WPR19LA231

NTSB accident investigation · Cessna P210 · Novato, CA · August 1, 2019

Accident · No injuriesClass 3 · LimitedFinal report
Date
August 1, 2019, 16:15 local (23:15 UTC)
Place
Novato, CA
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N234SBCessna P210
Defining event
Landing-flare/touchdown: Abnormal runway contact
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
FAA report
20190801017789A
Case key
100110

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

The NTSB’s determination of the probable cause, and any contributing factors.

The pilots’ improper landing flare, which resulted in a hard landing and collapse of the nose landing gear.

Findings · 2

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings.

Analysis

The pilot reported that, after making a normal approach, the airplane touched down on the runway surface and bounced. The airplane touched down again, resulting in the nose gear collapsing. The propeller contacted the runway, and the airplane veered off the asphalt, coming to rest in the grass median. A postaccident examination of the nose gear revealed that signatures were consistent with the nose strut failing as a result of a heavy aft force that would occur with an extreme nose-low impact or encounter with an obstacle. The damage incurred to the airplane supported the likelihood that the airplane touched down hard on the nose gear.

Factual narrative

On August 01, 2019, about 1615 Pacific daylight time, a Cessna P210, N234SB, was substantially damaged when it was involved in an accident at Gnoss Field Airport, Novato, California. The private pilot and one passenger were not injured. The airplane was operated under the provisions of 14 Code of Federal Regulations Part 91 as a business flight. The pilot reported that, after making a normal approach, he configured the airplane to land on runway 13. As the airplane passed over the runway designation markings (numbers), the nose felt as though it was being forced down and impacted the runway surface. The airplane bounced and subsequently touched down again, resulting in the nose gear collapsing. The propeller contacted the runway and the airplane veered off the asphalt, coming to rest in the grass median. The pilot thought that the nose gear collapsed a result of a failure of the lower trunnion failing, which was the subject of Cessna Service Bulletin SEB94-19, issued in July 1994. The bulletin states that the lower trunnion failures occur forward of the side brace as a result of cracks caused by improper ground handling procedures. The bulletin advised inspection of the nose landing gear lower trunnion for cracks until trunnions could be replaced with a new strengthened lower trunnion. It could not be ascertained if the airplane was maintained in compliance with service bulletin, nor is it mandatory for the owner to have complied. The accident trunnion did not have signatures consistent with a failure occurring in the area of concern. The Federal Aviation Administration-certified airframe and powerplant mechanic that performed a postaccident examination of the nose gear stated that the fork had fractured and was bent aft. He said the appearance of the retraction cylinder was consistent with it impacting while in compression; the links were intact. He thought all the signatures were consistent with the nose strut failing as a result of a heavy aft force that would occur with an extreme nose-low impact or encounter with an obstacle.

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident.

Aircraft

Registration
N234SB
Reported as
Cessna P210 (N)
Category
Airplane
Serial number
P21000673
Built
1981
Airframe hours
4,388
Engine
Rolls Royce 250-B17f/2, 450 horsepower, turbo prop
Damage
Substantial damage
Flight
Business · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 15, 2019 · 58 hours before
Departed
OGD · Ogden, UT
Destination
DVO · Novato, CA
Flight plan
IFR
Airport
DVO · Gnoss Field, runway 13, 3,300 × 75 ft, asphalt
Equipment
Onboard weather, Stall warning system, ADS-B, Auto-pilot, Electronic multifunction display, Electronic primary flight display

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
63
Injuries
None
Certificate
Private
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Seat
Right
Restraint
4-point
Flight hours
1,125 total · 402 in this make and model · 880 as pilot in command · 45 in the last 90 days · 36 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
220° at 14 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
75 °F, dew point 59 °F
Altimeter
30.00 inHg
Observed at
KDVO, 1 nm away

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.