ERA19LA061

NTSB accident investigation · Cessna P210 · Myerstown, PA · December 8, 2018

Accident · Serious injuriesClass 3 · LimitedFinal report
Date
December 8, 2018, 13:14 local (18:14 UTC)
Place
Myerstown, PA
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N731LTCessna P210
Defining event
Approach-VFR pattern final: Fuel related
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
Textron Aviation, FAA/FSDO, Rolls Royce
FAA report
20181208017869A
Case key
98745

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 total loss of engine power due to fuel starvation.

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.

Fluids: fuelAircraft › Fluids/misc hardware · Fluid managementCessna P210N: 5 casesAll aircraft: 1,695 casesProbable cause
Planning/preparation: fuel planningPersonnel issues › Task performance · PilotCessna P210N: 5 casesAll aircraft: 719 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 pilot was flying the airplane to a nearby airport to obtain fuel. Before departing on the flight, he checked the fuel quantity using the onboard fuel totalizer and determined that both fuel gauges indicated adequate fuel for the intended flight. During the landing approach at the destination, the engine lost total power and the airplane impacted terrain short of the runway. The pilot reported that the loss of power was due to fuel starvation. A witness at the airport reported that the airplane made a "very sharp left-banking turn" as it flew overhead, then climbed steeply and made another sharp left turn to enter the traffic pattern for landing. Examination of the airplane revealed no anomalies with the flight control system that would have prevented normal operation. No evidence of fuel was found in the engine-driven fuel pump filter; the filter was clean. There was no evidence of fuel in the lines between the engine-driven pump and engine gas producer. Before recovery from the accident site, less than 1 gallon of fuel was drained from the left wing tanks and less than 4 gallons of fuel was drained from the right wing fuel tanks. The pilot’s operating handbook for the airplane stated that, when the fuel tanks were 1/4-full or less, prolonged uncoordinated flight, such as slips or skids, could uncover the fuel tank outlets, causing fuel starvation and engine stoppage. It is likely that given the airplane’s low fuel state, the abrupt maneuvers caused the fuel outlets to become uncovered, resulting in fuel starvation to the engine and a total loss of engine power.

Factual narrative

On December 8, 2018, at 1314 eastern standard time, a Cessna P210, N731LT, sustained substantial damage when it was involved in an accident near Myerstown, Pennsylvania. The private pilot was seriously injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot reported that he was flying to a nearby airport to refuel the airplane. He stated that he checked the fuel using the onboard fuel totalizer, and both fuel gauges indicated that there was enough fuel for the intended flight. During the approach, the engine lost total power on the downwind leg of the airport traffic pattern. The pilot reported that the loss of engine power was due to fuel starvation. The pilot also reported that he should have used a fuel tank dip stick to confirm the amount of fuel onboard. According to a witness at the airport, as the airplane approached the airport, it made a "very sharp left-banking turn" as it flew over. The airplane then climbed steeply and made another sharp left turn to enter the left downwind for runway 19. He watched as the airplane continued the downwind leg, then made another sharp left turn to final. The airplane then turned to final and appeared to "stall" before impacting the ground. The airplane came to rest about one-half mile short of runway 19. A review of photographs provided by a Federal Aviation Administration inspector revealed substantial damage to both left and right outboard wing sections. The engine was partially attached to the firewall and remained within the engine mount. Before recovery from the site, less than 1 gallon of fuel was drained from the left-wing tanks and less than 4 gallons of fuel was drained from the right-wing tanks. The fuel was examined for contamination, and none was found. Examination of the fuel system revealed no evidence of fuel in the engine-driven fuel pump filter, and the filter was clean. There was no evidence of fuel in the lines between the engine-driven pump and engine gas producer. The pilot’s operating handbook for the airplane contained the note: 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. Therefore, with low fuel reserves, do not allow the airplane to remain in uncoordinated flight for periods in excess of one minute.

Aircraft

Registration
N731LT
Reported as
Cessna P210 (N)
Category
Airplane
Serial number
P21000436
Built
1979
Airframe hours
5,076
Engine
Allison 250-B17F2, 250 horsepower, turbo shaft
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · February 20, 2018
Departed
S37 · Smoketown, PA
Destination
9D4 · Myerstown, PA
Airport
9D4 · Deck, runway 19, 3,786 × 50 ft, asphalt
Equipment
Stall warning system

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
69
Injuries
Serious
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Seat
Left
Restraint
3-point
Flight hours
4,500 total

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
4,400 ft overcast
Temperature
19 °F, dew point 14 °F
Altimeter
30.45 inHg
Observed at
KMUI, 1 nm away

Docket · 8

The files NTSB released with the investigation on February 28, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 15.5 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.

Other investigations on N731LT · 1

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