CHI91FA140

NTSB accident investigation · Cessna P210 · Kansas City, MO · April 25, 1991

Accident · FatalField investigationFinal report
Date
April 25, 1991, 16:25 local (21:25 UTC)
Place
Kansas City, MO
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Standing
Aircraft
N65MCessna P210
Weather
Visual (VMC) · Day
Status
Completed · report March 31, 1993
Report
Approved by Office Director
FAA report
19910425012519A
Case key
14900

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

The pilot in command's intentional flight with known mechanical deficiencies in the aircraft which resulted in a fire & forced landing in unsuitable terrain. A factor contributing to the accident was improper maintenance to the turbocharger waste gate by other maintenance personnel.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Airframe/component/system failure/malfunctionStanding - pre-flight
Exhaust system,wastegate - failure,partial
Maintenance,replacement - improperOther maintenance personnelFactor
FireCruise
Exhaust system,wastegate - failure,total
Operation with known deficiencies in equipment - intentionalPilot in commandCause
Forced landingDescent - emergency
In flight collision with terrain/waterManeuvering - turn to landing area (emergency)
Object - pole
Unsuitable terrain or takeoff/landing/taxi area - encounteredPilot in command
Terrain condition - open field

Analysis

The aircraft had been previously operated with the turbocharger inoperative. When the pilot suspected another turbocharger problem he intentionally initiated a flight for the purpose of having maintenance done on the aircraft. An in flight fire ensued which localized in the waste gate area. When the pilot became aware of the fire he attempted an emergency landing in unsuitable terrain. Subsequent investigation revealed that two bolts were missing from the waste gate to the exhaust pipe connection where a fracture occured. Hot exhaust gases impinged on the nose wheel well where fire penetrated the wheel well and eventually became fed by pressurized hydraulic fluid.

Aircraft

Registration
N65M
Reported as
Cessna P210
Category
Airplane
Serial number
2106687
Engine
Continental TSIO-520-P, 310 horsepower, reciprocating
Damage
Destroyed
Fire
In-Flight
Flight
Personal · Part 91
Operator
Cavu, Inc.
Registered owner
Cavu, Inc.
Departed
MKC · MO
Destination
BUM · Butler, MO

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
57
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Toxicology
Performed
Flight hours
2,443 total

Weather

Conditions
Visual (VMC) · Day
Wind
110° at 10 knots
Visibility
7 statute miles
Lowest ceiling
2,200 ft overcast
Temperature
-0 °F, dew point -0 °F
Observed at
MKC, 6 nm away

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.