LAX92FA174

NTSB accident investigation · Cessna P210N · Baxter, CA · April 12, 1992

Accident · FatalField investigationFinal report
Date
April 12, 1992, 13:02 local (20:02 UTC)
Place
Baxter, CA
Injuries
5 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N9TGCessna P210N
Weather
Instrument (IMC) · Day
Status
Completed · report June 30, 1993
Report
Approved by Office Director
FAA report
19920412009619A
Case key
27421

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

1) A partial loss of the airplane's vacuum system which resulted in the total loss of the directional gyro and the attitude indicator, 2) the pilot not maintaining aircraft control due spatial disorientation, and 3) the pilot not correcting for a spiral by using proper recovery techniques which resulted in the overload failure of the wings. A factor in the accident was the pilot's lack of total insturment flight expereince.

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 control - in flightCruise - normal
Weather condition - clouds
Vacuum system - loss,partialCause
Reason for occurrence undetermined
Flight/nav instruments,attitude gyro - loss,totalCause
Flight/nav instruments,directional gyro - loss,totalCause
Aircraft control - not maintainedPilot in commandCause
Spatial disorientationPilot in commandCause
Lack of total instrument timePilot in commandFactor
Lack of recent instrument timePilot in commandFactor
Airframe/component/system failure/malfunctionDescent - uncontrolled
Spiral - not correctedPilot in commandCause
Wing - overload
Flight controls - improper use ofPilot in commandCause
Wing - failure,total
In flight collision with terrain/waterDescent - uncontrolled

Analysis

The pilot called center while airborne and requested an IFR clearance. About 15 minutes after receiving the clearance, the pilot was given a vector for traffic. The pilot said he needed help and asked if he was on course. The pilot then said he was in an unusual attitude and couldn't determine why. About 15 seconds later the pilot said 'okay I'll ah we might be in a spin.' The controller said that he was showing the airplane as level and asked if the pilot was having problems. The pilot said 'yes our vacuum ah our artifical gyro is showng us at a very unusual attitude.' The airplane was observed coming out of the clouds with wings separating from the airplane. The airplane had a vacuum system problem which was recorded as repaired and checked as ok about 2 1/2 months before the accident. The pilot had about 4 hours of actual and about 56 hours simulated instrument time. The vacuum pump was destroyed in the impact.

Aircraft

Registration
N9TG
Reported as
Cessna P210N
Category
Airplane
Serial number
P21000012
Airframe hours
1,125
Engine
Continental TSIO-520-P, 310 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Operator
Amat, Incorporated
Registered owner
Amat, Incorporated
Airworthiness certificate
Standard, Normal
Last inspection
Annual · February 4, 1992 · 35 hours before
Departed
TRK · Truckee, CA
Destination
OAK · Oakland, CA
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
40
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Left
Toxicology
Performed
Flight hours
320 total

Weather

Conditions
Instrument (IMC) · Day
Visibility
1 statute miles
Lowest ceiling
500 ft overcast

FAA reports on this event · 1

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