LAX97LA277

NTSB accident investigation · Cessna 310 · Mesa, AZ · August 9, 1997

Accident · No injuriesLimited investigationFinal report
Date
August 9, 1997, 12:30 local (19:30 UTC)
Place
Mesa, AZ
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N8139MCessna 310
Weather
Visual (VMC) · Day
Status
Completed · report July 31, 1998
Report
Approved by Office Director
FAA report
19970809025869A
Case key
29865

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

inadequate maintenance inspection of the landing gear system, following a prior incident, due to the mechanic's failure to follow the service manual instructions.

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.

Gear collapsedLanding - flare/touchdown
Landing gear,normal retraction/extension assembly - overloadCause
Maintenance,inspection - inadequateOther maintenance personnelCause
Instructions,written/verbal - not followedOther maintenance personnelCause

Analysis

After a 3 hr training flight, the pilot put the gear selector down & obtained a green light indication. During main gear touchdown, the gear warning horn sounded, & the pilot performed a successful go-around. Subsequent attempts (using both the normal & emergency procedures to obtain a green down light for the landing gear) were unsuccessful. The right main landing gear collapsed during the final landing. Postaccident exam of the aircraft revealed that the right main gear upper side link had fractured, separating it from the lower side link. The associated push-pull tube for the upper side link was bent, and the attaching bolt was sheared. Metallurgical exam of the parts disclosed that all fractures & bends were the result of overload. This aircraft had sustained damage, while parked at another airport ramp. This occurred as a Boeing 727 was departing the ramp. Its jet blast lifted the Cessna off the ground, then it was abruptly deposited back on the ramp. Following the incident, the aircraft was ferried to a repair facility. Records of the repair showed that the gear work was limited to jacking the aircraft & inspecting the nose gear assembly, actuator and bellcrank, and nose structure. A gear retraction and extension check was also performed. The manufacturer stated that following the jet blast incident, the airplane should have undergone an extensive re-rigging of the gear to thoroughly inspect the system.

Factual narrative

On August 9, 1997, at 1230 hours mountain standard time, a Cessna 310, N8139M, sustained a right main landing gear collapse during the landing touchdown on runway 22 at the Mesa, Arizona, airport. The aircraft sustained substantial damage. The airline transport rated pilot and the commercial pilot were not injured. The aircraft was being operated as a training flight under 14 CFR Part 91 by Aex Air Inc., of Tempe, Arizona, when the accident occurred. The flight originated at Phoenix Sky Harbor Airport at 0835. Visual meteorological conditions prevailed.

According to written statements from both pilots, the training flight lasted about 3 hours, included several landings, and was returning to Phoenix. On the final approach to land at Phoenix, the pilot put the gear selector down and obtained a green light indication. During main gear touchdown the gear warning horn sounded and the pilot performed a successful go-around. The pilots elected to leave the landing gear down during the climb out and then proceeded to a safe location to assess the problem. During this portion of the flight, the green down light went out. Subsequent attempts, to include both the normal and emergency procedures in the POH, to obtain a green down light on the landing gear were unsuccessful. The pilots landed at Mesa and the right main landing gear collapsed.

Postaccident examination of the aircraft revealed that the right main gear upper side link had fractured, separating it from the lower side link. The associated push-pull tube for the upper side link was bent and the attaching bolt sheared. The upper and lower side links form the down lock for the main landing gear.

The right main landing gear components were sent to the Federal Aviation Administration (FAA) Wichita Aircraft Certification Office. A certification engineer from that office then took the components to Cessna Aircraft metallurgical laboratories for examination under supervision. According to a report of the examination, the components met the chemical, hardness, and process specifications listed in the production drawings. The report noted that all fractures and bends were the result of overloads. A complete report of the findings is appended to this report.

On May 28, 1997, this aircraft sustained damage while it was parked on the ramp at the Burbank, California, airport. The event occurred while a Boeing 727 was departing the ramp. According to witnesses, as the 727 turned, it's jet blast lifted the Cessna off the ground and actually pulled one lineman into the air before the aircraft was abruptly deposited back on the ramp. Damage was noted to the rudder and one flap. Following the incident, the aircraft was ferried to Chino, California, for repair. The Safety Board obtained a copy of the invoice and estimate for repairs to the damaged aircraft. In a letter to the operator dated June 1, 1997, Aircraftsman submitted an estimate which included as item 10, "jack aircraft and inspect nose gear assembly, actuator and bellcrank and nose structure," and item 11, "perform gear retraction and extension check." Despite numerous attempts by the operator, the FAA, and the Safety Board, no work orders or job cards were located at the maintenance facility to document the maintenance items that were performed during the June 1-2 shop visit.

The Safety Board discussed this accident with the Cessna Aircraft Company Product Safety Department. According to the manufacturer, it is possible to perform a gear retraction and extension check, which operates normally, without discovering any damage to the gear. Furthermore, the gear can operate normally for an unknown period of time, then at a later date, fail to operate properly. The manufacturer also stated that following the incident at Burbank the airplane should have undergone an extensive re-rigging of the gear, which would have also included tension check on the down lock of between 40 and 60 pounds. If the tension was not somewhere in this range, the 310 Service Manual calls for re-rigging as necessary to prevent collapse of the gear.

The aircraft parts which had been retained for laboratory testing were returned to the operator of the aircraft on January 28, 1998.

Aircraft

Registration
N8139M
Reported as
Cessna 310
Category
Airplane
Serial number
0139
Airframe hours
7,924
Engine
Continental IO-470-U, 260 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Registered owner
Aex Air Incorporated
Airworthiness certificate
Standard, Normal
Last inspection
Annual · December 1, 1996 · 381 hours before
Departed
PHX · Phoenix, AZ
Destination
FFZ
Flight plan
Company VFR
Airport
FFZ · Falcon Field, runway 22L, 5,100 × 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
46
Certificates
Commercial, Flight engineer, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Helicopter, Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Right
Flight hours
6,323 total · 300 in this make and model · 4,836 as pilot in command · 99 in the last 90 days · 99 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
190° at 9 knots
Visibility
50 statute miles
Lowest ceiling
None
Altimeter
29.00 inHg
Observed at
FFZ

FAA reports on this event · 1

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