ATL02LA070

NTSB accident investigation · Cessna 210 · Naples, FL · March 30, 2002

Accident · No injuriesLimited investigationFinal report
Date
March 30, 2002, 15:15 local (20:15 UTC)
Place
Naples, FL
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N1844FCessna 210
Weather
Visual (VMC) · Day
Status
Completed · report April 1, 2003
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20020330005039A
Case key
54430

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

Total loss of engine power due to improper maintenance by company maintenance personnel which allowed the mixture control linkage to disconnect in flight which resulted in an emergency descent to landing into unsuitable terrain.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of engine power(partial) - mech failure/malfTakeoff - initial climb
Maintenance - improperCompany maintenance personnelCause
Mixture control,linkage - disconnectedCause
Forced landingDescent - emergency
In flight collision with terrain/waterEmergency descent/landing
Terrain condition - none suitableFactor

Analysis

According to the pilot, after departing Naples Airport, he was given clearance to climb to his requested altitude. The pilot reported that, at 800 feet the engine started to lose manifold pressure. Efforts by the pilot to restore manifold pressure were unsuccessful. The pilot declared an emergency and headed back to the Naples airport. When he saw that he would not make the airport; he elected to make an emergency landing in a mangrove swamp 1/4 mile from the airport. The airplane collided with several trees, and came to rest in about three inches of water. Following the airplane's recovery from the swamp, an examination of the cabin found the throttle and mixture controls in their takeoff positions. Examination of the engine compartment found the mixture cable attachment and the fuel control disconnected. The fuel control arm was not deformed from impact. The mixture cable attachment rod-end was not deformed from impact, and the mixture attachment bolt, nut and washer were missing. At the time of this examination, the mixture arm on the fuel control was in the closed or cutoff position. Examination of the airplane's log books found that the fuel control bracket was replaced during a maintenance visit on December 6, 2001. The airframe had accumulated 27.8 hours since that maintenance had been performed.

Factual narrative

On March 30, 2002, at 1515 eastern standard time, a Cessna 210, N1844F, registered to and operated by the airline transport pilot, made an emergency landing following a loss of engine power in a mangrove swamp while on approach to Naples Municipal Airport, Florida. The personal flight was operated by the pilot under the provisions of Title 14 CFR Part 91, and visual flight rules. Visual meteorological conditions prevailed and no flight plan was filed. The airplane sustained substantial damage and the pilot was not injured. The flight departed Naples Municipal Airport, Florida, at 1505.

According to the pilot, after departing Naples Municipal Airport, he was given clearance to climb to his requested altitude. The pilot reported that, at 800 feet the engine started to lose manifold pressure. Efforts by the pilot to restore manifold pressure were unsuccessful. The pilot declared an emergency and headed back to the Naples airport. When he saw that he would not make the airport he elected to make an emergency landing in a mangrove swamp 1/4 mile from the airport. The airplane collided with several trees and came to rest in about three inches of water substantially damaging both wings the horizontal stabilizers and empennage.

Following the airplane's recovery from the swamp, an examination of the cabin found the throttle and mixture controls full forward or their takeoff positions. Examination of the engine compartment found the mixture cable attachment and the fuel control disconnected. The fuel control arm was not deformed from impact. The mixture cable attachment rod-end was not deformed from impact, and the mixture attachment bolt, nut and washer were missing. At the time of this examination, the mixture arm on the fuel control was in the closed or cutoff position.

Examination of the airplane's log books found that the fuel control bracket was replaced during a maintenance visit on December 6, 2001. The airframe had accumulated 27.8 hours since that maintenance had been performed.

Aircraft

Registration
N1844F
Reported as
Cessna 210
Category
Airplane
Serial number
21058744
Airframe hours
2,999
Engine
Continental IO-520-A29B, 285 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
John M. Gray
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 1, 2001 · 93 hours before
Departed
APF · Naples
Destination
TPF · Tampa, FL
Flight plan
VFR
Airport
APF · Naples Municipal, runway 14, 5,000 × 100 ft, asphalt

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
47
Injuries
None
Certificates
Airline transport, Flight instructor, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Last flight review
October 25, 2001
Seat
Left
Flight hours
5,200 total · 750 in this make and model · 4,772 as pilot in command · 23 in the last 90 days · 17 in the last 30 days · 7 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
190° at 13 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
82 °F, dew point 72 °F
Altimeter
29.96 inHg
Observed at
APF, 1 nm away

Docket · 2

The files NTSB released with the investigation on December 13, 2002, on NTSB’s docket system: statements, records, photos and specialists’ reports. 930 KB in all.

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.