SEA00LA120

NTSB accident investigation · Cessna U206B · Yellow Pine, ID · July 2, 2000

Accident · No injuriesLimited investigationFinal report
Date
July 2, 2000, 12:00 local (18:00 UTC)
Place
Yellow Pine, ID
Injuries
4 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N3488LCessna U206B
Weather
Visual (VMC) · Day
Status
Completed · report June 14, 2001
Report
Approved by Office Director
FAA report
20000702007809A
Case key
49587

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 locknut was not secured and backed off the bolt. An improper maintenance installation was a factor.

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/malfunctionLanding - roll
Maintenance,installation - improperOther maintenance personnelFactor
Miscellaneous,bolt/nut/fastener/clamp/spring - not securedCause
Nose overLanding - roll

Analysis

The pilot reported that he set-up for a soft field landing on a grass airstrip. The airplane touched down on the main landing gear, and immediately after the nose wheel touched down, grass and dirt started to come over the windshield and the airplane rapidly decelerated, subsequently nosing over. After the accident, it was noted that the nose wheel had separated from the nose wheel fork. The axle bolt, both buckets, and a locknut were found on the grass airstrip along the aircraft's ground track. Inspection of the parts and a review of the maintenance records disclosed evidence that the nose gear and tire installation were for a Piper PA32. The accident aircraft was a Cessna U206B. Although the two installations are similar, the Piper installation used an axle bolt that is secured with a lock nut (on the aircraft at the time of the accident). The Cessna installation used an axle bolt that is drilled for a castle nut and cotter key installation. An inspection of the nut and bolt threads was conducted at the NTSB Materials Lab. The specialist reported that the threads on both the bolt and nut showed no evidence of excessive loading or stripping damage. Due to the lack of damage to the axle bolt and nut, it appeared that the bolt was not locked down at the last maintenance inspection and backed off.

Factual narrative

On July 2, 2000, about 1200 mountain daylight time, a Cessna U206B, N3488L, registered to and operated by the pilot as a 14 CFR Part 91 personal flight, nosed over during the landing roll at Johnson Creek, Yellow Pine, Idaho. Visual meteorological conditions prevailed at the time and no flight plan was filed. The airplane was substantially damaged and the commercial pilot and his three passengers were not injured. The flight had departed from McCall, Idaho, about 20 minutes prior to the accident.

During a telephone interview and subsequent written statement, the pilot reported that he flew the normal traffic pattern for the soft field landing technique on runway 17. The airplane touched down on the main landing gear, and immediately after the nose wheel touched down, grass and dirt started to come over the windshield and the airplane rapidly decelerated, subsequently nosing over.

A deputy from the Valley County Sheriff's Department responded to the accident site and diagramed the location of where parts were found on the airstrip that separated from the aircraft. The deputy also noted ground disturbances leading up to the inverted aircraft. (see attached Sheriff's report)

The deputy noted finding a 3/8-inch nylon nut, an axle bolt with end cups, and the nose wheel fork on the airstrip north of the main wreckage. The nose wheel also separated from the nose wheel yoke, however, the deputy did not make note of its location.

Maintenance records indicate that on February 27, 1991, a PA32 nose fork, s/n 594, was installed in accordance with Cessna Service and Parts Manual. A receipt indicated that the "PA32-206L Nose Fork, serial number 594" was purchased from Airglas Engineering Company, Anchorage, AK, by AeroWest Inc., of Troutdale, Oregon, on September 18, 1990. This installation was accomplished prior to the current owner's purchase of the aircraft. The most recent annual inspection accomplished under the current pilot's ownership was completed on July 8, 1999. On September 15, 1999, a logbook entry indicated that a new nose wheel tire and tube were installed approximately 98 hours prior to the accident by the same mechanic who signed off the July 1999, annual inspection. (see Maintenance Information attachment)

The Cessna Accessory Kit nose wheel and main wheel conversion applicable to this aircraft, (see Cessna Gear and Tire Installation attachment) indicated that an AN5-55 axel bolt (5 5/8 inches long, and 5/16 inch in diameter) be used with an AN310-5 castle nut and cotter pin. The parts that were recovered at the accident site indicate that the aircraft was equipped with an axel bolt that was not drilled for a castle nut and cotter key configuration. A representative for the Cessna Aircraft Company reported that there is no Cessna approved axle bolt installation without the cotter key configuration.

The NTSB Investigator-in-charge contacted a representative from Piper Aircraft to request parts information for the applicable nose gear strut assembly on a Piper PA-32. The parts catalog (see Piper Nose Gear Strut Assembly attachment) indicated use of an AN6-76A axle bolt and secured with an MS20365-624C Nut.

Measurements taken of the axle bolt recovered at the accident site indicated that the bolt was 7 3/4 inches long, and 3/8 inch in diameter. These dimensions match the specifications for an AN6-76A bolt.

The bolt and nut were sent to the National Transportation Safety Board Materials Laboratory in Washington DC, for further inspection of the locking tightness of the nut. The specialist reported that, "The thread on both the bolt and nut showed no evidence of excessive loading or stripping. Detailed examination of the threads from the bolt revealed the presence of minor wear on the pressure flanks of all the threads, with the exception of one or two threads adjacent to the unthreaded bolt shank. Wear was also noted on the non-pressure flanks of about half of the threads (those closer to the end of the bolt.)" The specialist further stated that, "Detailed examination of the threads of the lock nut revealed the presence of minor wear on the pressure flanks along the entire length of the nut, indicating that the nut had been threaded completely onto a bolt at some time." "Wear was also noted on the non-pressure flanks in the deformed area associated with the locking cuts."

Aircraft

Registration
N3488L
Reported as
Cessna U206B
Category
Airplane
Serial number
U206-0788
Airframe hours
4,878
Engine
Continental IO-520-F, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Neil M. Salmi
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 8, 1999 · 100 hours before
Departed
MYL · Mccall, ID
Airport
3U2 · Johnson Creek, runway 17, 3,400 × 150 ft, grass/turf

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
53
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
5,788 total · 500 in this make and model · 5,710 as pilot in command · 15 in the last 90 days · 15 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
290° at 7 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
64 °F, dew point 45 °F
Altimeter
29.00 inHg
Observed at
MYL, 26 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.

Other investigations on N3488L · 1

Matched to the same aircraft by N-number and date.