LAX96IA300

NTSB incident investigation · Douglas DC-9-51 · Honolulu, HI · August 8, 1996

Incident · No injuriesIncident investigationFinal report
Date
August 8, 1996, 07:57 local (17:57 UTC)
Place
Honolulu, HI
Injuries
76 uninjured
Damage
Minor damage
Phase of flight
Landing
Aircraft
N420EADouglas DC-9-51
Weather
Visual (VMC) · Day
Status
Completed · report December 16, 1996
Report
Approved by Office Director
FAA report
19960808029579I
Case key
29300

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the incident.

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Probable cause

Improper installation of a flexible hydraulic hose by company maintenance personnel and inadequate inspection of the work by company inspectors which resulted in the loose hose becoming entangled in the nose gear linkage, preventing complete extension of the nose gear.

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.

Nose gear collapsedLanding - roll
Hydraulic system,line - not securedCause
Hydraulic system,line - entangled
Landing gear,nose gear - jammed
Maintenance,installation - improperCompany maintenance personnelCause
Maintenance,inspection - inadequateCompany maintenance personnelCause

Analysis

The nose landing gear did not fully extend as the flight approached its destination. After confirming the unsafe gear position through an inspection window, the crew completed emergency checklist procedures and readied the passenger cabin for an emergency landing while returning to the departure airport. In the ensuing emergency landing the nose gear collapsed and the aircraft came to a stop on the runway on its nose. A partial cabin evacuation was completed via the tailcone slide before it was determined safe to exit the remaining passengers and crew through the forward cabin doors. Inspection revealed that an improperly secured flexible hydraulic hose had engaged the nose wheel downlock mechanism preventing it from locking over center. The flexible hose was installed temporarily to replace a leaking rigid line.

Factual narrative

On August 8, 1996, at 0757 hours Hawaiian standard time, a Douglas DC-9-51, N420EA, was brought to a stop on runway 8R after the nose landing gear collapsed during landing at Honolulu International Airport, Honolulu, Hawaii. The aircraft, which received minor damage, was operated by Hawaiian Airlines, Inc., under 14 CFR Part 121, as flight 113. There were no injuries among the 71 passengers, 3 cabin crew, and 2 cockpit crew aboard. The flight was on an instrument flight plan and departed Honolulu in visual meteorological conditions about 0700 destined for Lihue, Hawaii. It returned to Honolulu without landing at Lihue when the unsafe nose gear indication was observed during the approach there.

Personnel from the FAA's Honolulu Flight Standards District Office reported that the flight crew observed alignment marks on the nose gear linkage through an inspection window in the cockpit which confirmed that the nose gear was not locked down. En route back to Honolulu, the captain declared an emergency, ordered emergency equipment, and instructed the cabin crew to prepare the cabin. The cabin crew reported that there was ample time to prepare the cabin and that the landing was uneventful until the aircraft was relatively slow and the nose gear gently collapsed. The aircraft came to a stop on the runway on its nose. There was some smoke and burning odor in the cabin and the cockpit crew ordered an evacuation of the cabin. About 25 passengers exited via the aft slide before crash and rescue personnel arrived and determined that it would be safe to deplane the remaining passengers through the forward doors using stepladders. Four people went to the hospital for observation; two were the front cabin flight attendants and two others were non-revenue flight attendants aboard the flight.

Investigation revealed that a flexible hydraulic hose was not secured in the nosewheel well. The flexible hose had been temporarily installed in the nosewheel steering system to replace a previously broken fixed line. The hose become trapped in the nose gear over center, down lock mechanism (Douglas part numbers 3913968-13 and 5920210-3) during the gear extension. The incident occurred on the first flight cycle following the maintenance alteration of the hose installation.

Aircraft

Registration
N420EA
Reported as
Douglas DC-9-51
Category
Airplane
Serial number
47689
Airframe hours
41,097
Engine
P&W JT8D-17, 16,000 lbs thrust, turbo fan
Damage
Minor damage
Flight
Part 121
Registered owner
Hawaiian Airlines, Inc.
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · August 8, 1996 · 1 hours before
Departed
HNL
Destination
LIH · Lihue, HI
Flight plan
IFR
Airport
HNL · Honolulu International, runway 8R, 12,000 × 200 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
38
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
11,000 total · 4,200 in this make and model · 205 in the last 90 days · 59 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
70° at 8 knots
Visibility
20 statute miles
Lowest ceiling
None
Temperature
81 °F, dew point 63 °F
Altimeter
30.00 inHg
Observed at
HNL

FAA reports on this event · 1

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