SEA95LA087

NTSB accident investigation · Cessna 172 · Twisp, WA · May 1, 1995

Accident · Minor injuriesLimited investigationFinal report
Date
May 1, 1995, 10:30 local (17:30 UTC)
Place
Twisp, WA
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N2548YCessna 172
Weather
Visual (VMC) · Day
Status
Completed · report December 19, 1995
Report
Approved by Office Director
FAA report
19950501044109A
Case key
42141

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 installation of a nose landing gear assembly bolt (no cotter key installed) by unknown maintenance personnel. This led to a failure of the nose landing gear steering and subsequent noseover during landing rollout.

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
Landing gear,nose gear assembly - loose part/bolt/nut/clamp/etcCause
Landing gear,nose gear assembly - disabled
Maintenance,installation - improperUnknownCause
Loss of control - on ground/waterLanding - roll
Directional control - not possiblePilot in command
Nose overLanding - roll

Analysis

After several touch-and-go landings, the private pilot made a full stop landing, taxied back, and took off again. No problems were reported during the takeoff. The pilot entered the traffic pattern and attempted another landing. The pilot stated that she immediately lost directional control of the airplane after the nose landing gear settled onto the runway. The airplane veered off the left side of the runway, skidded into the dirt, nosed over, and was substantially damaged. Examination of the nose landing gear assembly revealed that the center scissor bolt was missing and the nose gear was cocked to one side. The bolt was found on the runway about 800 feet from the wreckage. Examination of the bolt revealed that no cotter key had been installed to secure the nut.

Factual narrative

On May 1, 1995, about 1035 hours Pacific daylight time, N2548Y, a Cessna 172, registered to Methow Valley Flyers, Inc., Twisp, Washington, nosed over during landing at the Twisp Airport and was substantially damaged. The private pilot, the sole occupant, received minor injuries. Visual meteorological conditions prevailed and no flight plan had been filed. The personal flight was conducted under 14 CFR 91.

The pilot stated that she performed several touch-and-go landings at another airport without any reported problems. She then flew to Twisp Municipal Airport to practice more landings. She entered the traffic pattern and landed uneventfully on runway 28. She then back taxied the airplane for another takeoff.

According to the pilot:

The takeoff roll seemed normal. I flew the pattern, touched down just beyond the displaced threshold as I'd planned, lowered the nose gear, and couldn't control the direction of the plane.... It veered onto the left and skidded into the dirt. The nose wheel stopped. The rest of the plane kept going and flipped over.

According to an FAA certified airframe and powerplant mechanic who was visiting the area at the time of the accident, the nose gear was cocked 90 degrees to one side. Further examination revealed that the nose landing gear assembly center scissor bolt was missing. The bolt secures the connection of the two scissor castings of the nose gear assembly.

The bolt was later found about 1,000 feet from the threshold of the departure end of the runway, and 800 feet prior to the final resting site of the wreckage. According to the mechanic, the bolt did not exhibit any mechanical abnormalities. Closer inspection of the bolt revealed that the cotter key was missing, and the cotter key hole was filled with grease, oil residue, and dirt. The mechanic further stated that no cotter key appeared to have been installed on the bolt.

Aircraft

Registration
N2548Y
Reported as
Cessna 172
Category
Airplane
Serial number
17249848
Airframe hours
3,234
Engine
Continental O-300, 145 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Methow Valley Flyers, Inc.
Airworthiness certificate
Standard, Utility; Standard, Normal
Last inspection
Annual · September 18, 1994 · 54 hours before
Airport
2S0 · Twisp Municipal, runway 28, 2,700 × 40 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
62
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
133 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
310° at 5 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
52 °F, dew point 36 °F
Altimeter
29.00 inHg
Observed at
EAT, 37 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.