WPR18LA057

NTSB accident investigation · Cessna T210L · Aurora, OR · January 2, 2018

Accident · No injuriesLimited investigationFinal report
Date
January 2, 2018, 09:05 local (17:05 UTC)
Place
Aurora, OR
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N2122SCessna T210L
Defining event
Landing-landing roll: Landing gear collapse
Weather
Visual (VMC) · Day
Status
Completed · report November 15, 2018
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
FAA report
20180102000389A
Case key
96547

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

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Probable cause

A collapse of the right main landing gear during the landing roll because the gear would not lock into place. Contributing to the accident was the pilot's failure to perform the alternate landing gear extension procedure before landing.

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.

Landing gear system: main landing gearAircraft › Aircraft systems · Incorrect use/operationCessna T210L: 3 casesAll aircraft: 241 casesProbable cause
Action: forgotten action/omissionPersonnel issues › Action/decision · PilotCessna T210L: 6 casesAll aircraft: 440 casesProbable cause
Landing gear system: gear extension and retract sysAircraft › Aircraft systems · Not used/operatedCessna T210L: 10 casesAll aircraft: 416 casesProbable cause
Use of equip/info: use of checklistPersonnel issues › Task performance · PilotCessna T210L: 3 casesAll aircraft: 336 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 private pilot was conducting a cross-country flight. He reported that, while on the downwind leg preparing to land, he activated the landing gear extension lever but that the green DOWN and LOCKED light did not illuminate. The pilot thought that the landing gear was down but performed a fly-by near the air traffic control tower so that the controller could verify the position of the gear. The controller told the pilot that the landing gear appeared to be down. The controller then cleared the pilot for a second downwind approach and landing. The pilot stated that, while preparing to land a second time, he attempted to raise and lower the landing gear, but the green DOWN and LOCKED light again did not illuminate. The pilot looked in the airplane's landing gear mirror and saw that the gear appeared to be in the down position. During the landing roll, the right main landing gear collapsed, which resulted in substantial damage on the right side of the airplane. The pilot indicated that he had forgotten to perform the alternate landing gear extension procedure before landing, which is used when the gear will not lock into the down position. A postaccident examination of the landing gear system, which included multiple gear retraction and extension cycles with the gear locked, revealed no anomalies that would have precluded normal operation. The right main landing gear collapsed because it did not lock into place, most likely due to the overcenter drag brace not fully attaining the overcenter position.

Factual narrative

On January 2, 2018, about 0920 Pacific standard time, a Cessna T210L airplane, N2122S, was substantially damaged during landing following a right main landing gear collapse at Aurora State Airport (UAO), Aurora, Oregon. The private 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 at the time of the accident and no flight plan was filed. The cross-country flight originated from Paine Field (PAE), Everett, Washington, about 0758, and was destined for Aurora. In a report submitted to the National Transportation Safety Board (NTSB) investigator-in-charge (IIC), the pilot reported that while on downwind for runway 35 at UAO, he activated the landing gear extension lever, which was followed by the orange light going out, however, the green [down and locked] light did not illuminate. The pilot further reported that the gear appeared to be down. He then requested permission to perform a control tower fly-by, so the controller could observe the position of the landing gear; the controller confirmed that the landing gear appeared to be down, followed by clearing the pilot for a left downwind approach and landing. The pilot stated that while on downwind he attempted to raise and lower the landing gear, however, while the orange light would illuminate, the green light would not. The pilot opined that the gear appeared to be down as viewed from the airplane's landing gear mirror. Shortly after touchdown the right main landing gear collapsed, which was followed by the airplane swerving right and into the runway safety area. The airplane came to rest on its left main landing gear, nose gear and right wing tip. The right horizontal stabilizer and elevator sustained substantial damage. The pilot also mentioned that he forgot to perform the alternate landing gear extension procedure prior to landing. Under the supervision of a Federal Aviation Administration aviation safety inspector, a postaccident examination of the landing gear system was performed on January 8, 2018, at the facilities of Willamette Aviation, Aurora State Airport, Aurora, Oregon. The results of the examination revealed the following: The landing gear hydraulic lines, electrical wires, actuators, locks, valves and other landing gear system components were visually inspected, with no anomalies noted. The hydraulic system fluid was visually inspected, with the level of the fluid above the ADD mark as indicated on the reservoir dip stick. There were no obvious hydraulic leaks observed from any specific hydraulic component. The landing gear switch handle was in the GEAR DOWN position, and all three landing gear were visually and physically confirmed to be in the DOWN and LOCKED positions. The landing gear down lock actuators were both extended, and the locks themselves were over the lock pins in a position appropriate to "locked" in the down position, and withvisually confirmed engagement. With the airplane position on the ground and resting on its landing gear, the green GEAR DOWN indicator illuminated when the master switch was positioned to ON; the hydraulic power pack ran for about one (1) second before the light came on. The airplane was jacked using tripod jacks, wing-mounted jack adapters, and a weighted tail stand. The landing gear was retracted and extended eight (8) cycles over a period of about 40 minutes, and functioned as described in the Cessna T210L maintenance manual, with positive down lock engagement. A green GEAR DOWN light indication was followed by the hydraulic pump shutting off. Both retraction and extension cycles were completed in approximately eight (8) seconds. Each of the cycles resulted in a normal gear retraction and extension cycle completion, with only slight increases in cycle times when the landing gear was de-synchronized by application of resistance to one or the other gear legs. The landing gear warning horn system was tested for proper operation, with no anomalies noted during the functionality check. All systems operated normally. The examination revealed no evidence of what precipitated the collapse of the right main landing gear during the landing roll. (For an in-depth description of the examination and testing, refer to the Aircraft and Landing Gear System Inspection/Function Report, which is appended to the docket for this report.)

Aircraft

Registration
N2122S
Reported as
Cessna T210L (M)
Category
Airplane
Serial number
21061084
Built
1975
Airframe hours
4,803.8
Engine
Continental Motors TSIO-520, 285 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 2, 2017 · 62 hours before
Departed
PAE · Everett, WA
Destination
KUAO · Aurora, OR
Airport
KUAO · Aurora State Airport, runway 35, 5,003 × 100 ft, asphalt
Equipment
Onboard weather, Handheld GPS, Auto-pilot, Stall warning system

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
78
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
April 28, 2017
Seat
Left
Restraint
3-point
Flight hours
2,201 total · 1,673 in this make and model · 2,018 as pilot in command · 17 in the last 90 days · 6 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
36 °F, dew point 30 °F
Altimeter
30.35 inHg
Observed at
UAO

Docket · 4

The files NTSB released with the investigation on September 13, 2018, on NTSB’s docket system: statements, records, photos and specialists’ reports. 7.5 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.