LAX94LA163

NTSB accident investigation · Rockwell 681 · Phoenix, AZ · March 13, 1994

Accident · No injuriesLimited investigationFinal report
Date
March 12, 1994, 23:20 local (Mar 13, 1994, 06:20 UTC)
Place
Phoenix, AZ
Injuries
5 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N78CHRockwell 681
Weather
Visual (VMC) · Night/dark
Status
Completed · report November 18, 1994
Report
Approved by Office Director
FAA report
19940312005079A
Case key
28697

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 failure of the hydraulic and nitrogen system pressure lines, due to an inadequate maintenance inspection program, which failed to detect the corrosion condition of the lines.

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 - vfr pattern - final approach
Hydraulic system,line - corrodedCause
Landing gear,emergency extension assembly - corrodedCause
Maintenance,inspection - inadequateCompany maintenance personnelCause
Hydraulic system - no pressureCause
Landing gear,emergency extension assembly - no pressureCause
Gear extension - not possiblePilot in command
Main gear collapsedLanding - flare/touchdown

Analysis

The pilot moved the landing gear selector switch to the down position; however, the landing gear did not extend. The pilot used the emergency gear down system; however, both main landing gear extended only partially and the main wheels failed to rotate to the streamlined position. The main gear collapsed on landing, resulting in damage to the lower fuselage bulkheads and gear attach structure. No hydraulic fluid was found in the system lines, and no leaks detected around the landing gear wells. The nitrogen system pressure was measured at 50 psi; the normal system pressure is 425 to 525 psi. Review of the hydraulic system lines revealed a metal line ruptured with hydraulic fluid saturating the immediate area. The maintenance records indicated the ruptured line was an original equipment item and at least 24 years old. A leak was found in the nitrogen system lines in the wing center section crossover line. Corrosion pitting was observed in several places on both of the lines.

Factual narrative

On March 12, 1994, at 2320 mountain standard time, a Rockwell 681, N78CH, sustained substantial structural damage during landing with the main gear partially extended at Phoenix, Arizona. The aircraft was operated by American Corporate Aviation, Inc., of Houston, Texas, and was engaged in air ambulance flight operations under the provisions of 14 CFR 135. The aircraft incurred substantial damage. The certificated airline transport pilot, the two flight nurses, and the two passengers were not injured. The flight originated at Show Low, Arizona, on the day of the mishap at 2230 hours as an aeromedical evacuation flight to Phoenix.

According to the pilot's statement, while inbound to Phoenix he moved the landing gear selector switch to the down position; however, the landing gear did not extend. The pilot used the emergency gear down system, which consists of using pressurized nitrogen to force the landing gear down. The pilot reported that the nose gear extended; however, both main landing gear extended only partially and the main wheels failed to rotate to the streamlined position. Subsequent attempts to fully extend the main gear were unsuccessful. The aircraft landed and the main gear collapsed, resulting in damage to the lower fuselage bulkheads and gear attach structure.

A Federal Aviation Administration (FAA) airworthiness inspector from the Scottsdale, Arizona, Flight Standards District Office examined the aircraft. He found no hydraulic fluid in the system lines, and no evidence of hydraulic fluid sprayed around the landing gear wells. The nitrogen system pressure was measured at 50 psi; according to the maintenance manual for the aircraft, the normal system charge pressure is 425 to 525 psi.

Detailed examination of the hydraulic system lines revealed a 1/4-inch metal line ruptured at a point under the rear bench cabin seat. Hydraulic fluid saturated the immediate area. Corrosion pits were observed on the line in many places. The inspector reported that the maintenance records indicated the ruptured line was an original equipment item installed at aircraft manufacture on or before January 26, 1970.

Examination of the nitrogen system lines revealed a leak in the wing center section crossover line. Corrosion pitting was observed in several places on the line.

Aircraft

Registration
N78CH
Reported as
Rockwell 681
Category
Airplane
Serial number
6038
Airframe hours
4,424
Engine
Garrett TPE 331-151K, 575 horsepower, turbo prop
Damage
Substantial damage
Flight
Part 135
Operator
American Corp Aviation
Registered owner
C&R Flying Service, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · October 26, 1993 · 96 hours before
Departed
SOW · Show Low, AZ
Flight plan
IFR
Airport
PHX · Phoenix Sky Harbor Int., runway 26R, 11,001 × 150 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
31
Certificates
Airline transport, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
5,800 total · 275 in this make and model · 5,200 as pilot in command · 60 in the last 90 days · 25 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night/dark
Visibility
70 statute miles
Lowest ceiling
None

FAA reports on this event · 1

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