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NTSB Report

March 14, 1995 · Cessna 340 · N5432M

Santa Fe, NM

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
March 14, 1995
Injury Outcomes
No injuries (2 uninjured)
Location
Santa Fe, NM
Aircraft
Cessna 340
Tail Number
N5432M
Operator
Norman K Moses
Injuries
None
Aircraft Damage
Substantial
NTSB Number
FTW95LA138

THE RIGHT MAIN GEAR COLLAPSED FOR THE SECOND TIME WITHIN 21 DAYS AFTER 7.7 HOURS OF FLIGHT HOURS SINCE THE REPAIR. SINCE THE LAST ANNUAL INSPECTION THE LANDING GEAR HAD BEEN INSPECTED VARIOUS TIMES AND NUMEROUS GEAR SYSTEM DISCREPANCIES WERE NOTED TO MECHANICS AND OWNERS/OPERATORS. POST ACCIDENT EXAMINATION OF THE SYSTEM BY THE MANUFACTURER'S TECHNICAL REPRESENTATIVE REVEALED 'EXTREME' WEAR IN THE LANDING GEAR SYSTEM. A REVIEW OF MAINTENANCE RECORDS DID NOT REVEAL REPLACEMENT OF ANY BUSHINGS IN THE RIGHT MAIN LANDING GEAR ASSEMBLY DURING NUMEROUS LANDING GEAR CHECKS. A CESSNA SERVICE LETTER FOR MAIN LANDING GEAR SIDE BRACE HAD NOT BEEN ACCOMPLISHED.

NTSB Probable Cause

WORN LANDING GEAR ASSEMBLY DUE TO INADEQUATE MAINTENANCE BY MAINTENANCE PERSONNEL AND DELAYED MAINTENANCE BY OPERATORS.

Full Narrative

On March 14, 1995, at 1450 mountain standard time, a Cessna 340, N5432M, sustained substantial damage when the right main gear collapsed during landing near Santa Fe, New Mexico. The private pilot and the sole passenger were not injured. Visual meteorological conditions prevailed for the local personal flight being operated under Title 14 CFR Part 91. The flight was cleared by the tower controller to land on runway 02 and during the landing roll, the right main gear collapsed. The right wing struck the runway and the airplane came to rest with damage to the right aileron, flap, propeller, landing light, and wing tip fuel tank. The landing gear was checked and lubricated at an annual inspection on March 26, 1994, at Robertson Aircraft, Inc., at Albuquerque, New Mexico. Robertson wrote an airplane discrepancy log entry for April 29, 1994, stating "check landing gear" and listing under the corrective action block that "gear needs all new bushings and tension set." The log further stated that the "pilot said not to do anything." On August 10, 1994, a pre-purchase inspection report (copy enclosed) for the current owner listed numerous landing gear system discrepancies including right main gear side brace "play at the upper attachment point and at the center pivot point." The inspection report also stated "gear tensions low, gear system needs rigging." The airplane was purchased by the current owner on October 11, 1994. In November 1994, maintenance was accomplished on the landing gear transmission, manual gear extension system, the left main gear assembly (including replacement of bushings in drag link); however, maintenance records did not indicate work on the right main gear assembly. In December 1994, maintenance included gear box repair, installation of new bushings in the left gear and adjusting the up and down locks and overcenter pressures. After 4.6 hours of flight time since the last recorded landing gear maintenance, the right main gear collapsed, on February 2, 1995. The enclosed inspection sheet, work order, and parts listing did not reveal replacement of main gear bushings. The maintenance logbook states "performed gear rig and operational test." On the enclosed statement, dated September 19, 1995, Beegles Aircraft Service, Inc., stated that after the first gear collapse, a "replacement of parts and inspection of the other parts was completed and gear rigging procedure completed." Beegles Aircraft further stated that the "gear system rigged out according to the manual." On March 1, 1995, Beegles Aircraft Service of Greeley, Colorado, stated in the maintenance log that the "aircraft was repaired and inspected" and "is approved for return to service." On March 14, 1995, 7.7 hours of flight time after the first gear collapse, the right main gear collapsed for a second time. In April 1995, the airplane was examined at Beegles Aircraft Service, Inc., by a NTSB investigator and the manufacturer's technical representative. The technical representative found "the whole landing gear system was extremely worn" and "every place there was a bearing, bushing, or bolt was excessively worn." According to the technical representative, "the extreme wear of the complete gear actuating system caused the gear rigging parameters to change with each actuation and at the time of collapse, had changed enough to prevent the downlock from locking properly." On the enclosed statement, Beegles Aircraft Service, Inc., reported that after the second gear collapse they became aware of the maintenance on gear door hinges and the transmission. On May 16, 1995, the manufacturer's engineer reviewed the history of the airplane and stated that it was his "suspicion that the rigging of the aircraft is changing and that the right gear is loosing its over center adjustment as a result of the existing crack in the gear box area as well as the worn out bushings." On the enclosed statement, Beegles Aircraft Service, Inc., reported that "the wing rib in the main gear wheel well of this airplane have cracks" as outlined in the Cessna Service Letter ME76-2. Airplane maintenance records did not indicated that the service letter had not been accomplished by previous owners or maintenance personnel. The right upper struts and bellcranks from the two occurrences of the right main gear collapse were examined by the NTSB Metallurgists. Each strut and bellcrank contained "similar separations" and disclosed "no evidence of preexisting fractures." All fractures were "typical of overstress." The airplane was released to the owner.

Flight

Event TypeAccident
Event Time14:50 MST
Nearest AirportSanta Fe Municipal (0nm)
Runway2
Runway Length8324 ft
Runway Width150 ft
Flight Plan FiledNone
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftCessna 340
Tail NumberN5432M
Aircraft CategoryAir
DamageSubstantial
OperatorNorman K Moses
Operating RulePart 91
Engines2
Engine TypeReciprocating
Engine DetailsContinental · TSIO-520 · Reciprocating · 300
Seats6

People & Injuries

Injury SummaryNo injuries (2 uninjured)
Fatal0
Serious0
Minor0
Uninjured2
Total2
Crew 1Age 41 · Third Class

Conditions

ConditionsVMC
LightDaylight
WindCalm
Visibility50 sm
CeilingNone
Temperature / Dew Point70 F / 0 C
Altimeter30.00 inHg
Weather SourcePILO

Appendix: Source Data