ERA09LA352

NTSB accident investigation · Cessna U206F · Islesboro, ME · June 15, 2009

Accident · Minor injuriesLimited investigationFinal report
Date
June 15, 2009, 11:45 local (15:45 UTC)
Place
Islesboro, ME
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N33243Cessna U206F
Defining event
Initial climb: Fuel contamination
Weather
Visual (VMC) · Day
Status
Completed · report June 17, 2010
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20090615012469A
Case key
74061

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

A loss of engine power due to fuel contamination.

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.

Power plantAircraft › Aircraft power plant · FailureCessna U206F: 1 caseAll aircraft: 198 casesProbable cause
Fluids: fuelAircraft › Fluids/misc hardware · Fluid conditionCessna U206F: 2 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

During preflight, the pilot sumped the fuel tanks and noticed water in the samples. He continued to sump the tanks until the fuel samples were absent of water. The accident flight was the fourth flight of the day and the airplane accrued 50 minutes of flight time during the 3 previous flights. On the accident flight, engine start, taxi, and takeoff were "normal" until 200 to 300 feet above the ground when "the power started slowly coming off". The pilot rejected an open field to his left for landing due to lack of altitude/glide distance, and chose to land straight ahead in heavily wooded terrain, which resulted in substantial damage to the airplane. After recovery of the airplane, the engine started immediately using the airplane’s battery power, and ran continuously utilizing the airplane’s own fuel system. Fuel drained from the right header tank contained water and a mass that resembled a snail (land mollusk). The mass subsequently dissolved in the sample jar, but the remains were suspended in the water at the bottom of the jar. Fuel sample test results revealed that the fuel sample contained "plasticizers," which are present in many greases, and the bottom of the sample jar contained droplets of water, and a "black particulate" matter that contained both the plasticizers and methyl cellulose, which is a material commonly used in filters.

Factual narrative

HISTORY OF FLIGHT On June 15, 2009, about 1145 eastern daylight time, a Cessna U206F, N33243, operated by Waters Aero-Marine, Inc, was substantially damaged following a loss of engine power and a forced landing, shortly after takeoff from Islesboro Airport (57B), Islesboro, Maine. The certificated commercial pilot sustained a minor injury. Visual meteorological conditions prevailed for the cargo flight that originated at 57B, and was destined for Knox County Regional Airport (RKD), Rockland, Maine. A company flight plan was filed for the cargo flight that was conducted under the provisions of 14 Code of Federal Regulations Part 135. According to the pilot, the accident flight was the fourth flight of the day. During preflight, around 0600, the pilot sumped the fuel tanks and noticed water in the samples. He continued to sump the tanks until the fuel samples were absent of water. The airplane accrued 50 minutes of flight time during the 3 previous flights. During the accident flight, engine start up prior to takeoff was “normal” and the airplane idled for 1 to 1.5 minutes while the Global Positioning System (GPS) receiver acquired its signal. The pilot lined up on runway 19, scanned the instruments, changed the waypoint in the GPS, added full power, and completed a “normal” takeoff. He said, “When I cleared the departure end of the runway, the power started to come back. There was a slight stumble to it, and then the power started slowly coming off. The throttle was full, and nothing happened, the power kept coming down.” The pilot estimated the airplane was 200 or 300 feet above ground level (agl) when the engine power decreased. He rejected an open field to his left for landing due to lack of altitude/glide distance, and chose to land straight ahead in heavily wooded terrain, which resulted in substantial damage to the airplane. The pilot egressed through the baggage door, and later re-entered the airplane and turned off the fuel, throttle, mixture, and battery. He then used his cell phone to contact his company base operations. PERSONNEL INFORMATION A review of Federal Aviation Administration (FAA) airman records revealed that the pilot held a commercial pilot certificate with ratings for airplane multiengine, airplane single-engine, and instrument airplane. He also held a flight instructor certificate for airplane single-engine, and a ground instructor certificate. The pilot's most recent FAA second class medical certificate was issued on April 23, 2009. The pilot reported his experience as 3,625 total flight hours, of which 350 hours were in make and model. He stated that he had worked for the company for 5 years. The pilot was a school teacher, and worked for the company during the summer months when school was out of session. The work averaged 3 days a week, about 8 to 10 hours each day. AIRCRAFT INFORMATION According to FAA and maintenance records, the airplane was manufactured in 1975, and had accrued 6,887 total aircraft hours. The mostrecent annual inspection was completed May 16, 2009, at 6,836 aircraft hours. METEOROLOGICAL INFORMATION At 1153, the weather reported at Knox County Regional Airport (RKD), Rockland, Maine, included an overcast ceiling at 1,600 feet and winds from 030 degrees at 6 knots. The visibility was 10 miles. The temperature was 19 degrees Celsius (C) and the dew point was 5 degrees C. WRECKAGE AND IMPACT INFORMATION Examination of the airplane by FAA inspectors on the day of the accident revealed substantial damage to the airframe. Fuel leaking from the airplane prevented a detailed examination that day. However, fuel drained from the right header tank contained water and a mass that resembled a snail (land mollusk). The mass subsequently dissolved in the sample jar, but the remains were suspended in the water at the bottom of the jar. The sample was retained for testing by the fuel wholesaler. On June 17, 2009, a crew that consisted of 3 FAA-certificated mechanics disassembled the airplane and drained approximately 21 gallons of fuel from the left wing through airplane’s fuel system with no obstructions noted. The right wing was separated from the airplane except for "1 or 2 control cables.” Contrary to instructions forwarded through the FAA to the operator, the recovery crew performed troubleshooting and testing on the airplane. According to a report submitted by the recovery crew, the engine started immediately using the airplane’s battery power, and ran continuously utilizing the airplane’s own fuel system. An oil leak was noted due to impact damage. TESTS AND RESEARCH The wreckage and the fuel harvested from the airplane were recovered to the operator’s hangar for a detailed examination by the FAA on June 18, 2009. Examination revealed no water in the tanks but traces of water were noted around the refueling cap plates. One FAA inspector noted that one of the fuel drain sumps was accessed through the cargo pod mounted to the bottom of the airframe, which made access "difficult" for routine fuel sampling. Fuel sample test results from an Exxon Mobil research laboratory revealed that the fuel sample contained "plasticizers," which are present in many greases, and that the bottom of the sample jar contained droplets of water, and a "black particulate" matter that contained both the plasticizers and methyl cellulose, which is a material commonly used in filters.

Aircraft

Registration
N33243
Reported as
Cessna U206F
Category
Airplane
Serial number
U20602688
Airframe hours
6,887
Engine
Cont Motor IO 520 SERIES, 285 horsepower, reciprocating
Damage
Substantial damage
Flight
Part 135
Operator
Waters Aero Marine Inc
Registered owner
Waters Aero Marine Inc
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 16, 2009 · 51 hours before
Departed
57B · Islesboro, ME
Destination
RKD · Rockland, ME
Flight plan
Company VFR
Airport
57B · Islesboro Airport, runway 19, 2,400 × 50 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
56
Injuries
Minor
Certificates
Commercial, Flight instructor
Airplane ratings
Multi-engine sea, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Seat
Left
Flight hours
3,620 total · 350 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
110° at 5 knots
Visibility
10 statute miles
Lowest ceiling
1,600 ft overcast
Temperature
55 °F, dew point 52 °F
Altimeter
30.14 inHg
Observed at
RCK, 17 nm away

Docket · 8

The files NTSB released with the investigation on April 15, 2010, on NTSB’s docket system: statements, records, photos and specialists’ reports. 10.8 MB 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.