CHI95LA137

NTSB accident investigation · Cessna P210N · Dodge City, KS · April 26, 1995

Accident · Serious injuriesLimited investigationFinal report
Date
April 26, 1995, 12:34 local (17:34 UTC)
Place
Dodge City, KS
Injuries
3 serious, 3 uninjured
Damage
Minor damage
Phase of flight
Enroute
Aircraft
N4614KCessna P210N
Weather
Instrument (IMC) · Day
Status
Completed · report October 13, 1995
Report
Approved by Office Director
FAA report
19950426014539A
Case key
9878

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

fatigue and subsequent catastrophic failure of the connecting rod originating from the decarburized area on the shank of the rod. Factors were the low cloud weather condition and the ditch.

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) - mech failure/malfCruise - normal
Engine assembly,connecting rod - fatigue
Material defectManufacturerCause
Forced landingDescent - emergency
In flight collision with terrain/waterLanding - flare/touchdown
Terrain condition - ditchFactor
Weather condition - low ceilingFactor

Analysis

The pilot reported that he was cruising at 16,000 feet mean sea level when he heard a loud explosion in the engine compartment and the engine lost power. He descended through instrument meteorological conditions and when he broke out of the clouds, the airport was not in sight and he made a forced landing in a field. A federal aviation administration (FAA) inspector who examined the wreckage reported that the plane was in a wet wheat field and approximately 1000 feet of ground scars led through a ditch to the wreckage. He reported no evidence of preimpact airframe malfunction. Disassembly of the engine revealed the number one connecting rod failed due to fatigue originating from a decarburized layer on the shank of the rod.

Factual narrative

On April 26, 1995, about 1234 central daylight time, a Cessna P210N, N4614K, piloted by an airline transport rated pilot, sustained minor damage during a forced landing near Dodge City, Kansas. The pilot and two passengers reported no injuries. Three passengers sustained serious injuries. Instrument meteorological conditions prevailed for the 14 CFR Part 91 flight. The flight originated in Sioux Falls, South Dakota, about 1000 with a planned destination of Amarillo, Texas. An IFR flight plan was filed.

The pilot reported that he was cruising at 16,000 feet mean sea level with the power set at 63 percent. He heard a loud explosion in the engine compartment and the engine lost power. He reported an "engine failure" to the air route traffic control center. The controller vectored the airplane toward Dodge City, Kansas. The pilot reported that he descended through instrument meteorological conditions and when he broke out of the clouds, the airport was not in sight and he elected to land in a field.

A Federal Aviation Administration (FAA) Inspector who examined the wreckage reported that the plane was in a wet wheat field and approximately 1000 feet of ground scars led downwind through a ditch to the wreckage. He reported no evidence of preimpact airframe malfunction.

The engine was examined at the Teledyne Continental Motors Laboratory in Mobile, Alabama, on June 13, 1995. The number one and three cylinders, and the number one connecting rod were previously removed. The number one piston remained in the number one cylinder. The right magneto was broken off at the flange and there was a hole in the top of crankcase over the number one cylinder extending toward the crankcase centerline.

Disassembly of the engine revealed the main bearings exhibited wiping and the number two through six connecting rod bearings were destroyed. The pistons on the right side of the engine had a thin layer of light white colored deposits and the left side pistons had dark colored deposits with a trace of white. The magnetos, fuel pump, throttle control, and manifold valve operated normally when bench tested.

The number one connecting rod was fractured at the junction of the piston pin end and beam section. At the crankshaft end, the cap was spread at the parting surface and the bolts were fractured. A fragment of one bolt remained in the rod.

The number one connecting rod was examined by a materials engineer at the NTSB Laboratory, Washington, D.C. In his factual report, the materials engineer stated the fracture at the piston end of the rod featured "characteristic of a fatigue crack emanated from multiple origins" The surface of the connecting rod shank contained a decarburized layer, .01 inch deep and 0.6 inches wide, that extended partially into the fracture zone.

Aircraft

Registration
N4614K
Reported as
Cessna P210N
Category
Airplane
Serial number
P21000237
Engine
Continental TSIO-520-P, 310 horsepower, reciprocating
Damage
Minor damage
Flight
Personal · Part 91
Registered owner
Vosburg Equipment
Airworthiness certificate
Standard, Normal
Last inspection
Annual · December 1, 1994
Departed
FSD · Sioux Falls, SD
Destination
AMA · Amarillo, TX
Flight plan
IFR

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
54
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
11,000 total · 1,000 in this make and model · 9,000 as pilot in command · 60 in the last 90 days · 20 in the last 30 days

Weather

Conditions
Instrument (IMC) · Day
Wind
350° at 22 knots, gusting 32
Visibility
4 statute miles
Lowest ceiling
1,200 ft overcast
Temperature
39 °F, dew point 37 °F
Altimeter
29.00 inHg
Observed at
DDC, 1 nm away

Docket · 3

The files NTSB released with the investigation on October 1, 1995, on NTSB’s docket system: statements, records, photos and specialists’ reports. 715 KB 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 N4614K · 1

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