CEN19LA147

NTSB accident investigation · Cessna P210 · Yankeetown, FL · May 17, 2019

Accident · Minor injuriesClass 3 · LimitedFinal report
Date
May 17, 2019, 15:15 local (19:15 UTC)
Place
Yankeetown, FL
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N4861PCessna P210
Defining event
Enroute-cruise: Electrical system malf/failure
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
Federal Aviation Administration
FAA report
20190517004759A
Case key
99463

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 loss of engine power for reasons that could not be determined based on the available evidence.

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.

Not determinedNot determined › Not determined · Unknown/Not determinedCessna P210N: 11 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 was conducting a personal cross-country flight at 2,500 ft mean sea level over the Gulf of Mexico when the airplane had a total loss of electrical power about 1 hour 45 minutes into the flight. The pilot was unable to restore electrical power and he turned toward the shore to land at an airport. He manually extended the landing gear and selected the right-wing fuel tank. A couple minutes later the airplane had a total loss of engine power. The pilot did not switch to the left-wing fuel tank or attempt an engine restart because he was focused on ditching the airplane. The airplane became submerged after the ditching and the right horizontal stabilizer and right elevator were substantially damaged. The airplane was not equipped with a life raft or life preservers. The pilot drifted and swam with the current and tide for over 11 hours until he came ashore an unpopulated barrier island the following morning. The pilot stated that during his preflight inspection the left and right wing tanks contained about 30 gallons and 40 gallons of fuel, respectively. He further estimated that the airplane had at least 68 gallons of useable fuel, about 4 hours of fuel endurance, before he departed on the planned 3-hour flight. He departed using fuel from the right-wing tank and about 1 hour into the flight he switched to the left-wing tank. About 45 minutes later, shortly after the loss of electrical power, he switched to the right-wing tank because it contained the most fuel. The postaccident engine examination revealed no evidence of a mechanical malfunction or failure that would have precluded normal operation. The engine had been submerged in saltwater which prevented an operational test run. Any fuel remaining in the wing fuel tanks was displaced by saltwater after the ditching. However, uncontaminated fuel was found in the fuel strainer and a fuel line between the engine’s fuel manifold and fuel control unit. Although fuel mismanagement could have resulted in a loss of engine power, the investigation was unable to confirm this with the available evidence after the ditching. Examination of the airplane’s electrical system revealed the battery’s positive power cable was loose where it attached to the battery contactor terminal. Additionally, the component stack-up did not include any washers and had a smaller nut when compared to the other cable terminal. The nut had backed off about 2 threads, which resulted in a loose cable connection. The total loss of electrical power during flight was likely due to the loose cable connection on the battery contactor. The engine magnetos produce ignition spark independent of the airplane electrical system; the loss of electrical power did not affect normal engine operation. The reason for the total loss of engine power could not be determined based on available evidence.

Factual narrative

On May 17, 2019, about 1515 eastern daylight time, a Cessna P210N airplane, N4861P, was substantially damaged when it was involved in an accident in the Gulf of Mexico near Yankeetown, Florida. The pilot sustained minor injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot reported that before the flight he verified the fuel quantity in each fuel tank with a calibrated dip tube and that the left and right wing fuel tanks contained about 30 gallons and 40 gallons, respectively. He further estimated that the airplane had a useable fuel load of at least 68 gallons, or about 4 hours of fuel. The estimated time enroute for the cross-country flight from Sebastian Municipal Airport (X26), Sebastian, Florida, to De Funiak Springs Airport (54J), De Funiak Springs, Florida, was about 3 hours. The pilot reported there were no anomalies with the airplane or the engine during his preflight check or before-takeoff engine runup. After a normal takeoff, he retracted the flaps and landing gear, and reduced engine power to 21 inches of manifold pressure at 2,400 rpm. He also leaned the fuel mixture to yield a turbo inlet temperature of 1,300° F while at a cruise altitude of 2,500 ft mean sea level (msl). About 1 hour into the flight, the pilot switched from the right-wing fuel tank to the left-wing fuel tank. About 45 minutes later, the airplane experienced a total loss of electrical power over the Gulf of Mexico at 2,500 ft msl. The pilot cycled the battery/alternator switch and verified that there were no tripped circuit breakers. He was unable to restore electrical power and turned toward Crystal River Airport (CGC) for a precautionary landing. He manually extended the landing gear using the emergency hand pump; however, because there was no electrical power, the down-and-locked green indicator light did not illuminate. The pilot then switched from the left-wing fuel tank to the right-wing fuel tank because it contained the most fuel. The engine continued to run normally after he increased the fuel mixture to full rich and selected maximum propeller speed. However, about 1-2 minutes after the landing gear was extended, the airplane had a total loss of engine power. The pilot stated that the loss of engine power was sudden and without any warning. The propeller continued to windmill after the loss of engine power. The pilot reported that he did not switch back to the left-wing fuel tank or attempt an engine restart because he was focused on ditching. The pilot ditched the airplane in the Gulf of Mexico about 5 miles offshore. The airplane initially stayed afloat, but the fuselage eventually took on water and became partially submerged within 15 minutes. The airplane was not equipped with a life raft or life preservers. After the airplane was submerged, the pilot was unable to swim fast enough to keep up with the airplane drifting with the current. The pilot drifted and swam with the current and tide forover 11 hours until he came ashore an unpopulated barrier island around 0300 the following morning. The pilot stated that he was able to signal a fishing boat between 0600 and 0700 who contacted the United States Coast Guard. The pilot was retrieved from the barrier island about 0800 and admitted to a local hospital for treatment of severe dehydration. The airplane was subsequently towed to shore, recovered from the water, and partially disassembled for transport. The airplane was examined by a Federal Aviation Administration airworthiness inspector. The right horizontal stabilizer and right elevator were substantially damaged. The airplane also exhibited damage attributable to being towed to shore, recovered from the water, and saltwater immersion. The wings were removed for transportation. Both wings, flaps, and ailerons exhibited trailing edge damage attributable to straps used during the water recovery. The filler cap for the right-wing fuel tank was not present during the examination, but photographs provided by the pilot confirmed the filler cap was present before the airplane was recovered from the water. There was no fuel observed in either wing fuel tank. The left wingtip auxiliary tank contained about an ounce of fuel. The right wingtip auxiliary fuel tank was not recovered. The cockpit fuel selector valve was positioned to use fuel from the right-wing fuel tank. The fuel reservoir tanks, located in the lower fuselage, contained murky water. Uncontaminated fuel was observed in the fuel strainer and drained from a fuel line between the engine’s fuel manifold and fuel control unit. The engine remained attached to the airframe mounts. The engine compartment did not exhibit evidence of fire damage or excessive heat. Engine control continuity was verified between the cockpit controls and their respective engine component. Examination of the engine did not reveal any crankcase or cylinder fractures. The intake and exhaust components appeared normal with no evidence of damage. The turbocharger rotated freely by hand. Both magnetos remained securely mounted to the engine and the ignition harness appeared undamaged. After the spark plugs were removed, internal engine and valve train continuity were confirmed as the engine crankshaft was rotated through the propeller. Murky/oily saltwater discharged from the cylinders as the crankshaft was rotated. Compression and suction were observed on all six cylinders in conjunction with crankshaft rotation. The spark plug leads were contaminated by saltwater. Both magnetos produced an audible snap while the crankshaft was rotated, consistent with their respective impulse coupling functioning. The ignition key switch was seized in the off position. Both magnetos were grounded through their respective P-lead with the ignition switch seized in the off position. The alternator input shaft rotated in conjunction with the crankshaft rotation. The engine examination revealed no evidence of a mechanicalmalfunction or failure that would have precluded normal operation. Examination of the airplane’s electrical system revealed the battery’s positive power cable was loose where it attached to the battery contactor (p/n S-1580A1) terminal. The nut used to secure the battery’s positive power cable was significantly smaller than the nut used on the terminal that secured two cables; one cable to the battery switch and the other cable to the starter motor contactor. Additionally, the loose positive battery cable component stack-up did not include any washers. The nut had backed off about 2 threads, which resulted in a loose cable connection (see the figure below). Figure. Battery contactor terminal for the positive battery cable was loose (left). The battery contactor terminal for the battery switch and starter motor contactor cables was tight (right).

Aircraft

Registration
N4861P
Reported as
Cessna P210 (N)
Category
Airplane
Serial number
P21000123
Built
1978
Airframe hours
2,819.1
Engine
Continental TSIO-520P, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Roger Ian Gerrard
Registered owner
Roger Ian Gerrard
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 18, 2019 · 8 hours before
Departed
X26 · Sebastian, FL
Destination
54J · DeFuniak Spring, FL
Equipment
Onboard weather, Stall warning system, ADS-B, Auto-pilot, Electronic flight bag or handheld device

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
65
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Last flight review
November 5, 2017
Seat
Left
Restraint
3-point
Flight hours
792 total · 39 in this make and model · 772 as pilot in command · 10 in the last 90 days · 6 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
300° at 4 knots
Visibility
10 statute miles
Temperature
90 °F, dew point 63 °F
Altimeter
30.02 inHg
Observed at
CGC, 17 nm away
METAR
METAR KCGC 171915Z AUTO 30004KT 10SM SCT060 32/17 A3002 RMK AO2=

Docket · 8

The files NTSB released with the investigation on August 31, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 44.2 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.