FTW04LA042

NTSB accident investigation · Cessna 210 · Clarendon, TX · December 14, 2003

Accident · Serious injuriesLimited investigationFinal report
Date
December 14, 2003, 12:45 local (18:45 UTC)
Place
Clarendon, TX
Injuries
1 serious, 1 minor
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N718LGCessna 210
Weather
Visual (VMC) · Day
Status
Completed · report January 24, 2005
Report
Approved by Office Director
Parties
Cessna Aircraft Company, Federal Aviation Administration, Teledyne Continental Motors
FAA report
20031214033069A
Case key
58484

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 the separation of the number six cylinder as a result of a fatigue failure from the loosening of the cylinder attachment hardware.

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,other - loose part/bolt/nut/clamp/etcCause
Engine assembly,other - fatigueCause
Engine assembly,cylinder - separationCause
Forced landingDescent - emergency
On ground/water collision with objectEmergency landing
Object - fence
Object - tree(s)

Analysis

While in cruise flight, the pilot noticed smoke emanating from the engine and entering the cockpit. The pilot secured the engine and executed a forced landing to a field. During the forced landing, the airplane impacted a fence, trees, and came to rest upright. Examination of the engine revealed the number six cylinder was partially separated from the crankcase, and several of the cylinder fasteners, deck studs and through-bolts, were fractured. Metallurgical examination of the fracture surfaces by the manufacturer revealed evidence of fatigue and overload signatures. Fretting was noted on the cylinder and crankcase mating surfaces. Hardness of each of the deck studs and through-bolts met manufacturer's specifications. No additional anomalies were noted with the engine that would have precluded normal operation.

Factual narrative

On December 14, 2003, approximately 1245 central standard time, a Cessna 210 single-engine airplane, N718LG, was destroyed when it impacted the terrain during a forced landing following a loss of engine power during cruise flight near Clarendon, Texas. The private pilot sustained minor injuries, and the private pilot-rated passenger sustained serious injuries. The airplane was registered to the Cole 1st Family Ltd. Partnership, Amarillo, Texas, and was operated by the pilot and passenger. Visual meteorological conditions prevailed, and an instrument flight rules flight plan was filed for the 14 Code of Federal Regulations Part 91 personal flight. The cross-country flight departed Addison Airport, near Addison, Texas, at 1021, and was destined for the Tradewind Airport, near Amarillo, Texas.

According to the pilot, while in cruise flight at 8,000 feet, smoke was observed emanating from the engine cowling and entering the cockpit. The pilot then shut down and secured the engine, and initiated a forced landing to flat terrain. During the forced landing, the airplane touched down in a field, impacted and proceeded through a fence. The left wing then struck a scrub tree, the airplane rotated to the left, and came to rest upright adjacent to a roadway.

Examination of the airplane by a Federal Aviation Administration (FAA) inspector, a representative of the airframe manufacturer, and a representative of the engine manufacturer revealed the engine's number six cylinder was partially separated from the engine crankcase. The airplane was recovered to Air Salvage of Dallas, near Lancaster, Texas, for further examination.

On January 7, 2004, the airplane was examined by the NTSB investigator-in-charge (IIC) at the facilities of Air Salvage of Dallas. Examination of the airframe revealed no anomalies. Examination of the engine and the number six cylinder revealed five of the six deck studs and one of the two through-bolts had fractured and separated. The cylinder flange was approximately 0.125" off of the crankcase cylinder deck. The engine was removed and shipped to the facilities of Teledyne Continental Motors (TCM), near Mobile, Alabama, for further examination. According to the aircraft maintenance records, at the time of the accident, the engine had accumulated 834.7 hours since overhaul which was completed on March 15, 2001. The most recent engine maintenance recorded was an oil change on December 10, 2003.

On January 20, 2004, at TCM, under the supervision of the NTSB IIC, the engine was examined and disassembled. The disassembly revealed one through-bolt was loose, one deck stud was loose, five remaining deck studs were fractured, and one through-bolt was fractured on the number six cylinder. The number six cylinder and crankcase mating surfaces displayed evidence of fretting. No additional anomalies were noted with the engine that would have precluded normal operation.

The fractured studs, through-bolts, and the mating surfaces were examined by a TCM metallurgist. According to the TCM metallurgist report, fatigue propagation was noted on three of the fractured deck studs. The fracture locations were approximately at the flange thickness above the cylinder deck. Examination of all fracture surfaces under the scanning electron microscope displayed three studs (1, 2, and 4 o'clock positions) with signatures consistent with fatigue, and the two other studs (5 and 7 o'clock positions) and the through bolt displayed signatures consistent with overload. A witness line, noted on the loose through-bolt located in the 10 o'clock position, was formed from repeated impact with the cylinder flange. Hardness of each of the deck studs and through-bolts met manufacturer's specifications.

Aircraft

Registration
N718LG
Reported as
Cessna 210
Category
Airplane
Serial number
57031
Airframe hours
3,600
Engine
Continental IO-470-E, 260 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Registered owner
Cole 1st Family Ltd. Partnership
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 9, 2003 · 150 hours before
Departed
ADS · Addison, TX
Destination
TDW · 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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
63
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Last flight review
September 3, 2002
Seat
Right
Flight hours
4,500 total · 800 in this make and model · 4,500 as pilot in command
Role
Co-pilot
Age
57
Injuries
Serious
Certificate
Private
Airplane ratings
Multi-engine land, Single-engine land
Seat
Left
Flight hours
2,500 total · 600 in this make and model · 2,500 as pilot in command · 60 in the last 90 days · 20 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
315° at 15 knots
Visibility
10 statute miles
Lowest ceiling
None

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.