DEN08LA069

NTSB accident investigation · Cessna P210N · Elizabeth, CO · March 29, 2008

Accident · No injuriesLimited investigationFinal report
Date
March 29, 2008, 16:54 local (22:54 UTC)
Place
Elizabeth, CO
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N4839PCessna P210N
Defining event
Enroute-descent: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report December 24, 2008
Report
Approved by Office Director
Parties
Federal Aviation Administration, Teledyne Continental Motors
FAA report
20080329013189A
Case key
67737

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

the loss of engine power due to the fatigue failure of the camshaft gear. Contributing to the accident was the lack of suitable terrain for the forced landing.

Findings · 2

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 engine power sectionAircraft › Aircraft power plant · Fatigue/wear/corrosionCessna P210N: 6 casesAll aircraft: 233 casesProbable cause
TerrainEnvironmental issues › Physical environment · Contributed to outcomeCessna P210N: 2 casesAll aircraft: 267 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

During a normal descent on approach for landing at 8,500 feet mean sea level, the engine "let go/popped into a higher pitch sound, and the power dropped off. [The pilot] checked the fuel flow, tried to get power with the throttle, but no response." During a forced landing, the airplane impacted the side of a gravel road, traveled across the road, struck a ditch, and skidded on the fuselage bottom for approximately 75 feet were it came to rest upright in a residential yard. Examination of the engine exhibited fretting on all six cylinder decks and the main bearing case half sections. The number 2 main bearing support bearing tang lock-slot was found elongated. Various degrees of wear were noted on all crankshaft main bearings, and the number 2 main bearing showed additional wear. The crankshaft number 2 main journal exhibited signatures of thermal discoloration. All oil transfer galleries were free and clear of debris. The camshaft was intact, however, the camshaft gear had a semi-circular section with 7 gear teeth separated, which was found in the gearbox. Metallurgical examination showed the fracture initiated at the surface and progressed in fatigue. The initiation site was damaged; however, the approximate location was identified by crack arrest lines, which encircled the origin. The reason for the fracture initiation could not be determined.

Factual narrative

On March 29, 2008, at 1654 mountain daylight time, a Cessna P210N single-engine airplane, N4839P, sustained substantial damage during a forced landing following a loss of engine power near Elizabeth, Colorado. The commercial pilot and two passengers were not injured. The airplane was registered to Cure Trucking LLC, Bethune, Colorado, and operated by the pilot. Visual meteorological conditions prevailed, and a flight plan was not filed for the Title 14 Code of Federal Regulations Part 91 personal flight. The flight departed Lamar, Colorado, at 1600, and was en route to Denver, Colorado.

Approximately 25 nautical miles southeast of Centennial Airport (APA), Englewood, Colorado, the pilot was instructed by APA air traffic control tower to report a 3 mile final. While descending at 8,500 feet mean sea level (msl), the engine "let go/popped into a higher pitch sound, and the power dropped off. [The pilot] checked the fuel flow, tried to get power with the throttle, but no response." He then attempted a forced landing to a gravel road with the landing gear extended. Subsequently, the airplane impacted the side of the gravel road, traveled across the road, struck a ditch, and skidded on the fuselage bottom for approximately 75 feet where it came to rest upright in a residential yard.

Examination of the aircraft showed the fuslage was buckled.

A review of the aircraft records revealed the engine underwent a major overhaul on May 7, 1993, at a total engine time of 1,331.0 hours. On July 20, 2007, the engine underwent its most recent 100 hour inspection, at a total time since major overhaul of 1,203.9 hours, and a tachometer time of 2,534.9 hours. On September 9, 2007, at a tachometer time of 2,538.9, the alternator was removed and replaced. At the time of the accident, the engine had accumulated 1,221 hours since major overhaul, and the tachometer time was 2,562.0 hours.

On June 3 and 4, 2008, at the facilities of Beegles Aircraft Services, Greeley, Colorado, the engine was examined by a NTSB investigator and a representative of Teledyne Continental Motors (TCM), Mobile, Alabama. Visual examination of the engine and accessories showed that the lower pivot bolt on the alternator was missing, the upper bolt was extruded 3/4 inches, and the alternator belt lacked tension. Safety wire was missing and not secured on several fuel system components. The engine was then disassembled for further examination. Disassembly of the engine showed fretting on all six cylinder decks and the main bearing case half sections. The number 2 main bearing support bearing tang lock-slot was found elongated. Various degrees of wear was noted on all crankshaft main bearings and the number 2 main bearing showed additional wear. The crankshaft number 2 main journal exhibited signatures of thermal discoloration. All oil transfer galleries were free and clear of debris. The camshaft was intact, however, the camshaft gear had a semi-circular section with 7 gear teeth separated, which was found in the gearbox. The camshaft gear and separated section were retained for metallurgical examination.

On June 19, 2008, at the TCM metallurgical laboratory, the camshaft gear was examined by a TCM metallurgist and a NTSB investigator. According to TCM, the fracture initiated at the surface and progressed in fatigue from left to right on the gear. The initiation site was damaged; however, the approximate location was identified by crack arrest lines, which encircled the origin. Two gear teeth were removed for additional analysis. The case depth, surface hardness, and core hardness met specifications and no anomalies were noted with the microstructure. The reason for the fracture initiation could not be determined.

Aircraft

Registration
N4839P
Reported as
Cessna P210N
Category
Airplane
Serial number
P21000120
Airframe hours
2,562
Engine
Teledyne Continental TSIO-520-P, 310 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Roger L. Millheim
Registered owner
Cure Trucking LLC
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 1, 2007 · 17 hours before
Departed
LAA · Lamar, CO
Destination
APA · Denver, CO

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
61
Injuries
None
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine sea, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
September 1, 2007
Seat
Left
Flight hours
4,517 total · 1,113 in this make and model · 4,255 as pilot in command · 25 in the last 90 days · 14 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
Variable at 13 knots, gusting 15
Visibility
10 statute miles
Lowest ceiling
None
Temperature
61 °F
Altimeter
29.67 inHg
Observed at
APA, 17 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.

Other investigations on N4839P · 1

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