Individually Owned: 150,657
Corporate Owned: 137,281
Bend Municipal Airport
Aircraft Accident/Incident Report
Bend, Oregon 97701
Wednesday, June 16, 2004 9:30 PDT
NTSB Narrative Summary Released at Completion of Accident
Shortly after applying power for the takeoff roll, the airplane pulled to the right. The pilot reduced power and applied corrective action to the left side brake, however the braking action had no affect and the airplane continued off the side of the runway. The nose gear subsequently collapsed. Inspection of the left side landing gear and brake assembly found that the caliper side pressure plate was cocked and signs of metal to metal gouging on the brake disc was present, and that two of the pads (on the caliper side pressure plate) were missing. Maintenance records indicated that the aircraft had been signed-off for an annual inspection and that the description of work performed indicated that the brakes and tires had been serviced. The aircraft had flown a one hour flight since the annual inspection. During that flight, one takeoff and one landing was accomplished without incident. The accident flight was the second flight after the inspection. Inspection of the nose gear found that the right side of the nose gear trunnion fractured off from the main body in two separate pieces at the lug transition radius. A visual inspection of the fracture surface found multiple origins consistent with fatigue cracking. The fatigue region initiated at the lug radius on the lower side of the lug and propagated toward the interior consuming approximately 5% of the cross-sectional area, with the remaining region being overstress. The Materials Engineer that inspected the trunnion reported that even though the lug contained pre-existing cracking, it appeared that the failure of the component was the result of a single large overload event.
NTSB Probable Cause Narrative
On ground encounter with terrain during the takeoff roll as a result of the left side brake not operating. Inadequate maintenance inspection, overload of the nose landing gear and soft terrain were factors.
Event Information
| Type of Event | Accident |
| Event Date | 6/16/2004 |
| Event Day of the Week | Wednesday |
| Time of Event | 930 |
| Event Time Zone | Pacific Daylight Time |
| Event City | Bend |
| Event State | OREGON |
| Event Country | -- |
| Zipcode of the event site | 97701 |
| Event Date Year | 2004 |
| Event Date Month | 6 |
| MidAir Collision Indicator | -- |
| On Ground Collision occurred ? | -- |
| Event Location Latitude | 440500N |
| Event Location Longitude | 1211204W |
| Event Location Airport | Bend Municipal |
| Event Location Nearest Airport ID | S07 |
| Indicates whether the acc/inc occurred off or on an airport | On Airport |
| Distance from airport in statute miles | 0 |
| Degrees magnetic from airport | -- |
| Airport Elevation | 3456 |
| Weather Briefing Completeness | Unknown |
| Investigator's weather source | Weather Observation Facility |
| Time of the weather observation | 956 Pacific Daylight Time |
| Direction of event from weather observation facility (degrees) | 356 |
| Weather Observation Facility ID | RDM |
| Elevation of weather observation facility | 3077 |
| Distance of event from weather observation facility (units?) | 10 |
| Time Zone of the weather observation | PDT |
| Lighting Conditions | Day |
| Lowest Ceiling Height | -- |
| Lowest Non-Ceiling Height | -- |
| Sky/Lowest/Cloud Conditions | Clear |
| 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) | 16 |
| Dew Point at event time (in degress fahrenheit) | 1 |
| Wind Direction (degrees magnetic) | 350 |
| Variable Wind Indicator | Wind direction could be determined |
| Wind Speed (knots) | 7 |
| Wind Velocity Indicator | -- |
| Wind Gust Indicator | Not Gusting |
| Wind Gust (knots) | -- |
| Altimeter Setting at event time (in. Hg) | 30.22 |
| 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 | 3 |
| Injury Total Serious | -- |
| Injury Total All | -- |
| Investigating Agency | NTSB |
| NTSB Docket Number (internal use) | 17059 |
| NTSB Notification Source | FAA Regional Operations Center |
| NTSB Notification Date | Jun 16 2004 12:00AM |
| NTSB Notification Time | 1415 |
| Fiche Number and/or location -used to find docket information | DMS |
| Date of most recent change to record | Dec 28 2004 12:45PM |
| User who most recently changed record | NTSB\JOHB |
| Basic weather conditions | Visual Meteorological Cond |
| FAA District Office | Hillsboro, Oregon |
Aircraft Involved |
|
|---|---|
Aircraft #1 |
|
| Aircraft Registration Number | N332CC |
| NTSB Number | SEA04LA108 |
| Missing Aircraft Indicator | -- |
| Federal Aviation Reg. Part | Part 91: General Aviation |
| Type of Flight Plan filed | None |
| Flight plan Was Activated? | No |
| Damage | Substantial |
| Aircraft Fire | None |
| Aircraft Explosion | None |
| Aircraft Manufacturer's Full Name | Cessna |
| Aircraft Model | 421B |
| Aircraft Series Identifier | -- |
| Aircraft Serial Number | 421B0578 |
| Certified Max Gross Weight | 6840 |
| 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 | 6 |
| Number of Engines | 2 |
| Fixed gear or retractable gear | Retractable |
| Aircraft, Type of Last Inspection | Annual |
| Date of Last Inspection | Apr 7 2004 12:00AM |
| Airframe hours since last inspection | 2 |
| Airframe Hours | 2067 |
| ELT Installed | Yes |
| ELT Activated | No |
| ELT Aided Location of Event Site | No |
| ELT Type | -- |
| Aircraft Owner Name | Jeriko Development LLC |
| Aircraft Owner Street Address | 63020 Lower Meadow Dr |
| Aircraft Owner City | Bend |
| Aircraft Owner State | OR |
| Aircraft Owner Country | USA |
| Aircraft Owner Zipcode | 97701 |
| Operator is an individual? | No |
| Operator Name | -- |
| Operator Same as Owner? | Yes |
| Operator Is Doing Business As | -- |
| Operator Address Same as Owner? | Yes |
| Operator Street Address | -- |
| Operator City | -- |
| Operator State | -- |
| Operator Country | -- |
| Operator Zip code | -- |
| Operator Code | -- |
| Owner has at least one certificate | None |
| 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 | -- |
| Indicates Domestic or International Flight | -- |
| Operator carrying Pax/Cargo/Mail | -- |
| Type of Flying (Per_Bus / Primary) | Personal |
| Second Pilot on Board | Yes |
| Departure Point Same as Event | Yes |
| Departure Airport Code | S07 |
| Departure City | Bend |
| Departure State | OR |
| Departure Country | USA |
| Departure Time | -- |
| Departure Time Zone | PDT |
| Destination Same as Local Flt | dest & departure same, accident can occur anywhere |
| Destination Airport Code | -- |
| Destination City | -- |
| Destination State | -- |
| Destination Country | -- |
| Specific Phase of Flight | Takeoff - roll/run |
| Report sent to ICAO? | Yes |
| Evacuation occurred | No |
| Date of most recent change to record | Oct 27 2004 1:44PM |
| User who most recently changed record | STAM |
| Since inspection or accident | Time of Accident |
| Event Location Runway Number and Location | 34 |
| Runway Length | 5005 |
| Runway Width | 75 |
| Sight Seeing flight | No |
| Air Medical Flight | No |
| Medical Flight | -- |