Flagstaff Pulliam Airport
Aircraft Accident/Incident Report

Flagstaff, Arizona 86001
Sunday, June 26, 2011 9:30 MST

NTSB Narrative Summary Released at Completion of Accident

After touchdown, the airplane veered to the left when the nose gear was lowered to the runway. The pilot attempted to maintain directional control; however, the airplane continued to veer to the left and departed the runway. Examination of the airplane revealed that the nose landing gear had collapsed, and the engine mount was fractured at one of the two attachment feet for the nose landing gear actuator. Metallurgical examination of the fractured attachment foot revealed that it had failed as a result of fatigue cracking that initiated at the intersection of two welds that joined two of the engine mount’s support tubes to the right attachment foot. The fatigue cracking progressed along the toe of the weld that joined the forward support tube to the attachment foot. The location of the fatigue fracture was consistent with bending loads caused by a force directed aft by the nose gear actuator. About 9 years prior to the accident, the airframe manufacturer issued a service bulletin requiring an inspection of the engine mount attachment feet at the first regularly scheduled maintenance event after the engine mount reached 290 hours time-in-service and thereafter every 100 hours. If cracks were observed, a new engine mount must be installed. The service bulletin also states that, despite the replacement of the engine mount, the inspections should continue. As part of the inspection procedure, the paint is removed from and around the attachment feet. After the inspection is complete, the area is covered with a corrosion prevention compound. The airframe manufacturer considers performance of the service bulletin mandatory. On April 8, 2010, the National Transportation Safety Board (NTSB) issued Safety Recommendation A-10-44, which asked the Federal Aviation Administration (FAA) to require repetitive inspections of the engine mount feet. On December 22, 2011, based on the FAA’s response that the safety risk is not sufficient to warrant issuance of an airworthiness directive to require the repetitive inspections, the NTSB classified the recommendation Closed-Unacceptable Action. Review of the airframe maintenance records indicated the airplane’s total time at its most recent inspection was about 2,238 hours, and no entries were found indicating replacement of the engine mount or compliance with the manufacturer’s issued service bulletin. Additionally, paint was observed on and around the attachment feet, which indicates that the inspection had never been performed.

NTSB Probable Cause Narrative

Fatigue failure of an engine mount attachment foot, which resulted in collapse of the nose landing gear during landing. Contributing to the accident was the failure of the owner/operator to adhere to the manufacturer's suggested engine mount inspection schedule.

Event Information

Type of Event Accident
Event Date 6/26/2011
Event Day of the Week Sunday
Time of Event 930
Event Time Zone Mountain Standard Time
Event City Flagstaff
Event State ARIZONA
Event Country --
Zipcode of the event site 86001
Event Date Year 2011
Event Date Month 6
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 350825N
Event Location Longitude 1114009W
Event Location Airport Flagstaff Pulliam Airport
Event Location Nearest Airport ID FLG
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 7014
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 957 Mountain Standard Time
Direction of event from weather observation facility (degrees) --
Weather Observation Facility ID FLG
Elevation of weather observation facility 7014
Distance of event from weather observation facility (units?) --
Time Zone of the weather observation MST
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) 26
Dew Point at event time (in degress fahrenheit) -8
Wind Direction (degrees magnetic) 260
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 17
Wind Velocity Indicator --
Wind Gust Indicator Gusting
Wind Gust (knots) 32
Altimeter Setting at event time (in. Hg) 30.18
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report METAR KFLG 261657Z 26017G32KT 10SM CLR 26/M08 A301
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) 30407
NTSB Notification Source FAA Operations Center
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Oct 29 2012 2:57PM
User who most recently changed record snyg
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N9246M
NTSB Number WPR11LA313
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed Unknown
Flight plan Was Activated? --
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name PIPER
Aircraft Model PA 46-350P
Aircraft Series Identifier --
Aircraft Serial Number 4622149
Certified Max Gross Weight 4300
Aircraft Category Airplane
Aircraft Registration Class --
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 6
Number of Engines 1
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Nov 4 2010 12:00AM
Airframe hours since last inspection --
Airframe Hours 2238
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type Unknown
Aircraft Owner Name 9246M LLC
Aircraft Owner Street Address --
Aircraft Owner City LAS VEGAS
Aircraft Owner State NV
Aircraft Owner Country USA
Aircraft Owner Zipcode 89139-7892
Operator is an individual? No
Operator Name Karen Slakey
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address --
Operator City Henderson
Operator State NV
Operator Country USA
Operator Zip code 89052
Operator Code --
Owner has at least one certificate None
Other Operator of large aircraft? No
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 No
Departure Airport Code VGT
Departure City Las Vegas
Departure State NV
Departure Country USA
Departure Time 810
Departure Time Zone PDT
Destination Same as Local Flt crash at destination city
Destination Airport Code FLG
Destination City Flagstaff
Destination State AZ
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Sep 4 2012 8:17PM
User who most recently changed record stam
Since inspection or accident Last Inspection
Event Location Runway Number and Location 21
Runway Length 8800
Runway Width 150
Sight Seeing flight No
Air Medical Flight No
Medical Flight --