IAD05FA012

NTSB accident investigation · Cessna P210 · Paint Lick, KY · November 12, 2004

Accident · FatalField investigationFinal report
Date
November 12, 2004, 11:47 local (16:47 UTC)
Place
Paint Lick, KY
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N6539PCessna P210
Weather
Instrument (IMC) · Day
Status
Completed · report February 28, 2008
Report
Approved by Office Director
Parties
Teledyne Continental Motors, FAA/FSDO, Cessna Aircraft Company, Kelly Aerospace Power Systems
FAA report
20041112030239A
Case key
60540

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

Improper alignment of a turbocharger oil line, which resulted in wear damage through the hose wall and a subsequent loss of engine oil. Contributing to the accident was the low cloud ceiling.

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
Lubricating system,oil hose - chafed
Lubricating system,oil hose - perforated
Fluid,oil - leak
Maintenance,alignment - improperOther maintenance personnelCause
Forced landingDescent - emergency
In flight collision with objectEmergency descent/landing
Object - wire,transmission
Weather condition - low ceilingFactor

Analysis

The single-engine airplane was in cruise flight at 19,000 feet when the pilot reported a loss of cabin pressurization, followed by a loss of engine oil pressure, and ultimately a total loss of engine power. With the assistance of air traffic control, the pilot was able to maneuver the airplane to a position over an airport, but was not able to successfully complete a forced landing due to a low cloud ceiling in the area. The wreckage was mostly consumed by a postcrash fire. Examination of the wreckage revealed the engine crankcase was breached, primarily above the number 5 and number 6 cylinders. A turbocharger wastegate hose that was realigned about 17 months earlier was found to have rubbed through. Staining on the turbocharger housing was consistent with the position of an oil leak from the hose; however, the quantity and rate at which the leak occurred could not be determined. The numbers 1 through 5 connecting rods and rod bearings exhibited thermal distress. The number 6 connecting rod and bearing did not, and according to the engine manufacturer, the bearing exhibited "no signs of cavitation, oil starvation, thermal distress, or hard particle embedment." Engine manufacturer correspondence stated that it was not uncommon for the number 6 connecting rod bearing to exhibit little or no damage after an oil starvation event. An examination of the number 6 connecting rod assembly revealed fatigue cracking; however, it was "high stress" fatigue cracking, suggesting that some other event occurred before the connecting rod fractured.

Factual narrative

History of flight

On November 12, 2004, at 1147 eastern standard time, a Cessna P210, N6539P, was destroyed during a forced landing in Paint Lick, Kentucky. The certificated commercial pilot was fatally injured. Instrument meteorological conditions prevailed, and the airplane, which departed Talladega Municipal Airport (ASN), Talladega, Alabama, at 1003, was operating on an instrument flight rules flight plan to Port Columbus International Airport (CMH), Columbus, Ohio. The personal flight was conducted under 14 Code of Federal Regulations Part 91.

According to combined Federal Aviation Administration (FAA) voice transcripts (with some punctuation added for clarity):

At 1104, the pilot reported: "indianapolis center, centurion six five three niner papa checking in with you level flight level one niner zero," and the controller acknowledged the call.

About 18 minutes later, the controller began issuing a change in routing.

At 1127:09, the pilot reported: "and ah, center, centurion six five three niner papa, i got a little problem here," and the controller responded, "go ahead."

The pilot then stated: "and six five three niner papa got an engine ah lost cabin pressure altitude, ah, failure, got to descend."

The controller then cleared the pilot to descend to "one one thousand let me know if you need any more than that, london altimeter is ah, three zero zero niner." The pilot then responded with "one zero, ten thousand."

At 1127:36, the controller asked: "november three niner papa, you say you're havin' engine trouble or just cabin pressure problem?" and the pilot responded: "...i've got engine trouble and cabin pressure problem."

At 1127:44, the controller advised: "okay london airport is ah, at four o'clock and sixteen miles -- ah be the closest one there and just let me know what you want to do."

The pilot then requested a vector to the airport, and the controller responded: "turn right to a heading of one four zero," which the pilot acknowledged.

At 1128:09, the controller advised the pilot of the airport identifier, and at 1128:23, advised the pilot that the "weather at london is saying overcast at ah five hundred -- do you still wanna try to get there?"

The pilot responded: "...stand by sir, i've got to, i've got to get oxygen on here, i'm"

At 1129:46, the pilot stated: "okay six five three niner papa, i'm with you sir," and the controller responded: "...roger and ah, are you making any engine power at all?"

At 1129:53, the pilot responded: "six five three niner papa, yes sir, showing manifold pressure of ah one five, fifteen inches sounds good, ah, i've got fuel flows of...one hundred pounds per hour. ah i think i probably lost the turbo charger, i've got really not a big difference in engine sound ah but um ah let me get a little lower here. ah can you give gimme that vector again please?"

The controller responded that the pilot needed to turn to heading 150, and the airport was 17 miles away. The pilot acknowledged the heading, and stated: "we got oxygen on here."

At 1130:24, the controller repeated that the ceiling was 500 feet, and that Bluegrass Airport was "six hundred feet so i'm not seeing anywhere closer that might be any better.

At 1130:39, the pilot responded: "six five three niner papa, i will ah factor that in sir. i'm going to continue in the turn here and assess the situation and ah, i'll be calling you back here shortly."

At 1130:49, the controller stated: "okay, just ah, let me know. there is some g-p-s approaches in to london. there is a v-o-r approach that comes in from the southwest," which the pilot acknowledged.

At 1131:34, the pilot asked: "...could you look, ah, for some, ah better ah landing conditions ah, to the north?"

At 1131:46, the controller responded that Louisville International Airport was 3,400 overcast, and that the heading would be 340 or 330, "and ah we'll get a mileage away from that if you want to start turning to a three three zero heading we'll get you a clearance to louisville international."

At 1132:00, the pilot acknowledged: "...right turn to heading three three zero, just to keep you advised we're at seventeen inches of manifold pressure now at this lower altitude. looks like the turbo charger problem, engine seems healthy."

At 1132:15, the pilot stated that he wanted to "conserve...altitude" and maintain 10,000 feet, and the controller cleared him to do so.

At 1133:05, the controller cleared the pilot to Louisville, with a heading of 310 degrees, which the pilot acknowledged. The pilot then asked for the "designator" for Louisville, which the controller provided.

At 1134:23, the pilot stated: "(unintelligible) the airport again," and the controller asked him to "say again please."

At 1134:31, the pilot responded: "six five three niner papa, we're declaring an emergency. i've got low oil pressure. i need the closest airport."

At 1134:36, the controller responded: "and november three niner papa, we've got madison airport at ah north, heading three six zero heading and ah, about ah --- one seven miles."

The airport the controller was referring to was Madison County Airport (I39), Richmond, Kentucky.

At 1134:46, the pilot responded: "six five three niner papa, we're we're settin' up for that -- and i'm gonna pull power here. i've got ah -- low as i said low oil pressure."

At 1134:52, the controller stated: "november five three niner papa, roger, can you change frequency now? i can give you Lexington approach. that's in their airspace, they can help you out," and the pilot responded "six five three niner papa give it to me."

At 1134:59, the controller advised the pilot to descend and maintain 4,000 feet, "you've got your emergency," and to contact Lexington approach on frequency 120.5, which the pilot acknowledged.

During this timeframe, the Indianapolis Center and Lexington controllers coordinated the handoff and cleared the airspace.

At 1135:27, the pilot stated: "lexington approach, centurion six five three niner papa with an emergency," and the controller responded: "november three niner papa, lexington approach, roger. lexington altimeter three zero one five. what approach do you want at richmond madison?"

At 1135:36, the pilot answered: "i can't figure that out. give me the designator for this uh emergency landing airport."

At 1135:44, the controller responded: "...the closest airport um in your vicinity is about one zero miles north of your position about one five miles north of your position richmond madison airport."

There were then several calls between the pilot and the controller, confirming that the designator was india three nine.

At 1136:24, the controller stated: "centurion uh three niner papa, at pilot's discretion, descend and maintain three thousand two hundred."

At 1136:30, the pilot responded: "six five three niner papa p-d uh (unintelligible) i need some help here sir. i need these i need somebody to compute up for me a vertical descent profile to get me in. i'm about to lose my engine and uh i need somebody to be figuring out my current altitude and distance to the airport if you could please and give me a descent profile. i, i need to expect that i'm going to lose complete power here at any time. i'm at this point, i'm still maintaining a hundred and fifty knots on the airspeed ah but i'm going to have to try to level here to conserve that altitude and get my glideslope."

At 1137:00, the controller stated: november three niner papa, roger, your position is one two miles south of the richmond madison airport and i'm showing you at one twelve thousand, three hundred feet, twelve thousand three hundred feet.

At 1137:14, the pilot asked for the airport elevation, and at 1137:38, the controller reported it as 1,000 feet.

At 1137:42, the pilot reported: "...three niner papa, we got engine failure in progress he

Aircraft

Registration
N6539P
Reported as
Cessna P210
Category
Airplane
Serial number
P21000188
Airframe hours
2,497
Engine
Continental TSIO-520, 310 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Operator
Scott W. Hudelson
Registered owner
Hudelson 7 LLC
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · July 1, 2004
Departed
ASN · Talledega, AL
Destination
CMH · Columbus, OH
Flight plan
IFR
Airport
I39 · Madison Airport, runway 36, 4,500 × 100 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
52
Injuries
Fatal
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Seat
Left
Flight hours
1,000 total

Weather

Conditions
Instrument (IMC) · Day
Wind
30° at 11 knots
Visibility
8 statute miles
Lowest ceiling
600 ft overcast
Temperature
45 °F, dew point 43 °F
Altimeter
30.14 inHg
Observed at
LEX

FAA reports on this event · 1

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