Incident Cessna 441 Conquest II VH-LBY,
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ASN Wikibase Occurrence # 206975
 
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Date:Sunday 23 October 1994
Time:09:22 LT
Type:Silhouette image of generic C441 model; specific model in this crash may look slightly different    
Cessna 441 Conquest II
Owner/operator:Skippers Aviation
Registration: VH-LBY
MSN: 4410023
Fatalities:Fatalities: 0 / Occupants: 1
Aircraft damage: Minor
Location:Perth Int Airport, Perth, WA -   Australia
Phase: Landing
Nature:Passenger - Non-Scheduled/charter/Air Taxi
Departure airport:Perth WA
Destination airport:Yandicoogina WA
Investigating agency: BASI
Confidence Rating: Accident investigation report completed and information captured
Narrative:
Shortly after the pilot retracted the landing gear, on departure from Perth, he observed a light flash on the Master
Warning Panel. The pilot decided to check the landing gear system before proceeding further. As he lowered the
landing gear both hydraulic LOW FLOW lights came on. The left main gear, only, locked down. The pilot decided
to leave the gear selected down and refer to the emergencies section of the aircraft manual before proceeding
further.
An emergency was declared and the aircraft returned to Perth. The pilot activated the emergency gear lowering
system and obtained a down indication on the right and left main landing gears but not the nose gear. The
emergency system is a single shot nitrogen gas system operating through the normal hydraulic lines.
An air and ground inspection confirmed that the nosewheel was trailing behind the normal locked position. The
aircraft was held for approximately two hours to burn off fuel before the pilot made an emergency landing on
runway 29 at Perth Airport. As the aircraft touched down, on its main wheels, the pilot shut the engines down and
activated the engine fire extinguishers, as a precautionary measure. The nose landing gear folded up as the nose was
lowered to the runway.

A post accident inspection indicated that one of the hydraulic lines, in the right hand landing gear extension system,
split allowing the hydraulic fluid, used to activate the normal extension system, to escape. The split line also
allowed the gas from the emergency extension system to escape. There was insufficient residual pressure in the
system in either the normal or emergency modes to lock the nosewheel into the correct down position.
The possibility of a line failure is a known problem on the Cessna 441 aircraft. Fatigue cracking can occur at a bend
in the line due to expansion and contraction of the bend resulting from pressure changes in the system. The operator
had an inspection process in place aimed at disclosing any cracking prior to it becoming a safety problem. An
inspection of the line, conducted prior to the flight, did not disclose the crack. The crack's location on the bend,
longitudinal rather than transverse, probably prevented a hydraulic leak from becoming apparent until the crack was
opened up, on the accident flight, by the system pressure.
Safety Actions
The operator is in the process of replacing all the suspect landing gear hydraulic lines on all its aircraft regardless of
their condition. They will continue to inspect the lines on a regular basis in accordance with the program already in
place and have indicated that they will be replacing the lines, which are normally an 'on condition' item, at more
regular intervals.
The CAA will notify all operators of Cessna 441 aircraft of the details of the occurrence and of the action taken by
the operator.

Accident investigation:
cover
  
Investigating agency: BASI
Report number: 
Status: Investigation completed
Duration:
Download report: Final report

Sources:

https://www.atsb.gov.au/media/4934220/199403066.pdf

History of this aircraft

Other occurrences involving this aircraft
18 December 1988 VH-TFW 0 Brisbane Airport (YBBN), Brisbane, QLD sub
2 March 2018 VH-LBY Skippers Aviation 0 39 km ESE of Broome, WA non

Revision history:

Date/timeContributorUpdates
03-Mar-2018 11:51 Iceman 29 Added
07-Jun-2022 19:33 Ron Averes Updated [Location]

Corrections or additions? ... Edit this accident description

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