Incident Overview

Date: Friday 28 March 2014
Aircraft Type: Fokker 100
Owner/operator: Avianca Brasil
Registration Number: PR-OAF
Location: Bras¡lia-Juscelino Kubitschek International Airport, DF (BSB) – ÿ Brazil
Phase of Flight: Landing
Status: Substantial, written off
Casualties: Fatalities: 0 / Occupants: 49
Component Affected: The right nose landing gear door and the landing gear itself, specifically the hinge mechanism and the associated structural elements.The right nose landing gear door and the landing gear itself, specifically the hinge mechanism and the associated structural elements.
Investigating Agency: CENIPACENIPA
Category: Accident
A Fokker 100, registration PR-OAF, experienced a landing accident at Bras¡lia-Presidente Juscelino Kubitschek International Airport (BSB) on February 26, 2024, resulting in significant damage to the aircraft. The flight, operating a scheduled domestic passenger flight from Petrolina to Bras¡lia, suffered a loss of pressure in the hydraulic system during en route operations. Upon approaching Bras¡lia, the flight crew initiated an alternative system to lower the undercarriage, which resulted in the main landing gears locking and the nose landing gear not lowering. The aircraft landed on runway 11R, with a total landing distance of 900 meters. Initial landing conditions were challenging, with the aircraft supporting only the main landing gears and then the lower part of the front fuselage. Following coordination with air traffic control, the aircraft was instructed to land on runway 11R. Subsequent damage to the aircraft’s structural elements near the nose was observed, primarily due to a restriction on the articulation movement of the right nose landing gear door, coupled with the weight of the landing gear exceeding its articulation capacity. The maintenance records indicated a potential issue with the hinge mechanism, specifically a restriction that allowed for deviation in the door’s movement, potentially leading to corrosion and subsequent damage. Furthermore, the modification of the landing gear hinges, including larger radial pins and widened lobe holes, may have contributed to the corrosion and subsequent failure of the EDP1 gasket. The hydraulic system failure was likely caused by an extrusion of the EDP1 gasket, resulting in hydraulic oil leakage.A Fokker 100, registration PR-OAF, experienced a landing accident at Bras¡lia-Presidente Juscelino Kubitschek International Airport (BSB) on February 26, 2024, resulting in significant damage to the aircraft. The flight, operating a scheduled domestic passenger flight from Petrolina to Bras¡lia, suffered a loss of pressure in the hydraulic system during en route operations. Upon approaching Bras¡lia, the flight crew initiated an alternative system to lower the undercarriage, which resulted in the main landing gears locking and the nose landing gear not lowering. The aircraft landed on runway 11R, with a total landing distance of 900 meters. Initial landing conditions were challenging, with the aircraft supporting only the main landing gears and then the lower part of the front fuselage. Following coordination with air traffic control, the aircraft was instructed to land on runway 11R. Subsequent damage to the aircraft’s structural elements near the nose was observed, primarily due to a restriction on the articulation movement of the right nose landing gear door, coupled with the weight of the landing gear exceeding its articulation capacity. The maintenance records indicated a potential issue with the hinge mechanism, specifically a restriction that allowed for deviation in the door’s movement, potentially leading to corrosion and subsequent damage. Furthermore, the modification of the landing gear hinges, including larger radial pins and widened lobe holes, may have contributed to the corrosion and subsequent failure of the EDP1 gasket. The hydraulic system failure was likely caused by an extrusion of the EDP1 gasket, resulting in hydraulic oil leakage.

Description

A Fokker 100, operated by Avianca Brazil, registration PR-OAF, suffered a landing accident at Bras¡lia-Presidente Juscelino Kubitschek International Airport, DF (BSB). Flight OC 6393 was a scheduled domestic passenger flight from Petrolina to Bras¡lia. While en route, thirty minutes after takeoff, the no.1 hydraulic system showed a loss in pressure. During the approach to Bras¡lia, the flight crew used the alternative system for lowering the undercarriage. The main landing gears lowered and locked, but the nose landing gear did not lower. After coordination with the air traffic control, the aircraft was instructed to land on runway 11R. After the touchdown, the aircraft covered a total distance of 900 meters until its full stop. The initial 750 meters were with the aircraft supported only by the main landing gears and the last 150 meters were with the aircraft supported by the main landing gears and by the lower part of the front fuselage. The aircraft stopped on the runway. The aircraft suffered substantial damage to structural elements of the aircraft near the nose section. Contributing factors. – Aircraft maintenance – undetermined. It was found that there was a restriction on the articulation movement of the right nose landing gear door and that the weight of this landing gear was not sufficient to overcome such restriction. Upon inspecting the hinges, it was found that there were no signs of recent lubrication, allowing the hypothesis of occurrence of any deviation or non-adherence to the inspection and lubrication requirements established by the manufacturer leading to a the scenario favorable to the right door movement restriction. The issue of the maintenance could also be related to some deviation, or nonadherence to the requirements established for the service of widening the holes of the hinges concerning the coating and corrosion protection of the worked surface. As a result, the area could have been more susceptible to corrosive processes. – Project – undetermined. The maintenance program, established by the manufacturer, may have contributed to the occurrence by not establishing adequate preventive maintenance parameters for the landing gear doors that were modified by reworking the hinges, incorporating larger radial pins and widening the lobe holes. – Other – undetermined. It was not possible to determine the causal root of the EDP1 gasket extrusion, which caused the leakage of hydraulic oil that caused the hydraulic system 1 to fail.

Source of Information

http://www.onderzoeksraad.nl/uploads/phase-docs/663/7e1bae74310eovv-kwartaalrapportage-luchtvaart-kw-ii-2014-web.pdf, http://g1.globo.com/distrito-federal/noticia/2014/03/video-mostra-momento-em-que-aviao-faz-pouso-de-barriga-em-brasilia.htmlhttp://www.onderzoeksraad.nl/uploads/phase-docs/663/7e1bae74310eovv-kwartaalrapportage-luchtvaart-kw-ii-2014-web.pdf, http://g1.globo.com/distrito-federal/noticia/2014/03/video-mostra-momento-em-que-aviao-faz-pouso-de-barriga-em-brasilia.html

Primary Cause

Maintenance deviation, specifically a restriction on the articulation movement of the right nose landing gear door, coupled with the weight of the landing gear exceeding its articulation capacity.Maintenance deviation, specifically a restriction on the articulation movement of the right nose landing gear door, coupled with the weight of the landing gear exceeding its articulation capacity.

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