LAX04LA230

NTSB accident investigation · Cessna T210M · Santa Rosa, CA · May 30, 2004

Accident · No injuriesLimited investigationFinal report
Date
May 30, 2004, 13:55 local (20:55 UTC)
Place
Santa Rosa, CA
Injuries
6 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N121JRCessna T210M
Weather
Visual (VMC) · Day
Status
Completed · report December 28, 2004
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20040530010479A
Case key
59344

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

Maintenance personnel's improper installation and servicing of a retaining ring, which resulted in the failure of the landing gear door actuator and failure of the landing gear extension system during landing.

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/malfunctionApproach
Landing gear,normal retraction/extension assembly - failure,totalCause
Miscellaneous,bolt/nut/fastener/clamp/spring - improperly servicedCause
Maintenance,installation - improperOther maintenance personnelCause
Wheels up landingLanding - flare/touchdown
Landing gear,normal retraction/extension assembly - inoperative
Loss of control - on ground/waterLanding - roll
Directional control - not possiblePilot in command
On ground/water collision with objectLanding - roll
Object - airport sign/marker

Analysis

The airplane landed with the main landing gear retracted after a main landing gear door actuator failure. The pilot attempted to extend the landing gear for landing, and stated that the main landing gear would not extend, and the landing gear down-and-locked light did not illuminate. The pilot noted that the hydraulic motor continued running and that there was plenty of hydraulic fluid in the reservoir. After performing all of the recommended emergency procedures for landing gear malfunctions to no avail, the pilot landed with the nose landing gear extended and the main landing gear only partially extended. Upon landing, the airplane tilted and drifted to the left of the runway, where it impacted a sign. Post-accident examination of the landing gear revealed the right main landing gear door actuator failed, and the retaining clip was installed improperly. The failed landing gear door actuator was worked on 10.7 hours prior to the accident.

Factual narrative

On May 30, 2004, at 1355 Pacific daylight time, a Cessna T210M single-engine airplane, N121JR, landed with the main landing gear retracted at the Charles M. Schulz - Sonoma County Airport (STS), Santa Rosa, California. The pilot owned and operated the airplane under the provisions of 14 CFR Part 91 as a personal flight. The private pilot and five passengers were not injured; the airplane sustained substantial damage. The flight departed Upper Lake, California, approximately 1300, and was terminating when the event occurred. Visual meteorological conditions prevailed, and a flight plan had not been filed.

During a telephone interview with the pilot, he stated that he landed at Upper Lake earlier in the day. Prior to takeoff, the pilot conducted a walk around inspection of the airplane and noted no anomalies. Upon arriving at STS, the pilot noticed that when he went to extend the landing gear, the hydraulic power pack motor kept running and the landing gear down-and-locked light did not illuminate. The pilot looked at the reservoir and noticed that there was plenty of hydraulic fluid in the tank. He attempted to retract and lower the landing gear again, to no avail. He then performed the Pilot Operating Handbook's recommended procedures for landing gear malfunctions, also to no avail.

The pilot contacted the STS control tower and notified them of the situation. Another aircraft flew by the accident airplane, and examined the landing gear. The pilot of the other aircraft notified the accident pilot that the nose landing gear was extended, but the main landing gear remained only partially extended. The pilot briefed his passengers of the ensuing landing scenario. He performed a soft-field landing on runway 19 with crash/fire rescue personnel standing by. Upon touchdown, the airplane tilted and veered to the left. The airplane continued to the left where it departed the runway and impacted a taxiway sign before coming to rest upright.

According to the pilot, the hydraulic power pack motor was replaced with a repaired motor 3 months prior to the accident. In addition, approximately 1.5 weeks prior to the accident, the right main landing gear door actuator was repaired due to a leaking o-ring.

According to a mechanic located at the STS airport, the left wing, horizontal stabilizer, and elevator sustained structural damage. The mechanic noted that the right main landing gear door actuator had come undone, and hydraulic fluid was along the right side of the airframe aft of the door. He also noticed that the retaining snap-ring that holds the actuator together had been installed improperly (the rounded, or pressed, side of the snap-ring was facing away from the actuator piston).

A work order, dated May 11, 2004, indicated that at an aircraft total time of 4,492.3 hours, the "starboard main gear door actuator" was leaking. The same work order indicated that mechanics "removed the right gear door actuator. Found o-rings worn. R&R [Removed and Replaced] with new o-rings. Reinstalled actuator with new locknuts. Ops check good, leak check good." The airplane accumulated 10.7 hours since the right main landing gear door actuator work.

Aircraft

Registration
N121JR
Reported as
Cessna T210M
Category
Airplane
Serial number
21061726
Airframe hours
4,503
Engine
Continental TSIO-520-R, 310 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Geoffrey B. Klotz
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 19, 2003 · 91 hours before
Departed
1Q5 · Upper Lake, CA
Destination
STS · Santa Rosa, CA
Airport
STS · Charles M. Shultz - Sonoma Co., runway 19, 5,001 × 100 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
41
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Last flight review
May 1, 2002
Seat
Left
Flight hours
1,365 total · 1,050 in this make and model · 1,302 as pilot in command · 19 in the last 90 days · 11 in the last 30 days · 4 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Variable at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
84 °F, dew point 48 °F
Altimeter
30.01 inHg
Observed at
STS

FAA reports on this event · 1

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