Newark Airport
Aircraft Accident/Incident Report

Newark, New Jersey
Sunday, January 10, 2010 9:15 EST

NTSB Narrative Summary Released at Completion of Accident

Crew statements and recorded flight data indicate the flight was normal from the departure from Chicago until the first officer selected gear down while on final approach to runway 4R. There were no relevant open maintenance items on the airplane, and all applicable airworthiness directives had been complied with. After the landing gear was selected down during approach to runway 4R, the flight crew observed a warning indicating that one or more of the main landing gear (MLG) was not down and locked and one or more gear doors were not closed. The crew executed a go-around and cycled the landing gear handle in accordance with the electronic checklist. After cycling the landing gear, the warning remained and still indicated that one or more of the MLG was not down and locked and one or more gear doors were not closed. The flight crew coordinated with ATC for delaying vectors and continued to follow the abnormal procedures checklists in an attempt to extend the MLG. The United Airlines A320 Landing Gear Unsafe Indication After Extension checklist referred to the Landing Gear Gravity Extension checklist, which concluded that if the extension was unsuccessful the user was referred back to the Landing Gear Unsafe Indication After Extension. Although the flight crew reported that the checklists were confusing, they were able to accomplish all of the specified actions on the Landing Gear - Partial Gear or Gear Up Landing checklist in an attempt to rectify the MLG problem and prepare for landing. The first officer attempted to get assistance from United's maintenance control, but a difficulty with radio communications prevented effective assistance. After the incident, United amended their checklists for clarity. After completing the checklist items without success, the flight crew coordinated with ATC for a partial gear-up landing on runway 4L at EWR. During approach, the crew discussed when the engines should be shut down. The Landing Gear - Partial Gear or Gear Up Landing checklist specified that if one MLG indicated abnormal both engines should be shut down "at touchdown", and if both MLG indicated abnormal the engines should be shut down "...in the flare, before touchdown." Just prior to touchdown, the Captain acknowledged the correct checklist instruction, but called for the engines to be shut down prior to touchdown. Although not contributory to the landing gear issue, shutting down the engines, and the concurrent loss of electrical generators without the auxiliary power unit running, would result in a loss of various capabilities including nosewheel steering, anti-skid, and some spoiler capability. The airplane's speed at this time would be too low to provide electrical power from the Ram Air Turbine as well. Operation of the fuel cut-off switches and loss of electrical power resulted in the flight data recorder and cockpit voice recorder shutting down prior to touchdown. The loss of power did not affect the cabin emergency lighting. Post incident examination of the airplane revealed that the right MLG door actuator had failed to extend the door to its fully open position. The partially open door obstructed the right MLG from extending to its down and locked position. The outboard tire of the right MLG was found resting on the top of the door assembly. Examination of the door actuator revealed that some of its internal components had failed, one of them producing large quantities of fragmented metallic debris that collected in one location between the piston and the cylinder with smaller particles being embedded in the piston seals. Testing of the actuator revealed that it took more pressure than normal to initiate extension and retraction and it is considered likely that, under the right conditions, the debris might prevent the piston from moving in the cylinder. Although the majority of the debris remained within the cylinder, smaller particles were able to migrate through the actuator's retract line, coming to rest in the retract restrictor and its mounting block. This debris likely restricted the flow of fluid through the actuator which would reduce the speed of extension and retraction, allowing the main gear tire to contact the door and preventing further motion of the gear and door. During the evacuation, the 1R door did not fully open and only 1/8 of the 1R emergency evacuation slide dropped from the pack after the 1R door was opened. Prior to the flight the purser said she felt resistance when she armed the 1R door. Review of the photographs taken of the 1R slide following the incident, revealed that the 1R evacuation slide remained jammed inside its pack, and the girt was taught between the pack and the girt bar, preventing the 1R door from fully opening. Further, no anomalies were found with the 1R power assist actuator. According to the slide manufacturer, improper stowage of the girt bar in the floor brackets and/or improper packing of the evacuation slide can result in excessive bulk at the bottom of the slide pack and may impact the orientation of the slide pack at the initial stages of the deployment sequence. Because no mechanical deficiencies were found with the door, slide or girt bar, the likely reason for the lack of deployment of the 1R slide was improper packing of the 1R slide. The loss of availability of the 1R door and slide did not negatively impact the evacuation.

NTSB Probable Cause Narrative

A mechanical failure of internal components of the right main landing gear door actuator resulting in the flight crew being unable to fully extend the right main landing gear using the normal and alternate procedures. Contributing to this incident was a circular reference in the company Flight Manual in which the Landing Gear Gravity Extension checklist referred back to the Landing Gear Unsafe Indication After Extension checklist rather than the Landing Gear - Partial Gear or Gear Up Landing checklist.

Event Information

Type of Event Incident
Event Date 1/10/2010
Event Day of the Week Sunday
Time of Event 915
Event Time Zone Eastern Standard Time
Event City Newark
Event State NEW JERSEY
Event Country --
Zipcode of the event site --
Event Date Year 2010
Event Date Month 1
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude --
Event Location Longitude --
Event Location Airport Newark
Event Location Nearest Airport ID KEWR
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 0
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 1251 Coordinated Universal Time? Same as GMT
Direction of event from weather observation facility (degrees) 165
Weather Observation Facility ID KEWR
Elevation of weather observation facility 18
Distance of event from weather observation facility (units?) 1
Time Zone of the weather observation UTC
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) -9
Dew Point at event time (in degress fahrenheit) -18
Wind Direction (degrees magnetic) 340
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) 30.28
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Minor
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor 3
Injury Total None 50
Injury Total Serious --
Injury Total All 3
Investigating Agency NTSB
NTSB Docket Number (internal use) --
NTSB Notification Source FAA
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Jun 24 2011 10:54AM
User who most recently changed record schd
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N816UA
NTSB Number DCA10IA021
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 121: Air Carrier
Type of Flight Plan filed IFR
Flight plan Was Activated? Yes
Damage Minor
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name AIRBUS INDUSTRIE
Aircraft Model A319-131
Aircraft Series Identifier --
Aircraft Serial Number 0871
Certified Max Gross Weight 166400
Aircraft Category Airplane
Aircraft Registration Class --
Aircraft is a homebuilt? No
Flight Crew Seats 4
Cabin Crew Seats 4
Passenger Seats 120
Total number of seats on the aircraft 128
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection Jan 9 2010 12:00AM
Airframe hours since last inspection --
Airframe Hours 36679
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type Unknown
Aircraft Owner Name UNITED AIR LINES INC
Aircraft Owner Street Address 1200 E ALGONQUIN RD
Aircraft Owner City ARLINGTON HTS
Aircraft Owner State IL
Aircraft Owner Country USA
Aircraft Owner Zipcode 60005-4712
Operator is an individual? No
Operator Name UNITED AIR LINES INC
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address 1200 E ALGONQUIN RD
Operator City ARLINGTON HTS
Operator State IL
Operator Country USA
Operator Zip code 60005-4712
Operator Code UALA
Owner has at least one certificate Yes - certificate holder
Other Operator of large aircraft? No
Certified for Part 133 or 137 Operation --
Operator Certificate Number UALA011A
Indicates whether an air carrier operation was scheduled or not Scheduled
Indicates Domestic or International Flight Domestic
Operator carrying Pax/Cargo/Mail Passenger Only
Type of Flying (Per_Bus / Primary) --
Second Pilot on Board Yes
Departure Point Same as Event No
Departure Airport Code KORD
Departure City Chicago
Departure State IL
Departure Country USA
Departure Time 800
Departure Time Zone CST
Destination Same as Local Flt crash at destination city
Destination Airport Code KEWR
Destination City Newark
Destination State NJ
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Feb 9 2011 12:14PM
User who most recently changed record engb
Since inspection or accident Time of Accident
Event Location Runway Number and Location 04L
Runway Length 11000
Runway Width 150
Sight Seeing flight No
Air Medical Flight No
Medical Flight --