WPR17LA051

NTSB accident investigation · Cessna 421C · Jackson, CA · January 7, 2017

Accident · No injuriesLimited investigationFinal report
Date
January 6, 2017, 17:20 local (Jan 7, 2017, 01:20 UTC)
Place
Jackson, CA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N71RCCessna 421C
Defining event
Landing-landing roll: Landing gear collapse
Weather
Visual (VMC) · Dusk
Status
Completed · report November 19, 2019
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
FAA Sacramento FSDO, Federal Aviation Administration, Textron Aviatioin
Case key
94575

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 failure of the right main landing gear torque link bolt in overstress, which resulted in the collapse of the landing gear during the landing roll.

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.

Landing gear system: main landing gearAircraft › Aircraft systems · FailureCessna 421C: 1 caseAll aircraft: 241 casesProbable cause
Landing gear system: main landing gearAircraft › Aircraft systems · Capability exceededCessna 421C: 1 caseAll aircraft: 241 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 airline transport pilot reported that, during the landing roll at the end of a cross-country flight, when he attempted to lightly apply the brakes, the airplane began to yaw from side to side. The airplane subsequently exited the right side of the runway and sustained substantial damage to the right wing spar. During the landing, the right main landing gear collapsed. An on-site examination revealed that the right main landing gear torque link assembly had separated at the hinge attach point due to the failure of the torque link bolt. Although the bolt was located at the accident site, the bolt's nut, cotter pin, and washer were missing. Further examination revealed that the torque link bolt threads had been rounded over and exhibited remnants of material consistent with the threads of the mating nut. In addition, remnants of the cotter pin that was installed through the bolt hole were visible. The sheared cotter pin and threads from the nut that remained within the bolt threads suggest that the torque link bolt/nut assembly was overloaded, which resulted in the landing gear collapse. A Federal Aviation Administration special airworthiness information bulletin had been issued about 3 years before the accident to advise owners, operators, and maintenance technicians of the make and model airplane of the need to inspect the main landing gear torque link assembly to ensure the correct thickness of washers and to ensure that the washers are installed properly, and a Cessna service bulletin had also been issued previously regarding the washers. However, no maintenance records were available to determine the airplane's maintenance history or compliance with the applicable bulletins.

Factual narrative

On January 6, 2017, about 1720 Pacific standard time, a Cessna 421C airplane, N71RC, sustained substantial damage to the right wing spar following the collapse of the right main landing gear during the landing roll at Westover Field/Amador County Airport, Jackson, California. The airline transport rated pilot was not injured. The airplane was registered to and operated by the pilot as a Title 14 Code of Federal Regulations Part 91 personal flight. Visual meteorological conditions prevailed, and no flight plan was filed for the cross country flight. The flight originated from the Palo Alto Airport, Palo Alto, California about 1640. The pilot stated that he flew a normal left-hand traffic pattern for runway 19. The flare and initial touchdown were normal, however, immediately after the initial touchdown, something did not feel right. When he attempted to lightly apply the brakes the airplane began to yaw from one side to the other. He released the brakes and attempted to slow the airplane with reverse thrust, but the airplane exited the paved runway surface and came to a stop in the grass and dirt area about 20 ft off the right side of the runway. During the landing the right main landing gear collapsed. An onsite examination of the airplane revealed that the right main landing gear torque link assembly had separated at the hinge attach point due to the failure of the torque link bolt. The bolt's nut, cotter pin and washer were not located during the investigation. The subject bolt was subsequently shipped to the National Transportation Safety Board's Materials Laboratory in Washington, D.C. for examination. As a result of the examination, the report revealed that the torque link bolt threads had been rounded over and exhibited remnants of material consistent with the threads of the mating nut. Further, remains of a cotter pin that was installed through the bolt hole were also visible. The report concluded that the deformation of the cotter pin remains was indicative of a shear overstress fracture. (Refer to the NTSB Materials Laboratory Factual Report No. 18-062, which is appended to the docket for this report.) It was revealed during the investigation that Federal Aviation Administration (FAA) Special Airworthiness Information Bulletin (SAIB) CE-14-19, dated May 30, 2014, titled "Landing Gear; Main Landing Gear (MLG) Torque Link," was published to advise owners, operators, and maintenance technicians of Cessna 300 and 400 Models and Series of an airworthiness concerns, specifically the need to inspect the MLG torque link assembly to ensure the correct thickness washers are installed, and to ensure the washers are installed properly. The SAIB was preceded by Cessna Service Bulletin ME83-37, dated November 23, 1983, "Main Landing Gear Scissor Washer Replacement which recommended replacement of the two outer washers on the main landing gear scissor link for Cessna Model 421s, and Cessna Service Bulletin MEB02-12, which specified replacement of theoriginal washers at each end of hinge point attachment stack-up for Cessna Model 310s. (Refer to FAA SAIB CE-14-9, and Cessna Service Bulletin ME83-37, both of which are appended to the docket for this report.) Except for the right main landing gear torque link bolt, no other components of the right main landing gear assembly were accounted for during the investigation. Additionally, no maintenance records were recovered during the investigation for review to determine compliance with the SAIB's. The pilot did not submit a Pilot/Operator Aircraft Accident/Incident Report (NTSB) Form 6120.1.

Aircraft

Registration
N71RC
Reported as
Cessna 421C (C)
Category
Airplane
Serial number
421C0423
Built
1977
Airframe hours
2,929.1
Engines
Lycoming LTP 101-600, 600 horsepower, turbo propLycoming LTP 101-600, 600 horsepower, turbo prop
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · August 11, 2016 · 11 hours before
Departed
PAO · Palo Alto, CA
Destination
JAQ · Jackson, CA
Flight plan
Unknown
Airport
JAQ · Westover Field Amador County, runway 19, 3,401 × 60 ft, asphalt
Equipment
Unknown

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
58
Injuries
None
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
September 4, 2016
Seat
Left
Restraint
4-point
Flight hours
1,802 total · 62 in this make and model

Weather

Conditions
Visual (VMC) · Dusk
Wind
10° at 4 knots
Visibility
10 statute miles
Lowest ceiling
25,000 ft broken
Temperature
39 °F, dew point 36 °F
Altimeter
30.10 inHg
Observed at
KSMF, 42 nm away

Docket · 7

The files NTSB released with the investigation on September 9, 2019, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.2 MB in all.