WPR11LA092

NTSB accident investigation · Cessna 310C · Lancaster, CA · January 9, 2011

Accident · No injuriesLimited investigationFinal report
Date
January 9, 2011, 07:51 local (15:51 UTC)
Place
Lancaster, CA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N1755HCessna 310C
Defining event
Landing: Landing area undershoot
Weather
Visual (VMC) · Day
Status
Completed · report April 20, 2012
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
FAA Van Nuys FSDO
FAA report
20110109000289A
Case key
78134

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 pilot did not maintain an appropriate descent profile during the approach. Contributing to the accident was that the pilot did not follow checklist procedures.

Findings · 4

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.

Performance/control parameters: descent/approach/glide pathAircraft › Aircraft oper/perf/capability · Not attained/maintainedCessna 310C: 1 caseAll aircraft: 809 casesProbable cause
WindEnvironmental issues › Conditions/weather/phenomena · Effect on operationCessna 310C: 1 caseAll aircraft: 110 cases
Use of equip/info: use of checklistPersonnel issues › Task performance · PilotCessna 310C: 1 caseAll aircraft: 336 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 the nose landing gear failed to fully retract after a practice approach and that he diverted to a nearby airport with the intent of landing. After completing the emergency procedures checklist, and about 1/4 mile from the intended runway with the main gear down and the nose gear in the mid-range position, the pilot placed the mixture levers in the idle cut-off position and the propeller levers to feather. After doing so, the airplane’s descent rate increased and the pilot inadvertently landed 200 feet short of the intended runway, substantially damaging the forward fuselage and wings. The Emergency Procedures checklist for the accident airplane indicated, in part, that the pilot should land the airplane prior to placing the mixture levers to the idle cut-off position. When the pilot placed the mixture levers to the cut-off position prior to landing with a reported 23 knot headwind, the airplane’s descent profile likely increased prior to reaching the intended runway and the airplane landed short of the runway. The checklist does not make reference to the propeller levers. After a postaccident examination of the nose landing gear, the pilot reported that the centering roller mechanism was missing and most likely separated during the flight, resulting in the nose gear wheel assembly not centering during retraction, which jammed the wheel assembly in the wheel well.

Factual narrative

On January 9, 2011, about 0751 Pacific standard time, a Cessna 310C, N1755H, sustained substantial damage when it collided with terrain near the approach end of runway 24 at the General Wm J Fox Airfield (KWJF), Lancaster, California. The airplane was owned by the pilot and operated as a visual flight rules (VFR) personal flight under the provisions of Title 14 Code of Federal Regulations (CFR) Part 91, when the accident occurred. The airline transport pilot, the sole occupant of the airplane, was not injured. Visual meteorological conditions prevailed, and no flight plan was filed for the cross-country flight that originated from Daggett, California, at 0707. In a written report to the National Transportation Safety Board (NTSB), the pilot reported that the nose landing gear failed to fully retract after a practice approach to the Palmdale Regional Airport, Palmdale, California. The pilot diverted to a nearby airport in Lancaster, with the intent of landing on runway 24. The pilot stated that he performed the “LANDING WITH DEFECTIVE NOSE GEAR” procedures, as indicated in the owner’s manual; however, the nose gear remained in a mid-range position. Approximately 1/4 mile from the intended runway, with the main gear down and the nose gear in the mid range position, the pilot placed the mixture levers in the “cut-off” position and the propeller levers to “feather.” The pilot reported that after doing so, the “the aim point rapidly shifted to approximately 500 feet short of the runway” and he inadvertently landed approximately 200 feet short of the paved surface. Postaccident examination of the airplane by a Federal Aviation Administration (FAA) inspector revealed substantial damage to the forward fuselage and wings. A secondary postaccident examination of the airplane, by the pilot, revealed that the nose landing gear centering roller mechanism was missing and most likely separated during the flight. This, according to the pilot, resulted in the nose gear wheel assembly not centering during retraction which jammed the wheel assembly in the wheel well. He stated that the nose gear continued to cycle when it jammed, and ultimately separated the primary landing gear push-pull tube from the forward rod end, rendering the gear inoperative. It was not determined why the missing nose landing gear centering mechanism separated from the airframe in-flight. The Emergency Procedures checklist for the accident airplane, LANDING WITH DEFECTIVE NOSE GEAR, indicated, in part, to land the airplane prior to placing the mixture levers to the idle cut-off position. The checklist does not make reference to the propeller levers. The pilot reported that the wind, during the of the accident, was from 260 degrees at 23 knots.

Aircraft

Registration
N1755H
Reported as
Cessna 310C
Category
Airplane
Serial number
35855
Airframe hours
5,980
Engines
Cont Motor IO-470 SERIES, 260 horsepower, reciprocatingCont Motor I0-470 SERIES, 260 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Bush John L
Registered owner
Bush John L
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 5, 2010 · 90 hours before
Departed
KDAG · Barstow-Daggett, CA
Destination
KWJF · Lancaster, CA
Airport
KWJF · General Wm J Fox Airfield, runway 24, 7,201 × 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
60
Injuries
None
Certificates
Commercial, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
April 13, 2010
Seat
Left
Flight hours
12,488 total · 336 in this make and model · 9,522 as pilot in command · 89 in the last 90 days · 43 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
260° at 23 knots
Visibility
10 statute miles
Lowest ceiling
None

Docket · 2

The files NTSB released with the investigation on March 15, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.9 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.

Other investigations on N1755H · 2

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