LAX92GA128

NTSB accident investigation · Cessna T210N · Lake Hughes, CA · February 26, 1992

Accident · FatalFinal report
Date
February 26, 1992, 08:17 local (16:17 UTC)
Place
Lake Hughes, CA
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N9YTCessna T210N
Weather
Visual (VMC) · Day
Status
Completed · report August 26, 1993
Report
Approved by Office Director
FAA report
19920226004099A
Case key
27455

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

Poor maintenance repair and annual inspection by the company's maintenance personnel and the pilot-in-command's misjudging altitude. Contributing to this accident was the pilot-in-command intentional stall, improper emergency procedure, selection of unsuitable terrain for the forced landing and the mountainous terrain.

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(total) - mech failure/malfCruise - normal
Engine assembly,crankshaft - failure,totalFactor
Maintenance,major repair - poorCompany maintenance personnelCause
Maintenance,annual inspection - poorCompany maintenance personnelCause
Forced landingDescent - emergency
Loss of control - in flightDescent - emergency
Emergency procedure - improperPilot in commandFactor
Unsuitable terrain or takeoff/landing/taxi area - selectedPilot in commandFactor
Stall - intentionalPilot in commandFactor
Altitude - misjudgedPilot in commandCause
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - mountainous/hillyFactor

Analysis

The airplane was on a U.S. Navy mission and flown by a navy aviator; another navy aviator occupied the right front seat. While over mountainous terrain the engine sustained a catasphrophic crankshaft failure. The pilot elected to proceed towards higher terrain bypassing lower and more suitible emergency landing areas. Internal communications between the right seat occupant, a more experienced pilot, and the PIC indicated they planned to stall the airplane prior to landing on an upward sloping mountain ridge. The pilot misjudged the altitude and stalled the airplane. Both pilots were killed. The investigation revealed that the crankshaft failed due to inadequate torque of the through bolts causing fretting and galling on the crankcase halves. The engine had accured 618 hours since major overhaul and had experienced 7 vaccum pump failures due to misalignment of the crankshaft drive gear. The through bolts were removed by the operator to repair the no. 3 rosan stud 322 hours before the crankshaft failed.

Aircraft

Registration
N9YT
Reported as
Cessna T210N
Category
Airplane
Serial number
21063474
Airframe hours
3,344
Engine
Continental TSIO-520-R, 310 horsepower, reciprocating
Damage
Destroyed
Flight
Public aircraft · Part 91
Operator
Channel Island Aviation, Inc
Registered owner
Channel Island Aviation, Inc
Airworthiness certificate
Standard, Normal
Last inspection
Annual · February 4, 1992 · 22 hours before
Departed
NTD · Pt Mugu, CA
Destination
NID · China Lake, 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
24
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Left
Toxicology
Performed
Flight hours
370 total · 42 in this make and model · 66 in the last 90 days · 27 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Visibility
50 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.