CEN14CA106

NTSB accident investigation · Cessna P210N · Pagosa Springs, CO · January 8, 2014

Accident · Minor injuriesData collectionFinal report
Date
January 8, 2014, 14:30 local (21:30 UTC)
Place
Pagosa Springs, CO
Injuries
2 minor, 1 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N4817KCessna P210N
Defining event
Takeoff: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed · report April 1, 2014
Report
Approved by Office Director
NTSB office
Central Region
FAA report
20140108000029A
Case key
88651

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 pilot's inadequate preflight inspection which led to a loss of oil pressure and partial loss of engine power on takeoff. Contributing to the accident was the pilot's failure to check the security of the oil filler cap prior to the flight.

Findings · 2

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.

Inspection: preflight inspectionPersonnel issues › Task performance · PilotCessna P210N: 4 casesAll aircraft: 551 casesProbable cause
Eng oil sys (airframe furnish): oil storage (airframe furnish)Aircraft › Aircraft power plant · Inadequate inspectionCessna P210N: 1 caseAll aircraft: 3 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 private pilot and his two passengers departed on a local pleasure flight. Right after takeoff, engine oil covered the windscreen and the engine began to lose power. According to a video of the accident, the pilot made a tear-drop turn in an attempt to land on the opposite runway. The airplane lost altitude during the turn and the pilot overshot the runway. The pilot said that as he crossed over the runway, he reduced power to idle. As the pilot attempted to turn back toward the runway, he turned off the master switch. The airplane descended quickly and landed adjacent to the runway in packed snow. The airplane landed hard on the main landing gear and with the right wing low before it slid for about 300 feet resulting in substantial damage to the fuselage and right wing. The landing gear, right flap, left wing tip, and all three propeller blades were also damaged. Postaccident examination of the engine revealed the oil filler cap was not secured to the oil filler neck. The pilot said this was the first flight after the oil had been changed by a maintenance facility. He did not check the oil filler cap before the flight because it was not required per the Federal Aviation Administration (FAA) approved preflight inspection checklist.

Factual narrative

The private pilot and his two passengers departed on a local pleasure flight. Right after takeoff, engine oil covered the windscreen and the engine began to lose power. According to a video of the accident, the pilot made a tear-drop turn in an attempt to land on the opposite runway. The airplane lost altitude during the turn and the pilot overshot the runway. The pilot said that as he crossed over the runway, he reduced power to idle and tuned the master switch off. The airplane descended quickly and landed adjacent to the runway in packed snow. The airplane landed hard on the main landing gear and with the right wing low before it slid for about 300 feet resulting in substantial damage to the fuselage and right wing. The landing gear, right flap, left wing tip, and all three propeller blades were also damaged. Postaccident examination of the engine revealed the oil filler cap was not secured to the oil filler neck. The pilot said this was the first flight after the oil had been changed by a maintenance facility. He did not check the oil filler cap before the flight because it was not required per the Federal Aviation Administration (FAA) approved preflight inspection checklist.

Aircraft

Registration
N4817K
Reported as
Cessna P210N (N)
Category
Airplane
Serial number
P21000333
Built
1979
Airframe hours
5,898
Engine
Cont Motor TSIO-520 SER, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Performance Associates Inc
Registered owner
Performance Associates Inc
Airworthiness certificate
Standard, Normal
Last inspection
Annual · June 15, 2013
Departed
PSO · Pagosa Springs, CO
Destination
PSO · Pagosa Springs, CO
Airport
PSO · Pagosa Springs, runway 19, 8,100 × 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
64
Injuries
Minor
Certificate
Private
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Seat
Left
Restraint
3-point
Flight hours
3,365 total · 2,595 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
200° at 5 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
3,006 °F
Observed at
PSO

Docket · 6

The files NTSB released with the investigation on March 19, 2014, on NTSB’s docket system: statements, records, photos and specialists’ reports. 7.8 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 N4817K · 1

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