# NTSB WPR15LA184: Eclipse EA500, N508JA, Sacramento, CA, June 12, 2015 - Type: NTSB accident investigation - Classification: Accident · No injuries · Limited investigation · Final report - Date: June 11, 2015, 17:00 local (Jun 12, 2015, 00:00 UTC) - Place: Sacramento, CA - Coordinates: 38.510807, -121.489219 (estimated) - Nearby events: https://openairdocs.org/map.md?lat=38.5108&lon=-121.4892&mi=10 - Phase of flight: [Taxi](https://openairdocs.org/ntsb-phases/250) (OpenAirDocs' grouping) - Defining event: [Taxi-to runway: Landing gear collapse](https://openairdocs.org/ntsb-events/094) - Highest injury: No injuries - Injuries: 4 uninjured - Status: Completed, report September 11, 2018 - Report: Approved by Office Director - NTSB office: Western Pacific Region - Parties: Federal Aviation Administration - NTSB case key (mKey): 91360 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=WPR15LA184 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/91360/pdf - NTSB docket: https://data.ntsb.gov/Docket?ProjectID=91360 - Page: https://openairdocs.org/ntsb/WPR15LA184 ## Probable cause A manufacturing defect that resulted in fatigue failure of the left main landing gear trunnion. ## Findings NTSB's coded findings; those marked are part of the probable cause. - [Landing gear system: main gear strut/axle/truck](https://openairdocs.org/ntsb-findings/01023213): Aircraft › Aircraft systems · Fatigue/wear/corrosion (probable cause); cases with it: [Eclipse EA500, 1 case](https://openairdocs.org/ntsb-findings/01023213/cases.md?model=3350000), [All aircraft, 86 cases](https://openairdocs.org/ntsb-findings/01023213/cases.md) - [Manufacture/production](https://openairdocs.org/ntsb-findings/04013000): Organizational issues › Development · Manufacturer (probable cause); cases with it: [Eclipse EA500, 1 case](https://openairdocs.org/ntsb-findings/04013000/cases.md?model=3350000), [All aircraft, 17 cases](https://openairdocs.org/ntsb-findings/04013000/cases.md) ## Sequence of events The events NTSB coded, in order, by phase of flight. The defining event best describes what happened. - [Taxi-to runway: Landing gear collapse](https://openairdocs.org/ntsb-events/094) (defining event); cases with it: [Eclipse EA500, 1 case](https://openairdocs.org/ntsb-events/094/sequence.md?model=3350000), [All aircraft, 1,787 cases](https://openairdocs.org/ntsb-events/094/sequence.md) ## Analysis According to the airline transport pilot and the commercial pilot, the airplane was taxiing to the runway when they heard a loud bang and the airplane veered to the left. The pilots contacted the tower controller, who informed them that the airplane was leaking a large amount of fuel onto the tarmac. The pilots shut down the airplane and evacuated the passengers. Further examination of the airplane revealed that the left main landing gear trunnion had punctured the left wing. Postaccident examination revealed that the left main landing gear assembly had fractured due to a fatigue crack that emanated from a sharp corner of a machined feature on the inner surface of the trunnion. The deep machining gouge mark was likely the result of an error in cleaning operation during manufacture; the cleaning tool could have extended deeper into the tapered inner surface than intended and created the deep machine gouge mark. The fatigue crack initiated on the inside of the tube and grew to a crucial size without reaching the outer wall of the tube. As a result, the crack would not have been visible during a visual inspection. The manufacturer reported that, following the accident, they identified a systemic manufacturing defect that potentially affected the entire fleet. A mandatory service bulletin was issued to address the problem, as well as the initiation of a fleet-wide inspection and landing gear trunnion repair/replacement program. ## Factual narrative On June 11, 2015, at 1700 Pacific daylight time, an Eclipse Aviation Corp EA500 jet, N508JA, experienced a collapsed landing gear while taxiing to the active runway for departure at Sacramento Executive Airport (SAC), Sacramento, California. The airline transport pilot, a commercial pilot, and two passengers were not injured. The airplane was operated by Memly Aviation as a 14 Code of Federal Regulations Part 135 business flight. The airplane sustained substantial damage to the left wing. Visual meteorological conditions prevailed for the flight that was preparing to depart at the time of the accident, and an instrument flight rules (IFR) flight plan had been filed. The airplane was destined for San Francisco International Airport (SFO), San Francisco, California. According to both pilots, the airplane was taxiing to the active runway when they heard a loud bang, and the airplane veered to the left. They contacted the tower asking if they had blown a tire. Tower personnel responded, and reported to the pilots that the airplane was leaking copious amounts of fuel onto the tarmac. The pilots shut down the airplane and evacuated the passengers. Upon further inspection of the airplane, the pilots reported that the left main landing gear trunnion had gone through the left wing. According to the operator, the left main landing gear trunnion broke near the rear attachment point, which caused the landing gear to penetrate through the entire wing from bottom to top. The portion of the landing gear trunnion that failed, was housed behind a lower wing panel and would not have been visible to the flight crew. The left main landing gear trunnion, part number M041-07H0101 serial number 0114, was original equipment and had accrued 1,275 hours and 1,492 cycles. The left main landing gear assembly was shipped to the materials laboratory of the National Transportation Safety Board (NTSB). Visual examination revealed that the landing gear fractured at the trunnion portion of the landing gear. The smaller separated piece showed a fatigue crack that emanated from the inner wall. The crack itself was from a machining mark. The area outside of the fracture face contained rough features consistent with an overstress separation. The deep machining mark was in a portion of the trunnion where the inner wall tapered inward, and was in a transition region where the wall thickness was increasing in thickness. The assembly contained a metal squeeze-out typical of forging/casting parts. The excess metal squeezed-out of the forged/casting products are moved by machining, which renders them a high stress area. According to the manufacturer, the initiation of the fatigue crack from a step machined inner wall of the trunnion was outside of the design requirements. Eclipse Aerospace, and the landing gear manufacturer, Mecaer Aviation Group, inspected for the presence of the machined steps. The manufacturer indicated that they had a systemic manufacturing defect that potentiallyeffected the entire fleet of EA500 aircraft. Eclipse Aerospace and Mecaer, issued a mandatory Service Bulletin to address the issue. A fleet wide inspection/landing gear trunnion repair/replacement program identified as of May 9, 2016, that 126 airplanes had been inspected, with trunnion repaired or replaced when warranted. All owners of the EA500 airplane have been notified of the issue. The airplane and landing gear manufacturers further addressed inventory landing gear; the trunnions were reworked/repaired/replaced as warranted prior to shipment to Eclipse Aerospace. Mecaer also communicated with the machine shop responsible for the defect and process changes were put in place to prevent the issue for the existing inventory of landing gear. ## Aircraft - Registration: [N508JA](https://openairdocs.org/aircraft/N508JA), registered now, S/N 000001, built 2006 (OpenAirDocs) - Reported make and model: ECLIPSE AVIATION CORP EA500 (NO SERIES) - Registry model: [Eclipse EA500](https://openairdocs.org/model/eclipse-ea500) (registry code 3350000) (OpenAirDocs) - Registry engine: [Pratt & Whitney Canada PW610F-A](https://openairdocs.org/engine/pratt-whitney-canada-pw610f-a) (registry code 52267, turbo-fan) (OpenAirDocs) - Category: Airplane - Serial number: 000001 - Year built: 2006 - Airframe hours: 1275 - Engines: P&W CANADA PW610F-A 950 lbs thrust turbo jet; P&W CANADA PW610F-A 950 lbs thrust turbo jet - Damage: Substantial damage - Flight: Part 135 - Operator: Nemly Aviation, doing business as Nemly Aviation - Registered owner: Jet-Alliance/David Crowe LLC - Airworthiness certificate: Standard, Normal - Last inspection: Annual, April 9, 2015 - Departed: SAC, Sacramento, CA - Destination: SFO, SAN FRANCISCO, CA - Flight plan: IFR - Airport: SAC, Sacramento Executive - Equipment: Stall warning system, Onboard weather, Electronic primary flight display, Auto-pilot, Data recorder, Electronic flight bag or handheld device, Electronic multifunction display ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 54; injuries: none; airline transport; airplane ratings: multi-engine land, single-engine land; instrument ratings: airplane; medical: class 1, with waivers/limitations; last flight review May 3, 2015; seat: left; restraint: 5-point; flight hours: 0 total, 0 in this make and model - Co-pilot; age 25; injuries: none; commercial; airplane ratings: multi-engine land, single-engine land; instrument ratings: airplane; medical: class 1, with waivers/limitations; last flight review December 17, 2014; seat: right; restraint: 5-point; flight hours: 410 total, 118 in this make and model ## Weather - Conditions: Visual (VMC), Day - Wind: 250° at 5 knots - Visibility: 10 statute miles - Lowest ceiling: none - Temperature: 97 °F, dew point 61 °F - Altimeter: 29.72 inHg - Observed at: SAC ## FAA reports on this event (1) The FAA's own accident and incident reports, matched to the aircraft by N-number and date (OpenAirDocs). - [Accident 20150611010879A](https://openairdocs.org/incident/20150611010879A), Jun 11, 2015: Eclipse Aviation Corp EA500, Sacramento, CA, Substantial damage. While the aircraft was taxing to take off from runway 20 the left main gear went through the aircraft left hand upper wing and fuel tank. ## Docket (7 files) The files NTSB released with the investigation on June 5, 2018, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=91360. 5.2 MB in all. - Materials Laboratory Factural Report No. 16-022 (NTSB) (item 1, .PDF, 603 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40463692&FileExtension=.PDF&FileName=Materials%20Laboratory%20Factural%20Report%20No.%2016-022%20(NTSB)-Master.PDF - Pilot/Operator Aircraft Accident Report, NTSB Form 6120.1 - Operator (item 2, .PDF, 3.3 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40463693&FileExtension=.PDF&FileName=Pilot%2FOperator%20Aircraft%20Accident%20Report,%20NTSB%20Form%206120.1%20-%20Operator-Master.PDF - Pilot/Operator Aircraft Accident Report, NTSB Form 6120.1 - Pilot (item 3, .PDF, 161 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40463727&FileExtension=.PDF&FileName=Pilot%2FOperator%20Aircraft%20Accident%20Report,%20NTSB%20Form%206120.1%20-%20Pilot-Master.PDF - Excerpt Eclipse Correspondence (item 4, .PDF, 172 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40463728&FileExtension=.PDF&FileName=Excerpt%20Eclipse%20Correspondence-Master.PDF - Fuel Receipt (item 5, .PDF, 156 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40463729&FileExtension=.PDF&FileName=Fuel%20Receipt-Master.PDF - Statement of Party Representatives to NTSB Investigation (item 6, .PDF, 769 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40463730&FileExtension=.PDF&FileName=Statement%20of%20Party%20Representatives%20to%20NTSB%20Investigation-Master.PDF - Evidence Control Form (item 7, .PDF, 81 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40463731&FileExtension=.PDF&FileName=Evidence%20Control%20Form-Master.PDF From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.