LAX05CA030

NTSB accident investigation · Cessna P210N · Rancho Cordova, CA · November 11, 2004

Accident · No injuriesData collectionFinal report
Date
November 10, 2004, 19:42 local (Nov 11, 2004, 03:42 UTC)
Place
Rancho Cordova, CA
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N6416WCessna P210N
Weather
Visual (VMC) · Night
Status
Completed · report February 24, 2005
Report
Approved by Office Director
Parties
Sacramento, CA
FAA report
20041110032569A
Case key
60556

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 refuel the airplane prior to fuel exhaustion, which resulted in a loss of engine power. Contributing factors were the pilot's improper in-flight decision to continue the flight at night after experiencing the total failure of the airplane's alternators, which resulted in inaccurate supplemental fuel quantity indications, and, the pilot's reliance upon the inaccurate data for fuel remaining information.

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.

Airframe/component/system failure/malfunctionCruise - normal
Light condition - night
Electrical system,alternator - failure,total
Operation with known deficiencies in equipment - improperPilot in commandFactor
Flight to destination alternate - delayedPilot in commandFactor
Loss of engine power(total) - nonmechanicalApproach - vfr pattern - final approach
In-flight planning/decision - inadequatePilot in commandCause
Engine instruments,fuel quantity gage - inaccurateFactor
Fluid,fuel - exhaustionCause
Forced landingEmergency descent/landing
In flight collision with objectEmergency landing
Object - tree(s)
Terrain condition - roadway/highway

Analysis

Following a loss of engine power, the pilot made a forced landing on a street about 1.2 miles from the airport, and collided with trees and the center median. A responding law enforcement officer, who was also a pilot, examined the fuel tanks on scene. Virtually no usable fuel was found. The main fuel tanks were "bone dry," and only 1.75 gallons were found in the left tip tank. The pilot planed the nearly 6-hour-long flight as a nonstop between south eastern New Mexico and northern California. About 4 hours into the flight, with 2 hours left to go, the airplane experienced electrical malfunctions, which resulted in losing all generated alternator power. The airplane's master electrical switch was turned off to conserve residual battery power. The pilot decided to complete the nighttime flight to his original destination without operative navigation lights or any of the electrically driven instruments even though he passed over numerous airports during this time. Occasionally during the latter portion of the flight, the master switch was turned on in order to provide navigation guidance information to the pilot and to ascertain the quantity of fuel remaining as indicated by the electrically driven supplemental fuel flow/quantity computer. The airplane's owner, who was a passenger, advised the pilot of his concern regarding the validity of the fuel computer's indication since electric power to it had been interrupted. The pilot relied upon the fuel quantity computer in lieu of the standard fuel quantity indicators to ascertain the amount of available fuel in the tanks.

Factual narrative

On November 10, 2004, about 1942 Pacific standard time (PST), a Cessna P210N, N6416W, experienced a total loss of engine power on approach to runway 22L at the Sacramento Mather Airport, Rancho Cordova, California. The pilot made a forced landing on a city street about 1.2 nautical miles northeast of the approach end of the airport's runway. During the landing flare, the airplane collided with trees and the roadway's center median. The airplane was substantially damaged. Neither the airline transport certificated pilot, who was operating the airplane, nor the passenger who was also a pilot, was injured during the nighttime business flight. Visual meteorological conditions prevailed, and no flight plan was filed. The flight was performed under the provisions of 14 CFR Part 91. The nonstop flight originated from Roswell, New Mexico, about 1455 mountain standard time (1355 Pacific standard time).

The pilot and passenger provided written statements to the National Transportation Safety Board investigator regarding circumstances leading to the accident. In addition, the pilot supplemented his written statements with verbally reported information.

In pertinent part, the pilot, who holds a certified flight instructor (CFI) certificate, indicated that the airplane's main and tip tanks were refueled prior to their departure from Roswell. The airplane's owner/passenger was not a current pilot, and he had recently purchased the airplane. The owner had hired the pilot to fly the airplane from New Mexico to California. The pilot intended to make the flight, which would last nearly 6 hours, without an interim landing.

In pertinent part, the pilot submitted a written report to the Safety Board in which he indicated that en route, about 1740 PST (approximately 2 hours prior to the accident), the airplane's number 2 alternator failed. Thereafter, about 1900 PST, the number 1 alternator failed. The pilot continued the nighttime flight using the airplane's battery powered electrical system. The pilot further reported that he decided to land at the first available airport, which was in Rancho Cordova. The Mather Airport in Rancho Cordova is located nearly 10 nautical miles east-northeast of the Sacramento Executive Airport, which was the pilot's original intended destination. The pilot verbally reported to the Safety Board investigator that he was uncertain about the actual quantity of fuel on board when all engine power was lost. Unable to restore engine power or glide to the airport, the pilot made a forced landing on a street. Subsequently, the pilot verbally reported that the last alternator had probably failed about 1.5 hours prior to losing engine power. During the ensuing nighttime flight, "we flew with everything off."

At the Safety Board investigator's request a police officer, who responded to the accident scene within minutes of the crash, examined the status of the fuel in the airplane's undamaged two main fuel tanks and in the left wing's tip tank. The right wing's tip tank was reportedly impact damaged. The police officer stated that he was a pilot and was familiar with estimating fuel quantity. The officer stated that the main tanks looked "bone dry." The left wing tip tank had some fuel in it, which the officer estimated as being "about 1-inch deep."

Subsequently, a Federal Aviation Administration (FAA) aviation safety inspector verbally reported that the airplane had been recovered from the accident site and was thereafter examined in his presence. The FAA inspector ascertained that the left wing tip tank contained about 1 3/4 gallons of fuel, which was nearly all unusable.

The airplane's owner-passenger provided a detailed written statement to the Safety Board investigator regarding pertinent facts of the accident flight. In part, the owner reported that their original destination was the Colusa County Airport, Colusa, California. (Colusa is located about 50 nm northwest of Rancho Cordova.) The owner reported that en route, after the second alternator failed, the master switch was turned off to conserve residual battery power. Occasionally, the master switch was turned back on to check the amount of fuel remaining as indicated by the (electrically driven) Shadin fuel computer, and to provide navigation guidance information to the pilot. The owner reported that he mentioned to the pilot his concern regarding the accuracy of the fuel computer's indication since electric power to the computer had been interrupted.

The owner indicated that because of the pilot's concerns regarding having enough fuel to reach Colusa, the pilot opted to land at the Sacramento Executive Airport, his home base. For at least 1hour, they flew in darkness without any navigation lights illuminated. During this time the pilot flew south of the Lake Tahoe, California, area, and other cities having airports located east of Sacramento/Rancho Cordova. About 40 miles east of Sacramento, the owner turned on his flashlight, and observed the standard Cessna fuel gauges registered empty.

Subsequently, the owner examined the Shadin fuel computer's operator manual. He noted that when electrical power is interrupted and then restored to the computer, "it will resume accurate fuel flow reading, but the time remaining, fuel used, fuel remaining, gallons reserve, gallons to destination and all warnings will not be accurate...."

Aircraft

Registration
N6416W
Reported as
Cessna P210N
Category
Airplane
Serial number
P21000773
Engine
Continental TSIO-520-AF, reciprocating
Damage
Substantial damage
Flight
Business · Part 91
Airworthiness certificate
Standard, Normal
Departed
ROW · Roswell, NM
Destination
SAC · Sacramento, CA
Airport
MHR · Sacramento Mather, runway 22L

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
63
Certificates
Flight instructor, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2
Flight hours
35,000 total · 600 in this make and model · 180 in the last 90 days · 60 in the last 30 days

Weather

Conditions
Visual (VMC) · Night
Visibility
10 statute miles
Lowest ceiling
None

FAA reports on this event · 1

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