CEN17LA039

NTSB accident investigation · Cessna P210N · Pleasanton, TX · November 13, 2016

Accident · Serious injuriesLimited investigationFinal report
Date
November 12, 2016, 18:00 local (Nov 13, 2016, 00:00 UTC)
Place
Pleasanton, TX
Injuries
1 serious, 1 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N44CCessna P210N
Defining event
Enroute-cruise: Sys/Comp malf/fail (non-power)
Weather
Visual (VMC) · Night
Status
Completed · report July 20, 2017
Report
Approved by Office Director
NTSB office
Central Region
Parties
Federal Aviation Administration
FAA report
20161112018469A
Case key
94382

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

Maintenance personnel's improper installation of the throttle linkage attachment hardware, which resulted in a partial loss of engine power when the hardware separated in 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.

Engine controls: power leverAircraft › Aircraft power plant · Incorrect service/maintenanceCessna P210N: 1 caseAll aircraft: 95 casesProbable cause
Maintenance: installationPersonnel issues › Task performance · Maintenance personnelCessna P210N: 3 casesAll aircraft: 371 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 commercial pilot reported that, about 20 minutes into the cross-country flight, the engine suddenly experienced a partial loss of power. The pilot attempted to restore engine power but was not successful. During the subsequent forced landing to a road, the airplane struck a car, resulting in substantial damage to the fuselage and both wings. Examination of the airplane revealed that the hardware that attached the throttle linkage to the engine was not present. Given that the airplane had flown for only a few hours following recent maintenance, it is likely that maintenance personnel did not properly secure the throttle linkage hardware during that maintenance. No other anomalies were noted that would have precluded normal operations.

Factual narrative

On November 12, 2016, about 1800 central standard time, a Cessna P210N airplane, N44C, was substantially damaged during the forced landing to a road, one mile from the Pleasanton Municipal Airport (PEZ), Pleasanton, Texas. The commercial pilot sustained serious injuries and the passenger sustained minor injuries. The personal flight was conducted under the provisions of 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed and no Federal Aviation Administration (FAA) flight plan had been filed for the flight. The flight departed South Texas Regional Airport at Hondo (HDO) Hondo, Texas, about 1740, and was en route to Mustang Beach Airport (RAS) Port Aransas, Texas. According to the pilot, he moved the engine throttle control in 1/8 inch and experienced a partial loss of power. The pilot turned the airplane towards PEZ and went through the emergency checklist during which additional power was lost. In a subsequent conversation, the pilot stated that the engine continued to run without hesitation or roughness; as if it was at idle power. When it was apparent that he was not going to make it to the airport he prepared for a forced landing on the airport road. During the forced landing, the airplane struck a car. There were no ground injuries. According to the FAA inspector who responded to the accident, the fuselage and both wings were substantially damaged. A post accident examination of the airplane revealed that the hardware that attached the throttle valve lever to the throttle cable rod-end was not present. The hardware was not found at the accident site. The assembly hardware would include a washer, bolt, castellated nut, and cotter pin. No other anomalies were noted that would have precluded normal operations. According to copies of maintenance records provided by the pilot, an annual inspection was completed on the engine and airframe on June 9, 2016. On September 26, 2016, an overhauled starter adapter was installed. During this maintenance, it would have been necessary for a mechanic to remove the throttle body and linkages to access the starter adapter. Investigators were not able to speak with the maintenance personnel who performed the maintenance.

Aircraft

Registration
N44C
Reported as
Cessna P210N
Category
Airplane
Serial number
P21000311
Built
1979
Airframe hours
3,135.5
Engine
Cont Motor TSIO-520 P, 285 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · June 9, 2016 · 7 hours before
Departed
HDO · Hondo, TX
Destination
RAS · Port Aransas, TX
Equipment
Handheld GPS, Electronic flight bag or handheld device, Onboard weather, Stall warning system, Auto-pilot, ADS-B

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
59
Injuries
Serious
Certificate
Commercial
Airplane ratings
Single-engine land
Medical
Class 2, With waivers/limitations
Last flight review
August 7, 2016
Seat
Left
Restraint
3-point
Flight hours
1,519.6 total · 326.7 in this make and model · 1,453.3 as pilot in command · 50 in the last 90 days · 15 in the last 30 days · 0.6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
72 °F, dew point 55 °F
Altimeter
30.18 inHg
Observed at
KPEZ, 1 nm away

Docket · 4

The files NTSB released with the investigation on May 11, 2017, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.0 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 N44C · 1

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