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|
Attributes | |
ACN | 531865 |
Time | |
Date | 200109 |
Day | Fri |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Environment | |
Light | Daylight |
Aircraft 1 | |
Operator | general aviation : personal |
Make Model Name | PA-31 Navajo Chieftan/Mojave/Navajo T1020 |
Operating Under FAR Part | Part 135 |
Flight Phase | ground : maintenance |
Person 1 | |
Affiliation | company : air taxi |
Function | maintenance : lead technician |
Qualification | technician : airframe technician : powerplant |
Experience | maintenance lead technician : 1 maintenance repairman : 10 maintenance technician : 2 |
ASRS Report | 531865 |
Events | |
Anomaly | aircraft equipment problem : critical ground encounters : gear up landing maintenance problem : improper maintenance non adherence : published procedure non adherence : far |
Independent Detector | other flight crewa |
Resolutory Action | flight crew : landed in emergency condition |
Consequence | other other |
Factors | |
Maintenance | performance deficiency : repair performance deficiency : installation performance deficiency : inspection |
Supplementary | |
Problem Areas | Aircraft Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
During routine inspection, it was determined that the pin connecting the control cable to the hydraulic power pack was safetied incorrectly. In order to correct this problem, I had to pull the pin to facilitate removal of the old wire and installation first officer the new safety. After the new safety wire was in place and the safety started, I reinstalled the pin and finished the safety. After the inspection was complete, the aircraft was released for service and flew for over 50 hours without any indication of trouble. On the last flight when the pilot attempted to extend the gear they failed to come down. After several attempts to extend the gear, it was determined that the pilot would have to land with the gear up. Investigation revealed that the pin was still in the arm of the power pack and safetied and that the clevis was not attached. The only way that I can see that this could have happened is if both arms of the clevis were on the back side of the arm instead of the arm of the power pack being between the arms of the clevis. In the future, the company is going to use a rii program so that critical items are looked at by more than just the person doing the work. It also seems that the power pack should incorporate a spring so that, in the event of linkage failure, the spring would return the lever on the power pack to the down position causing the gear to extend.
Original NASA ASRS Text
Title: A PIPER PA31 LANDED GEAR UP INCURRING DAMAGE TO THE ACFT. CAUSED BY INCORRECT INSTALLATION OF CTL HANDLE CABLE TO HYD PWR UNIT.
Narrative: DURING ROUTINE INSPECTION, IT WAS DETERMINED THAT THE PIN CONNECTING THE CTL CABLE TO THE HYD PWR PACK WAS SAFETIED INCORRECTLY. IN ORDER TO CORRECT THIS PROB, I HAD TO PULL THE PIN TO FACILITATE REMOVAL OF THE OLD WIRE AND INSTALLATION FO THE NEW SAFETY. AFTER THE NEW SAFETY WIRE WAS IN PLACE AND THE SAFETY STARTED, I REINSTALLED THE PIN AND FINISHED THE SAFETY. AFTER THE INSPECTION WAS COMPLETE, THE ACFT WAS RELEASED FOR SVC AND FLEW FOR OVER 50 HRS WITHOUT ANY INDICATION OF TROUBLE. ON THE LAST FLT WHEN THE PLT ATTEMPTED TO EXTEND THE GEAR THEY FAILED TO COME DOWN. AFTER SEVERAL ATTEMPTS TO EXTEND THE GEAR, IT WAS DETERMINED THAT THE PLT WOULD HAVE TO LAND WITH THE GEAR UP. INVESTIGATION REVEALED THAT THE PIN WAS STILL IN THE ARM OF THE PWR PACK AND SAFETIED AND THAT THE CLEVIS WAS NOT ATTACHED. THE ONLY WAY THAT I CAN SEE THAT THIS COULD HAVE HAPPENED IS IF BOTH ARMS OF THE CLEVIS WERE ON THE BACK SIDE OF THE ARM INSTEAD OF THE ARM OF THE PWR PACK BEING BTWN THE ARMS OF THE CLEVIS. IN THE FUTURE, THE COMPANY IS GOING TO USE A RII PROGRAM SO THAT CRITICAL ITEMS ARE LOOKED AT BY MORE THAN JUST THE PERSON DOING THE WORK. IT ALSO SEEMS THAT THE PWR PACK SHOULD INCORPORATE A SPRING SO THAT, IN THE EVENT OF LINKAGE FAILURE, THE SPRING WOULD RETURN THE LEVER ON THE PWR PACK TO THE DOWN POS CAUSING THE GEAR TO EXTEND.
Data retrieved from NASA's ASRS site as of July 2007 and automatically converted to unabbreviated mixed upper/lowercase text. This report is for informational purposes with no guarantee of accuracy. See NASA's ASRS site for official report.