- Date
- May 30, 2017, 16:00 local (23:00 UTC)
- Place
- Puyallup, WA
- Injuries
- 1 uninjured
- Damage
- Substantial damage
- Phase of flight
- Landing
- Aircraft
- N399DGTappen Chris Velocity SUV
- Defining event
- Landing-landing roll: Sys/Comp malf/fail (non-power)
- Weather
- Visual (VMC) · Day
- Status
- Completed · report September 6, 2017
- Report
- Approved by Office Director
- NTSB office
- Western Pacific Region
- Parties
- Federal Aviation Administration FSDO
- FAA report
- 20170530004709A
- Case key
- 95265
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 airplane builder's failure to install safety wires on the brake disc attachment bolts, and the mechanic’s failure to identify the omission during the condition inspection. The subsequent brake disc separation resulted in a loss of directional control during the landing roll.
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.
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 private pilot stated that, during the landing roll, the right brake of the experimental amateur-built airplane failed. The airplane subsequently departed the runway and impacted an airport fence, resulting in substantial damage. The airplane was equipped with a castering nosewheel and steering was accomplished through differential brake pressure; therefore, the pilot did not have any other means to either stop the airplane or maintain directional control once it had slowed to a speed below which rudder authority was available. Postaccident examination revealed that the right brake disc had detached from the wheel hub. None of its attachment bolts were found, and the attachment bolts on the left brake disc were loose. The bolts and discs had holes to accommodate safety wires, but no safety wires were found on either assembly. The pilot had recently purchased the airplane following the completion of a condition inspection. Before the inspection, the airplane's builder had adjusted the landing gear, which necessitated removal of the brake discs. The builder could not recall using safety wires to secure the brake discs during the reinstallation, and the mechanic who performed the subsequent inspection also could not recall if safety wires were used.
Factual narrative
On May 30, 2017, about 1600 Pacific daylight time, an experimental amateur-built Velocity SUV, N399DG, departed the runway after landing at Pierce County Airport - Thun Field, Puyallup, Washington. The pilot was not injured, and the airplane sustained substantial damage to the canard and both wings after striking an airport fence. The airplane was registered to, and operated by, the private pilot as a 14 Code of Federal Regulations Part 91 personal flight. The local flight departed Thun Field about 5 minutes before the accident. Visual meteorological conditions prevailed and no flight plan had been filed. The pilot had purchased the airplane in Tennessee from its builder about one week before the accident, and spent the intervening period flying it back to his home base of Thun Field. He stated that during taxi after one of the return flight legs, the right brake became ineffective, and therefore he was unable to turn the airplane right. He inspected the brake system and was not able to find any anomalies, and on the next three flights, he could not duplicate the problem. On the day of the accident, he planned to fly the airplane in the traffic pattern. He performed a preflight inspection, and reported that during the engine ground-run he checked the brakes, and they held. Additionally, the taxi route from his hangar to the runway required multiple right turns. The takeoff, climbout, and landing approach were uneventful, and he touched down just beyond the runway numbers, at an airspeed of 82 knots. He applied pressure to the combination rudder/brake foot pedals to slow the airplane down, and once it had reached about 35 knots, the resistance in the right pedal suddenly dropped, and the pedal moved to almost full travel. The airplane immediately veered to the left, and the pilot released pressure on the left pedal. He began to "pump" the right pedal in an attempt to regain braking action, but the airplane did not slow down. As the airplane approached a runway light, the pilot applied left pedal pressure, and the airplane veered left, departed the runway, and struck the fence. Brake and Steering System The airplane was equipped with a castering nosewheel, with steering accomplished through differential brake pressure once rudder effectiveness had reduced at slower speeds. The brakes were activated by the pilot through the rudder pedals. The design did not incorporate conventional toe-brakes, but instead braking action was applied directly via the rudder pedals once they had been pushed about 2 ½ inches. The main landing gear struts were equipped with Matco W600 series brake and wheel assemblies, which incorporated a triple-piston brake caliper, and a steel brake disk which was attached to a threaded aluminum wheel hub by three hex-head bolts. Each wheel assembly was enclosed in a composite wheel pant, which covered the caliper and brake rotor. Post-accident examination revealed that all three hex bolts for the right brake disk were missing, andthe disk had become detached from the wheel hub. The disk on the left side was still in place, but was loose, and the three bolts were finger-tight. The bolts and disks had holes to accommodate safety wire, but no safety wire was found on either assembly. Right Brake Disk Detached from Wheel Hub Maintenance Construction of the airplane was completed in June 2012, and at the time of the accident, it had accrued a total flight time of about 138 hours. Maintenance records indicated that it failed to pass its conditional inspection on May 19, 2017, due to the lack of an emergency locator transmitter (ELT). An entry by the builder dated May 26 detailed that he installed an ELT and completed a series of repairs and upgrades including the replacement of the brake master cylinders, adjustment of the main landing gear camber and toe-in, (due to uneven tire wear), along with modifications to the avionics system. The builder stated that the toe-in adjustment required removal of the brake assembly (including the three hex bolts) and installation of shims at the wheel axle mounting points. He could not recall if he had used safety wire to secure the hex bolts, or if he had ever used safety wire for their retention in the past. He further reported that the master cylinders were replaced because he encountered a loss of brake effectiveness in the right brake, which could be overcome by "pumping" the right pedal. The builder stated that all the work, except for the ELT installation, had actually been completed prior to the conditional inspection on May 19, but that he did not record the entry until one week later. On May 26, 2017, the same airframe and powerplant rated mechanic (with inspection authorization) who initially inspected the airplane, certified that it was airworthy. The mechanic reported that he had examined the brake system at the time of the initial inspection, but could not recall if safety wire had or had not been installed on the disk bolts. He did not re-examine the brakes during the follow-up inspection, as the ELT was the only item which required attention. During the 21-flight hour period leading up to the accident no other brake-related maintenance procedures were performed.
Aircraft
- Registration
- N399DG
- Reported as
- Tappen Chris Velocity SUV (NO SERIES)
- Category
- Airplane, amateur-built
- Serial number
- 115
- Built
- 2012
- Airframe hours
- 138
- Engine
- Lycoming LIO-360-C1E6, 200 horsepower, reciprocating
- Damage
- Substantial damage
- Flight
- Personal · Part 91
- Airworthiness certificate
- Special, Experimental (Special)
- Last inspection
- Condition · May 26, 2017 · 21 hours before
- Departed
- PLU · Puyallup, WA
- Destination
- PLU · Puyallup, WA
- Airport
- PLU · Pierce County - Thun Field, runway 35, 3,650 × 60 ft, asphalt
- Equipment
- Electronic primary flight display, Electronic multifunction display, Electronic flight bag or handheld device, Auto-pilot, Stall warning system, Satellite tracking device, Handheld GPS
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
- 41
- Injuries
- None
- Certificate
- Private
- Airplane ratings
- Single-engine land
- Medical
- Class 3, Without waivers/limitations
- Last flight review
- August 14, 2016
- Seat
- Left
- Restraint
- Lap only
- Flight hours
- 465.1 total · 25 in this make and model · 431 as pilot in command · 65 in the last 90 days · 27 in the last 30 days · 4 in the last 24 hours
Weather
- Conditions
- Visual (VMC) · Day
- Wind
- 240° at 3 knots
- Visibility
- 10 statute miles
- Lowest ceiling
- None
- Temperature
- 59 °F, dew point 52 °F
- Altimeter
- 29.98 inHg
- Observed at
- KPLU
Docket · 4
The files NTSB released with the investigation on July 28, 2017, on NTSB’s docket system: statements, records, photos and specialists’ reports. 12.0 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.