# NTSB LAX06LA214: Cessna T210M, N761GW, Hayward, CA, June 25, 2006 - Type: NTSB accident investigation - Classification: Accident · No injuries · Limited investigation · Final report - Date: June 25, 2006, 16:30 local (23:30 UTC) - Place: Hayward, CA - Coordinates: 37.658889, -122.121665 - Nearby events: https://openairdocs.org/map.md?lat=37.6589&lon=-122.1217&mi=10 - Phase of flight: [Initial climb](https://openairdocs.org/ntsb-phases/350) (OpenAirDocs' grouping) - Highest injury: No injuries - Injuries: 1 uninjured - Status: Completed, report May 29, 2007 - Report: Approved by Office Director - Parties: Federal Aviation Administration, Cessna Aircraft Company, Teledyne Continental Motors - NTSB case key (mKey): 63979 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=LAX06LA214 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/63979/pdf - Page: https://openairdocs.org/ntsb/LAX06LA214 ## Probable cause A loss of power for undetermined reasons. ## Sequence of events In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf). - Loss of engine power, takeoff - initial climb - reason for occurrence undetermined (cause) - Forced landing, emergency landing after takeoff - On ground/water collision with object, emergency landing after takeoff - object - tree(s) ## Analysis The airplane experienced a loss of engine power in the takeoff initial climb and collided with trees and terrain during the subsequent forced landing. The pilot was involved in another mishap (LAX06LA213) about 4 hours prior to the accident flight, which occurred in the same airplane. The previous accident occurred when the passenger got out of the airplane and was struck by the rotating propeller. Following that incident, the pilot and two airplane mechanics visually inspected the engine and propeller. All three men came to the agreement that the airplane did not incur any damage and was therefore in an airworthy condition. The pilot noted that during the previous mishap the propeller did not stop and the engine revolutions per minute (rpm) did not lag or slow. During an engine run he noted no anomalies on the cockpit gauges. After departure, with the airplane about 300 feet above ground level (agl), the engine experienced a loss of power. The pilot made a forced landing at a golf course and impacted trees. The pilot reported that prior to departure the airplane contained about 40 gallons of fuel in the left wing tank and 30 gallons of fuel in the right wing tank. The fuel tanks were breached from damage incurred during the accident. Post accident examinations revealed no evidence of pre-mishap mechanical malfunctions or failures of the engine and airframe. ## Factual narrative On June 25, 2006, about 1630 Pacific daylight time, a Cessna T210M, N761GW, experienced a loss of engine power and collided with terrain while departing from Hayward Executive Airport, Hayward, California. Aerial Advertising Services was operating the airplane under the provisions of 14 CFR Part 91. The commercial pilot, who owned Aerial Advertising Services, was not injured; the airplane sustained substantial damaged. The personal local flight was originating at the time of the accident and was destined for the Livermore Municipal Airport, Livermore, California. Visual meteorological conditions prevailed, and a flight plan had not been filed. The pilot was involved in another mishap (LAX06LA213) about 4 hours prior to the accident flight, which occurred in the same airplane. The previous accident occurred when the passenger egressed the airplane and was struck by the propeller. The pilot canceled all of Aerial Advertising Service's flight operations for the day, but planned for the airplanes positioned in Hayward (including the accident airplane) to be flown to the operator's home base in Livermore. During a telephone interview with a National Transportation Safety Board investigator, the pilot stated that following the prior incident, the airplane was inspected for damage. Accompanied by two Federal Aviation Administration (FAA) certificated airframe and powerplant (A&P) mechanics, the pilot visually inspected the engine and propeller. All three men came to the agreement that the airplane did not incur any damage and was therefore in an airworthy condition. He noted that during the previous mishap the propeller did not stop and the engine revolutions per minute (rpm) did not lag or slow. Based on this observation and no visible airplane damage, the pilot opted to fly the airplane to Livermore. The pilot further stated that prior to departure, he completed a thorough engine run, noting no anomalies on the cockpit gauges. After being cleared for takeoff, the pilot began the departure roll on runway 28L. When the airplane reached about 300 feet above ground level (agl) the pilot retracted the landing gear. Simultaneous with the landing gear locking into the up position, the engine experienced a loss of power. The pilot maneuvered the airplane to a golf course adjacent to the end of the runway and prepared for a forced landing. The airplane impacted a berm and subsequently collided with trees. PERSONNEL INFORMATION According to the FAA Airman and Medical records files, the pilot held a commercial pilot certificate with airplane ratings for single engine land and instrument flight. The pilot was issued a second-class medical certificate on March 20, 2006, with the limitation that he must wear corrective lenses. In a written statement, the pilot reported his flight time as 1,861 hours total flight experience, of which 687 hours were flown in the same make and model as the accident airplane. The pilot added that he frequently departed from Hayward and has had no prior problems with the airplane operating out of that airport. AIRCRAFT INFORMATION The Cessna T210M, serial number 21062255, was manufactured in 1977. According to the recording Hobbs meter in the cockpit, it had accumulated a total time in service of 1102.3 hours. The pilot reported that the most recent annual inspection of the airframe and engine was performed on January 06, 2006, corresponding to 31.5 flight hours prior to the accident. The pilot additionally reported that the Teledyne Continental Motors TSIO-520-R engine, serial number 294309-R12, had accumulated a total time of 3190.2 hours, and 374.1 hours since last major overhaul. The gravity fed fuel system is designed for fuel to flow from both of the integral wing tanks through a fuel line, until reaching two separate reservoir tanks (located under the cockpit area). The fuel continues from the reservoir tanks to a fuel selector value, which the pilot can manipulate via a lever inside the cockpit (the lever is connected to the selector by means of a single shaft). The fuel selector positions are as follows: LEFT ON, OFF, and RIGHT ON; when moving to either tank, the selector passes through the OFF position. The fuel will continue to flow through a strainer to the engine driven fuel pump, bypassing the auxiliary fuel pump (when it is not in operation). The fuel will then be pumped to the air/fuel control-metering unit and directed to the spider valve where it is evenly dispersed into each cylinder through a fuel injection nozzle. The airplane's two wings tanks held 45 gallons of fuel and the total usable fuel capacity of the airplane was 89 gallons. The pilot noted that prior to departure the airplane contained about 40 gallons of fuel in the left wing tank and 30 gallons of fuel in the right wing tank. He did not have the fuel boost pump on during the takeoff, nor did he have time to activate it after the engine quit. TESTS AND RESEARCH Following recovery, the airplane was examined under the supervision of a National Transportation Safety Board investigator at the Hayward Airport on July 27, 2006. Present in the investigation were technical representatives from both Cessna Aircraft Company and Teledyne Continental Motors (TCM). The fuel tanks were breached from damage incurred during the accident; no fuel was present. Investigators established fuel line continuity from the wing root to the firewall by applying air pressure to the left line located in the wing root and positioning the fuel selector to the left fuel tank. Pressurized air, accompanied with trace amounts of fuel, was observed to egress out of the fuel line near the firewall. The same results were observed with the right fuel line. The engine-driven fuel pump was removed and hooked up to an electric drill with an ample supply of water near the input. When energizing the drill, investigators observed it pump the water through the outlet. The engine was intact with no visible external damage. A teardown examination was performed during which all cylinders, pistons, and accessories were removed and inspected. Investigators established continuity on the throttle and mixture control cables by manipulating the respective lever inside the cockpit and confirming the control arm travel to each stop. The fuel injector nozzles remained secured in their respective cylinders and were internally clean from contaminates and debris. The upper air deck tubing was clear and mounted securely to the injector nozzles. The fuel screen in the throttle body fuel control unit was found to have debris consistent with that of a rubber substance; the contaminant measured under 0.5 inches long and the width was about 0.1 inches. Investigators achieved manual rotation of the crankshaft by turning the crankshaft flange. Thumb compression was established in all cylinders. Valve train continuity was observed, with equal lift action at each rocker assembly; oil was found in the rocker box areas on all cylinders. The fuel manifold was removed and disassembled; the diaphragm was intact and the screen was clean of debris. Removal of the cylinders revealed no evidence of internal stress inside the crankcase. The cylinder combustion chamber had very light combustion deposits, and the intake and exhaust valves were unremarkable; the cylinder wall did not display any scoring or evidence of heat distress. The accompanying piston was intact and moved freely on the securely attached pin. The internal cylinder domes and piston crowns exhibited similar combustion deposits and coloration. A crystallized white residue was noted on the piston faces which looked akin to a snowflake pattern, which a TCM representative said was consistent with aluminum corrosion. The piston rings were intact and moved freely. The valves and guides were examined and no evidence of material transfer was visually apparent. The pus ## Aircraft - Registration: [N761GW](https://openairdocs.org/deregistered/N761GW-2008-03-21), registration cancelled 2008-03-21, S/N 21062255, built 1977 (OpenAirDocs) - Reported make and model: Cessna T210M - Registry model: [Cessna T210M](https://openairdocs.org/model/cessna-t210m) (registry code 2073451) (OpenAirDocs) - Registry engine: [Continental TSIO-520 series](https://openairdocs.org/engine/continental-tsio-520-series) (registry code 17040, reciprocating) (OpenAirDocs) - Category: Airplane - Serial number: 21062255 - Airframe hours: 3197.1 - Engines: Continental TSIO-520-R 310 horsepower reciprocating - Damage: Substantial damage - Flight: Personal, Part 91 - Operator: Aerial Advertising Services - Registered owner: Team Builders, Inc. - Airworthiness certificate: Standard, Normal - Last inspection: Annual, January 1, 2006, 31.5 hours before - Departed: HWD, HAYWARD, CA - Destination: LVK, Livermore, CA - Airport: HWD, Hayward Executive Airport, runway 28L, 5,690 × 150 ft, asphalt ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 57; injuries: none; commercial; airplane ratings: single-engine land; instrument ratings: airplane; medical: class 2; last flight review March 1, 2005; seat: left; flight hours: 1,861 total, 687 in this make and model ## Weather - Conditions: Visual (VMC), Day - Wind: 290° at 11 knots - Visibility: 10 statute miles - Lowest ceiling: none - Temperature: 73 °F, dew point 57 °F - Altimeter: 29.92 inHg - Observed at: HWD ## FAA reports on this event (2) The FAA's own accident and incident reports, matched to the aircraft by N-number and date (OpenAirDocs). - [Incident 20060625016259I](https://openairdocs.org/incident/20060625016259I), Jun 25, 2006: Cessna T210M, Hayward, CA, 1 fatal. (-23) After parking the aircraft and while the engine was still running for turbo cool-down, the right seat passenger exited the aircraft and walked straight… - [Accident 20060625030789A](https://openairdocs.org/incident/20060625030789A), Jun 25, 2006: Cessna T210M, Hayward, CA, Substantial damage. (-23) After runup in the parking area, aircraft taxied and made a normal takeoff. At approximately 250 feet AGL, the engine lost power and the aircraft… ## Other investigations on N761GW (1) From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. - [NTSB LAX06LA213](https://openairdocs.org/ntsb/LAX06LA213), Jun 25, 2006: Cessna T210M (N761GW), Hayward, CA, no damage, 1 fatal. Probable cause: The passenger's failure to see and avoid the rotating propeller. From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.