FTW95FA003

NTSB accident investigation · Cessna T210M · Richmond, UT · October 1, 1994

Accident · FatalField investigationFinal report
Date
October 1, 1994, 16:45 local (22:45 UTC)
Place
Richmond, UT
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N732VKCessna T210M
Weather
Instrument (IMC) · Day
Status
Completed · report May 9, 1995
Report
Approved by Office Director
FAA report
19941001032319A
Case key
19189

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

The loss of engine oil pressure due to an oil leak from a loose oil line fitting. Factors were the obscuration, and the unsuitable terrain at the pilot's disposal.

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(partial) - mech failure/malfCruise - normal
Lubricating system,oil line - looseCause
Reason for occurrence undetermined
Fluid,oil - leakCause
Fluid,oil - starvation
Forced landingDescent - emergency
In flight encounter with weatherDescent - emergency
Weather condition - obscurationFactor
In flight collision with terrain/waterDescent - emergency
Terrain condition - mountainous/hilly
Terrain condition - none suitable

Analysis

The commercial pilot reported to ATC that his engine was losing oil pressure while in cruise flight at FL190. The pilot requested to deviate to a nearby airport and ATC cleared him to descend to 12,000 feet. The pilot entered instrument conditions as he proceeded to the airport. During his emergency descent, the pilot communicated his intentions to the UNICOM operator at the airport of intended landing. When asked about his location, the pilot stated that he was 8 miles east, had lost his oil pressure, and hoped he didn't hit any of the mountains. Search and rescue aircraft responding to the ELT signal reported that the mountains were obscured at the time of the accident. The airplane was located 400 feet below the crest of a 9,765 foot mountain. The belly and underside of the fuselage was covered with fresh oil. Examination of the engine revealed that a 'b' nut on a braided oil line connecting the oil pump to the turbocharger was loose. The engine teardown found no internal evidence of lubrication or thermal distress within the engine.

Factual narrative

History of flight

On October 1, 1994, at 1645 mountain daylight time, a Cessna T210M, N732VK, was destroyed during a forced landing near Richmond, Utah. The instrument rated commercial pilot and his passenger were fatally injured. An instrument flight plan was filed and a weather briefing received. Instrument meteorological conditions prevailed for the personal flight.

According to Air Traffic Control (ATC), the airplane was in cruise flight at FL190 on an IFR clearance from Woodland, California, to Lander, Wyoming. The pilot reported losing engine oil pressure and requested to land at the Logan-Cache Municipal Airport (LGU), near Logan, Utah. ATC cleared the flight direct to LGU and cleared the pilot to descend to 12,000 feet. Radio and radar contact were lost 10 miles northeast of Logan, while the aircraft was descending through 12,000 feet.

An employee of the Logan Airport monitored a transmission received on Unicom by the pilot of N732VK. On the pilot's initial call, he stated that "he was experiencing oil pressure problems and was attempting a dead stick landing at Logan." Another airplane in the pattern called the pilot in distress to find out his location from the airport. The pilot responded that "he was 8 miles east, had lost his oil pressure, was IMC, and he hoped he didn't hit any of the mountains." The mountains east of Logan were obscured by clouds at the time of the accident. There were no reported eyewitnesses to this accident.

Aircraft information

The airplane was topped off with 68 gallons of 100LL aviation gasoline at the Woodlands-Watts Airport, the evening before the accident. The airplane was also serviced with 2 quarts of 15W50 Aeroshell oil at that time. The FBO manager reported in a telephone interview that prior to departing Lander, Wyoming, the pilot had asked him to service the airplane with one quart of oil, and to place 3 quarts of oil in the baggage compartment.

The FBO manager also reported that the airplane had a substantial oil leak as evidenced by the heavily oil soaked belly, when the airplane was at his location last June, while on an overnight stay on a trip to Canada.

The airplane was home-based at Festus, Missouri. The airplane and engine logbooks were not made available, and despite several attempts, they could not be recovered.

Communications

A complete weather briefing was received and an IFR flight plan was filed with the Rancho Murieta Flight Service Station by the pilot prior to his departure from Woodland, California. The transcripts from all pertinent communications between the airplane and the ATC facilities are enclosed in this report.

Wreckage and impact information

The wreckage of the airplane was located on the east slope of Cherry Peak (elevation 9,765 feet), approximately 400 feet below the crest of the mountain, on a heading of 020 degrees. The slope of the terrain was 50 to 60 degrees. About 12 inches of snow fell after the accident. Damage to the leading edge of the right wing was more pronounced than that of the left wing. The airplane, configured with the gear and flaps in the retracted position, came to rest on a heading of 282 degrees. Continuity was established to all flight controls. The elevator trim tab was found with 1 3/4 inches of nose down tab. The belly and underside of the airplane were found heavily soiled with fresh engine oil.

The engine separated from the airframe, and came to rest in a drainage ditch approximately 600 feet downslope of the main wreckage. The exhaust system was not pliable at the time of impact and several cracks were observed within the exhaust stacks. The propeller spinner was crushed, the hub was fractured and two of the three blades were separated from the hub. The turbocharger assembly and one of the propeller blades were not recovered.

Both fuel cells were compromised by impact damage, and no fuel was found at the accident site. Search and rescue personnel reported a strong smell of fuel when they first arrived at the accident site to recover the bodies.

Medical and pathological information

An autopsy and toxicological examination were requested and performed. The autopsy was performed by Office of the Medical Examiner for the State of Utah, on October 10, 1994. Toxicological tests were negative.

Test and research

The engine was recovered and transported to the engine manufacturer's facility where an examination and teardown of the engine was performed. No internal defects or anomalies were found. There were no internal signatures of lubrication or thermal distress within the engine. The source of the oil leak was a braided oil line connecting the oil pump to the turbocharger waste gate actuator. A "B" nut on 45 degree "L" fitting was found to be three and a half flats lose. See enclosed report of the examination.

Additional data

The wreckage was released to the owner's representative following the field portion of the investigation.

Aircraft

Registration
N732VK
Reported as
Cessna T210M
Category
Airplane
Serial number
21061807
Airframe hours
2,695
Engine
Continental TSIO-520-R, 310 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Registered owner
Ashcraft, Walter C.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · June 30, 1994 · 56 hours before
Departed
041 · Woodland, CA
Destination
LND · Lander, WY
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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
57
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
2,932 total · 2,695 in this make and model · 1,829 as pilot in command · 3 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Day
Visibility
0.25 statute miles
Lowest ceiling
100 ft
Altimeter
29.00 inHg

FAA reports on this event · 1

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