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November 18, 2003 · Fairchild Swearingen SA226TC · N332BA

Grand Junction, CO

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
November 18, 2003
Injury Outcomes
No injuries (1 uninjured)
Location
Grand Junction, CO
Aircraft
Fairchild Swearingen SA226TC
Tail Number
N332BA
Injuries
None
Aircraft Damage
Substantial
NTSB Number
DEN04LA023

According to the pilot, he was told to enter left base and was cleared to land. The pilot stated that, when he reduced the airspeed to lower the landing gear, he "heard the gear come down," and he verified "three green in the [landing] gear indicator." He landed the airplane on its "main [landing gear] wheels first" and slowly let the nose of the airplane drop. Although both main landing gear assemblies remained down and locked, the nose landing gear collapsed, allowing the nose of the airplane and both propellers to strike the runway. The airplane slid approximately 3,000 feet, coming to a stop on the right edge of the runway. Several fractured propeller pieces impacted the left and right sides of the fuselage substantially damaging two fuselage station bulkheads. The fuselage bulkhead, forward of the nose landing gear well, was also substantially damaged due to contact with the runway. The pilot said that, during the approach, from base to final, he did not hear a landing gear warning horn. An air traffic control specialist stated that he told the pilot to enter a left base and that he was cleared to land. The specialist stated that he observed the airplane roll out on a 2-mile final "with the gear down." As the airplane was rolling down the runway the "nose wheel collapsed." An FAA inspector examined the airplane and noted that, according to the Fairchild SA226 Maintenance Manual, the nose landing gear's up-lock mechanism was not properly lubricated, a "critical clearance" measurement between the nose landing gear's bell crank roller and positioning cam was found to be out of tolerance, and when the throttles were retarded, the landing gear warning horn activated, but it was "barely audible." According to the Fairchild SA226 Maintenance Manual, the landing gear should be lubed every 200 hours. The FAA inspector stated that the approved maintenance inspection sheet for the operator did not show the requirement for the main landing gear or nose landing gear to be lubed every 200 hours.

NTSB Probable Cause

the operator's improper maintenance and servicing of the airplane's nose landing gear assembly, resulting in the collapse of the nose landing gear during the landing roll. Contributing factors include the nose section of the airplane's subsequent contact with the runway, the impact of several fractured propeller pieces into the fuselage, and the operator's inadequate maintenance and servicing procedures.

Full Narrative

On November 18, 2003, at 0721 mountain standard time, a Swearingen SA226TC, N332BA, owned and operated by Key Lime Air Corp., Wilsonville, Oregon, was substantially damaged when it impacted terrain during landing roll at Walker Field (GJT), Grand Junction, Colorado. The pilot, the sole occupant on board, was not injured. Visual meteorological conditions prevailed. No flight plan had been filed for this non-scheduled cargo flight being conducted under the provisions of Title 14 CFR Part 135. The flight originated at Rifle, Colorado, at approximately 0709. According to the pilot, he was cleared to enter left base for a landing on runway 11. The pilot stated that, as he reduced the airspeed to 160 knots, he lowered the landing gear. He stated that he "heard the gear come down," and he verified "three green in the [landing] gear indicator." He stated that he reduced engine power to flight idle as he entered the "base-leg." During the final approach, he had to add engine power, and then just over the runway threshold, he reduced engine power back to flight idle. He landed the airplane on its "main [landing gear] wheels first" and slowly let the nose of the airplane drop. Although both main landing gear assemblies remained down and locked, the nose landing gear collapsed, allowing the nose of the airplane and both propellers to strike the runway. The airplane slid approximately 3,000 feet, coming to a stop on the right edge of the runway. When the propellers struck the runway, several fractured propeller pieces impacted the left and right sides of the fuselage resulting in substantial damage to two fuselage bulkheads. The fuselage bulkhead, forward of the nose landing gear well, was also substantially damaged due to contact with the runway. The pilot said that, during the approach, from base to final, he did not hear a landing gear warning horn. The pilot stated that the flight was uneventful except for a problem on the previous leg of the flight from Denver International Airport (DEN), Denver, Colorado, to Garfield County Regional Airport (RIL), Rifle, Colorado. During the previous leg, the airplane's "out of trim" warning buzzer came on as he climbed through 16,000 feet msl. He said that it stayed on during the entire flight while at flight level 180 (18,000 feet msl). As he descended through 14,000 feet msl, the warning buzzer turned off. According to an air traffic control specialist, who was working in the Walker Field/Grand Junction Airport Control Tower, he told N332BA to enter a left base for runway 11 and that he was cleared to land. He stated that he observed N332BA roll out on a 2-mile final "with the gear down." As the airplane was rolling down the runway the "nose wheel collapsed." According to another pilot, who had flown N332BA on November 11, 2003, he had problems extending the landing gear while on approach to DEN. On the fourth try, the landing gear extended and locked, and he was able to land. According to the pilot, maintenance personnel examined the airplane that evening. The landing gear was cycled several times. No deficiencies were noted. On December 12, 2003, two FAA maintenance inspectors examined N332BA. Several extension and retraction test were completed while the airplane was in a hanger, on aircraft maintenance jacks, and connected to ground hydraulic power. The landing gear extended and retracted properly. Furthermore, an uneventful free-fall test was completed as well. The FAA inspector stated that, although the landing gear preformed as normal on the first series of tests, he was able to duplicate the nose gear extension failure by manipulating the landing gear's "bypass-valve." Upon examination of the nose landing gear's up-lock mechanism, he noted that it was not properly lubricated in accordance with the Fairchild SA226 Maintenance Manual. Further examination of the nose landing gear assembly revealed that a "critical clearance," between the nose landing gear's bell crank roller and positioning cam, measured in accordance with the Fairchild SA226 Maintenance Manual, was found to be out of tolerance. After properly servicing the up-lock mechanism, the gear problem could no longer be duplicated. The FAA inspector also stated that, during the operation of the landing gear, the engine throttles were advanced to keep the landing gear warning horn from constantly sounding. At one point, when the throttles were retarded, the landing gear warning horn did activate, but it was "barely audible." It was noted that, when moving the throttles fore and aft, the buzz, of the landing gear warning horn, was intermittently below reasonable hearing volume. According to the Fairchild SA226 Maintenance Manual, the landing gear should be lubed every 200 hours. The FAA inspector stated that the approved maintenance inspection sheet for Key Lime Air, did not show the requirement for the main landing gear or nose landing gear to be lubed every 200 hours.

Flight

Event TypeAccident
Event Time07:21 MST
Nearest AirportWalker Field (0nm)
Runway110
Runway Length10501 ft
Runway Width150 ft
Flight Plan FiledNone
Flight Plan ActivatedNo
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftFairchild Swearingen SA226TC
Tail NumberN332BA
Aircraft CategoryAir
DamageSubstantial
Operating RulePart 135
Engines2
Engine TypeTurboprop
Engine DetailsGarrett · TPE-331-100A · Turboprop · 840 | Garrett · TPE-331-100A · Turboprop · 840
Seats3

People & Injuries

Injury SummaryNo injuries (1 uninjured)
Fatal0
Serious0
Minor0
Uninjured1
Total1
Crew 1Age 42 · First Class · None

Conditions

ConditionsVMC
LightDaylight
Wind110° @ 10 kt
Visibility10 sm
CeilingNone
Temperature / Dew Point27 C / 21 C
Altimeter30.32 inHg
Observation Time14:31
Weather SourceWFAC

Appendix: Source Data