LAX92FA092

NTSB accident investigation · Cessna T210L · Temple Bar, AZ · January 13, 1992

Accident · FatalField investigationFinal report
Date
January 13, 1992, 15:50 local (22:50 UTC)
Place
Temple Bar, AZ
Injuries
2 fatal, 3 serious
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N22592Cessna T210L
Weather
Visual (VMC) · Day
Status
Completed · report January 11, 1994
Report
Approved by Office Director
Safety recommendations
Yes
FAA report
19920113000479A
Case key
27401

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

Fatigue failure of the turbocharger's turbine shaft due to inadequate maintenance, and the pilot's improper in-flight planning/decision after experiencing a turbocharger failure. A factor related to the accident was: the lack of information in the pilot operating handbook concerning turbocharger failure or malfunction.

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) - mech failure/malfCruise
Exhaust system,turbocharger - fatigueCause
Maintenance,overhaul - inadequateOther maintenance personnelCause
Loss of engine power(total) - nonmechanicalDescent - emergency
Emergency procedure - initiatedPilot in command
Aircraft manuals,procedure information - inadequateFactor
In-flight planning/decision - improperPilot in commandCause
Information insufficientManufacturerFactor
Forced landingDescent - emergency
In flight collision with terrain/waterManeuvering - turn to landing area (emergency)
Terrain condition - rough/uneven

Analysis

The plt said that drg dscnt fm 10,500 ft, the manifold pressure dropped to 18 inches. He decided to lnd at a nrby arpt. While diagnosing the problem, he turned on the boost pump & the eng lost more pwr. The cockpit bgn to fill with smoke. The plt secured the eng & turned the elec sys off. He bgn a pwr-off dscnt ovr the arpt & manually extended the lndg gear. He thought he was too high, so he turned the battery 'on' to lower the flaps. With elec pwr restored, the lndg gear returned to the 'up' psn. The plt again lowered the lndg gear. Unable to reach the rwy, he tried to re-start the eng on final apch, but did not have enough time. Subsequently, the acft impacted an up slope about 300 ft short of the rwy & crashed. An exam of the turbocharger revealed the turbine shaft failed due to multiple fatigue cracks. About 125 flt hrs before the failure, the turbine shaft had been reworked (ground & chromium plated), but not in accordance with the manufacturer's specifications. Turbocharger malfunction was not addressed in the POH.

Aircraft

Registration
N22592
Reported as
Cessna T210L
Category
Airplane
Serial number
21059763
Airframe hours
1,495
Engine
Continental TSIO-520-H, 300 horsepower, reciprocating
Damage
Destroyed
Flight
Part 135
Operator
Air Vegas
Registered owner
Air Vegas
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · January 5, 1992 · 12 hours before
Departed
GCN · Grand Canyon, AZ
Destination
L15 · Las Vegas, NV
Flight plan
Company VFR
Airport
U30 · Temple Bar, runway 18, 3,500 × 50 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
24
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
2,039 total · 74 in this make and model · 1,907 as pilot in command · 125 in the last 90 days · 26 in the last 30 days · 4 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Visibility
20 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.