NTSB CAROL · Event
Event ERA19LA239
Aircraft involved
Probable cause & findings
The improper maintenance of the airplane’s landing gear system, which resulted in a hydraulic fluid leak and insufficient pressure to extend and lock the landing gear during the accident flight.
Factual narrative
On July 30, 2019, at 1600 eastern daylight time, a Cessna 210E, N2362F, owned and operated by a private individual, sustained substantial damage while landing at Lovell Field Airport (CHA), Chattanooga, Tennessee. The private pilot and two passengers were not injured. The personal flight was conducted under the provisions of Title 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed, and no flight plan was filed for the flight that originated from Destin Executive Airport (DTS), Destin, Florida, about 1120 central daylight time, and was destined for Mark Anton Airport (2A0), Dayton, Tennessee. According to the pilot, he performed a preflight inspection and did not note any anomalies with the airplane, nor did he notice any hydraulic leaks near the landing gear system. After takeoff from DTS, the landing gear would not lock into place on the first attempt to retract. The pilot cycled the landing gear with the same result. He placed the landing gear handle in the neutral position and continued the flight. The pilot reported that the enroute portion of the flight was uneventful. Upon arrival at 2A0, the pilot selected the landing gear handle in the "DOWN" position. The gear down-and-locked light did not illuminate, and visual inspection revealed that the landing gear was hanging under the airplane and was not locked. The pilot performed the landing gear malfunction procedures in the pilot operating handbook to no avail. He utilized the manual landing gear extension procedure; however, the landing gear would still not lock, and he observed hydraulic fluid on the floorboards near the passenger seat. Aerial observation of the landing gear by airport personnel indicated that the nose gear was extended, and the main gear was trailing and not fully extended. The pilot declared an emergency and diverted to CHA and landed on runway 20 with the nose gear down and locked and the two main landing gear partially extended. As the airplane decelerated it veered to the right, impacted a taxiway sign, and slid to a stop in the grass. Examination of the accident scene by a Federal Aviation Administration (FAA) inspector revealed that the airplane came to rest upright on the right side of the runway resting on the right wingtip, fuselage, and nose wheel. Both main landing gear were collapsed. The right rear empennage was torn, and the right and left horizontal stabilizers were substantially damaged. The pilot held a private pilot certificate with a rating for airplane single-engine land. His most recent FAA first-class medical certificate was issued on June 7, 2017. According to pilot logbooks, the pilot had accrued 123.8 total flight hours at the time of the accident, of which 83.9 hours were in the same make and model as the accident airplane. The 1553 weather conditions at CHA included wind 150° at 8 knots, visibility 10 statute miles, light rain, few clouds at 2,000 ft, scattered clouds at 4,000 ft, broken cloud layers at 10,000 ft and 25,000 ft, temperature 23° C, dew point 18° C, and an altimeter setting of 30.05 inches of mercury. According to FAA records, the 4-seat, high-wing, retractable gear airplane, serial number 21058562, was manufactured in 1965. According to airplane maintenance records, the most recent annual inspection was completed on October 10, 2018, at a recorded airframe total time of 4,950.3 hours. The airplane was powered by a Continental IO-520-A, 285-hp engine. Engine maintenance records showed that at the time of the most recent annual inspection, the engine had accrued 2,996 total hours and 932.4 hours since overhaul. At the time of the accident, the engine had accrued 3,057 hours. Examination of the landing gear system by a mechanic and an FAA inspector at a maintenance facility revealed a low level of hydraulic fluid in the reservoir and evidence of hydraulic fluid seepage near both landing gear actuators and the emergency gear-extension handle. The left actuator was broken, and operation of the emergency gear handle did not feel "normal." A placard on the firewall stated, "Check fluid level every 25 hours;" however, the pilot stated that it had not been checked since the last annual inspection. According to the pilot, he purchased the airplane in 2017 after it had been sold at auction without its logbooks. The landing gear saddle was the subject of an Airworthiness Directive (AD), AD 76-14-07 R2. The AD required replacement of the landing gear saddle, and after 1,200 hours of service on the new part, annual dye penetration inspections. There were no records in the logbook to indicate that the AD had been complied with or that an annual inspection of the part had ever been performed. According to cockpit placards and the manufacturer's service manual, the hydraulic reservoir was to be inspected and replenished every 25 hours, the landing gear hydraulic system was to be checked for leaks and external damage to components or mounting structure every 100 hours, and all rubber parts in the landing gear system were to be replaced every 5 years. In addition, an overhaul of the landing gear system selector valve, emergency hand pump, and pressure switch was to take place every 5 years. Available maintenance records did not reveal that these recommended inspections and overhauls had been performed. After takeoff on a cross-country flight, the pilot retracted the landing gear and noted that it would not remain in the up position. He placed the landing gear handle in the neutral position and continued the flight. Upon arrival at his destination, the pilot attempted to extend the landing gear, but the gear did not extend completely and lock even after he performed the landing gear malfunction procedures in the pilot operating handbook. Airport personnel observed that the nose gear was down, and the two main landing gear were partially extended; the airplane landed with the landing gear in that configuration. The airplane decelerated, veered to the right, impacted a taxiway sign, and slid to a stop in the grass, resulting in substantial damage to the right and left horizontal stabilizers. Postaccident examination of the hydraulic system revealed a low level of hydraulic fluid in its reservoir and evidence of hydraulic fluid seepage near both landing gear actuators and the emergency landing gear-extension handle. The landing gear was extended and retracted by hydraulic pressure; therefore, the low hydraulic fluid level likely prevented the system from developing adequate pressure for the electric pump and the manual gear handle to extend and lock the landing. The airframe manufacturer's service manual indicated that inspection and replenishment of the hydraulic reservoir should be performed every 25 hours and that all rubber parts in the landing gear system should be replaced every 5 years. A review of available maintenance records did not reveal that these recommended inspections and overhauls were performed. Source: NTSB Aviation Accident Database Retrieved: 2026-02-12
NTSB Findings
Hierarchical cause / factor breakdown from the FAA bulk avdata database. Each finding tagged C (Cause) or F (Factor).
- C Aircraft-Aircraft systems-Landing gear system-Gear extension and retract sys-Malfunction - C
- F Aircraft-Fluids/misc hardware-Fluids-Hydraulic fluid-Fluid level - F
- F Aircraft-Fluids/misc hardware-Fluids-Hydraulic fluid-Inadequate inspection - F
- F Personnel issues-Task performance-Maintenance-Scheduled/routine maintenance-Maintenance personnel - F
Verbatim from NTSB's published report. Source file
NTSB_2019_ERA19LA239.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
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Related research
What the literature says.
Academic papers and agency reports matching this event's aircraft type or causal vocabulary (maintenance). Sourced from NASA NTRS, NTSB Safety Studies, FAA CAMI, AOPA Air Safety Institute, Embry-Riddle Scholarly Commons, arXiv, and the Semantic Scholar academic graph.
- NASA NTRS 2020 · Technical Memorandum (TM)
Evaluation Issues for a Flight Deck Interface; CAST SE-210 Output 2: Report 4 of 6
This report is part of a series of reports that addresses flight deck design and evaluation, written as a response to loss of control accidents.
- Embry-Riddle Scholarly Commons 2026 · Journal article (IJAAA)
From Reactive to Predictive: A hybrid Trust-Mediated Adoption Framework for Data-Driven Maintenance in Distributed-Authority Aviation Environments
Modern aviation maintenance operates within increasingly data-intensive technological environments, yet the operational integration of predictive maintenance into routine decision-making remains incon…
- 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.
- Embry-Riddle Scholarly Commons 2024 · Journal article (JAAER)
Low-Resource Automatic Speech Recognition Domain Adaptation – A Case-Study in Aviation Maintenance
With timeliness and efficiency being critical in the aviation maintenance industry, the need has been growing for smart technological solutions that optimize and streamline the different underlying ta…
- Embry-Riddle Scholarly Commons 2024 · Journal article (JAAER)
A New Trajectory in UAV Safety: Leveraging Reinforcement Learning for Distance Maintenance Under Wind Variations
In the field of aviation, safety is a critical cornerstone, and the operation of Unmanned Aerial Vehicle (UAV) systems is deeply connected with this principle.
- Embry-Riddle Scholarly Commons 2024 · Journal article (IJAAA)
Just Culture in Aviation: A Metaphorical Study on Aircraft Maintenance Students
Just Culture, a sub-dimension of safety culture, has been a prominent and debated topic in aviation safety in recent years.
Browse the full corpus — academia portal ↗