LAX94LA163
1994-03-13 · PHOENIX, Arizona, United States · None · 1 aircraft · Status: Completed
Airport PHX
N78CH has since been reassigned. It is now registered to a different aircraft (EMBRAER SA EMB-550, built 2019), which was not involved in this event.
Aircraft involved
Probable cause & findings
the failure of the hydraulic and nitrogen system pressure lines, due to an inadequate maintenance inspection program, which failed to detect the corrosion condition of the lines.
Factual narrative
On March 12, 1994, at 2320 mountain standard time, a Rockwell 681, N78CH, sustained substantial structural damage during landing with the main gear partially extended at Phoenix, Arizona. The aircraft was operated by American Corporate Aviation, Inc., of Houston, Texas, and was engaged in air ambulance flight operations under the provisions of 14 CFR 135. The aircraft incurred substantial damage. The certificated airline transport pilot, the two flight nurses, and the two passengers were not injured. The flight originated at Show Low, Arizona, on the day of the mishap at 2230 hours as an aeromedical evacuation flight to Phoenix. According to the pilot's statement, while inbound to Phoenix he moved the landing gear selector switch to the down position; however, the landing gear did not extend. The pilot used the emergency gear down system, which consists of using pressurized nitrogen to force the landing gear down. The pilot reported that the nose gear extended; however, both main landing gear extended only partially and the main wheels failed to rotate to the streamlined position. Subsequent attempts to fully extend the main gear were unsuccessful. The aircraft landed and the main gear collapsed, resulting in damage to the lower fuselage bulkheads and gear attach structure. A Federal Aviation Administration (FAA) airworthiness inspector from the Scottsdale, Arizona, Flight Standards District Office examined the aircraft. He found no hydraulic fluid in the system lines, and no evidence of hydraulic fluid sprayed around the landing gear wells. The nitrogen system pressure was measured at 50 psi; according to the maintenance manual for the aircraft, the normal system charge pressure is 425 to 525 psi. Detailed examination of the hydraulic system lines revealed a 1/4-inch metal line ruptured at a point under the rear bench cabin seat. Hydraulic fluid saturated the immediate area. Corrosion pits were observed on the line in many places. The inspector reported that the maintenance records indicated the ruptured line was an original equipment item installed at aircraft manufacture on or before January 26, 1970. Examination of the nitrogen system lines revealed a leak in the wing center section crossover line. Corrosion pitting was observed in several places on the line. The pilot moved the landing gear selector switch to the down position; however, the landing gear did not extend. The pilot used the emergency gear down system; however, both main landing gear extended only partially and the main wheels failed to rotate to the streamlined position. The main gear collapsed on landing, resulting in damage to the lower fuselage bulkheads and gear attach structure. No hydraulic fluid was found in the system lines, and no leaks detected around the landing gear wells. The nitrogen system pressure was measured at 50 psi; the normal system pressure is 425 to 525 psi. Review of the hydraulic system lines revealed a metal line ruptured with hydraulic fluid saturating the immediate area. The maintenance records indicated the ruptured line was an original equipment item and at least 24 years old. A leak was found in the nitrogen system lines in the wing center section crossover line. Corrosion pitting was observed in several places on both of the lines. Source: NTSB Aviation Accident Database (Pre-2008 Archive) Retrieved: 2026-02-12
Verbatim from NTSB's published report. Source file
NTSB_1994_LAX94LA163.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
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