LAX01FA194

NTSB accident investigation · Cessna 210A · Escondido, CA · May 28, 2001

Accident · FatalField investigationFinal report
Date
May 28, 2001, 11:49 local (18:49 UTC)
Place
Escondido, CA
Injuries
3 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N9462XCessna 210A
Weather
Instrument (IMC) · Day
Status
Completed · report February 7, 2002
Report
Approved by Office Director
Parties
Cessna Aircraft Corporation, Continental Motors, Flight Standards District Office
FAA report
20010528019329A
Case key
52362

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 pilot's spatial disorientation and lack of instrument flight proficiency that resulted in a loss of directional control and the airplane's subsequent in-flight collision with the ground.

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 control - in flightClimb - to cruise
Weather condition - cloudsFactor
Spatial disorientationPilot in commandCause
Directional control - not maintainedPilot in commandCause
Lack of recent instrument timePilot in commandCause
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - mountainous/hilly
Reason for occurrence undetermined

Analysis

The airplane departed the Ramona airport approximately 1140. It was radar identified by the air traffic controller, who then instructed the pilot to climb and maintain 6,000 feet msl. The controller told the pilot to make a left turn and proceed to the Oceanside VOR. The pilot acknowledged the instructions. The airplane then made a right turn to a heading of approximately 040 degrees at 4,300 feet msl. The controller requested that the pilot fly a heading of 270 degrees and to climb to 7,000 feet msl. The pilot acknowledged the radar vector. The airplane then made a steep 320-degree turn to the left, stopping on a heading of approximately 360 degrees at an altitude of 4,800 feet msl. The controller asked the pilot to continue his right turn to a heading of 290 degrees for radar vectors to victor airway 186. Then the controller asked the pilot to say altitude. A response from another pilot onboard the airplane said, "standby, we're in a little trouble here." The controller made two subsequent calls to the accident airplane. The pilot-in-command replied, "uh, six two x-ray standby a second." The controller issued a warning that the airplane was heading for higher terrain and instructed the pilot to turn left and climb. There was no response from the pilot. The airplane began a steep left turn from an altitude of 4,700 feet msl and turned left to a heading of approximately 180 degrees, descending from 4,700 feet msl to 2,500 feet msl, and then back up to 3,100 feet msl. At 1148:39, radar contact was lost with the airplane. According to the pilot's logbook, he had logged a total of 12.6 hours in 1999, 5.6 hours in 2000, and 11.5 hours in 2001. For the 3 years indicated, he had logged a total of 0.7 hours in instrument meteorological conditions. There was no evidence of an instrument proficiency check having been completed within the 12 calendar months prior to the accident. No instrument flight experience had been logged within the 12 calendar months preceding the accident.

Factual narrative

History of flight

On May 28, 2001, at 1149 hours Pacific daylight time, a Cessna 210A, N9462X, was destroyed when it crashed in hilly terrain 5 miles east of Escondido, California. The commercial pilot and two passengers were fatally injured. Instrument meteorological conditions prevailed at the time of the accident. The flight was conducted by the owner under 14 CFR Part 91. The airplane departed Ramona, California, on an IFR flight plan and clearance to Fresno, California. The flight plan was activated upon departure at Ramona.

The pilot had flown with his son, a designated pilot examiner for the Federal Aviation Administration (FAA), on May 25, 2001, for the purpose of a flight review. The son stated that he asked his father to do several maneuvers, including steep turns, a simulated engine failure, and basic air work. According to the son, the pilot performed to the standards for a commercial pilot or better for the flight review, which he subsequently endorsed in the pilot's logbook. He stated that they did not perform any instrument maneuvers during the flight, which are not required for a flight review.

On May 28, 2001, at 1032, the pilot received a weather briefing from the San Diego Automated Flight Service Station. During the briefing, the pilot was informed that the tops of the overcast along his intended route of flight were between 5,500 feet mean sea level (msl) and 6,000 feet msl, and were expected to remain so for the duration of the day. The pilot then filed an IFR flight plan from Ramona to Fresno. While filing the flight plan, the pilot stated that he had approximately 5 hours of fuel on board. The pilot also positively identified himself by name. At 1134, the pilot received an IFR clearance from the Ramona to Fresno by a controller from the SOCAL radar facility. The clearance was as follows: Cleared to Fresno airport via Ramona departure, bondo, victor 208, as filed. Climb and maintain five thousand, expect one zero thousand ten minutes after departure. Squawk code one zero one six, departure frequency one two seven point three. Time now one eight three four and a half. Void if not off by forty five. If not off by forty five, call us by fifty and advise of your intentions.

According to the radar data and communications transcripts obtained from the Southern California Terminal Radar Approach Control, San Diego Palomar Associate position, the following events occurred: The airplane departed the Ramona airport approximately 1140. A radar target that was displaying a discrete transponder code that was assigned to the accident aircraft was observed on radar at 1140:17. The target was heading approximately 310 degrees and was at an altitude of 2000 feet msl. The target was observed to continue a climb on a heading of 310 degrees. An air traffic controller made three calls for N9462X before establishing communications at 1144:03. The accident airplane was radar identified by the controller at 1144:12, who then instructed the pilot to climb and maintain 6,000 feet msl. At that time the airplane was passing through 4,100 feet msl. At 1144:57, the controller told the pilot to make a left turn and proceed to the Oceanside VOR. At 1145:02, the pilot acknowledged the instructions. The airplane was then observed making a right turn to a heading of approximately 040 degrees and was at 4,300 feet msl. At 1145;06, the controller requested that the pilot fly a heading of 270 degrees for radar vectors and to climb to 7,000 feet msl. At 1145:16, the pilot acknowledged the radar vector. The airplane then made a steep 320-degree turn to the left, stopping on a heading of approximately 360 degrees at an altitude of 4,800 feet msl. At 1145:47, the controller asked the pilot to continue his right turn to a heading of 290 degrees for radar vectors to victor airway 186. At 1146:24, the controller asked the pilot to say altitude. At 1146:26, a response from another pilot onboard the airplane, identified by family members, said, "standby, we're in a little trouble here." The controller made two subsequent calls to the accident airplane. At 1146:39, the pilot-in-command replied, "uh, six two x-ray standby a second." At 1146:56, the controller issued a warning that the airplane was heading for higher terrain and instructed the pilot to turn left to a heading of 270 degrees and climb. There was no response from the pilot. At 1147:17, the airplane began a steep left turn from an altitude of 4,700 feet msl. The airplane was observed turning left to a heading of approximately 180 degrees and descending from 4,700 feet msl to 2,500 feet msl, and then back up to 3,100 feet msl. At 1148:39, radar contact was lost with the airplane.

Personnel information

A review of the Federal Aviation Administration airman records revealed that the pilot held a commercial pilot certificate with airplane single engine land and instrument airplane ratings. He also held a private pilot certificate with a single engine sea rating. The pilot held a second-class medical certificate, with a limitation requiring corrective lenses be worn while acting as pilot-in-command, issued on May 15, 2001. According to the pilot's logbook, he had logged a total of 12.6 hours in 1999, 5.6 hours in 2000, and 11.5 hours in 2001. For the 3 years indicated, he had logged a total of 0.7 hours in instrument meteorological conditions. There was no evidence of an instrument proficiency check having been completed within the 12 calendar months prior to the accident. No instrument flight experience had been logged within the 12 calendar months preceding the accident. A second pilot was onboard as a passenger. He had a private pilot certificate with an airplane single engine land rating. The second pilot did not have an instrument rating.

Aircraft information

The aircraft was a 1961 Cessna 210A, serial number 21057762. A review of the airplane logbooks revealed that an annual inspection was completed on April 26, 2001, at a total airframe time of 5,552 hours. A 50-hour inspection was accomplished on May 25, 2001, at a total airframe time of 5,603 hours. The airplane had a Teledyne Continental IO-470-E, serial number 088742R, engine installed. The total time on the engine at the last annual was 1,460 hours since major overhaul. A 50-hour inspection was completed on May 25, 2001, at a total engine time of 1,511 hours since major overhaul. The pitot static system and transponder inspection and certification was completed on September 27, 2000.

Meteorological information

The Ramona airport is equipped with an automatic weather observation system (AWOS). The AWOS was reporting the weather conditions at 11:53 as follows: Wind was from 280 degrees at 9 knots with a visibility of 6 statute miles in mist. There was a broken cloud layer at 800 feet above ground level (agl) and an overcast layer at 1,400 feet agl. The temperature was 14 degrees Celsius with a dew point of 12 degrees Celsius. The barometric pressure was 29.93 inches of mercury. A remark noted that the ceiling was variable between 500 and 1,100 feet agl. A pilot report issued at 09:02 indicated that the cloud tops were 5,300 feet msl over the Carlsbad airport (CRQ), 15 miles from the accident site on a magnetic bearing of 240 degrees.

Wreckage and impact information

The wreckage was located in hilly terrain at an elevation of approximately 2,400 feet msl. The area was characterized by dense brush with scattered outcroppings of granite. Immediately adjacent to the impact site was an avocado grove with trees about 25 feet in height. There was a fence separating the open field where the impact crater was located and the avocado grove. Several homes were located throughout the area. Tall bushes surrounded the west side of the impact crater. There were several disturbed branches visible immediately adjacent to the crater. The damaged branches sloped at a 30

Aircraft

Registration
N9462X
Reported as
Cessna 210A
Category
Airplane
Serial number
21057762
Airframe hours
5,603
Engine
Continental IO-470 E, 260 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Airworthiness certificate
Standard, Utility; Standard, Normal
Last inspection
Annual · April 26, 2001 · 51 hours before
Departed
RMN · Ramona, CA
Destination
FAT · Fresno, CA
Flight plan
IFR
Airport
RMN · Ramona, runway 27, 4,000 × 150 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
77
Injuries
Fatal
Certificate
Commercial
Airplane ratings
Single-engine sea, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Last flight review
May 25, 2001
Seat
Left
Flight hours
3,900 total · 10 in the last 90 days · 3 in the last 30 days

Weather

Conditions
Instrument (IMC) · Day
Wind
280° at 9 knots
Visibility
6 statute miles
Lowest ceiling
800 ft broken
Temperature
57 °F, dew point 54 °F
Altimeter
29.93 inHg
Observed at
RMN, 8 nm away

Docket · 29

The files NTSB released with the investigation on January 15, 2002, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.9 MB in all.

Supplement AItem 1 · .PDF · 254 KBSupplement BItem 2 · .PDF · 399 KBSupplement EItem 3 · .PDF · 180 KBSupplement KItem 4 · .PDF · 426 KBWitness StatementsItem 5 · .PDF · 114 KBWreckage DiagramItem 6 · .PDF · 48 KBWeather Reports and RecordsItem 7 · .PDF · 160 KBMaps or Charts of Accident Area.Item 8 · .PDF · 845 KBOther Pertinent Forms and Reports, Pilot logbook pages.Item 9 · .PDF · 951 KBStatement of Party Representatives to NTSB InvestigationItem 10 · .PDF · 420 KBRelease of Aircraft Wreckage, NTSB Form 6120.15Item 11 · .PDF · 55 KBPhoto 1. Impact crater, looking east toward wreckage.Item 12 · .PDF · 35 KBPhoto 2. Impact crater, looking west.Item 13 · .PDF · 55 KBPhoto 3. Right wing.Item 14 · .PDF · 59 KBPhoto 4. Vertical stabilizer, cabin, and engine.Item 15 · .PDF · 45 KBPhoto 5. Left horizontal stabilizer and engine.Item 16 · .PDF · 54 KBPhoto 6. Vertical stabilizer.Item 17 · .PDF · 44 KBPhoto 7. Propeller blade.Item 18 · .PDF · 54 KBPhoto 8. Propeller blade and hub.Item 19 · .PDF · 50 KBPhoto 9. Engine.Item 20 · .PDF · 56 KBPhoto 10. Spark plugs.Item 21 · .PDF · 41 KBPhoto 11. Mag switch.Item 22 · .PDF · 35 KBPhoto 12. Engine.Item 23 · .PDF · 53 KBPhoto 13. Vacuum pump.Item 24 · .PDF · 31 KBPhoto 14. Vacuum pump.Item 25 · .PDF · 36 KBPhoto 15. Rotational scoring in baffling behind alternator.Item 26 · .PDF · 49 KBPhoto 16. Gyro rotor exhibiting rotational scoring.Item 27 · .PDF · 29 KBPhoto 17. Gyro.Item 28 · .PDF · 23 KBTranscript of Radio CommunicationsItem 29 · .PDF · 318 KB

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 N9462X · 2

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