moved and feels similar to a "hydraulic lock."

Factual narrative

The factual narrative618 words

On November 9, 2001, at 1849 Pacific standard time, a Cessna 210K, N8232M, veered off the runway when the right main landing gear collapsed during landing at North Las Vegas, Nevada. The private certificated pilot and one passenger were not injured. The airplane was substantially damaged. The personal flight was operated by the owner under 14 CFR Part 91. The flight originated from North Las Vegas and was destined for Lancaster, California; however, after takeoff the landing gear would neither fully retract nor fully extend and the pilot elected to return to North Las Vegas. Night, visual meteorological conditions prevailed and a visual flight rules flight plan was filed.

According to an inspector from the Federal Aviation Administration Las Vegas Flight Standards District Office, the accident flight was the first flight of the airplane following an annual inspection. The aircraft was delivered for the annual inspection with a landing gear extension discrepancy and the repair facility reported they re-rigged the landing gear and then placed the aircraft on jacks and successfully cycled the gear 10 times using a external hydraulic pressure source (mule). Inspection subsequent to the accident revealed the output of the engine-driven hydraulic pump was deficient.

The pilot reported that, the landing gear did not fully retract and subsequently would not extend and lock down either. The pilot attempted to extend the landing gear using the emergency manual extension hand pump. He reported the ". . .pump handle was locked solid and would not move. . ." He couldn't get the selector handle to recenter as it was supposed to and he didn't get a landing gear extended cockpit indication. He manually moved the selector to the center position. The pilot performed a flyby past the air traffic control tower and the controller radioed that all three gear appeared to be down; however, the pilot's wife, in the right seat, told him she couldn't see a wheel on that side of the airplane. During the ensuing landing the right main landing gear collapsed, the right wing contacted the runway, and the airplane veered off the runway to the right.

The manager of the maintenance facility that performed the annual inspection told the Safety Board investigator that, during the inspection, his mechanic had identified a serious misrigging problem on the left main landing gear that seemed to explain all of the symptoms the owner had told them about. The misrigging was repaired and the gear was satisfactorily cycled 10 times using a hydraulic mule. Following the inspection, the airplane was taken outdoors, the landing gear doors were manually opened, and the engine was started. The gear doors closed, indicating the engine driven hydraulic pump was operational.

Following the accident, the airplane was hoisted and the landing gear was extended and locked down using the emergency hand pump. Back at the hangar, the gear doors were manually opened and a pressure gauge was attached to the hydraulic pump output line. When the engine was started the doors closed but the pump output pressure on the gauge was low and the gear handle would not recenter. On a repetitive check the pressure was insufficient to even close the doors. Disassembly examination of the pump revealed a ruptured diaphragm, which was bypassing fluid and thereby reducing output flow and pressure. The facility manager speculated that the reason the pilot was not able to extend the landing gear with the emergency hand pump was because he didn't first fully extend the handle. If the telescoping handle shaft is not fully extended the handle cannot be moved and feels similar to a "hydraulic lock." When it was checked after the accident, the emergency hand pump and emergency gear extension system operated normally.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Airframe/component/system failure/malfunctionUnknown
Maintenance,inspection - inaccurateOther maintenance personnelCause
Hydraulic system,pump - output low
Main gear collapsedLanding
Emergency procedure - incorrectPilot in commandCause

Aircraft

Registration
N8232M
Reported as
Cessna 210K
Category
Airplane
Serial number
210-59232
Engine
Continental IO-520-L, 285 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Tom L. Cox, III
Airworthiness certificate
Standard, Normal
Last inspection
Annual · November 9, 2001 · 1 hours before
Departed
VGT · North Las Vegas, NV
Destination
WJF · Lancaster, CA
Flight plan
VFR
Airport
VGT · North Las Vegas, runway 30L, 5,000 × 75 ft, asphalt

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
56
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
2,308 total · 679 in this make and model · 2,186 as pilot in command · 30 in the last 90 days · 14 in the last 30 days

Weather

Conditions
Visual (VMC) · Night
Wind
280° at 5 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
64 °F, dew point 37 °F
Altimeter
30.12 inHg
Observed at
VGT

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.