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NTSB Report

November 1, 2008 · Piper PA-44-180 · N2214N

Lawrenceville, GA

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
November 1, 2008
Injury Outcomes
No injuries (2 uninjured)
Location
Lawrenceville, GA
Aircraft
Piper PA-44-180
Tail Number
N2214N
Operator
Flight School of Gwinnett
Injuries
None
Aircraft Damage
Substantial
NTSB Number
ERA09LA050

During touchdown following a practice ILS approach, the nose gear collapsed, resulting in structural damage to the airplane. Examination of the nose gear assembly revealed that the nose gear drag link bolt failed. The bolt was installed on the airplane approximately 441 flight hours prior to the accident, and Piper Service Bulletin (SB) 1156 requires operators to replace the bolt at 500-hour intervals due to a history of fatigue failures. Examination of the failed bolt revealed that it met design specifications for hardness, surface roughness, and microstructure. Further examination indicated that the bolt failed from reversed bending fatigue. The failure mode was atypical of the failure mode that prompted issuance of the SB.

NTSB Probable Cause

Aircraft-Aircraft systems-Landing gear system-Nose/tail landing gear-Fatigue/wear/corrosion - C

Full Narrative

On November 1, 2008, about 1630 eastern daylight time, a Piper PA-44-180, N2214N, was substantially damaged when the nose landing gear collapsed during landing at the Gwinnett County Airport (LZU), Lawrenceville, Georgia. The instructional flight was conducted under 14 Code of Federal Regulations Part 91. Day visual meteorological conditions prevailed, and no flight plan was filed. The certificated flight instructor and commercial-rated student were not injured. The flight originated from LZU at 1530. The student was performing a practice ILS approach as part of his multi-engine training program. After confirming "gear down, three green, nose gear in mirror," a normal touchdown was performed with no apparent side drift. As the nose was lowered to the runway, the nose gear collapsed. The airplane came to a stop on the runway and the pilots exited the airplane normally. An inspector from the Federal Aviation Administration inspected the aircraft and reported that the nose gear drag link bolt, Piper part number 402 940, failed. According to the airplane maintenance logbook, the bolt was installed on June 9, 2007. At the time of the accident, the airplane had accrued approximately 441 hours since the bolt was installed. According to the maintenance records, two new bearings associated with the bolt were also installed. Piper Service Bulletin (SB) number 1156, dated April 7, 2005, applies to this airplane. The SB provides instructions for replacing the nose gear drag link bolt at 500-hour intervals. SB 1156 states that, “By design, the bolt is free to rotate inside a set of bushings to allow relative movement between the Upper and Lower Drag Links during Landing Gear extension and retraction. Over an extended number of operating hours, this rotation can generate the score marks described, causing stress concentrations to develop in the bolt. Left uncorrected, this condition could eventually result in bolt failure, with subsequent nose gear collapse.” According to a representative from Piper, SB 1156 has not been incorporated into the PA-44-180 Aircraft Maintenance Manual (AMM) for this serial-numbered airplane. The SB has been incorporated for serial numbers 4496001 and higher. Piper expects the SB to be incorporated into the AMM for the older aircraft in early 2010. Following the accident, the failed bolt was forwarded to the NTSB Materials Laboratory for examination. Examination of the accident bolt, using two exemplar bolts provided by Piper for comparison purposes, revealed that the accident bolt met design specifications for hardness, surface roughness, and microstructure. Further examination of the accident bolt revealed that the bolt failed due to reversed bending fatigue. This is evidenced by diametrically opposed fatigue cracks that terminate at an area of overload fracture towards the middle of the bolts cross-section. The central overload fracture region roughly corresponds to the neutral axis of the reversed bending force on the bolt. The bolt failed due to the merging of numerous fatigue cracks from many fatigue initiation points around the periphery of the bolt shank. The 1652 weather observation for LZU included the following: scattered clouds at 1,900 feet, winds calm, visibility 10 statute miles, temperature 19 degrees Celsius, dew point 2 degrees Celsius, and altimeter setting of 30.46 inches of mercury.

Flight

Event TypeAccident
Event Time16:30 EDT
Nearest AirportGwinnett County Airport (0nm)
Runway25
Runway Length6000 ft
Runway Width100 ft
Flight Plan FiledNone
Flight Plan ActivatedNo
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftPiper PA-44-180
Tail NumberN2214N
Aircraft CategoryAir
DamageSubstantial
OperatorFlight School of Gwinnett
Operating RulePart 91
Engines2
Engine TypeReciprocating
Engine DetailsLycoming · O-360 · Reciprocating · 180 | Lycoming · O-360 · Reciprocating · 180
Seats4

People & Injuries

Injury SummaryNo injuries (2 uninjured)
Fatal0
Serious0
Minor0
Uninjured2
Total2
Crew 1Age 23 · Second Class · None
Crew 2Age 46 · Second Class · None

Conditions

ConditionsVMC
LightDaylight
WindCalm
Visibility10 sm
CeilingNone
Temperature / Dew Point66 F / 36 C
Altimeter30.45 inHg
Observation Time20:52
Weather SourceWFAC

Appendix: Source Data