CHI94LA073

NTSB accident investigation · Cessna T210M · Olathe, KS · January 27, 1994

Accident · Serious injuriesLimited investigationFinal report
Date
January 27, 1994, 01:25 local (07:25 UTC)
Place
Olathe, KS
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N1215MCessna T210M
Weather
Instrument (IMC) · Night/dark
Status
Completed · report November 14, 1994
Report
Approved by Office Director
FAA report
19940127001109A
Case key
9459

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's failure to follow procedures and directives regarding the positioning of the fuel tank selector to the fullest tank for the landing portion of flight.

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.

Loss of engine power(total) - nonmechanicalApproach - faf/outer marker to threshold (ifr)
Fluid,fuel - starvation
Fuel tank selector position - improperPilot in commandCause
Procedures/directives - not followedPilot in commandCause
Forced landingDescent - emergency
In flight collision with terrain/waterDescent - emergency

Analysis

THE AIRPLANE CRASHED SHORT OF THE RUNWAY DURING AN INSTRUMENT APPROACH. THE PILOT REPORTED A LOSS OF ENGINE POWER ABOUT 1/4 OF A MILE FROM THE RUNWAY THRESHOLD. HIS INITIAL ATTEMPT AT REGAINING POWER WAS SUCCESSFUL, AND THE ENGINE RAN FOR A FEW SECONDS AND THEN QUIT. THE PILOT SAID THE AIRPLANE WAS TOO LOW TO ATTEMPT A RESTART AND THE AIRPLANE LANDED HARD. POSTACCIDENT INSPECTION DISCOVERED NO MECHANICAL ANOMAlIES WITH THE ENGINE OR AIRFRAME. THE AIRPLANE'S PILOT OPERATING HANDBOOK REQUIRES THAT THE FULLEST TANK BE SELECTED FOR TAKEOFF AND LANDING, AND NOTES THAT SLIPS AND SKIDS SHOULD BE AVOIDED WITH LESS THAN 1/4 OF A TANK OF FUEL DUE TO THE POTENTIAL FOR UNPORTING OF THE FUEL PICKUP AND THE SUBSEQUENT LOSS OF ENGINE POWER. THE ACCIDENT AIRPLANE'S RIGHT FUEL TANK WAS APPROXIMATELY 1/2 FULL; THE LEFT FUEL TANK CONTAINED ABOUT 3 GALLONS OF GAS. THE FUEL TANK SELECTOR IN THE COCKPIT WAS FOUND SELECTED TO THE LEFT TANK.

Factual narrative

On January 27, 1994, about 0125 central standard time, a Cessna T210M airplane, N1215M, sustained substantial damage following a loss of engine power and subsequent forced landing while on an instrument approach for runway 35 at Johnson County Industrial Airport, Olathe, Kansas. The commercial pilot reported serious injuries. The 14 CFR Part 135 on-demand all cargo air taxi flight was operating on an instrument flight plan in instrument meteorological conditions.

The pilot wrote in his report to the NTSB that prior to his instrument approach to Johnson County Industrial Airport (IXD), he made one instrument approach each to the Kansas City Downtown (MKC) Airport, and the Johnson County Executive Airport (OJC). Each approach resulted in a missed approach. Following the missed approach at OJC, the pilot said he saw the rotating beacon at IXD, and asked Air Traffic Control (ATC) for a radar vector there. The pilot requested and received an ILS approach for runway 35, although he said he had the airport visually during the entire approach. Approximately one-quarter of a mile from the runway, the pilot reported"...fuel pressure and manifold pressure, power loss. I push throttle in and activate all fuel pumps. Pressure increases, power returns, airplane nose turns left due to power increase. I am correcting to the right to realign to runway, when even with pumps still on, the airplane loses power again. Due to low air speed and airplane attitude, it noses down and impacts ground."

Postaccident inspection discovered no preimpact mechanical anomalies with the engine or airframe. The airplane's fuel tanks were intact, and the airplane had come to rest in an upright, nose down position. Approximately three gallons of fuel were removed from the left tank, and the forty-five gallon capacity right tank was about one-half full. The fuel selector was found selected to the left tank.

The pilot operating handbook (POH) for the T210M airplane lists all but one gallon of the fuel supply as usable. The POH also states that the fullest fuel tank should be used for takeoffs and landings. An excerpt from the POH reads, in part, "Unusable fuel is at a minimum due to the design of the fuel system. However, when the fuel tanks are 1/4 full or less, prolonged uncoordinated flight such as slips or skids can uncover the fuel tank outlets, causing fuel starvation and engine stoppage."

Aircraft

Registration
N1215M
Reported as
Cessna T210M
Category
Airplane
Serial number
21061924
Engine
Continental TSIO-520A, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Part 135
Registered owner
J.P. Hunt
Airworthiness certificate
Standard, Normal
Departed
DSM · Des Moines, IA
Flight plan
IFR
Airport
IXD · Industrial Airport, runway 35, 7,339 × 175 ft, asphalt

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
47
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Unknown
Seat
Left
Flight hours
13,375 total · 202 in this make and model · 12,900 as pilot in command · 30 in the last 90 days · 30 in the last 30 days · 4 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Night/dark
Wind
Calm
Visibility
0.75 statute miles
Lowest ceiling
100 ft broken
Temperature
41 °F
Altimeter
29.00 inHg
Observed at
IXD

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 N1215M · 2

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