LAX03LA218

NTSB accident investigation · Cessna 210 · Henderson, NV · June 30, 2003

Accident · No injuriesLimited investigationFinal report
Date
June 30, 2003, 09:34 local (16:34 UTC)
Place
Henderson, NV
Injuries
4 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N9544TCessna 210
Weather
Visual (VMC) · Day
Status
Completed · report December 28, 2004
Report
Approved by Office Director
Parties
Cessna Aircraft Company, Teledyne Continental Motors, Inc., Federal Aviation Administration
FAA report
20030630012729A
Case key
57339

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

A bolt in the fuel selector that restricted the flow of fuel to the engine, which resulted in fuel starvation and a partial loss of engine power during the final approach to land.

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) - nonmechanicalApproach - vfr pattern - final approach
Fuel system,selector/valve - blocked(partial)Cause
Fluid,fuel - starvationCause
Forced landingDescent - emergency
On ground/water encounter with terrain/waterEmergency descent/landing
Terrain condition - rough/uneven

Analysis

The pilot reported a loss of engine power while in the landing pattern. He was unable to restart the engine, and the airplane landed short of the runway, receiving structural damage. A post-accident engine examination did not reveal any mechanical malfunctions with the engine. The fuel selector was removed from the airplane, and a 3/16-inch hex bolt was found protruding into one of the engine fuel ports, effectively restricting the flow of fuel to the engine. The spark plugs were examined and compared to a manufacturer's condition chart. The chart comparison disclosed lean operating signatures.

Factual narrative

On June 30, 2003, at 0934 Pacific daylight time, a Cessna 210, N9544T, experienced a loss of engine power and landed short of the runway with the landing gear retracted, at the Henderson Airport, (HND), Henderson, Nevada. The pilot/owner was operating the airplane under the provisions of 14 CFR Part 91. The pilot and three passengers were not injured; the airplane sustained substantial damage. The personal cross-country flight departed the Cielo Airport (private), Anthony, New Mexico, about 0700 mountain daylight time. No flight plan had been filed.

In a written statement, the pilot reported that he departed with full fuel of 65 gallons, 55 were usable. They climbed to 8,500 feet mean sea level (msl) and leveled the airplane, using about 2200 rpm and 19 inches manifold pressure. The mixture was leaned. At 1345 the pilot changed fuel tanks. They climbed to 10,500 at 1530 and changed fuel tanks again. After passing over the mountains near Henderson, the pilot initiated the descent. On downwind the pilot set the mixture in the "Full Rich" position. After turning from base to final, the engine lost power. The pilot executed an emergency landing.

The Federal Aviation Administration (FAA) inspector responded to the accident scene. The airplane came to rest short of the runway. Fuel was present in both fuel tanks.

Post accident examination of the engine did not reveal any mechanical malfunction that would have resulted in a loss of engine power. The spark plugs indicated lean operating signatures when compared to the Champion Aviation Check-A-Plug AV-27 Chart.

In a post accident examination, the fuel selector was removed from the airplane. A bolt was discovered in the fuel port to the engine. The selector was positioned to the left tank.

The fuel selector valve was examined at Cessna and a report was issued. The report indicated that two anomalies were present: the cam fuel selector was broken and there was a 3/16 hex bolt protruding from one of the engine ports. The cam fuel selector fracture surface was determined to have resulted from tensional overload. There was no evidence of torsional or fatigue fracture on the fracture surface.

The cam fuel selector was not able to rotate through 180 degrees. When the selector was positioned right or left, the bolt was tight. When the selector was in intermediate positions, the bolt appeared to be loose. When the bolt was removed, the cam shaft was able to rotate 180 degrees. The head of the bolt displayed scuffing; additionally, the cam fuel selector in the inlet port displayed scuffing. The valve was disassembled. Foreign matter was present in the left inlet port. Scuffing was more prevalent on the lower cam surface than on the upper cam surface. The lower cam surface coincided with the position of the bolt.

A fuel flow test was completed at B and S Aircraft located in Wichita, Kansas. No specifications for the fuel selector were available from Cessna for fuel flow requirements. The bolt was held to one side to allow for maximum flow, with 1 pressure per square inch (psi) inlet pressure; the flow reading was 208 pounds per hour (pph). With the bolt removed from the port under 1 psi inlet pressure, the flow reading was 310 pph. The flow readings would vary with the position of the bolt.

Maintenance records for the airplane indicated that the last inspection of the fuel selector occurred on May 27, 1988. At the time of the last annual, it had been 174.7 hours since the fuel selector work was completed.

Aircraft

Registration
N9544T
Reported as
Cessna 210
Category
Airplane
Serial number
57344
Engine
Continental IO-470 Ser, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
John Cunningham
Airworthiness certificate
Standard, Normal
Last inspection
Annual · December 2, 2002
Departed
PVT · Cielo Airport, NM
Destination
KHND · Henderson, NV
Airport
HND · Henderson, runway 17R, 6,500 × 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
44
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--no waivers/lim.
Last flight review
May 22, 2003
Seat
Right
Flight hours
141 total · 53 in this make and model · 9 in the last 90 days · 4 in the last 30 days · 4 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
200° at 15 knots
Visibility
20 statute miles
Lowest ceiling
None
Temperature
91 °F, dew point 28 °F
Altimeter
29.93 inHg
Observed at
KHND, 1 nm away

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 N9544T · 2

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