WPR17IA189

NTSB incident investigation · Cessna 560XL · San Jose, CA · August 29, 2017

Incident · No injuriesClass 3 · IncidentFinal report
Date
August 28, 2017, 19:00 local (Aug 29, 2017, 02:00 UTC)
Place
San Jose, CA
Injuries
5 uninjured
Damage
Minor damage
Phase of flight
Landing
Aircraft
N503UPCessna 560XL
Defining event
Landing-landing roll: Landing gear collapse
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Western Pacific Region
Parties
Textron Aviation
FAA report
20170828017439I
Case key
95904

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the incident.

On this page

Probable cause

The mechanic’s incorrect installation of the right main landing gear (MLG) aft trunnion pivot pin, which resulted in the pin separating from the trunnion, the trunnion puncturing the right wing, and the right MLG collapsing.

Findings · 2

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.

Maintenance: scheduled/routine maintenancePersonnel issues › Task performance · Maintenance personnelAll aircraft: 320 casesProbable cause
Misc hardware: fastenersAircraft › Fluids/misc hardware · Incorrect service/maintenanceAll aircraft: 58 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.

Landing gear collapseLanding-landing rollAll aircraft: 1,787 casesDefining event

Analysis

The pilot and copilot reported that, during the landing roll, the airplane bounced and then veered right and that the pilot then corrected back to the runway centerline. The copilot added that the airplane’s right side seemed to “dip” as it continued to pull right, and the pilot added that the airplane’s right side was lower than its left side, so they assumed that the right main landing gear (MLG) had a flat tire. Subsequently, the pilot was able to taxi the airplane off the runway and park it on a taxiway, and the passengers disembarked without incident. Examination of the airplane revealed that the aft portion of the right MLG trunnion was protruding through the top of the right wing and that the MLG strut and wheel were positioned out and aft in about a 45° angle from their original position. The right MLG trunnion aft pivot pin was not in the trunnion but remained in the trunnion mount in the aft wing spar; it was easily removed from the mount by hand. The retaining bolt used to keep the pivot pin in the trunnion was in place and secured with a nut and cotter pin. Review of the airplane’s maintenance records revealed that the left and right MLG trunnions had been replaced with new trunnions and trunnion pivot pins 8 days before the incident. The mechanic who performed the work stated that, after installing the right MLG aft trunnion pivot pin, it must have shifted aft when he went to install the bolt through the pin. He stated that an “air-pocket” must have developed and pushed the pin back out. He added that the pin looked fully engaged and that he noted no faults during postmaintenance operational checks. Therefore, based on the evidence, it is likely that, after the mechanic installed the right MLG aft trunnion pivot pin, it backed out, which led to the retaining bolt not being installed in the hole in the pivot pin and resulted in the pin separating from the trunnion, the trunnion puncturing the right wing, and the right MLG collapsing. Following the incident, the airplane manufacturer revised the trunnion pivot pin installation procedures in the Airplane Maintenance Manual. The revision included, in part, a step for maintenance personnel to visually check and ensure that the bolt is visible when looking through the pivot pin from the aft side and that, if it is not visible, to remove it, ensure that the pivot pin is fully installed in the trunnion assembly, and reinstall the bolt.

Factual narrative

On August 28, 2017, about 1900 Pacific daylight time, a Cessna 560XL airplane, N503UP, received minor damage to the right wing when it was involved in an incident near San Jose, California. The pilot, copilot, and three passengers were not injured. The airplane was being operated as a Title 14 Code of Federal Regulations Part 135 air taxi flight. The pilot and copilot reported that, during the landing roll, the airplane bounced and then veered right and that the pilot corrected back to the runway centerline. The copilot added that the airplane’s right side seemed to “dip” as it continued to pull right, and the pilot added that the airplane’s right side was lower than its left side, so they assumed that the right main landing gear (MLG) had a flat tire. Subsequently, the pilot was able to taxi the airplane off the runway and park it on a taxiway, and the passengers disembarked without incident. Examination of the airplane revealed that the aft portion of the right MLG trunnion was protruding through the top of the wing and that the MLG strut and wheel were positioned out and aft in about a 45° angle from their original position. The right MLG trunnion aft pivot pin was not in the trunnion but remained in the trunnion mount in the aft wing spar; it was easily removed from the mount by hand. The retaining bolt used to keep the pivot pin in the trunnion was in place and secured with a nut and cotter pin. Review of the airplane’s maintenance records revealed that the left and right MLG trunnions had been replaced with new trunnions and trunnion pivot pins 8 days before the incident. According to the Airplane Maintenance Manual (AMM), when installing the aft MLG trunnion, the pivot pin must be slid forward to align a hole in the trunnion with a hole in the pivot pin, which is then secured in place with a retaining bolt, washer, nut, and cotter pin. The mechanic who performed the work stated that, after installing the right MLG aft trunnion pivot pin, it must have shifted aft when he went to install the bolt through the pin. He stated that an “air-pocket” must have developed and pushed the pin back out. He added that the pin looked fully engaged and that he noted no faults during postmaintenance operational checks. Following the incident, the airplane manufacturer revised the trunnion pivot pin installation procedures in the Airplane Maintenance Manual. The revision included, in part, a step for maintenance personnel to visually check and ensure that the bolt is visible when looking through the pivot pin from the aft side and that, if it is not visible, to remove it, ensure that the pivot pin is fully installed in the trunnion assembly, and reinstall the bolt.

Aircraft

Registration
N503UP
Reported as
Cessna 560XL (ENCORE)
Category
Airplane
Serial number
560-5326
Built
2003
Engines
P&W Canada PW545 SER, turbo jetP&W Canada PW545 SER, turbo jet
Damage
Minor damage
Flight
Part 135
Operator
Wheels Up
Registered owner
Textron Financial Corp
Airworthiness certificate
Standard, Transport
Last inspection
Condition · August 20, 2017
Departed
TUS · Tucson, AZ
Destination
SJC · San Jose, CA
Flight plan
IFR
Airport
SJC · Norman Y Mineta San Jose Intl, runway 30L, 11,000 × 150 ft, concrete
Equipment
Auto-pilot, Angle of attack indicator, ADS-B, Stall warning system, Onboard weather, Electronic primary flight display, Electronic multifunction display, Data recorder

Flight crew · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
49
Injuries
None
Certificate
Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Unknown
Seat
Left
Restraint
4-point
Toxicology
Performed
Flight hours
14,248 total
Role
Co-pilot
Age
49
Injuries
None
Certificates
Commercial, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Unknown
Seat
Right
Restraint
4-point
Toxicology
Performed
Flight hours
6,715 total

Weather

Conditions
Visual (VMC) · Day
Wind
300° at 11 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
79 °F, dew point 61 °F
Altimeter
29.79 inHg
Observed at
KSJC

Docket · 10

The files NTSB released with the investigation on January 13, 2021, on NTSB’s docket system: statements, records, photos and specialists’ reports. 12.5 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.