ERA13IA036
2012-10-19 · Nantucket, Massachusetts, United States · None · 1 aircraft · Status: Completed
Airport ACK
Current FAA registration · N576QS
- Make / Model
- CESSNA 560XL
- Year of manufacture
- 2007 · 5 years old at event
- Engine
- P&W CANADA PW545B
- Seats / Engines
- 13 seats · 2 engines
- Last airworthiness date
- 20070522
- ADS-B equipped
- Yes — Mode-S A76622
Source: FAA Aircraft Registry (releasable master file).
Aircraft involved
Probable cause & findings
The incorrect installation of the left main gear aft trunnion pivot pin by maintenance personnel, which resulted in separation of the aft portion of the left main gear trunnion from the aft trunnion fitting and minor damage to the airplane.
Factual narrative
On October 19, 2012, about 1412 eastern daylight time, a Cessna 560XL, N576QS, received minor damage during gear retraction after takeoff at Nantucket, Massachusetts (ACK). The airline transport pilot, co-pilot, and one passenger were not injured. The airplane was registered to a corporation and was operated by NetJets Aviation, Inc. under the provisions of 14 Code of Federal Regulations Part 135 as an air taxi flight. Visual meteorological conditions prevailed and an instrument flight rules flight plan was filed. The flight originated at ACK and was destined for Lexington, Kentucky (LEX). The flight crew reported that, at 400 feet above ground level after takeoff, the flaps were retracted. Shortly thereafter, tower personnel informed the crew that fuel was pouring from the left wing. The crew also noted hydraulic and stabilizer annunciator lights and a gear unlocked indication. A slight rumble could be felt in the airframe. The left wing fuel indicator decreased approximately 500 pounds and the crew noted heaviness in the right wing. The flight remained in the traffic pattern and returned to ACK for an uneventful landing with a fuel imbalance of about 1,000 pounds. An inspector with the Federal Aviation Administration responded to the accident site and examined the airplane. The left main gear aft trunnion pivot pin was not in place, resulting in separation of the aft portion of the left main gear trunnion from the aft trunnion fitting. The end of the aft trunnion punctured the interior of the gear well, resulting in minor damage to surrounding structure. The pin was later found loose and undamaged in the flap track area of the left wing. The aft trunnion pivot pin retaining bolt that was intended to restrain the pivot pin was in place and secured with a nut and cotter pin. A review of maintenance records for the airplane revealed that the left main gear trunnion was removed and replaced with a new unit on September 1, 2012 by a maintenance vendor. According to the Cessna 560XL Maintenance Manual, when installing the aft main landing gear trunnion, the trunnion pivot pin must be slid forward, aligning a hole in the trunnion with a hole in the pivot pin. The trunnion pivot pin is then secured in place with the retaining bolt, washers, nut, and cotter pin. Shortly after takeoff, a tower air traffic controller notified the flight crew that fuel was pouring from the left wing. The crew also noted hydraulic and flight control annunciator messages and a gear unlocked indication. The flight remained in the traffic pattern and the airplane landed with a fuel imbalance of about 1,000 pounds. An examination of the airplane after the incident revealed minor damage in the left wing and gear well areas. The left main gear aft trunnion pivot pin was not in place, resulting in separation of the aft portion of the left main gear trunnion from the aft trunnion fitting. The end of the aft trunnion punctured the interior of the gear well, resulting in damage to surrounding structure and damage to the fuel cell and hydraulic line. The damage resulted in the fuel leak and the flight control and hydraulic messages. The pin was later found loose and undamaged in the flap track area of the left wing. The aft trunnion pivot pin retaining bolt that was intended to restrain the pivot pin was in place and secured with a nut and cotter pin. A review of maintenance records for the airplane revealed that the left main gear trunnion was removed and replaced with a new unit about six weeks before the incident. The maintenance was performed by an outside vendor. According to the airplane maintenance manual, when installing the aft main landing gear trunnion, the trunnion pivot pin must be slid forward, aligning a hole in the trunnion with a hole in the pivot pin. The trunnion pivot pin is then secured in place with the retaining bolt, washers, nut, and cotter pin. It is likely that the incorrect installation of the left main gear aft trunnion allowed the aft trunnion pivot pin to eventually exit the trunnion and attach fitting. This allowed the aft trunnion to puncture the interior of the gear well. Source: NTSB Aviation Accident Database Retrieved: 2026-02-12
NTSB Findings
FAA avdata. C = Cause, F = Factor.
- C Aircraft-Aircraft systems-Landing gear system-Main landing gear attach sec-Incorrect service/maintenance - C
- C Personnel issues-Task performance-Maintenance-Installation-Maintenance personnel - C
Verbatim from NTSB's published report. Source file
NTSB_2012_ERA13IA036.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
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Related research
Matched on aircraft type or causal vocabulary (stall, maintenance). All research papers
- NTSB Aircraft Accident Reports 2022 · Accident report Loss of Control on Takeoff in Icing Conditions — Citation 560XL
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- Semantic Scholar 2026 · Article (Reliability Engineering & System Safety) Understanding human error in military aviation maintenance: The role of Performance shaping factors, cognitive workload and error orientation
- Semantic Scholar 2025 · Article (Applied Sciences) Decision-Making Framework for Aviation Safety in Predictive Maintenance Strategies
The implementation of predictive maintenance (PM) in aviation presents unique challenges due to strict safety requirements, complex operational environments, and regulatory constraints.