NTSB CAROL · Event
Event SEA00LA120
Aircraft involved
Probable cause & findings
The locknut was not secured and backed off the bolt. An improper maintenance installation was a factor.
Factual narrative
On July 2, 2000, about 1200 mountain daylight time, a Cessna U206B, N3488L, registered to and operated by the pilot as a 14 CFR Part 91 personal flight, nosed over during the landing roll at Johnson Creek, Yellow Pine, Idaho. Visual meteorological conditions prevailed at the time and no flight plan was filed. The airplane was substantially damaged and the commercial pilot and his three passengers were not injured. The flight had departed from McCall, Idaho, about 20 minutes prior to the accident. During a telephone interview and subsequent written statement, the pilot reported that he flew the normal traffic pattern for the soft field landing technique on runway 17. The airplane touched down on the main landing gear, and immediately after the nose wheel touched down, grass and dirt started to come over the windshield and the airplane rapidly decelerated, subsequently nosing over. A deputy from the Valley County Sheriff's Department responded to the accident site and diagramed the location of where parts were found on the airstrip that separated from the aircraft. The deputy also noted ground disturbances leading up to the inverted aircraft. (see attached Sheriff's report) The deputy noted finding a 3/8-inch nylon nut, an axle bolt with end cups, and the nose wheel fork on the airstrip north of the main wreckage. The nose wheel also separated from the nose wheel yoke, however, the deputy did not make note of its location. Maintenance records indicate that on February 27, 1991, a PA32 nose fork, s/n 594, was installed in accordance with Cessna Service and Parts Manual. A receipt indicated that the "PA32-206L Nose Fork, serial number 594" was purchased from Airglas Engineering Company, Anchorage, AK, by AeroWest Inc., of Troutdale, Oregon, on September 18, 1990. This installation was accomplished prior to the current owner's purchase of the aircraft. The most recent annual inspection accomplished under the current pilot's ownership was completed on July 8, 1999. On September 15, 1999, a logbook entry indicated that a new nose wheel tire and tube were installed approximately 98 hours prior to the accident by the same mechanic who signed off the July 1999, annual inspection. (see Maintenance Information attachment) The Cessna Accessory Kit nose wheel and main wheel conversion applicable to this aircraft, (see Cessna Gear and Tire Installation attachment) indicated that an AN5-55 axel bolt (5 5/8 inches long, and 5/16 inch in diameter) be used with an AN310-5 castle nut and cotter pin. The parts that were recovered at the accident site indicate that the aircraft was equipped with an axel bolt that was not drilled for a castle nut and cotter key configuration. A representative for the Cessna Aircraft Company reported that there is no Cessna approved axle bolt installation without the cotter key configuration. The NTSB Investigator-in-charge contacted a representative from Piper Aircraft to request parts information for the applicable nose gear strut assembly on a Piper PA-32. The parts catalog (see Piper Nose Gear Strut Assembly attachment) indicated use of an AN6-76A axle bolt and secured with an MS20365-624C Nut. Measurements taken of the axle bolt recovered at the accident site indicated that the bolt was 7 3/4 inches long, and 3/8 inch in diameter. These dimensions match the specifications for an AN6-76A bolt. The bolt and nut were sent to the National Transportation Safety Board Materials Laboratory in Washington DC, for further inspection of the locking tightness of the nut. The specialist reported that, "The thread on both the bolt and nut showed no evidence of excessive loading or stripping. Detailed examination of the threads from the bolt revealed the presence of minor wear on the pressure flanks of all the threads, with the exception of one or two threads adjacent to the unthreaded bolt shank. Wear was also noted on the non-pressure flanks of about half of the threads (those closer to the end of the bolt.)" The specialist further stated that, "Detailed examination of the threads of the lock nut revealed the presence of minor wear on the pressure flanks along the entire length of the nut, indicating that the nut had been threaded completely onto a bolt at some time." "Wear was also noted on the non-pressure flanks in the deformed area associated with the locking cuts." The pilot reported that he set-up for a soft field landing on a grass airstrip. The airplane touched down on the main landing gear, and immediately after the nose wheel touched down, grass and dirt started to come over the windshield and the airplane rapidly decelerated, subsequently nosing over. After the accident, it was noted that the nose wheel had separated from the nose wheel fork. The axle bolt, both buckets, and a locknut were found on the grass airstrip along the aircraft's ground track. Inspection of the parts and a review of the maintenance records disclosed evidence that the nose gear and tire installation were for a Piper PA32. The accident aircraft was a Cessna U206B. Although the two installations are similar, the Piper installation used an axle bolt that is secured with a lock nut (on the aircraft at the time of the accident). The Cessna installation used an axle bolt that is drilled for a castle nut and cotter key installation. An inspection of the nut and bolt threads was conducted at the NTSB Materials Lab. The specialist reported that the threads on both the bolt and nut showed no evidence of excessive loading or stripping damage. Due to the lack of damage to the axle bolt and nut, it appeared that the bolt was not locked down at the last maintenance inspection and backed off. Source: NTSB Aviation Accident Database (Pre-2008 Archive) Retrieved: 2026-02-12
Verbatim from NTSB's published report. Source file
NTSB_2000_SEA00LA120.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 (stall, 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.
- Embry-Riddle Scholarly Commons 2023 · Conference paper
The Value of Strong Partnerships to Build a Successful Aviation Maintenance Career Pathway Program for Transitioning Military Service Members
The aerospace industry is competing with other industries for a qualified workforce, and many of those competing industries are investing heavily in creating workforce development pipelines.
- 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…
- NASA NTRS 2026 · Conference Paper
Computational Analysis of Steady State Aerodynamics of Transonic Truss-Braced Wing Configuration in Deep Stall
This study presents a computational investigation of steady state aerodynamics of the Subsonic Ultra-Green Aircraft Research (SUGAR) Transonic Truss-Braced Wing (TTBW) configuration over a wide range …
- 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.
Browse the full corpus — academia portal ↗