LAX97FA069

NTSB accident investigation · de Havilland DHC-8 · Honolulu, HI · December 16, 1996

Accident · No injuriesField investigationFinal report
Date
December 15, 1996, 21:09 local (Dec 16, 1996, 07:09 UTC)
Place
Honolulu, HI
Injuries
13 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N801WPde Havilland DHC-8
Weather
Visual (VMC) · Night/bright
Status
Completed · report March 31, 1998
Report
Approved by Office Director
FAA report
19961215040629A
Case key
29598

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 failure of the normal landing gear extension system due to a hydraulic leak, and the failure of the airplane's emergency landing gear extension system due to inadequate servicing by company maintenance personnel. Factors were the emergency landing gear extension systems dirty and binding condition, a worn emergency landing gear extension cable, and the training simulator's lack of fidelity concerning the force required to operate the emergency gear extension T-handle.

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
Hydraulic system,fitting - leakCause
Fluid,hydraulic - low levelCause
Fluid,hydraulic - pressure too lowCause
Wheels up landingLanding - flare/touchdown
Landing gear,emergency extension assembly - binding(mechanical)Cause
Landing gear,emergency extension assembly - contaminationCause
Landing gear,emergency extension assembly - wornCause
Miscellaneous,airframe - exfoliation
Maintenance,service of aircraft/equipment - inadequateCompany maintenance personnelCause
Gear down and locked - not obtainedFlightcrew
Inadequate training(emergency procedure(s))Factor

Analysis

Hydraulic fluid was leaking from a deteriorated O-ring in the landing gear selector solenoid valve, rendering the normal landing gear extension system inoperative. The crew actuated the alternate gear extension system and was unable to extend the right main landing gear. The first officer pulled the main landing gear alternate extension cable until it stopped and the right main landing gear uplock actuator did not release. On advice from company maintenance, after completing the alternate gear extension procedure, the crew retracted the nose gear and the left main gear using the normal system and then attempted another normal extension. Only the left main landing gear extended. The airplane's number 2 hydraulic system was depleted with 1.5 quarts of fluid remaining. The crew attempted another retraction to raise the left main landing gear without success. The captain then landed the airplane with only the left main landing gear extended. Examination of the alternate gear system revealed the main gear extension cable would bind after the left main landing gear uplock actuator would release. Subsequent testing of the system while the airplane was on jack stands reduced the binding, but in all tests the left main landing gear uplock actuator would release before the right uplock actuator. Examination of the main landing gear alternate extension cable revealed the plastic coating was missing in two places adjacent to a pulley. The right main landing gear wheel well was excessively dirty with areas of exfoliated white paint, exposing the underlying primer.

Factual narrative

History of the Flight

On December 15,1996, at 2109 hours Hawaiian standard time, a DeHavilland DHC-8, N801WP, landed with the right main and nose landing gear retracted on runway 4L at the Honolulu International Airport, Honolulu, Hawaii. The airplane was operated by Aloha IslandAir, Inc., d.b.a. Island Air, as Princeville Flight 8633, a scheduled domestic passenger flight under 14 CFR Part 121. The airplane sustained substantial damage. The 3 flight crew members and 10 passengers were not injured. The flight originated in Lanai, Hawaii, about 2000. Night visual meteorological conditions prevailed at the time and an IFR flight plan was filed.

The cockpit crew attempted to extend the landing gear while approaching Honolulu airport and failed to get a safe landing gear indication. They cycled the landing gear switch two more times and continued to get the unsafe indication.

At 2024, the captain indicated to the Honolulu air traffic control tower (ATCT) local controller that they needed vectors from the final approach due to a landing gear problem. The local controller then instructed him to contact departure control.

After contacting departure control, the crew performed the emergency checklist alternate gear extension to manually extend the landing gear. The first officer opened the alternate release/extension door located on the floor of the cockpit and noted only two of the landing gear down lock verification lights were illuminated. The right main landing gear had not extended. The crew completed the alternate gear extension emergency checklist, resulting in two green indicator lights illuminated with associated amber gear door indicator lights for the left main and nose gears, and one red indicator light for the right main landing gear.

The captain then contacted Aloha IslandAir dispatch and requested assistance from company maintenance personnel. The captain informed maintenance personnel through the dispatcher that the right main landing gear would not extend after accomplishing the alternate landing gear extension procedure. Maintenance personnel suggested the captain attempt to shake the gear loose. The captain replied that they had already performed that operation. According to the captain, maintenance then suggested that the power transfer unit (PTU) be manually selected. The captain told maintenance personnel that the emergency checklist specifically prohibited the use of the PTU.

The captain then informed the company maintenance personnel that the airplane was losing hydraulic fluid in the number 2 system. The hydraulic quantity indicator was showing 1.5 quarts remaining, which was below minimum dispatch level of 3 quarts. Company maintenance personnel requested the crew to retract the landing gear and attempt a wheels up landing.

The captain reported in his written statement that the checklist did not prohibit raising the landing gear after a loss of hydraulic fluid; however, the checklist indicated it could not be physically done. The captain decided to attempt to raise the gear. The inhibit switch of the alternate gear extension system was returned to the normal position. The gear handle was placed in the up position and the left main landing gear and nose gear retracted. The landing gear handle was then placed in the down position and only the left main landing gear extended. The captain then attempted to retract the left main landing gear; however, it remained extended.

At 2053, the captain declared an emergency with departure control. Departure control vectored the airplane for a visual approach to runway 4L. At 2104, the captain was cleared for the visual approach and instructed to contact the Honolulu ATCT. After receiving landing clearance, the aircraft landed on runway 4L with only the left main landing gear extended. The airplane settled with a right wing low attitude. The airplane veered off the right side of the runway, dragging the right wing tip. The airplane came to rest in the sod area east of runway 4L between taxiway E and runway 8L.

Crew Information

Captain

The captain holds an airline transport pilot certificate, which was issued on July 23, 1987. He completed his type rating training in the Dehavilland DHC-8 on June 8, 1995, and received the rating on July 6, 1995.

The captain's total aeronautical experience consists of about 11,801.3 hours, of which 736.5 were accrued in the DHC-8. In the preceding 90 and 30 days before the accident, respectively, the captain flew a total of 128.2 and 60.9 hours. The captain had accrued about 26 hours of night flight experience in the DHC-8, of which 17.6 hours were in the past 90 days.

The most recent first class medical certificate was issued to the pilot on July 1, 1996, and contained no limitations.

First Officer

The first officer holds an airline transport pilot certificate, which was issued on November 12, 1992, with a Boeing 737 type rating and ratings for multiengine airplanes. The first officer also holds a commercial pilot rating for single engine airplanes.

The most recent first class medical certificate was issued to the second pilot on January 10, 1996, and contained no limitations.

The first officer's total aeronautical experience consists of about 4,517.4 hours, of which 262.4 were accrued in the DHC-8. In the preceding 90 and 30 days before the accident, the first officer flew a total of 150.4 and 46.5 hours respectively in the DHC-8.

The first officer reported during an interview that he attempted to accomplish the alternate gear extension procedure. He stated he had performed the procedure before in a DHC-8 simulator in Seattle, Washington. He also indicated that the effort required to unlock the main landing gear in the simulator required less force than the effort he made during the emergency in the accident airplane and during the subsequent postaccident testing.

Aircraft Information

The airplane was maintained under an equalized maintenance program (EMP). Review of maintenance records revealed the last scheduled check of the airplane's alternate landing gear extension system was on January 19, 1996.

An EMP maintenance procedure requiring overhaul of the left main and nose landing gear struts was accomplished on June 11, 1996, at a total airframe time of 21,728.8 flight hours. The operator removed the left main landing gear and replaced the strut with a spare. The old left main landing gear strut was sent to a repair station for overhaul, and then became the stock spare. At the completion of the maintenance, both the left-hand main landing gear and the nose gear were lubricated. The airplane's alternate gear extension system was also checked during this maintenance period.

On July 30, 1996, an EMP procedure requiring the overhaul of the right main landing gear was accomplished. The airplane had accumulated 21,990.1 flight hours. The right main landing strut was removed and replaced with a spare strut, which was formally the accident airplane's left strut. Upon completion of the maintenance, the airplane's alternate gear extension system was checked. The was no written record of the right main landing gear strut being lubricated at the completion of the maintenance.

Review of the airplane's maintenance records revealed the nose gear and both main landing gear were lubricated under the EMP in 1996 on August 3rd and 4th. According to the EMP, the lubrication of the main landing gear includes lubrication of the gear uplock actuators.

Wreckage and Impact Information

Structural damage was observed on the underside of the airplane's fuselage starting at the rear bulkhead of the nose gear wheel well. The damage progressed aft along the airplane's keel beam about 48 feet. The propeller ice shield and two windows were damaged on the right side of the airplane's fuselage.

The right propeller was found in the feathered position and all four bla

Aircraft

Registration
N801WP
Reported as
de Havilland DHC-8
Category
Airplane
Serial number
086
Engine
P&W PW 121, 1,950 horsepower, turbo prop
Damage
Substantial damage
Flight
Part 121
Operator
Aloha Islandair Inc., doing business as Island Air
Registered owner
Cbl Capital Corporation
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · December 8, 1996
Departed
LNY · Lanai, HI
Destination
HNL
Flight plan
IFR
Airport
HNL · Honolulu International, runway 4L, 9,000 × 150 ft, asphalt

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
44
Certificate
Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Toxicology
Performed
Flight hours
11,801 total · 737 in this make and model · 128 in the last 90 days · 61 in the last 30 days · 5 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night/bright
Wind
360° at 10 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
63 °F, dew point 55 °F
Altimeter
29.00 inHg
Observed at
HNL, 1 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.