LAX05LA110

NTSB accident investigation · Cessna A185E · Tucson, AZ · March 9, 2005

Accident · No injuriesLimited investigationFinal report
Date
March 9, 2005, 12:30 local (19:30 UTC)
Place
Tucson, AZ
Injuries
5 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N4530FCessna A185E
Weather
Visual (VMC) · Day
Status
Completed · report February 28, 2006
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20050309005609A
Case key
61122

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

a loss of directional control due to the failure of unknown maintenance personnel to install the tailwheel-locking collar, and the inadequate maintenance inspection of the worn tailwheel steering arm.

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.

Loss of control - on ground/waterLanding - roll
Landing gear,tailwheel lock - not installedCause
Landing gear,steering system - wornCause
Maintenance - inadequateUnknownCause
Directional control - not possiblePilot in command
Ground loop/swerve - encounteredPilot in command
On ground/water encounter with terrain/waterLanding - roll
Terrain condition - ground

Analysis

The airplane ground looped during the landing roll. The pilot performed a wheel landing, and as the tailwheel touched down, the airplane began veering to the left. The pilot applied right rudder, followed by the application of the right brake, attempting to stop the leftward veer. The airplane continued to the left and ground looped. The right main landing gear sheared off, proceeded by ground impact of the right wing, right elevator, and right stabilizer. As the pilot exited the airplane, he noted that the winds were calm. Post accident examination of the tailwheel assembly revealed that the tailwheel-locking collar had not been installed on the tailwheel fork assembly. The purpose of the tailwheel-locking assembly is to prevent uncommanded swerve or aircraft direction change during takeoff and landing. It was not apparent that the tailwheel-locking collar had not been installed until the tailwheel was disassembled. The tailwheel locking bell crank was installed on the tailwheel bracket assembly, and is designed to engage with the tailwheel-locking collar to lock the tailwheel. In the cockpit, the tailwheel-locking control and the tailwheel-locking bell crank operated normally. However, the tailwheel could not be locked without the tailwheel-locking collar installed. The steering notch on the tailwheel steering arm assembly that enables the tailwheel to steer the airplane was worn out. The worn tailwheel steering arm assembly allowed the tailwheel to be turned about the steering axis with only light force applied by hand. The worn tailwheel steering arm assembly would allow the tailwheel to swivel without command during a swerve. Review of the airplane's logbooks did not reveal when the tailwheel assembly was last disassembled. The last check on the tail wheel was during the last annual inspection.

Factual narrative

On March 9, 2005, at 1230 mountain standard time, a Cessna A185E, N4530F, ground looped during the landing roll at Marana Regional Airport, Tucson, Arizona. The airline transport pilot and four passengers were not injured. The airplane sustained substantial damage. The pilot, who was also the registered owner of the airplane, was operating the flight under the provisions of 14 CFR Part 91. Visual meteorological conditions prevailed, and no flight plan had been filed. The pilot departed from Stellar Airpark, Chandler, Arizona, at 1200 for the personal flight, and was landing at his destination when the accident occurred.

According to the pilot, he called the Marana universal communications (UNICOM) frequency prior to landing and prepared to land on runway 12. He performed a wheel landing, and as the tailwheel touched down, the airplane began veering to the left. The pilot applied right rudder, followed by the application of the right brake, attempting to stop the leftward veer. The airplane continued to the left and ground looped. The right main landing gear sheared off, proceeded by ground impact of the right wing, right elevator, and right stabilizer. As the pilot exited the airplane, he noted that the winds were calm. The pilot reported about 2,800 hours in airplanes equipped with conventional landing gear, with about 200 hours in Cessna 180 and 185 airplanes. The pilot reported about 17,080 hours total flight time with 105 in the accident airplane make and model.

An aviation maintenance technician (AMT) examined the airplane following the accident. The initial examination revealed that the tailwheel would lock when positioned to the right; however, when positioned to the left, it would not lock. Instead, the tailwheel would free caster. The tail wheel assembly was removed for further examination of its internal components.

The Federal Aviation Administration coordinator participated in the disassembly and inspection of the tailwheel on March 15, 2005, and submitted a written statement. The inspection revealed that the tailwheel-locking collar had not been installed on the tailwheel fork assembly. The purpose of the tailwheel-locking collar is to prevent uncommanded swerve or aircraft direction change during takeoff and landing. It was not apparent that the tailwheel-locking collar had not been installed until the tailwheel was disassembled. The tailwheel-locking bellcrank was installed on the tailwheel bracket assembly and is designed to engage with the tailwheel-locking collar to lock the tailwheel. In the cockpit, the tailwheel-locking control and the tailwheel-locking bellcrank operated normally. However, the tailwheel could not be locked without the tailwheel-locking collar installed. The steering notch on the tailwheel steering arm assembly that enables the tailwheel to steer the airplane was worn out. The worn tailwheel steering arm assembly allowed the tailwheel to be turned about the steering axis with only light force applied by hand. The worn tailwheel steering arm assembly would allow the tailwheel to swivel without command during a swerve.

Review of the airplane's logbooks did not reveal when the tailwheel assembly was last disassembled. The last check on the tailwheel was during the annual inspection on December 15, 2004.

According to the approved airplane maintenance manual, the tailwheel steering is to be checked every 200 hours of operation or at the annual inspection.

Aircraft

Registration
N4530F
Reported as
Cessna A185E
Category
Airplane
Serial number
185-1015
Airframe hours
2,888.6
Engine
Continental IO-520-D, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
David Bean
Airworthiness certificate
Standard, Normal
Last inspection
Annual · December 1, 2004 · 8.6 hours before
Departed
P19 · Stellar Airpark, AZ
Destination
AVQ · Tucson, AZ
Airport
AVQ · Marana Regional, runway 12, 6,901 × 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
51
Injuries
None
Certificates
Airline transport, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
April 1, 2004
Seat
Left
Flight hours
17,080 total · 105 in this make and model · 14,080 as pilot in command · 200 in the last 90 days · 60 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
100° at 8 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
79 °F, dew point 28 °F
Altimeter
30.12 inHg
Observed at
KTUS, 23 nm away

FAA reports on this event · 1

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