ERA09LA004

NTSB accident investigation · Cessna T210M · Savannah, GA · October 4, 2008

Accident · No injuriesLimited investigationFinal report
Date
October 4, 2008, 11:30 local (15:30 UTC)
Place
Savannah, GA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N11PCCessna T210M
Defining event
Enroute-cruise: Fuel exhaustion
Weather
Visual (VMC) · Day
Status
Completed · report July 28, 2009
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20081004857079A
Case key
69232

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 loss of engine power in flight due to fuel exhaustion as a result of the pilot's improper fuel management.

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.

Planning/preparation: fuel planningPersonnel issues › Task performance · PilotCessna T210M: 5 casesAll aircraft: 719 casesProbable cause
Fluids: fuelAircraft › Fluids/misc hardware · Fluid levelCessna T210M: 7 casesAll aircraft: 1,695 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 airplane was fueled twice in an effort to obtain maximum fuel capacity, then secured in a hangar and was not operated; no fuel leakage was noted on the hangar floor. The pilot did not visually inspect the fuel tanks during her preflight inspection, contrary to the Pilot's Operating Handbook. The flight departed with an inoperative right fuel quantity gauge and proceeded towards the destination airport with fuel supplied from both fuel tanks at different times and durations. Approximately 3 hours and 35 minutes into the flight, while the left fuel tank was supplying fuel, the engine experienced a momentary surge that stopped when the pilot reduced throttle control. At that time the left fuel quantity gauge indicated approximately 35 minutes of fuel remaining at normal cruise power; however, the pilot thought it should have 24 gallons remaining and attributed the error to be an indicator problem. The flight continued and she positioned the fuel selector to the right tank and flew for a few minutes, then repositioned the fuel selector to the left tank, for which the fuel quantity gauge indicated zero. Several minutes later the engine lost power due to fuel exhaustion. She notified air traffic control and was vectored to the nearest airport but was unable to land there. She ditched the airplane in a marsh, and was rescued by the U.S. Coast Guard. No unusual fuel flow was reported to have occurred during the accident flight. Postaccident inspection of the wreckage revealed no fuel in either fuel tank or in fuel lines in the engine compartment. No fuel leak was noted and there was no evidence of engine preimpact failure or malfunction.

Factual narrative

On October 4, 2008, about 1130 eastern daylight time, a Cessna T210M, N11PC, registered to and operated by a private individual, experienced total loss of engine power and was ditched in a marsh near Savannah, Georgia. Visual meteorological conditions prevailed at the time and no flight plan was filed for the 14 Code of Federal Regulations (CFR) Part 91 personal flight from Trenton Mercer Airport (TTN), Trenton, New Jersey, to Malcolm McKinnon Airport (SSI), Brunswick, Georgia. The airplane was substantially damaged and the certificated private pilot was not injured. The flight originated about 0725, from TNN. The pilot stated that she filled the airplane's fuel tanks several days before the accident flight, though at the time the airplane's tire pressure appeared to be low. She did not perceive a slope of the ramp where the airplane was fueled. She added air to the tires and then asked her certified flight instructor (CFI) to check the tanks to make sure they were full and add fuel as necessary because of the low tire pressure issue, and also because she was aware of the airplane's history related to the fuel system. Less than 1.5 gallons of fuel were added when the CFI fueled the airplane. The airplane was secured in a hangar, and then removed for the accident flight. She did not visually check the fuel tanks during her preflight inspection, but reported there was no evidence of fuel leakage on the floor in the hangar. The flight departed with a previously known inoperative right fuel quantity gauge and the fuel selector positioned to the left fuel tank. After one hour into the flight the pilot repositioned the fuel selector to the right tank, and flew 2 hours 20 minutes. She then repositioned the fuel selector to the left tank, and at that time noted the left fuel quantity gauge indicated 10 gallons remaining though she estimated it should have had 24 gallons remaining. The flight continued and about 1100, the engine surged which was corrected by reducing the throttle control. The flight continued and at some point after the engine surged momentarily she positioned the fuel selector to the right tank and flew for a few minutes. She then repositioned the fuel selector to the left tank, and at that time noted the left fuel quantity gauge indicated zero. The flight continued and several minutes later the engine then began to lose power. She notified air traffic control and requested a vector to the nearest airport, which was Hunter Army Airfield. She realized that the flight was unable to land there and maneuvered the airplane for a grassy area. With the flaps and landing gear retracted, she executed a forced landing to a marsh. After coming to rest she exited the airplane, and was rescued by the U.S. Coast Guard approximately 30 minutes later. The pilot did not report any unusual fuel flow issues during the accident flight, which she reported is typically 17.3 to 17.4 gallons per hour during cruise flight. Recovery personnel reported that theairplane was resting in a left wing high attitude. No fuel or water was found in the left fuel tank, while approximately 8 gallons of salt water were drained from the right fuel tank. No fuel was found in the right fuel tank. Examination of the airplane and engine following recovery was performed by an FAA airworthiness inspector. Inspection of the airframe revealed no evidence of fuel leaks from the fuel tank sump drains or fuel caps. Inspection of the engine revealed no fuel in the fuel lines in the engine compartment. Crankshaft, camshaft, and valve train continuity was confirmed. Spark was noted from the left magneto but no spark was noted from the right magneto. A review of the airplane's Pilot's Operating Handbook (POH) pertaining to preflight inspection revealed both tanks are to be visually inspected.

Aircraft

Registration
N11PC
Reported as
Cessna T210M
Category
Airplane
Serial number
21062600
Airframe hours
3,825
Engine
Cont Motor TSIO-520 SER, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Singer Eugenia
Registered owner
Singer Eugenia
Airworthiness certificate
Standard, Normal
Last inspection
Annual · February 1, 2008
Departed
TTN · Trenton, NJ
Destination
SSI · Brunswick, GA

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
64
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
February 15, 2008
Seat
Left
Flight hours
2,181 total · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Variable at 3 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
81 °F, dew point 55 °F
Altimeter
30.19 inHg
Observed at
SAV, 16 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.