MIA08LA079

NTSB accident investigation · Cessna 402B · Fort Lauderdale, FL · March 15, 2008

Accident · No injuriesLimited investigationFinal report
Date
March 15, 2008, 14:31 local (18:31 UTC)
Place
Fort Lauderdale, FL
Injuries
4 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N300SHCessna 402B
Defining event
Landing-landing roll: Sys/Comp malf/fail (non-power)
Weather
Visual (VMC) · Day
Status
Completed · report September 26, 2008
Report
Approved by Office Director
Parties
FAA/FSDO
FAA report
20080315836549A
Case key
67671

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 improper adjustment of the right main landing gear down lock by maintenance personnel resulting in the gear collapse during the landing roll..

Findings · 3

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Runway/land/takeoff/taxi surfaceEnvironmental issues › Physical environment · Not specifiedCessna 402B: 1 caseAll aircraft: 253 cases
MaintenancePersonnel issues › Task performance · Maintenance personnelCessna 402B: 1 caseAll aircraft: 143 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The pilot reported that during approach, he observed only two down and locked indications for the nose and left main landing gear. The pilot's attempts to get the right main landing gear down and locked indication were unsuccessful, and a visual inspection of the landing gear by an air traffic controller revealed that the landing gear appeared to be down and locked. During the landing, the right main landing gear collapsed. Examination of the airplane revealed that the right main landing gear down lock micro switch was loose and not fully closed. Review of the operator's records and interviews of the operator's maintenance personnel revealed that several days prior to the accident, they made an improper adjustment to the right "side brace lock link," which was beyond the manufacturer's specifications, and prevented the right main gear to lock in the down position. In addition, after the adjustment, the maintenance personnel did not perform functional checks as required by the manufacturer's instructions.

Factual narrative

On March 15, 2008, at 1431 eastern daylight time, a Cessna 402B, N300SH, experienced a landing gear collapse during landing roll at the Fort Lauderdale Executive Airport (KFXE), Fort Lauderdale, Florida. The commercial pilot and three passengers were not injured. The airplane was substantially damaged. Visual meteorological conditions prevailed and an instrument flight rules flight plan was filed for the business flight. The airplane was registered to SHO Enterprise Incorporated and operated by Bimini Island Air under the provisions of Title 14 Code of Federal Regulations Part 135. The non-scheduled passenger flight originated from Freeport, Grand Bahamas at 1400.

The pilot stated that upon arrival at FXE, he was cleared to land on runway 26. He said that after he put the landing gear handle in the down position, he observed only two down and locked indications for the nose and left main landing gear. He recycled the landing gear handle, but still got only observed a green light for the nose and left main landing gear. He then used the hand crank to extend the landing gear, but again observed only two down and locked green lights for the nose and left main landing gear. At that point, the pilot advised the air traffic controller that he had a "gear unsafe" warning light. Shortly thereafter, he conducted a fly-by, and the controller advised him that the landing gear looked down and locked. During the landing, the right main landing gear collapsed.

Examination of the airplane by a Federal Aviation Administration (FAA) inspector revealed that the right main landing gear down lock micro switch was loose and not fully closed. The FAA inspector also reviewed the operator's maintenance records and interviewed the operator's maintenance personnel. The review and interviews revealed that several days prior to the accident, an adjustment was made to the right "side brace lock link" by the operator's maintenance personnel. The adjustment was accomplished by lengthening the adjustment screw one-half turn. The adjustment that was made to the right side brace lock link was beyond the manufacturer's recommendations, which prevented the side brace lock link from moving to the over center down and lock position. Functional checks, as required by the manufacturer's maintenance instructions, were not accomplished after this adjustment.

Aircraft

Registration
N300SH
Reported as
Cessna 402B
Category
Airplane
Serial number
0858
Airframe hours
10,454.3
Engines
Continental TSIO-520-E08, 300 horsepower, reciprocatingContinental TSIO-520-E19, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Part 135
Operator
Bimini Island Air Inc
Registered owner
SHO Enterprises Incorporated
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · March 1, 2008 · 4.6 hours before
Departed
MYGF · Freeport
Destination
KFXE · Fort Lauderdale, FL
Flight plan
IFR
Airport
FXE · Fort Lauderdale Executive, runway 26, 6,001 × 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
44
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
December 1, 2007
Seat
Left
Flight hours
2,685 total · 803 in this make and model · 2,593 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
240° at 14 knots, gusting 18
Visibility
10 statute miles
Lowest ceiling
None
Temperature
90 °F, dew point 63 °F
Altimeter
29.90 inHg
Observed at
KFXE

Docket · 3

The files NTSB released with the investigation on September 3, 2008, on NTSB’s docket system: statements, records, photos and specialists’ reports. 6.9 MB in all.

FAA reports on this event · 1

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