CEN24LA140

NTSB accident investigation · Cessna T210 · San Saba, TX · March 25, 2024

Accident · No injuriesClass 3 · LimitedFinal report
Date
March 25, 2024, 11:00 local (16:00 UTC)
Place
San Saba, TX
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N498TBCessna T210
Defining event
Enroute-cruise: Powerplant sys/comp malf/fail
Weather
Visual (VMC) · Day
Status
Completed · report April 15, 2026
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
FAA FSDO
FAA report
20240325003589A
Case key
193987

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 total loss of engine power due to multiple connecting rod failures from oil starvation.

Findings · 3

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 · Unknown/Not determinedCessna T210M: 1 caseAll aircraft: 130 casesProbable cause
Fluids: oilAircraft › Fluids/misc hardware · Fluid levelCessna T210M: 2 casesAll aircraft: 174 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 enroute on a cross-country flight at a cruise altitude of 11,000 ft mean sea level when, about 37 minutes after takeoff, the engine oil pressure began decreasing slowly. The flight remained at 11,000 ft for another 39 minutes until there was a near-total loss of oil pressure. The pilot diverted and conducted a forced landing short of a runway. The airplane nosed over during the landing and sustained substantial damage to the fuselage and wings. A small postimpact fire ensued near the engine compartment. A postaccident examination of the engine found evidence of multiple connecting rod separations due to a lack of oil lubrication, and their respective rod end bearings were not identifiable. A small amount of oil was observed on the engine exterior and within the engine compartment, but the amount of observed oil was not consistent with a large oil leak from the engine. The pilot reported changing the engine oil the day before the accident; however, the examination did not identify any issues with the installation of the oil filter. Besides the holes in the upper crankcase, the investigation did not identify another oil leak source. Although it is possible that the engine was not serviced with a sufficient quantity of oil during the oil change, the pilot reported having added 9 quarts of oil when he changed the oil. The flight likely departed with at least sufficient engine oil to produce the required engine power to climb to cruise altitude, maintain cruise power for over an hour, and to distribute metal particles throughout the engine oil system. However, the reason for the oil starvation could not be identified.

Factual narrative

On March 25, 2024, about 1100 central daylight time, a Cessna T210M airplane, N498TB, was substantially damaged when it was involved in an accident near San Saba, Texas. The pilot was not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. According to the pilot, during a cross-country flight, the engine manifold pressure started to decrease slowly. The pilot elected to divert and started a descent for a precautionary landing. During the descent, the oil pressure gauge went to zero and the propeller began to overspeed. The pilot had the airport in sight when smoke began to exit the engine cowling as he aligned the airplane with the runway for landing. The pilot lowered the landing gear but kept the flaps retracted as the airplane approached the aerodynamic stall speed. The pilot landed the airplane about 100 yards short of the runway in wet grass. The landing gear dug into terrain and the airplane came to rest inverted, resulting in substantial damage to the fuselage and wings. After the pilot egressed from the airplane, he noticed a small fire near the engine compartment. He used a handheld fire extinguisher to suppress the engine compartment fire. The airplane was equipped with a digital engine monitor. A review of the recovered engine data revealed that, about 37 minutes into the flight, the engine oil pressure began a steady decrease while the airplane altitude remained about 11,000 ft. The engine’s manifold pressure, fuel pressure, and fuel flow values remained unremarkable until about 1 hour 7 minutes into the flight, when the oil pressure decreased briefly to 22 psi. The airplane remained at 11,000 ft until about 1 hour 16 minutes into the flight, when the oil pressure decreased to as low as 3 psi. As the airplane’s altitude rapidly decreased, the engine rpm briefly increased from 2,500 rpm to about 4,100 rpm. For the remainder of the flight, the oil pressure fluctuated between 4 and 18 psi, the manifold pressure fluctuated between 10 and 18 inches of mercury (inHg), and the engine rpm steadily decreased. About 1 hour 19 minutes into the flight, the final recorded data indicated 8 psi oil pressure, 28.6 inHg manifold pressure, 386 rpm, 4.9 gallons per hour fuel flow, 1.4 psi fuel pressure, and altitude 1,254 mean sea level (about 20 ft above ground level). The airplane had been modified by a supplemental type certificate for the installation of a turbo-normalized Continental IO-550-P engine. A postaccident examination of the engine found several holes on the top of the engine crankcase. The engine was seized and could not be rotated. During disassembly of the engine, metal pieces of various sizes were located throughout the oil system. Examination of the oil pump did not find any blockages, and the pump exhibited signatures of rotational scoring. Multiple connecting rods were found damaged and separated, but their respective bearings were not identifiable and, as such, could not beexamined. The engine disassembly revealed several areas of thermal distress consistent with a lack of oil lubrication. Examination of the turbocharger did not detect any anomalies. A small amount of oil was observed within the engine during disassembly; however, there was not a substantial amount of oil seen on the engine, firewall, cowling, or fuselage. Besides the holes in the upper engine crankcase, the examination of the engine did not identify another oil leak source. The pilot reported that the day before the accident, he changed the engine oil and added 9 quarts of oil.

Aircraft

Registration
N498TB
Reported as
Cessna T210 (M)
Category
Airplane
Serial number
21062782
Built
1978
Engine
Continental IO-550-P5B, 260 horsepower, reciprocating
Damage
Substantial damage
Fire
On-Ground
Flight
Personal · Part 91
Operator
Adventure Alaska Tours Inc
Registered owner
Adventure Alaska Tours Inc
Airworthiness certificate
Standard, Normal
Last inspection
Annual · October 15, 2023 · 42 hours before
Departed
3TEB · Terlingua, TX
Destination
AVL · Asheville, NC
Flight plan
IFR
Airport
81R · San Saba County Municipal
Equipment
Electronic primary flight display, Electronic multifunction display, Auto-pilot, ADS-B, Stall warning system, Handheld GPS

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
63
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Without waivers/limitations
Last flight review
April 27, 2021
Seat
Left
Restraint
3-point
Flight hours
4,500 total · 2,300 in this make and model · 4,500 as pilot in command · 35 in the last 90 days · 12 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
300° at 10 knots
Visibility
8 statute miles
Lowest ceiling
None
Temperature
64 °F, dew point 45 °F
Altimeter
29.61 inHg
Observed at
KAQO, 27 nm away
METAR
METAR KAQO 251555Z AUTO 30010KT 8SM CLR 18/07 A2961 RMK AO2=

Docket · 6

The files NTSB released with the investigation on April 15, 2026, on NTSB’s docket system: statements, records, photos and specialists’ reports. 12.1 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.