CEN13LA056

NTSB accident investigation · Cessna 210L · La Grange, TX · November 9, 2012

Accident · Minor injuriesLimited investigationFinal report
Date
November 9, 2012, 07:21 local (13:21 UTC)
Place
La Grange, TX
Injuries
3 minor
Damage
Substantial damage
Phase of flight
Emergency descent
Aircraft
N732BLCessna 210L
Defining event
Emergency descent: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report March 10, 2015
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA Houston FSDO, Continental Motors, Inc., Cessna Aircraft Company
FAA report
20121109028179A
Case key
85551

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

On this page

Probable cause

The total loss of engine power due to the loss of oil to the engine. Contributing to the accident was maintenance personnel’s improper installation of the engine oil filter adaptor, which resulted in the loss of oil to the engine.

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): recip eng oil sysAircraft › Aircraft power plant · Damaged/degradedCessna 210L: 1 caseAll aircraft: 130 casesProbable cause
Action: incorrect action performancePersonnel issues › Action/decision · Maintenance personnelCessna 210L: 1 caseAll aircraft: 1,386 casesProbable cause
Engine (reciprocating)Aircraft › Aircraft power plant · FailureCessna 210L: 1 caseAll aircraft: 497 casesProbable cause
Engine (reciprocating): recip eng oil sysAircraft › Aircraft power plant · Incorrect service/maintenanceCessna 210L: 1 caseAll aircraft: 130 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 airplane was in cruise flight at 7,000 ft mean sea level when he noticed that the engine oil pressure had dropped to an unacceptable level. He then attempted to divert to land at a nearby airport. However, when the airplane was on the downwind leg and after the landing gear had been extended, the engine experienced a total loss of power, so the pilot made an off-airport landing. During the landing on a soft, plowed field, the airplane flipped over and then came to rest inverted. Review of maintenance records revealed that recent maintenance, which included the replacement of the engine oil filter, had been performed on the engine. A postaccident examination of the airframe revealed an abundance of engine oil on the airplane's belly; the oil extended from the engine compartment to the tail surfaces. A teardown examination of the engine revealed that a connecting rod had released from the crankshaft due to lubrication distress. An examination of the oil filter revealed that the oil filter adapter fiber seal washer was torn where the adaptor attaches to the oil pump housing and that the washer and the oil filter adaptor were misaligned. The improper installation of the oil filter adaptor likely caused the loss of oil to the engine and the subsequent total loss of engine power.

Factual narrative

On November 9, 2012, about 0721 central standard time, N732BL, a Cessna 210L, single engine airplane, was substantially damaged during a forced landing near Fayette Regional Air Center Airport (3T5), La Grange, Texas. The pilot and both passengers sustained minor injures. The airplane was registered to and operated by a private individual. Day visual meteorological conditions (VMC) prevailed at the time of the accident and an instrument flight rules (IFR) flight plan had been filed for the 14 Code of Federal Regulations Part 91 business flight. The airplane departed San Marcos Municipal Airport (HYI), San Marcos, Texas, about 0650 destined for Baytown Airport (HPY), Baytown, Texas.The airplane was in cruise flight at 7,000 feet mean sea level when the pilot noticed that the engine oil pressure had dropped to an unacceptable level. The pilot requested a descent and vectors to divert for landing at 3T5. Radar data showed the airplane was about 2,500 feet above ground level when it overflew 3T5. When the airplane was on downwind and after the lowering the landing gear the pilot reported that he had a total loss of engine power and made an off-airport landing about a mile north from 3T5. During the landing on a soft plowed field the airplane flipped and came to rest inverted. A review of aircraft maintenance logbook entries showed that maintenance had been performed on the engine about three weeks prior to the accident. That maintenance included replacement of the engine oil filter. A postaccident examination of the airframe revealed an abundance of engine oil on the belly of the airplane which extended from the engine compartment all the way to the tail surfaces. A teardown examination of the engine revealed lubrication distress, and mechanical damage on all connecting rod journals with damage concentrated where the number four connecting rod had released from the crankshaft and had penetrated through the crankcase. An examination of the oil filter showed that it contained an abundance of flakes and slivers from the damaged internal engine components. The oil filter adapter fiber seal washer was observed to be torn where the adaptor attaches to the oil pump housing and had signatures of misalignment with the oil filter adaptor.

Aircraft

Registration
N732BL
Reported as
Cessna 210L
Category
Airplane
Serial number
21061386
Built
1976
Airframe hours
3,128
Engine
Cont Motor IO 520 SERIES, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Business · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · October 15, 2012 · 17 hours before
Departed
HYI · San Marcos, TX
Destination
HPY · Baytown, TX
Flight plan
IFR
Airport
3T5 · Fayette Regl Air Center Airpor, runway 16, 5,000 × 75 ft, asphalt
Equipment
Stall warning system, Handheld GPS, Data recorder, Auto-pilot

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
36
Injuries
Minor
Certificates
Airline transport, Commercial, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
July 14, 2011
Seat
Left
Restraint
Lap only
Flight hours
6,642 total · 418 in this make and model · 5,402 as pilot in command · 28 in the last 90 days · 17 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
150° at 4 knots
Visibility
10 statute miles
Lowest ceiling
2,900 ft broken
Temperature
66 °F, dew point 63 °F
Altimeter
30.04 inHg
Observed at
K3TS, 1 nm away

Docket · 12

The files NTSB released with the investigation on January 20, 2015, on NTSB’s docket system: statements, records, photos and specialists’ reports. 8.6 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.

Other investigations on N732BL · 1

Matched to the same aircraft by N-number and date.