CEN10LA482

NTSB accident investigation · Cessna T210M · Put-in-Bay, OH · August 13, 2010

Accident · Minor injuriesLimited investigationFinal report
Date
August 13, 2010, 11:42 local (15:42 UTC)
Place
Put-in-Bay, OH
Injuries
1 minor, 3 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N14AWCessna T210M
Defining event
Approach-VFR pattern base: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report April 7, 2011
Report
Approved by Office Director
NTSB office
Central Region
Parties
Teledyne Continental Motors, Inc., FAA-Cleveland FSDO
FAA report
20100813045639A
Case key
76993

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

A total loss of engine power while on final approach for undetermined reasons.

Findings · 4

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Engine (reciprocating)Aircraft › Aircraft power plant · Not specifiedCessna T210M: 2 casesAll aircraft: 497 casesProbable cause
Not determinedNot determined › Not determined · Unknown/Not determinedCessna T210M: 9 casesAll aircraft: 2,247 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The pilot reported that the engine experienced an abrupt loss of engine power while turning onto the final approach leg of the traffic pattern. His attempts to restore engine power were unsuccessful and he elected to ditch the airplane near a ferry dock. The airplane came to rest in about 22 feet of water, approximately 50 yards from the shoreline. A postaccident examination and operational test run of the engine did not reveal any anomalies consistent with a complete loss of engine power. The examination did reveal a section of missing material from the edge of the No. 6 cylinder exhaust valve and irregular combustion deposits on the face of the valve. Both signatures are consistent with an exhaust leak and a corresponding partial loss of engine power. During the test run, the engine started normally and without hesitation. The engine was unable to produce rated power due to an exhaust leak.

Factual narrative

On August 13, 2010, about 1142 eastern daylight time, a Cessna T210M, N14AW, piloted by a private pilot, was substantially damaged during a forced landing following a loss of engine power. The airplane was on approach to Runway 3 at Put-in-Bay Airport (3W2), Put-in-Bay, Ohio, when the engine lost power. The pilot subsequently ditched into Lake Erie about 1/4 mile southwest of the runway, near the Miller Ferry dock. The personal flight was being conducted under 14 Code of Federal Regulations Part 91 without a flight plan. Visual meteorological conditions prevailed. The pilot and two passengers successfully evacuated the airplane without injury. The third passenger reported minor injuries. The flight departed from Canton-Plymouth-Mettetal Airport (1D2), Plymouth, Michigan, about 1105. The intended destination was 3W2. The pilot reported that he had initially entered the traffic pattern for runway 3 at 1D2. However, due to conflicts with other traffic, he elected to extend the base leg and continue in the pattern in order let the other traffic get organized. The remainder of the second traffic pattern for runway 3 was "uneventful" until he the engine "went silent" as he rolled out on final approach. The pilot noted that the engine lost power without "missing, stumbling or hesitating" and there seemed to be no signs of a mechanical problem. The propeller continued to windmill. His attempts to restore engine power were unsuccessful. The pilot subsequently ditched the airplane near a ferry dock on the south end of South Bass Island. The pilot and three passengers were rescued by a ferry boat. The airplane came to rest in about 22 feet of water, approximately 50 yards from the shoreline. It was recovered about 2000 that evening. The airframe had sustained substantial damage to the fuselage and empennage. The accident engine was a Teledyne Continental Motors TSIO-520-R9, serial number 294483-R. It was manufactured in July 2003 and installed on the accident airplane in April 2004. The recording tachometer indicated 4,674.9 hours at that time. According to the engine log, a "top overhaul" was completed on December 14, 2008, at 5,720.0 hours, which included overhaul of the cylinders and installation of new after market (non-OEM) intake and exhaust valves. An annual inspection had been completed on November 12, 2009, at 5,864.0 hours. The most recent maintenance consisted of an oil change and was completed on April 12, 2010. The engine time associated with that oil change was 5,910.0 hours. The pilot's logbook indicated a total flight time of 14.0 hours in the accident airplane between April 13, 2010, and the day of the accident. A post accident examination and operational test run of the engine did not reveal any anomalies consistent with a complete loss of engine power. A borescope examination of the #6 cylinder noted a section of missing material from the edge of the exhaust valve. The exhaust valve face exhibited an irregular combustion deposit patternand the exterior of the cylinder was discolored in the area of the exhaust valve. These conditions are consistent with a leak at the exhaust valve during operation. Neither magneto produced a spark when operated on a test bench. Further examination revealed corroded carbon brush and contact point components on both units consistent with exposure to water. No other anomalies were observed. The oil filter element was removed; no contamination was observed. A new oil filter and operational magnetos were installed on the engine for a test run. The engine was not disassembled prior to the test run. The engine started normally and without hesitation. At full throttle, the engine operated at 2,250 rpm and 36.2 inches of mercury manifold pressure. The engine is rated for 2,700 rpm at 36.5 inches manifold pressure. A leak at the fuel control unit was observed during the test run. On disassembly, the o-rings sealing the unit did not return to their normal shape, but remained deformed. No other anomalies were observed with respect to the fuel control unit. According to the manufacturer, the component label appeared to pre-date the engine and the safety wire lead seal appeared consistent with a prior field overhaul of the unit. The pilot stated that the original fuel control unit had been replaced about two years prior to the accident. He did not recall noticing any sign of a fuel leak during operation of the airplane. The pilot reported he departed with approximately 16 gallons of fuel in both the left and right main tanks. Average fuel consumption for the accident airplane was about 15.2 gallons per hour, according to the pilot.

Aircraft

Registration
N14AW
Reported as
Cessna T210M
Category
Airplane
Serial number
21061843
Airframe hours
5,924
Engine
Cont Motor TSIO-520-R9, 310 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · November 12, 2009 · 60 hours before
Departed
1D2 · Plymouth, MI
Destination
3W2 · Put-in-Bay, OH
Airport
3W2 · Put-in-Bay, runway 03, 2,879 × 75 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
61
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
April 17, 2010
Seat
Left
Flight hours
1,786 total · 1,533 in this make and model · 1,689 as pilot in command · 24 in the last 90 days · 2 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
120° at 5 knots
Visibility
9 statute miles
Lowest ceiling
None
Temperature
84 °F, dew point 72 °F
Altimeter
29.92 inHg
Observed at
TDZ, 29 nm away

Docket · 7

The files NTSB released with the investigation on January 3, 2011, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.9 MB 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.