LAX95LA038

NTSB accident investigation · Cessna T210H · Mount Hamilton, CA · November 22, 1994

Accident · Minor injuriesLimited investigationFinal report
Date
November 22, 1994, 07:20 local (15:20 UTC)
Place
Mount Hamilton, CA
Injuries
4 minor
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N2221RCessna T210H
Weather
Visual (VMC) · Day
Status
Completed · report June 19, 1995
Report
Approved by Office Director
FAA report
19941122038789A
Case key
28982

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 obtain/maintain an adequate airspeed and inadvertent entry into a stall/mush condition during the initial climb due to frost on the airframe which impeded the airplane's climb performance. Contributing factors were the pilot's improper preflight inspection and inadequate frost removal procedures.

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 flightTakeoff - initial climb
Aircraft preflight - improperPilot in commandFactor
Ice/frost removal from aircraft - inadequatePilot in commandFactor
Airspeed - not obtained/maintainedPilot in commandCause
Stall/mush - inadvertentPilot in commandCause
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - open field

Analysis

The pilot parked the airplane overnight in 20-degree fahrenheit weather, and the temperature was around 32 degrees the following morning at the time of departure. During the preflight inspection, the pilot observed an accumulation of frost on the front windshield. He scraped some of it off. The pilot reported that he did not observe frost elsewhere on the airplane, but he was unable to examine the upper surface of the wings. A passenger stated that he observed frost on all exposed upper aircraft surfaces prior to the takeoff. During the engine run-up and the ground roll portion of the takeoff, all of the gauges indicated that normal engine operation was being achieved. The pilot further reported that when he rotated, the windshield began to 'glaze over,' and by the time he had climbed to 100 feet above ground level the forward visibility was about zero. The pilot stated he then raised the airplane nose for a few seconds in order to be certain of clearing the obstacles which he knew were located at the end of the runway. The airplane was at stall speed and descended into the terrain adjacent to the runway.

Factual narrative

On November 22, 1994, at 0720 Pacific standard time, a Cessna T210H, N2221R, operated by the pilot, collided with terrain during an initial climb from a private airstrip about 5 miles east of Mount Hamilton, California. Visual meteorological conditions prevailed at the time of the business flight, and no flight plan was filed. The private pilot and three passengers received minor injuries. The flight was originating at the time of the accident.

On November 22, 1994, the National Transportation Safety Board interviewed the pilot via telephone. The pilot reported that the accident airplane had been parked overnight at the airstrip. The pilot stated that he did not have a ladder, and the airplane was not equipped with fuselage foot steps. However, during the preflight inspection, he did observe an accumulation of frost on the front windshield. So, prior to taking off, he scraped some of it off to enhance his visibility. The pilot further reported that during the ground engine run and ground roll portion of the takeoff, all of the gauges which he observed indicated that normal engine operation was being achieved. No backfiring or sputtering sounds were detected. According to the pilot, seconds prior to the crash, the engine was continuing to produce 29 inches of manifold pressure.

The pilot stated that the airplane stopped climbing after reaching a maximum altitude between 100 and 200 feet above ground level. The engine then seemed to lose power. The airplane stalled and collided with terrain adjacent to the western side of the airstrip. The pilot estimated that when he commenced the takeoff the outside air temperature was between 30 and 32 degrees Fahrenheit.

The wreckage was examined by the Federal Aviation Administration (FAA) coordinator who responded to the accident site. Fuel was observed in the airplane's fuel tanks. The coordinator reported finding the engine's propeller blades impact damaged, and they had been torsionally bent. The FAA coordinator also reported that a resident of the area had indicated to him that, during the morning hours of November 22, frost was observable on the ground and the temperature was estimated at 20 degrees Fahrenheit.

In the pilot's completed "Aircraft Accident Report," NTSB Form 6120.1, he reported that during his preflight inspection, "there was ice buildup on the windshield," and " . . . no noticeable ice on the flaps, horizontal stabilizer or on the fuselage . . . . " During the takeoff roll, "there was no ice formation on the windshield or anything unusual at that time."

The pilot provided the following additional chronology of events regarding the start of the accident flight: "I held the aircraft on the ground for until (sic) I reached about 80 MPH and then I rotated. I established a normal rate of climb. At the time of rotation the windshield began to glaze over and by the time I had climbed to approximately 100 feet AGL my forward visibility was about zero. I raised the nose for a few seconds in order to be sure to clear the obstacles that I knew were at the end of the runway. There was no stall warning nor did the aircraft attitude seem to be too high to me. At this time the engine seemed as if it were only performing at approximately sixty (60%) of its power capability."

According to the FAA coordinator, one of the passengers reported that the engine sound did not change from the time full power was applied, at the beginning of the takeoff, until ground impact. Also, the airplane's takeoff seemed normal until reaching an altitude of approximately 100 feet when he felt the airplane was sinking from under him. The passenger reported that he observed frost on the exposed upper surfaces of the aircraft in addition to the front and rear windshields prior to takeoff.

Aircraft

Registration
N2221R
Reported as
Cessna T210H
Category
Airplane
Serial number
T210-0371
Airframe hours
2,468
Engine
Continental TSIO-520-C, 285 horsepower, reciprocating
Damage
Substantial damage
Flight
Business · Part 91
Operator
Donald E. Huntley
Registered owner
Mcm Diversified, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 1, 1994 · 198 hours before
Destination
SJC · San Jose, CA
Airport
NONE · Isabel Valley, runway 36, 3,000 × 35 ft, dirt

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
47
Certificate
Private
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
751 total · 24 in this make and model · 694 as pilot in command · 11 in the last 90 days · 2 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
30 statute miles
Lowest ceiling
None
Temperature
32 °F

FAA reports on this event · 1

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

Other investigations on N2221R · 2

Matched to the same aircraft by N-number and date.