# NTSB LAX05FA202: Bombardier Aerospace CL-600-2B19, N960SW, Los Angeles, CA, June 13, 2005 - Type: NTSB accident investigation - Classification: Accident · No injuries · Field investigation · Final report - Date: June 12, 2005, 22:26 local (Jun 13, 2005, 05:26 UTC) - Place: Los Angeles, CA - Coordinates: 33.942501, -118.408058 - Nearby events: https://openairdocs.org/map.md?lat=33.9425&lon=-118.4081&mi=10 - Phase of flight: [Approach](https://openairdocs.org/ntsb-phases/500) (OpenAirDocs' grouping) - Highest injury: No injuries - Injuries: 17 uninjured - Status: Completed, report November 29, 2006 - Report: Approved by Office Director - Parties: Skywest Airlines, Messier-Dowty, Inc, Bombardier Aerospace, Federal Aviation Administration - NTSB case key (mKey): 61718 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=LAX05FA202 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/61718/pdf - Page: https://openairdocs.org/ntsb/LAX05FA202 ## Probable cause failure of the nose landing gear to extend to the down and locked position for undetermined reasons. ## Sequence of events In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf). - Airframe/component/system failure/malfunction, approach - landing gear,normal retraction/extension assembly - malfunction (cause) - reason for occurrence undetermined (cause) - landing gear,emergency extension assembly - malfunction (cause) - Wheels up landing, landing - flare/touchdown ## Analysis The airplane was damaged during a landing with the nose landing gear partially extended. As the airplane descended toward the destination airport, the crew moved the landing gear handle to the extend position. The pilots noted a "gear disagree" warning message displayed on the Engine Indicating and Crew Alerting System (EICAS) that showed the main landing gear were down and locked, and the nose gear was not fully extended. The pilots opted to land at an alternate airport and began to troubleshoot the gear indication with use of the airplane's Quick Reference Handbook (QRH). Despite their efforts, which included using the manual release handle, the nose gear failed to extend. The airplane touched down on the main landing gear and the nose lowered to the ground as the speed dissipated. Review of the CVR found that the flight crew followed each step of the Quick Reference Handbook checklist. The flight crew did not cycle the landing gear lever, nor was that action part of the QRH procedure at the time. The digital flight data recorder (DFDR) revealed that the main landing gear transitioned into the down and locked position but the nose gear remained partially extended between the uplocked and downlocked positions. A further review of the data disclosed the hydraulic pressure remained constant throughout the extension and did not show the pressure changes that should have occurred with normal system operation. The only pressure changes noted in the duration of the flight were consistent with the manual release system being activated. No increase of brake pressure was recorded during the gear extension attempt, indicating that there was no hydraulic backpressure on the retract side of the NLG actuator. The components of the nose landing gear (NLG) system were tested, revealing no anomalies or malfunctions that could have precluded normal operation. Several simulations were conducted exploring various potential problem scenarios; however, none of the simulations produced the hydraulic system and brake pressure readings on the accident flight's DFDR data. A review of several maintenance discrepancy databases for events where the NLG failed to extend into the downlock position found that the operator did not have a higher event rate of gear disagree messages than the rest of the worldwide fleet. Simulations and static analysis on the friction force of the uplock was performed, specifically detailing the interaction between the pin and the latch. As a result of the testing, areas of potential problems with the NLG extension systems (both normal and manual) under adverse conditions were found to include: friction within the system and the sequencing of the hydraulic pressure application. Bombardier subsequently modified the QRH procedure, adding another step to specifically recycle the gear selector handle. ## Factual narrative 1.1 HISTORY OF FLIGHT On June 12, 2005, about 2226 Pacific daylight time, a Bombardier CL-600-2B19, N960SW, operated by SkyWest Airlines, Inc., as United Express flight 6543, contacted the runway with the nose landing gear partially extended at the Los Angeles International Airport (LAX), Los Angeles, California. The airline transport pilot and first officer, 1 flight attendant, and 14 passengers were not injured; the airplane sustained substantial damage. Instrument meteorological conditions prevailed for the 14 CFR Part 121 scheduled domestic passenger flight that was operating on an instrument flight rules (IFR) flight plan. The flight originated from LAX at 2127, with a planned destination of Santa Barbara Municipal Airport (SBA), Santa Barbara, California. A review of the SkyWest Airlines Aircraft Flight Log disclosed that the accident flight was scheduled to be the flight crew's fourth trip of the day, corresponding to the airplane's eighth flight. The 31-minute accident flight was scheduled to depart from LAX at 2125, and terminate in SBA at 2156. The accident flight crew indicated that the preflight inspection was normal and that no maintenance discrepancies were noted. During post accident interviews, the flight crew stated to a National Transportation Safety Board investigator that the takeoff and en route portions of the flight to SBA were normal and uneventful. The captain stated that as the airplane entered the vicinity of the airport, he began the landing checklist and called for the first officer to extend the landing gear to the down and locked position. Upon manipulating the landing gear lever into the down position, both pilots heard the nose landing gear (NLG) doors open almost immediately. Several seconds after the landing gear lever was selected to the down position, the pilots noted a "gear disagree" warning message displayed on the Engine Indicating and Crew Alerting System (EICAS), accompanied by a simultaneous warning chime. The primary page on the EICAS system displayed that the main landing gear (MLG) were down and locked with green box indications, and the nose gear was showing a red box, indicating that the nose landing gear was not fully extended. The captain opted to divert back to LAX in consideration that SBA was closing shortly and that LAX has longer runways and more emergency facilities. After receiving a clearance and maneuvering the airplane back toward Los Angeles, the pilots began to troubleshoot the gear indication with use of the airplane's Quick Reference Handbook (QRH). Following the checklist, the first officer pulled the manual release handle located between the pilot's seats, during which time the gear indication remained unchanged. With the EICAS continuing to display the unsafe gear indication, and the airplane approaching LAX, the captain declared an emergency. The airplane touched down on runway 25L, making initial contact with the MLG. The airplane continued to roll on the MLG, and as the ground speed dissipated the nose lowered. The nose contacted the runway surface and the airplane slid to a stop. All the crew and passengers egressed the airplane through the main cabin door without further incident. According to a SkyWest Airlines maintenance manager who responded to the accident, the airplane came to rest on the nose landing gear doors; the NLG uplock pin was released from the uplock assembly. The nose of the aircraft was lifted from the runway surface with air bags. As the nose was raised from the runway, the NLG extended freely from the wheel well, and continued to the down and locked position without any outside force (hydraulic or manual). The nose tires continually remained in contact with the runway surface while being recovered. The aircraft was then towed to the United Airlines ramp area. 1.2 PERSONNEL INFORMATION 1.2.1 Captain The captain was hired by SkyWest Airlines on March 23, 1996. A review of information on file with the Federal Aviation Administration (FAA) Airman's Certification Division, Oklahoma City, Oklahoma, revealed that the captain was issued an airline transport pilot certificate on December 22, 1996, with ratings for airplane single engine land, multiengine land and instrument airplane. The captain additionally held an airplane and powerplant mechanic certificate. He was last issued a first-class medical certificate on January 17, 2005, with the limitation that he must wear corrective lenses while exercising the privileges of his airman certificate. The captain received a type rating for the CL-65 on August 4, 2001. SkyWest Airlines records indicated that the captain had accumulated 11,728 hours total flight experience. He had amassed 4,636 hours in the CL-65 series airplane, of which 3,229 hours he was pilot-in-command (PIC). He had flown about 189, 55, and 5 hours in the 90 days, 30 days, and 24 hours, respectively, before the accident. The captain's last CL-65 proficiency check was marked as completed on March 12, 2005; his last competency check and route check marked as completed on September 06, 2004; and his last simulator check marked as completed on September 15, 2004. 1.2.2 First Officer The first officer was hired by SkyWest Airlines on December 2, 2002. According to the FAA, he held a commercial pilot certificate with ratings for airplane single engine land, multiengine land and instrument airplane. He held a first-class medical certificate that was issued on October 14, 2004, without limitation. SkyWest Airlines records indicated that the first officer had accumulated 3,145 hours total flight experience. He had amassed 1,768 hours in the CL-65 series airplane and had flown about 245, 72, and 5 hours in the 90 days, 30 days, and 24 hours, respectively. The first officer's last CL-65 proficiency check was marked as completed on May 20, 2004; his last competency and simulator check was marked as completed on May 13, 2005; and his last route check was marked as completed May 20, 2005. 1.3 AIRCRAFT INFORMATION 1.3.1 Airplane, General The Bombardier Canadair Regional Jet (CRJ) CL-600-2B19 is a twin-engine turbo fanjet. It is certified under the bilateral certification treaty with Canada in effect since 1971. The CRJ-100 (also known as the CRJ-200 and CL-600-2B19) is included in FAA Type Certification A21AE; it was certified January 21, 1993. The accident transport-category airplane, serial number 7853, was manufactured in 2003. Skywest Airlines was the sole operator of N960SW since its delivery from Bombardier in October 2003. The airplane was configured with 53 seats; 50 of which were passenger seats located in the main cabin. At the time of this writing there are approximately 740 CL-600-2B19 series airplanes operated in the United States. SkyWest Airlines has the third largest fleet consisting of about 125 airplanes. 1.3.2 Maintenance, General At the time of the accident N960SW had accrued about 4,126 hours of flight time. SkyWest Airlines maintained the airplane on a continuous airworthiness basis following the Bombardier maintenance inspection program. The engines' total time were also about 4,126 hours, as they were the original engines equipped on the airplane at manufacture. The most recent continuous airworthiness check was conducted on April 26, 2005, which consisted of an A-2 inspection. 1.3.3 Nose Landing Gear System Components 1.3.3.1 System The nose landing gear (NLG) system is electrically activated and hydraulically operated by hydraulic system number 3. It is comprised of double-wheel and aft-extending (forward retracting) landing gear body. The NLG system encompasses a landing gear lever, proximity sensor system, extension/retraction actuators, uplock assembly, selector valves, priority valve, bypass valves, restrictors, downlock, and check valves. 1.3.3.2 Landing Gear Lever The airplane cockpit is equipp ## Aircraft - Registration: [N960SW](https://openairdocs.org/aircraft/N960SW), registered now, S/N 7853, built 2003 (OpenAirDocs) - Reported make and model: Bombardier Aerospace, Inc. CL-600-2B19 - Registry model: [Bombardier CL-600-2B19](https://openairdocs.org/model/bombardier-cl-600-2b19) (registry code 1390008) (OpenAirDocs) - Registry engine: [GE CF34 series](https://openairdocs.org/engine/ge-cf34-series) (registry code 30015, turbo-fan) (OpenAirDocs) - Category: Airplane - Serial number: 7845 - Airframe hours: 4126.6 - Engines: General Electric CF-34-3B1 9181 lbs thrust turbo fan; General Electric CF-34-3B1 9181 lbs thrust turbo fan - Damage: Substantial damage - Flight: Part 121 - Registered owner: Skywest Airlines Inc - Airworthiness certificate: Standard, Transport - Last inspection: Continuous airworthiness, April 1, 2005, 342.5 hours before - Departed: LAX, Los Angeles, CA - Destination: SBA, Santa Barbara, CA - Flight plan: IFR - Airport: LAX, Los Angeles International Airp, runway 25L, 11,096 × 200 ft, concrete ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 42; injuries: none; commercial, airline transport; airplane ratings: single-engine land, multi-engine land; instrument ratings: airplane; medical: class 1; last flight review March 1, 2005; seat: left; flight hours: 11,728 total, 4,636 in this make and model, 9,518 as pilot in command - Co-pilot; age 32; injuries: none; commercial; airplane ratings: single-engine land, multi-engine land; instrument ratings: airplane; medical: class 1; seat: right; flight hours: 3,168 total, 1,013 in this make and model, 245 in the last 90 days, 72 in the last 30 days, 5 in the last 24 hours ## Weather - Conditions: Visual (VMC), Night - Wind: 260° at 8 knots - Visibility: 6 statute miles - Lowest ceiling: 900 ft overcast - Temperature: 63 °F, dew point 57 °F - Altimeter: 29.92 inHg - Observed at: LAX ## FAA reports on this event (1) The FAA's own accident and incident reports, matched to the aircraft by N-number and date (OpenAirDocs). - [Accident 20050612013649A](https://openairdocs.org/incident/20050612013649A), Jun 12, 2005: Cndair CL6002B19, Los Angeles, CA, Substantial damage. (-23) Flight 6543, CL-600-2B19, serial number 7853, N960SW, was dispatched in scheduled revenue service from Los Angeles, CA (lax) bound for santa barbar, CA… From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.