WPR20LA290

NTSB accident investigation · Diamond DA 40 · Benson, AZ · August 20, 2020

Accident · No injuriesClass 3 · LimitedFinal report
Date
August 19, 2020, 21:50 local (Aug 20, 2020, 04:50 UTC)
Place
Benson, AZ
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N386MADiamond DA 40
Defining event
Landing-flare/touchdown: Landing gear collapse
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Western Pacific Region
Parties
Diamond Aircraft, Federal Aviation Administration
FAA report
20200819014069A
Case key
101880

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 nose landing due to fatigue cracking.

Findings · 1

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: nose/tail gear strut/axleAircraft › Aircraft systems · Fatigue/wear/corrosionDiamond Aircraft Ind DA 40: 1 caseAll aircraft: 36 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 pilots were performing an instructional flight and completed a normal approach to the destination runway. The main landing gear touched down on the runway surface first and as soon as the nose lowered, the nose landing gear collapsed. The nose landing gear fork assembly had collapsed when a pivot-axle welded to the arm in the nose landing gear welding assembly fractured. A metallurgical examination revealed the pivot-axle fracture surface exhibited two opposite facing fatigue cracks propagating inward on the pivot-axle due to reverse bending, consistent with repeated landing forces and cycles prior to the accident. The cracks propagated until the remaining pivot-axle cross section could not withstand the loads on the last landing cycle and succumbed to fracture from overstress. The location of the crack’s origins required disassembly to detect. Therefore, it would not have been easily detected during routine maintenance. Following this accident, the manufacturer issued a mandatory service bulletin to routinely inspect the nose landing gear for cracks using dye penetrant.

Factual narrative

On August 19, 2020, about 2150 mountain standard time, a Diamond DA-40 airplane, N386MA, sustained substantial damage when it was involved in an accident in Benson, Arizona. The flight instructor and pilot under instruction (PUI) were not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 instructional flight. The flight instructor stated that they departed from Tucson, Arizona with the purpose of landing in Benson for the PUI to fulfill a night cross-country flight time requirement toward his commercial license. The PUI completed a normal approach to runway 10 and started the landing flare at about 65 knots. The main landing gear touched down on the runway surface first and as soon as the nose lowered, they heard a loud noise. The PUI held the control stick aft in an attempt to keep the nose up as the airspeed was slowing, but they soon heard the strut scraping along the runway. Upon egressing the airplane, they observed that the nose gear had separated at the pivot axle (see figure 1). Figure 1: Nose Landing Gear Nose Landing Gear The nose landing gear, part number D41-3223-10-00_1, was installed at an unknown time, but sometime before the operator purchased the airplane in 2014 at a total time of 1427.7 hours. The airframe had a total time of 8,528.3 hours. The nose landing gear fork assembly collapsed upon landing when a pivot-axle welded to the arm in the nose landing gear assembly fractured. A metallurgical examination revealed the pivot-axle fracture surface exhibited two opposite facing cracks propagating inward on the pivot axle. The pivot-axle fracture surfaces were consistent with fatigue, due to reverse bending from landing forces and cycles. The cracks propagated until the remaining pivot-axle cross section could not withstand the loads on the last landing cycle and succumbed to fracture from overstress. With the pivot axle having separated, the adjacent nose landing gear components would be subject to fracture from overstress. Examination of crack’s origins revealed that they could be detected with nondestructive inspection techniques, such as fluorescent penetrant inspection (FPI) or magnetic particle inspection (MPI). Both these techniques, as well as certain ultrasonic inspection kits, could be employed to look for similar cracks in other welded assemblies, but would require disassembly to access. Diamond Aircraft stated that they are aware of nine other cases of cracking on this part with off of the airplanes having about 5,000 hours of total time. Following this accident, Diamond Aircraft issued a Mandatory Service Bulletin (MSB) 40-091 that stated, in part: For airplanes equipped with the D41-3223-10-00_1 nose landing gear leg, and with a TTAF [total time airframe] of 3000 hours or greater, within the next 25 hours of operation if operated on unprepared surfaces, or within the next 100 hours of operation if operated on paved surfaces. [Dye penetrant] Inspection must be repeated every 100hours thereafter. The terminating action of this service bulletin is the installation of a D41-3223-10-00_2 or later nose landing gear leg.

Aircraft

Registration
N386MA
Reported as
Diamond DA 40
Category
Airplane
Serial number
40.449
Built
2004
Airframe hours
8,528
Engine
Lycoming IO-360-M1A, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
CAE Oxford Aviation Academy, doing business as Cae
Registered owner
K2 Aviation Llc
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · August 10, 2020 · 40 hours before
Departed
FFZ · Mesa, AZ
Destination
E95 · Benson, AZ
Flight plan
VFR
Airport
E95 · Benson Muni, runway 10, 4,002 × 75 ft, asphalt
Equipment
ADS-B, 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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Flight instructor
Age
33
Injuries
None
Certificate
Flight instructor
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
January 29, 2020
Seat
Right
Restraint
3-point
Flight hours
375 total · 22 in this make and model · 336 as pilot in command · 23 in the last 90 days · 22 in the last 30 days
Role
Student pilot
Age
21
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Seat
Left
Restraint
3-point
Flight hours
240 total · 43 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
330° at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
100 °F, dew point 46 °F
Altimeter
29.86 inHg
Observed at
KTUS, 31 nm away

Docket · 4

The files NTSB released with the investigation on September 7, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 17.5 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.