Fort Lauderdale/Hollywood Intl Airport
Aircraft Accident/Incident Report

Fort Lauderdale, Florida 33315
Saturday, March 3, 2001 14:52 EST

NTSB Narrative Summary Released at Completion of Accident

The pilot reported that during the approach to runway 27L with the wind from the southwest at 15 knots and no gusts, he confirmed that all gears were down and locked as evidenced by the down and locked lights. He reported landing first on the left main landing gear followed by the right main then nose gear. During the landing roll while almost stopped, "I felt like a blown tire, right wheel zig zag and suddenly I could not control turn to the right and landing gear collapse." The airplane came to rest upright; scrubbing was noted on the lower inboard portion of the right main landing gear tire and the right main landing gear wheel assembly was rotated nearly 90 degrees. Additionally, the upper and lower link assemblies of the right main landing gear were separated from each other; the attach hardware for them remained in the upper link assembly. Post incident examination of the airplane revealed that the bolt that secures the upper and lower link assemblies pulled through the lower link assembly on the nut end. Two washers on the nut end with a thickness of approximately .023 inch were damaged during the pull-through. A washer with a thickness of approximately .061 was installed under the bolt head. A non-mandatory Cessna Service Information Letter indicates to install .066 inch thick washers on the head and nut end of the bolt that secures the upper and lower link assemblies. There was no record in the maintenance records that the non-mandatory service information letter was complied with. Post incident testing of the right main landing gear actuator revealed that the unlocking pressure was too high and one of the four lock keys was improperly installed. Testing of the right main landing gear actuator for unlock pressure was performed by the operator approximately 2 months before the incident in accordance with a service bulletin (SB). The SB states to replace the actuator if the unlocking pressure is not in specification; the actuator was not replaced. There was no serviceable tag in the maintenance records and no determination was made indicating when or what facility overhauled the actuator. The FAA approved inspection program for the operator does not list to inspect the main landing gear link assemblies as does the Cessna Progressive Care Program.

NTSB Probable Cause Narrative

Incomplete compliance with a non-mandatory Cessna Service Information Letter by an unknown person resulting in pulling through of the attach bolt of the upper and lower link assemblies and subsequent rotation of the right wheel assembly. Additionally, improper overhaul of the right main landing gear actuator by an unknown person resulting in collapse of the right main landing gear. Findings in the investigation were: 1) Inadequate compliance with a Cessna Service Bulletin (SB) by company maintenance personnel for failure to replace the actuator as addressed in the SB due to a discrepancy with the actuator noted during the post incident testing, and 2) Failure of the FAA to include inspection of the main landing gear torque links in the FAA approved inspection program as described in the Cessna Progressive Care Program.

Event Information

Type of Event Incident
Event Date 3/3/2001
Event Day of the Week Saturday
Time of Event 1452
Event Time Zone Eastern Standard Time
Event City Fort Lauderdale
Event State FLORIDA
Event Country --
Zipcode of the event site 33315
Event Date Year 2001
Event Date Month 3
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 260422N
Event Location Longitude 0800910W
Event Location Airport Fort Lauderdale/Hollywood Intl
Event Location Nearest Airport ID FLL
Indicates whether the acc/inc occurred off or on an airport On Airport
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation 9
Weather Briefing Completeness Unknown
Investigator's weather source Weather Observation Facility
Time of the weather observation 1453 Eastern Standard Time
Direction of event from weather observation facility (degrees) --
Weather Observation Facility ID KFLL
Elevation of weather observation facility 9
Distance of event from weather observation facility (units?) --
Time Zone of the weather observation EST
Lighting Conditions Day
Lowest Ceiling Height --
Lowest Non-Ceiling Height 2800
Sky/Lowest/Cloud Conditions Few
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 29
Dew Point at event time (in degress fahrenheit) 19
Wind Direction (degrees magnetic) 180
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 16
Wind Velocity Indicator --
Wind Gust Indicator Gusting
Wind Gust (knots) 20
Altimeter Setting at event time (in. Hg) 29.87
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury None
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor --
Injury Total None 9
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 11104
NTSB Notification Source At;lanta Comm Center
NTSB Notification Date Mar 3 2001 12:00AM
NTSB Notification Time 1523
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Apr 23 2002 5:46PM
User who most recently changed record NTSB\JOHB
Basic weather conditions Visual Meteorological Cond
FAA District Office Fort Lauderdale, Florida

Aircraft Involved

Aircraft #1

Aircraft Registration Number N108GP
NTSB Number MIA01IA091
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 135: Air Taxi & Commuter
Type of Flight Plan filed VFR
Flight plan Was Activated? Yes
Damage Minor
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Cessna
Aircraft Model 402C
Aircraft Series Identifier --
Aircraft Serial Number 402C0058
Certified Max Gross Weight 7250
Aircraft Category Airplane
Aircraft Registration Class U.S. Registered/U.S. Soil
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 10
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection AAIP
Date of Last Inspection Feb 20 2001 12:00AM
Airframe hours since last inspection 41
Airframe Hours 22092
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Kissonai Bettencourt
Aircraft Owner Street Address 7750 Pines Blvd.
Aircraft Owner City Pembroke Pines
Aircraft Owner State FL
Aircraft Owner Country USA
Aircraft Owner Zipcode 33024
Operator is an individual? No
Operator Name Safe Air International, Inc.
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address 622 S.W. 34th Street, Building #2
Operator City Fort Lauderdale
Operator State FL
Operator Country USA
Operator Zip code 33315
Operator Code SQFA
Owner has at least one certificate --
Other Operator of large aircraft? --
Certified for Part 133 or 137 Operation --
Operator Certificate Number --
Indicates whether an air carrier operation was scheduled or not Scheduled
Indicates Domestic or International Flight International
Operator carrying Pax/Cargo/Mail Passenger/Cargo
Type of Flying (Per_Bus / Primary) --
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code MYAT
Departure City Marsh Harbor
Departure State --
Departure Country BF
Departure Time 1352
Departure Time Zone EST
Destination Same as Local Flt crash at destination city
Destination Airport Code KFLL
Destination City Fort Lauderdale
Destination State FL
Destination Country USA
Specific Phase of Flight Landing - roll
Report sent to ICAO? No
Evacuation occurred Yes
Date of most recent change to record Nov 9 2001 10:42AM
User who most recently changed record PREJ
Since inspection or accident Time of Accident
Event Location Runway Number and Location 27L
Runway Length 5276
Runway Width 100
Sight Seeing flight No
Air Medical Flight No
Medical Flight --