Investigation number
AO-2016-089
Occurrence date
Location
Gove Airport
State
Northern Territory
Report release date
Report status
Final
Investigation level
Short
Investigation type
Occurrence Investigation
Investigation status
Completed
Aviation occurrence type
Landing gear/indication
Occurrence category
Accident
Highest injury level
None

What happened

On 8 August 2016, at about 0700 Central Standard Time (CST), a Beech 58 aircraft, registered VH-UZO (UZO), departed Gove Airport, Northern Territory, for a flight to Elcho Island Airport, Northern Territory. On board were a pilot and four passengers.

During the initial climb, the pilot selected the landing gear up and noted the landing gear motor stopped after a shorter time interval than expected. At this time, the passengers reported hearing a crunching sound. The pilot observed that the landing gear unsafe light remained illuminated after the landing gear motor stopped.

Rather than continue the flight to Elcho Island, the pilot returned the aircraft to hold overhead Gove Airport while they attempted to ascertain the reason for the landing gear malfunction. The pilot noted that the circuit breaker for the landing gear had tripped, so reset the circuit breaker and selected the landing gear down. The landing gear unsafe light remained illuminated and the circuit breaker tripped again. The pilot then contacted the aerodrome reporting officer (ARO) and requested a visual confirmation of the position of the landing gear. The ARO reported that all landing gear appeared to be fully retracted.

Given that normal landing gear extension had been unsuccessful, the pilot elected to conduct an emergency landing gear extension. The Beech 58 emergency landing gear extension requires the pilot to engage a handle into the landing gear gearbox positioned behind the front seats. The handle is then turned counterclockwise to manually lower the landing gear. Fully extending the landing gear takes about 50 turns of the handle.

The pilot held the aircraft to the north of Gove Airport and engaged the autopilot while they conducted the emergency landing gear extension procedure. The pilot reported that no resistance was felt through the extension handle when attempting the landing gear extension, the handle felt like it was not connected. The pilot then flew back overhead Gove Airport for the ARO to again report on the position of the landing gear. The ARO reported that the landing gear remained retracted. The pilot then resumed holding, and calculated that they had sufficient fuel to continue to hold for a further two hours and 15 minutes. While holding, the pilot contacted the company chief pilot and engineer to assist with further troubleshooting the malfunction. The engineer examined the aircraft wiring diagram and another Beech 58 parked at the airport. The engineer then described several methods to isolate various parts of the electrical system to identify any problem which prevented the landing gear from extending. Over the next two hours, the pilot tried these methods along with multiple attempts of the emergency landing gear extension procedure. Despite the pilot’s attempts, the landing gear remained retracted.

At about 0930, the pilot prepared for a wheels up landing. They briefed the passengers on the use of seatbelts, bracing position, emergency exit locations and actions to be taken after the landing. The ARO arranged for the emergency services to be in attendance. The pilot discussed with the chief pilot whether to land on the runway or adjacent dirt. As the runway provided a hard, smooth surface of known condition, the pilot elected to land on the runway. The chief pilot then briefed the emergency services on the intended actions of the pilot. The pilot reviewed the wheels up landing procedure in the pilot operating handbook (POH), and elected to conduct a flaps up landing to minimise damage.

At about 0945, the aircraft approached the runway. Just before the aircraft touched down, the pilot shut the engines down in accordance with the POH wheels up landing procedure. As the aircraft slid along the runway, smoke filled the cabin and the pilot selected the fuel off. Once the aircraft came to a stop (Figure 1), the occupants immediately exited the aircraft. The pilot directed the passengers to a safe location behind the aircraft.

No persons were injured, and the aircraft was substantially damaged in the accident.

Figure 1: VH-UZO after the wheels up landing

Figure 1: VH-UZO after the wheels up landing

Source: Pilot

Pilot comments

The pilot of VH-UZO provided the following comments:

  • To assist in troubleshooting the malfunction, multiple videos of the actions taken by the pilot and indications presented by the aircraft systems were sent to the engineer.
  • The passengers were engaged to assist in the attempts to lower the landing gear. The passenger in the seat next to the pilot held the POH. Other passengers also attempted to wind the emergency landing gear handle.
  • The passengers were directed to evacuate to the rear of the aircraft. The pilot has subsequently learned that the safer option is to direct passengers to the side of the aircraft and upwind, away from fuel vapours.

Engineering report

A post-accident examination of the landing gear system found that the gear box shaft bearing had fractured. This bearing secures and aligns the shaft worm drive, which attaches both the emergency handle mechanism and the electric motor to the gear box. Failure of the bearing allowed the shaft worm drive to disconnect from the gearing. The drive became jammed, causing further damage to the gear box. Damage to the gear box prevented normal operation and caused the electric motor to overload and trip the circuit breaker. The bearing failure also prevented the emergency handle from connecting to the gear box.

Safety message

Even though the operation was conducted single-pilot, this accident provides a good example of effective crew resource management techniques. The pilot quickly established that the available fuel endurance allowed ample time to carefully consider the circumstances and attempt to resolve the issue. They engaged company personnel, using multiple means, to provide as much information as possible and attempt to identify a solution to the malfunction and sought the assistance of the ARO to inspect the aircraft and to alert emergency services. Holding over an easily identifiable position, and using the passengers where appropriate to assist with management of the emergency, also reduced pilot workload. The pilot also prepared the passengers for the wheels up landing, this minimised the risk of injury and ensured the evacuation was controlled and orderly.

Aviation Short Investigations Bulletin - Issue 53

Purpose of safety investigations

The objective of a safety investigation is to enhance transport safety. This is done through:

  • identifying safety issues and facilitating safety action to address those issues
  • providing information about occurrences and their associated safety factors to facilitate learning within the transport industry.

It is not a function of the ATSB to apportion blame or provide a means for determining liability. At the same time, an investigation report must include factual material of sufficient weight to support the analysis and findings. At all times the ATSB endeavours to balance the use of material that could imply adverse comment with the need to properly explain what happened, and why, in a fair and unbiased manner. The ATSB does not investigate for the purpose of taking administrative, regulatory or criminal action.

Terminology

An explanation of terminology used in ATSB investigation reports is available here. This includes terms such as occurrence, contributing factor, other factor that increased risk, and safety issue.

Publishing information 

Released in accordance with section 25 of the Transport Safety Investigation Act 2003

Published by: Australian Transport Safety Bureau

© Commonwealth of Australia 2016

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Aircraft Details
Manufacturer
Beech Aircraft Corp
Model
58
Registration
VH-UZO
Serial number
TH-586
Operation type
Charter
Sector
Piston
Departure point
Gove, NT
Destination
Elcho Island, NT
Damage
Substantial