MIA00LA004

NTSB accident investigation · Fairchild SA227-AC · Opa Locka, FL · October 12, 1999

Accident · No injuriesLimited investigationFinal report
Date
October 11, 1999, 20:24 local (Oct 12, 1999, 00:24 UTC)
Place
Opa Locka, FL
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N438MAFairchild SA227-AC
Weather
Visual (VMC) · Night/dark
Status
Completed · report December 5, 2000
Report
Approved by Office Director
FAA report
19991011041949A
Case key
47565

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

On this page

Probable cause

The improper flare by the co-pilot, and the failure of the captain to take remedial action by applying power to arrest the observed high rate of descent resulting in a hard landing. A finding in the accident was the inadequate maintenance adjustment of the right engine controls which diminished directional control capability while on the runway following the hard landing.

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.

Hard landingLanding - flare/touchdown
Proper descent rate - not attainedCopilot/second pilot
Flare - improperCopilot/second pilotCause
Remedial action - not performedPilot in commandCause
Loss of control - on ground/waterLanding - roll
Maintenance,adjustment - improperCompany maintenance personnel
Directional control - diminished

Analysis

It was the first officer's leg and after bringing both power levers to flight idle while on final approach at 30-50 feet, the captain later reported hearing, 'both engines go into a ground idle.' She verified that both power levers were forward of the gate, then noted the sink rate increased. The airplane bounced then after touchdown, the captain brought both power levers to ground idle; the airplane veered to the right. She attempted to maintain runway centerline with asymmetric reverse but the airplane veered off the right side of the runway. The airplane touched down 484 feet from the approach end of the runway; distance between the first and second gouge in the runway from the right propeller indicates the ground speed was 92 knots. Examination of the airplane revealed compression wrinkles on the lower wing skin at the wing splice location. Rigging check of both engine controls revealed no evidence of improper rigging at the flight idle position; improper rigging was noted at the low and high reverse positions for the right engine. Previous discrepancies were written up pertaining to asymmetric reverse. No previous reports of high rates of descent when power levers brought to flight idle position.

Factual narrative

On October 11, 1999, about 2024 eastern daylight time, a Fairchild SA227-AC, N438MA, registered to Textron Financial Corporation, operated by Merlin Express, Inc., as Avalon flight 5001, landed hard at the Opa Locka Airport, Opa Locka, Florida. Visual meteorological conditions prevailed at the time and no flight plan was filed for the 14 CFR Part 91 positioning flight. The airplane was substantially damaged and the commercial-rated captain and airline transport-rated first officer were not injured. The flight originated about 4 minutes earlier from the Miami International Airport, Miami, Florida.

The captain reported that the first officer was flying the airplane and the airplane was on a normal approach to runway 30. She reported that the first officer pulled the power levers to flight idle to transition for landing and heard "...both engines go into a ground idle. I checked that the power levers were forward of the gate, and they were. The aircraft sink rate increased. We bounced on the first landing then landed a second time", at "that point Beverly told me to take the aircraft. I brought both power levers over the gate, and the aircraft immediately pulled hard to the right. I pulled the left power lever to full reverse & kept the right power lever in ground idle to try to keep the aircraft straight & get it slowed down." The airplane veered to the right off the right side of the runway collapsing the nose landing gear. Both occupants evacuated the airplane. There was no mention by the captain in her written statement that she observed any beta lights illuminated during the final approach. Also, there were no similar discrepancies reported by the flightcrew on any of the previous five flights that day.

The first officer stated that on several of the previous landings, the airplane had a tendency while on the ground to veer to the right. The accident flight departed with her flying the airplane and after takeoff, air traffic control communications were transferred to Opa Locka Air Traffic Control Tower. While in contact with the tower, the flight was cleared to land on runway 30. She asked for flaps 1/4, then 1/2, gear down, and "before landing check." When the flight was over the threshold, she, "pulled the power back to flt idle I was about either 30 ft or 50 ft an I remember the aircraft hit so hard on the mains the aircraft bounced up I screamed paula, paula, paula, I was scared I gave the control to paula and the aircraft veering to the right...."

According to a transcription of communications with the Opa Locka Air Traffic Control Tower (ATCT), at 2022:06, a flightcrew member contacted the ATCT. The flightcrew was advised to fly a straight-in approach to runway 30, and at 2022:32, the controller advised the flightcrew that the wind was from zero three zero degrees at 8 knots. The transmission was acknowledged by the flightcrew. The airplane was then cleared to land which was also acknowledged by the flightcrew.

Review of radar data from Miami Approach Control revealed that the last reported radar target of the accident flight was at 2024:47, when the airplane was at 100 feet and the ground speed was 118 knots.

Examination of the airplane following recovery revealed that the nose landing gear was displaced aft approximately 50 degrees, and the right main landing gear yoke assembly was rotated to the right approximately 85 degrees. The boss on the yoke which attaches the lower torque link assembly, was fractured. The right main landing gear yoke assembly was retained for further examination. Approximately 45 percent of the outer wheel assembly for the No. 3 main landing gear tire was missing; no tire was present. The No. 4 main landing gear tire was missing several sections of tread and the wheel assembly was missing several sections. Examination of the right propeller blades revealed all blade tips were curled aft with course chordwise gouges noted at the blade tips. The left propeller blade tips were also curled aft with no evidence of course chordwise gouges at the blade tips. The nose structure beginning at fuselage station 32 was displaced down approximately 9 inches. Compression wrinkles were noted on the lower wing skin adjacent to the wing extension splice location for both wings. The fuel control units from both engines were retained for further examination.

Examination of the runway revealed skid marks to the right of the runway centerline located 484 feet from the approach end of the runway. The skid marks measured 119 feet in length; associated with them were 13 gouges that were oriented perpendicular to the length of the runway. Also associated with the skid marks were deep gouges in line with the skid marks. A second skid mark which began 210 feet 6 inches from the end of the first skid mark, was noted to be 24 feet 5 inches in length and was also located to the right of the runway centerline. Skid marks from all landing gears were noted beginning approximately 131 feet from the end of the second skid mark location. The skid marks associated from the right main landing gear were continuous from that point to where the airplane departed the runway. Examination of the 13 gouges on the runway associated with the right propeller revealed the distance between the center of the first to the center of the second gouge was 17.5 inches.

According to an NTSB program which asks for the distance between propeller slashes in inches (17.5), the number of propeller blades (4), the engine to propeller gear ratio (26 to 1), the diameter of the propeller (8.83 feet), and the engine rpm (41,730), using this information, the ground speed was calculated to be 92 knots.

Following the accident, a check for rigging of the engine controls was accomplished by the NTSB and the FAA. The results of the rigging check at the flight idle position for both engines revealed no discrepancies. The rigging check indicated discrepancies when checking the right engine full reverse high and low at the propeller governor. Additionally, the FAA inspector noted in his statement, "there is a lot of play in the right engine throttle/propeller linkage. This play seems to be in the engine linkage between the fuel control and the power governor." A copy of the inspector statement is an attachment to this report.

Examination of the fuel control units from the left and right engine was accomplished at the manufacturers facility in the presence of an FAA inspector. The results of both indicate proper operation with field adjustments. A copy of the reports is an attachment to this report.

Metallurgical examination of the right main landing gear yoke assembly was performed by the NTSB Materials Laboratory, located in Washington, D.C. The results indicate that the fracture surfaces were typical of an overstress separation. A copy of the report is an attachment to this report.

Review of the Aircraft Flight Log sheets from September 27, 1999, to the accident flight date, revealed no discrepancies reported similar to the captains report of the accident flight. A discrepancy which was entered by the accident captain on September 27, 1999, indicates, "a/c pulls to right on touchdown-full reverse on left engine w/rt. Engine barely over the gate is needed to maintain centerline." The corrective action block indicates that the propeller blade angle was found to be out of rig; the blade angles were reset. The sheets indicate that 2 days later, a discrepancy listed by a different flightcrew indicates, "a/c pulls to the right w/no nws 80 % rpm needed on #2 engine to maintain straight." The corrective action block indicates that a flat left hand nose tire was found. A copy of the discrepancy sheets are an attachment to this report.

The airplane minus the retained left and right fuel control units was released to Mr. Carlos E. Martinez, base manager f

Aircraft

Registration
N438MA
Reported as
Fairchild SA227-AC
Category
Airplane
Serial number
AC-721B
Airframe hours
17,968
Engine
Garrett TPE-331, 1,000 horsepower, turbo prop
Damage
Substantial damage
Flight
Positioning · Part 91
Operator
Merlin Express, Inc.
Registered owner
Textron Financial Corp.
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · October 9, 1999 · 6 hours before
Departed
MIA · Miami, FL
Destination
OPF
Airport
OPF · Opa Locka, runway 30, 6,800 × 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
23
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
1,977 total · 1,720 in this make and model · 740 as pilot in command · 252 in the last 90 days · 107 in the last 30 days · 7 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night/dark
Wind
30° at 8 knots
Visibility
10 statute miles
Lowest ceiling
3,500 ft broken
Temperature
81 °F, dew point 73 °F
Altimeter
29.00 inHg
Observed at
OPF

Docket · 26

The files NTSB released with the investigation on June 28, 2000, on NTSB’s docket system: statements, records, photos and specialists’ reports. 8.0 MB in all.

Pilot/Operator Aircraft Accident Report, NTSB Form 6120.1Item 1 · .PDF · 890 KBSupplement EItem 2 · .PDF · 127 KBMaterials Laboratory 15 - Factual ReportItem 3 · .PDF · 79 KBTranscript of Radio CommunicationsItem 4 · .PDF · 166 KBReports from Federal AgenciesItem 5 · .PDF · 133 KBReports from Local AgenciesItem 6 · .PDF · 189 KBReports from Parties to the InvestigationItem 7 · .PDF · 440 KBOther Pertinent Forms and Reports - Controller StatementsItem 8 · .PDF · 138 KBOther Pertinent Forms and Reports-Flight Progress StripItem 9 · .PDF · 17 KBOther Pertinent Forms and Reports - KOPF Daily Record of Facility OperationItem 10 · .PDF · 46 KBOther Pertinent Forms and Reports-KOPF Incident/Accident Alert Checklist formItem 11 · .PDF · 95 KBOther Pertinent Forms and Reports-KMIA ATCT Chronological Summary of FlightItem 12 · .PDF · 62 KBOther Pertinent Forms and Reports-Radar DataItem 13 · .PDF · 1.5 MBOther Pertinent Forms and Reports - Aircraft Flight Log SheetsItem 14 · .PDF · 3.0 MBOther Pertinent Forms and Reports-Quick Rig Check ChartItem 15 · .PDF · 184 KBOther Pertinent Forms and Reports-Main Landing Gear Strut Assembly illustrationItem 16 · .PDF · 347 KBOther Pertinent Forms and Reports-NTSB programItem 17 · .PDF · 15 KBStatement of Party Representatives to NTSB InvestigationItem 18 · .PDF · 81 KBRelease of Aircraft Wreckage, NTSB Form 6120.15Item 19 · .PDF · 195 KBPhoto 1: View of the airplane following recovery. Digital photographItem 20 · .PDF · 30 KBPhoto 2: View of the right wing and right main landing gear following recovery of the airplane. Note the position of the right main landing gear tire. Digital photograph.Item 21 · .PDF · 36 KBPhoto 3: View of the airplane following recovery. Digital photographItem 22 · .PDF · 30 KBPhoto 4: View of the right main landing gear. Digital photographItem 23 · .PDF · 43 KBPhoto 5: View of the marks on the runway located to the right of the runway centerline. Digital photographItem 24 · .PDF · 37 KBPhoto 6: View of the marks on the runway showing propeller blade contact and rubber transfer. Digital photographItem 25 · .PDF · 62 KBPhoto 7: View of the rubber transfer on the runway before and onto the fixed distance marker. Digital photographItem 26 · .PDF · 34 KB

FAA reports on this event · 1

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