CEN18LA229

NTSB accident investigation · Cessna T210F · Desdemona, TX · June 17, 2018

Accident · Serious injuriesLimited investigationFinal report
Date
June 17, 2018, 08:30 local (13:30 UTC)
Place
Desdemona, TX
Injuries
1 serious, 2 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N6107RCessna T210F
Defining event
Enroute: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report April 30, 2019
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA
FAA report
20180617024859A
Case key
97492

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 fuel pump’s fuel flow setting being set too high, which resulted in an excessive fuel flow to the engine.

Findings · 1

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.

Fuel system: fuel pumpsAircraft › Aircraft systems · Incorrect service/maintenanceCessna T210F: 1 caseAll aircraft: 71 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 was conducting a personal cross-country flight. He stated that the engine began running roughly during cruise flight. He leaned the mixture, and the engine roughness subsided; however, a few minutes later, the engine began running roughly again. He switched fuel tanks, but the engine continued running roughly. Shortly thereafter, the engine lost all power. The pilot subsequently conducted a forced landing in a soft, sandy field, and the airplane nosed over. A postaccident engine test-run revealed that the engine would not maintain power and that the fuel flow was excessive. A subsequent bench test of the fuel pump revealed that the pump was set to a high fuel flow setting, beyond the engine’s normal limits. The fuel pump was adjusted and reinstalled on the engine for another test-run. During the second test-run, the engine operated smoothly at a stabilized fuel flow within the operating limits for the engine. Given this evidence, it is likely that the engine lost power due the fuel pump’s flow setting being set to high, which resulted in an excessive fuel flow to the engine.

Factual narrative

On June 17, 2018, at 0830 central daylight time, a Cessna T210F airplane, N6107R, nosed over during an off airport forced landing in Desdemona, Texas. The private pilot and one passenger received minor injuries, and a second passenger was seriously injured. The airplane was substantially damaged. The airplane was registered to the pilot and operated as a personal flight under the provisions of Title 14 Code of Federal Regulations Part 91. Visual meteorological conditions existed near the accident site at the time of the accident, and a flight plan had not been filed for the flight. The airplane departed the Dublin Municipal Airport (9F0), Dublin, Texas, about 0820, en route to the Gregory M. Simmons Memorial Airport (GZN), Cisco, Texas.The pilot stated that the engine began running rough during cruise flight at 2,400 ft above mean sea level. He leaned the fuel mixture and the engine roughness subsided. A few minutes later, the engine began running rough once again. He switched fuel tanks and there was no change in the engine operation. Shortly thereafter, the engine lost power. The pilot made a forced landing in a soft, sandy field and the airplane nosed over. The initial postaccident engine examination revealed the engine remained attached to the airframe. Various wires, cables, and hoses remained attached to the engine. The top spark plugs exhibited normal wear but were dark in color and oily. The cylinders were examined using a boroscope were unremarkable. The engine was then removed from the airframe and shipped to the manufacturer for a test run. The engine was placed in the test cell and started without hesitation. The engine ran at 1,200 rpm and 1,600 rpm with the fuel pump mixture control at full. After 2 minutes of run time, the engine power started to oscillate. The engine was shut down and the mixture control was adjusted to about half of where it was originally set. The engine was started again and after 1 minute and 20 seconds the engine power again began to decrease, with the fuel pressure reaching 40 psi, which was 8 psi higher than the maximum unmetered flow limit of 32 psi. The fuel pump was removed and placed on a test bench. At full power, 2,700 rpm, the fuel flow was about 170 pounds per hour with a fuel pressure of 92 psi. According to the engine manufacturer, the fuel pressure should have been between 29 and 32 psi. The adjustment screw was set to a fuel pressure of 30 psi and the pump was reinstalled on the engine for another test run. The engine was restarted and run up to 1,600 rpm. The rpm slowly dropped to 1,498 rpm. The engine power was increased to 2,552 rpm and the fuel pressure stabilized at 30.18 psi with smooth engine operation. During the initial engine run the engine was observed to have excessive manifold pressure. During the second engine run the turbocharger controller was adjusted to maintain normal manifold pressures.

Aircraft

Registration
N6107R
Reported as
Cessna T210F (F)
Category
Airplane
Serial number
T210-0007
Built
1965
Airframe hours
5,315
Engine
Continental TSIO-520C, 285 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · November 22, 2017 · 35 hours before
Departed
9F0 · Dublin, TX
Destination
3F2 · Cisco, TX
Equipment
Electronic multifunction display, Auto-pilot, ADS-B, Stall warning system, Onboard weather, Electronic flight bag or handheld device, Electronic primary flight display

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
62
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Last flight review
October 3, 2017
Seat
Left
Flight hours
332 total · 276 as pilot in command · 42 in the last 90 days · 11 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
170° at 7 knots
Visibility
10 statute miles
Lowest ceiling
3,400 ft broken
Temperature
79 °F, dew point 68 °F
Altimeter
30.02 inHg
Observed at
SEP, 22 nm away

Docket · 5

The files NTSB released with the investigation on December 10, 2018, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.3 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 N6107R · 2

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