LAX02FA018

NTSB accident investigation · Cessna P210N · Mt. Charleston, NV · October 30, 2001

Accident · FatalField investigationFinal report
Date
October 30, 2001, 15:13 local (23:13 UTC)
Place
Mt. Charleston, NV
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N734VMCessna P210N
Weather
Instrument (IMC) · Day
Status
Completed · report March 30, 2004
Report
Approved by Office Director
Parties
Federal Aviation Administration, Cessna Aircraft Company, Continental Engines
FAA report
20011030028899A
Case key
53705

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 pilot's failure to maintain an adequate airspeed after continuing flight into forecast adverse meteorological conditions consisting of turbulence, icing, and downdrafts, which resulted in a stall/spin.

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.

In flight encounter with weatherCruise - normal
Weather condition - turbulence in cloudsFactor
Weather condition - downdraftFactor
Flight into adverse weather - continuedPilot in commandCause
Weather condition - icing conditionsFactor
Loss of control - in flightManeuvering - turn to reverse direction
Airspeed - not maintainedPilot in commandCause
Stall/spin - inadvertentPilot in command
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - mountainous/hilly

Analysis

The pilot lost control of his airplane while cruising at 16,000 feet in instrument meteorological conditions. The airplane entered a spin and impacted the ground at 7,100 feet mean sea level. An examination of the airplane wreckage did not reveal any evidence of preimpact mechanical failures or malfunctions. About 1 hour prior to departure the pilot had received a weather briefing. The briefer advised the pilot that there was an AIRMET along his proposed route of flight. The AIRMET forecast was for occasional moderate turbulence from the surface to 16,000 feet, and indicated occasional moderate icing in clouds and precipitation from the 12,000 foot freezing level up through 24,000 feet. The airplane was not equipped or certificated for flight into known icing conditions. While en route at 16,000 feet, with an average ground speed of 155 knots, the pilot encountered downdrafts. The pilot broadcast to the radar controller that he was "unable to maintain this altitude with this downdraft," requested permission to descend to 15,000 feet, and was cleared to descend. Recorded radar data indicated that the airplane's course changed from northwesterly to southeasterly, and then northeasterly, while its ground speed gradually decreased to 61 knots. The airplane's last recorded radar position was at 8,800 feet, and the airplane impacted into the underlying terrain within a 50-foot radius of this location. About 2 hours thereafter, another pilot reported experiencing severe turbulence while descending from 16,000 to 13,000 feet over the accident site vicinity.

Factual narrative

History of flight

On October 30, 2001, at 1513 Pacific standard time, a Cessna P210N, N734VM, descended into mountainous terrain in the Humboldt-Toiyabe National Forest, about 6.5 nautical miles (nm) north of Mt. Charleston, Nevada. The airplane was destroyed by impact forces and a post-impact ground fire. Instrument meteorological conditions prevailed in the vicinity, and an instrument flight rules (IFR) flight plan had been filed. The instrument rated private pilot was fatally injured. The airplane was operated by the owner of RLB Enterprises, LLC, Scottsdale, Arizona. The business flight was performed under the provisions of 14 CFR Part 91, and it originated from Flagstaff, Arizona, about 1340.

The pilot filed an instrument flight plan to Reno, Nevada, for a route that, in pertinent part, included cruising between Boulder City and the Beatty VORTACS (navigational aids). Data from the air traffic control facility at Nellis Air Force Base indicated that between 1505:00 to 1507:14, along this route segment and while on a 282-degree (magnetic) track at 16,000 feet, the airplane's average ground speed was 155 knots. Thereafter, the airplane's average ground speed decreased, and between 1507:14 and 1509:05, it was 143 knots.

At 1510:57, while still cruising at 16,000 feet, the pilot stated he was "unable to maintain this altitude with this downdraft," and by 1511:05, the airplane's average ground speed had decreased to 71 knots. Thereafter, the pilot reversed his direction of flight, and the airplane's northwesterly track changed to southeasterly.

During the next 2 minutes the airplane's direction of flight changed again, and it became predominately northeasterly, while the airplane's altitude decreased. At 1511:07, the pilot requested a descent to 15,000 feet, and seconds later he was issued the requested clearance.

The controller stated to the pilot, "advise when you can climb back to sixteen." The pilot responded at 1511:17, by stating "4VM, roger." This was the last recorded transmission from the pilot.

At 1511:20, the airplane's altitude was 15,700 feet. At 1512:00, the controller broadcast "Centurion 4VM, Nellis Control." No answer was recorded. Between 1512:09 and 1512:42, the airplane's average ground speed was 61 knots, and at 1512:38, the airplane descended through 10,100 feet. The airplane's last recorded position was at 1512:48, at which time it had descended to 8,800 feet.

Personnel information

The pilot was issued a private pilot certificate in 1978 with an airplane single engine land rating. In 1997 he was issued an instrument rating.

The pilot's personal flight record logbook was not provided to the National Transportation Safety Board investigator for review. In an insurance application that the pilot had completed in September 2000, the pilot declared he had a total of about 1,000 flight hours, with 580 in a Cessna P210. Of this flight time, 231 hours were listed as instrument flight hours. According to the Federal Aviation Administration (FAA), in January 2001, when the pilot last applied for an aviation medical certificate, he reported having 1,200 total hours of flight time.

Regarding the pilot's recent flying experience, the pilot's wife reported that he had flown his airplane about 250 hours during the preceding 12 months. She stated that he flew his airplane every weekend.

The flight times shown in the flight time matrix box of this accident report form are estimated. They are based in part upon insurance company application data and FAA data.

Aircraft information

According to the Cessna Aircraft Company participant, the accident airplane was pressurized, and it was manufactured with partial plumbing provisions for a deice system. However, no deice wing leading edge, elevator, or vertical stabilizer boots were installed at the time of delivery. According to the Cessna Information Manual, the airplane was prohibited from flying into known icing conditions.

Meteorological information

A staff meteorologist with the National Transportation Safety Board, Office of Aviation Safety, Washington, D.C., conducted a study of the observed and forecast meteorological conditions for the time and location of the accident site area. In pertinent part, the study revealed that the National Weather Service had issued Airmen's Meteorological Information (AIRMET), which was pertinent to the accident flight.

The AIRMET forecast was for occasional moderate rime or mixed icing in clouds and in precipitation above the freezing level to 24,000. The freezing level was forecast between 12,000 and 15,000 feet. Also, an AIRMET for occasional or moderate turbulence below 16,000 was forecast in this same area. (See the factual meteorological report contained in the docket for this accident for additional information.)

The pilot obtained a weather briefing at 1243:06. In this briefing the pilot was advised that an AIRMET had been issued. In pertinent part, the AIRMET indicated that along the pilot's route of flight, from Las Vegas onward, there was a forecast for "occasional moderate rime or mixed icing in clouds and precipitation, from the freezing level to flight level two four zero." Also, there was a forecast for "moderate turbulence below sixteen thousand from Kingman or Peach Springs on(ward)."

About 1700, a pilot flying a Cessna Citation jet on the leeward side of Mt. Charleston encountered what he considered to be severe turbulence. At the time, he was descending from 16,000 to 13,000 feet. According to this pilot, light icing existed in the clouds, and the winds were westerly at 42 knots. The prevalent cloud layer precluded him from observing the adverse weather conditions causing the turbulence.

Wreckage and impact information

The airplane wreckage was found on estimated 15-degree upsloping terrain, at an altitude of about 7,100 feet mean sea level (msl). This location, on the leeward side of Mr. Charleston, was within a 50-foot radius of the last recorded radar position. The global positioning satellite (GPS) coordinates for the crash site are 36 degrees 21.768 minutes north latitude by 115 degrees 36.662 minutes west longitude.

The entire airplane, including all flight control surfaces, was found at the impact site. All wreckage was located within a 30-foot radius of the fuselage, which was surrounded by intact trees. The landing gear and flaps were retracted.

The fuselage structure collapsed in a vertical direction. Several components separated from the airplane, including the engine exhaust heat exchanger scoop, engine cowling, propeller assembly, and the red navigation light lens. These components were scattered throughout a circular area around the airplane.

Medical and pathological information

Family members reported that the pilot was in satisfactory health and did not take over-the-counter or prescription medications.

The FAA's manager, Toxicology and Accident Research Laboratory, performed toxicological tests on specimens from the pilot. No evidence of screened drugs was reported. No blood, urine, or vitreous was available for testing. Ethanol was detected in specimens of muscle and kidney at a level of 34 and 39 mg/dL, respectively.

Tests and research

The airframe and engine were examined under the supervision of the Safety Board investigator.

Airframe and Propeller Examination.

All the flight control surfaces were found during the airframe examination. The fuselage, including the cockpit, and most of the wing structure was consumed by the post-impact fire. The wing leading edges were destroyed, and they were not observed.

The empennage and left wing were next to, but separated from, the fuselage. Deice boots were not installed on the empennage. Aileron control cable continuity was established from the aileron push/pull rods to the control yoke. The horizontal stabilizer, elevator, and rudder assemblies w

Aircraft

Registration
N734VM
Reported as
Cessna P210N
Category
Airplane
Serial number
P21000612
Airframe hours
3,166
Engine
Continental TSIO-520-520P, 310 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Business · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · December 18, 2000
Departed
FLG · Flagstaff, AZ
Destination
RNO · Reno, NV
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
46
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Last flight review
November 2, 1999
Seat
Left
Toxicology
Performed
Flight hours
1,200 total · 600 in this make and model

Weather

Conditions
Instrument (IMC) · Day
Wind
Variable at 3 knots
Visibility
2 statute miles
Lowest ceiling
5,000 ft overcast
Temperature
57 °F, dew point 55 °F
Altimeter
30.02 inHg
Observed at
DRA, 25 nm away

Docket · 27

The files NTSB released with the investigation on January 16, 2004, on NTSB’s docket system: statements, records, photos and specialists’ reports. 14.6 MB in all.

Meteorology 5 - Factual Report of Group ChairmanItem 1 · .PDF · 1.6 MBSpecialist's Report of Recorded Radar StudyItem 2 · .PDF · 309 KBWitness StatementItem 3 · .PDF · 40 KBMaps or Charts of Accident Area, Wreckage DiagramsItem 4 · .PDF · 414 KBTranscript of Radio CommunicationsItem 5 · .PDF · 1.0 MBReport from Cessna Aircraft, including Radar Track PlotsItem 6 · .PDF · 869 KBReport from Teledyne Continental MotorsItem 7 · .PDF · 87 KBToxicology Report and NTSB Interpretation of Blood Alcohol LevelsItem 8 · .PDF · 90 KBStatement of Party Representatives to NTSB InvestigationItem 9 · .PDF · 306 KBRelease of Aircraft Wreckage, NTSB Form 6120.15Item 10 · .PDF · 42 KBFlight PlanItem 11 · .PDF · 29 KBFuel ReceiptItem 12 · .PDF · 82 KBPilot Record of Flight ExperienceItem 13 · .PDF · 72 KBAirplane Maintenance ReceiptItem 14 · .PDF · 165 KBPhoto 1. Westerly aerial view of accident site.Item 15 · .PDF · 741 KBPhoto 2. Aerial view of accident site.Item 16 · .PDF · 755 KBPhoto 3. East view of main wreckage on mountain side.Item 17 · .PDF · 741 KBPhoto 4. Engine, left wing tip against tree, and left side of tail.Item 18 · .PDF · 672 KBPhoto 5. Front view of engine and destroyed fuselage.Item 19 · .PDF · 758 KBPhoto 6. South view of wreckage; right wing in foreground.Item 20 · .PDF · 693 KBPhoto 7. Front view of separated empennage.Item 21 · .PDF · 759 KBPhoto 8. Close up view of empennage.Item 22 · .PDF · 710 KBPhoto 9. Empennage, right side.Item 23 · .PDF · 730 KBPhoto 10. Empennage, left side.Item 24 · .PDF · 684 KBPhoto 11. Destroyed cabin (foreground)and cockpit (background).Item 25 · .PDF · 765 KBPhoto 12. Cockpit, forward looking view.Item 26 · .PDF · 751 KBPhoto 13. Propeller assembly.Item 27 · .PDF · 689 KB

FAA reports on this event · 1

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