WPR15LA099

NTSB accident investigation · Beech A36TC · Flagstaff, AZ · January 18, 2015

Accident · No injuriesLimited investigationFinal report
Date
January 18, 2015, 12:35 local (19:35 UTC)
Place
Flagstaff, AZ
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N3685WBeech A36TC
Defining event
Landing-flare/touchdown: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed · report August 11, 2015
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration FSDO
FAA report
20150118001299A
Case key
90700

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 pilot's improper landing flare and loss of airplane control, which resulted in a hard landing and the subsequent failure of the nose landing gear.

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.

Performance/control parameters: landing flareAircraft › Aircraft oper/perf/capability · Not attained/maintainedBeech A36TC: 1 caseAll aircraft: 1,285 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotBeech A36TC: 9 casesAll aircraft: 9,295 casesProbable cause
Action: incorrect action performancePersonnel issues › Action/decision · PilotBeech A36TC: 2 casesAll aircraft: 1,386 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 stated that, during landing, the airplane bounced and that he subsequently applied back pressure to the elevator in an effort to deplete the excess energy. The airplane touched down a second time, and the pilot held the airplane in a nose-high attitude. The airspeed decreased, and the airplane eventually came to rest on its nose. Two air traffic controllers witnessed the accident from the airport traffic control tower. They both reported that the airplane bounced a number of times during the landing sequence. One of the controllers reported that the initial landing was hard and on the nosewheel first, which caused the airplane to porpoise down the runway before the nose landing gear (NLG) collapsed. Examination of the of the upper NLG torque knee revealed that it exhibited grinding damage and that its mounting lug, which had broken free, was elongated and that its fracture surfaces exhibited features consistent with overload. Additionally, the nosewheel fork assembly had bent aft, and the forward landing gear brace had broken into three pieces. All of the observed damage was consistent with overload failures. Further, due to the design of the landing gear system, the type of damage observed on the NLG could only have resulted from excessive forward loads being placed on it. Although the pilot reported that he thought the NLG failed due to a preexisting mechanical failure of the upper torque link, the evidence clearly indicates that it was connected to the lower torque knee before the landing and that it failed in overload during the initial hard landing and subsequent separation from the airplane.

Factual narrative

On January 18, 2015, about 1235 mountain standard time, a Beech A36TC, N3685W, experienced a nose gear collapse during landing at Flagstaff Pulliam Airport, Flagstaff, Arizona. The airplane was registered to, and operated by, the pilot under the provisions of 14 Code of Federal Regulations Part 91. The commercial pilot and passenger were not injured, and the airplane sustained substantial damage. The cross-country personal flight departed Brackett Field Airport, La Verne, California, at 0934 Pacific standard time. Visual meteorological conditions prevailed, and no flight plan had been filed. The pilot reported that the airplane was travelling at 90 knots as they passed over the runway threshold, and that they touched down just past the displaced threshold. The airplane then bounced, and in response, he applied back pressure to the elevator control in an effort to deplete the excess energy. They touched down a second time on the main landing gear, and he held the airplane in a nose high attitude. The pilot surmised that at this point the nose landing gear scissor link (upper torque knee) failed, causing the nose wheel to over extend and release from the airplane. As the airspeed decreased, the airplane came to rest on its nose. Two air traffic controllers witnessed the accident from the airport's control tower. The tower controller stated that he observed the airplane bounce two or three times after landing and then the nose landing gear collapsed. The ground controller reported that he observed the airplane land hard on the nose wheel first, then porpoise up and down two more times, each time landing on the nose wheel first, before it collapsed. The airplane sustained substantial damage to the lower fuselage during the accident sequence, and the lower landing gear assembly, which was composed of the nosewheel, fork, and lower torque knee had become detached. The airplane was equipped with retractable landing gear, driven by an electrical actuator connected to a series of link rods. The nose landing gear extended forwards, and was held in the locked and down position by a wishbone-shaped aft brace and a single forward brace. In the extended mode, both braces were held in position by a series of control arms connected to the landing gear link rods. Sections of the lower nose gear assembly were recovered from the airplane and examined by the NTSB investigator-in-charge. Examination revealed that the nose wheel fork and piston assembly had separated from the barrel. The nose wheel fork casting had bent about 3 degrees aft relative to the piston. The lower torque knee remained attached to the fork by its pin. Its connecting bolt for the upper torque knee was bent about 10 degrees, and remained in place with its bushings, washers and nut. The upper torque knee remained attached to the barrel assembly. The upper knee's attachment lugs had been ground down to their bearing surfaces, with the score marks in a longitudinal direction consistent with runwaysurface contact. The lug connecting the lower knee was twisted about 5 degrees, and the forward section of the lug was not located. The lug exhibited similar grinding damage, and the radius of its attachment hole was elongated. The forward landing gear brace had separated into three sections. Reassembly of the fragments revealed that the brace had bent 30 degrees midspan in a downwards direction prior to failure. The forward section remained attached to the barrel and brace assembly of the landing gear; the lug at the aft end of the brace had broken away. The nosewheel tire remained attached to its axle. The tire exhibited a half inch deep gouge to a six inch portion of its center tread. The separation surfaces of all the components exhibited varying combinations of rough grainy texture, jagged edges, ductile dimpling, and 45-degree sheer lip features. No ratchet marks, striations, or "beachmarks" were observed.

Aircraft

Registration
N3685W
Reported as
Beech A36TC
Category
Airplane
Serial number
EA-113
Built
1980
Airframe hours
3,034
Engine
Continental TSIO 520, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Utility
Last inspection
Annual · December 16, 2014 · 3 hours before
Departed
POC · La Verne, CA
Destination
FLG · Flagstaff, AZ
Airport
FLG · Flagstaff Pulliam, runway 21, 8,800 × 150 ft, asphalt
Equipment
Stall warning system, Onboard weather, Handheld GPS, Auto-pilot

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
54
Injuries
None
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
May 10, 2014
Seat
Right
Restraint
3-point
Flight hours
2,770 total · 1,604 in this make and model · 2,441 as pilot in command · 23 in the last 90 days · 18 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
90° at 5 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
57 °F, dew point 27 °F
Altimeter
30.37 inHg
Observed at
KFLG

Docket · 19

The files NTSB released with the investigation on June 15, 2015, on NTSB’s docket system: statements, records, photos and specialists’ reports. 29.0 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.