LAX97LA058

NTSB accident investigation · Cessna T210N · Scottsdale, AZ · November 30, 1996

Accident · Serious injuriesLimited investigationFinal report
Date
November 30, 1996, 09:34 local (16:34 UTC)
Place
Scottsdale, AZ
Injuries
5 serious
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N4788CCessna T210N
Weather
Visual (VMC) · Day
Status
Completed · report September 30, 1997
Report
Approved by Office Director
FAA report
19961130036909A
Case key
29695

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

detonation/pre-ignition for unknown reason(s), which resulted in failure of the number two piston, loss of engine power, and a subsequent forced landing on rough/uneven desert 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/malfClimb
Engine assembly,piston - overtemperatureCause
Misc,engine pre-ignition and/or detonationCause
Engine assembly,piston - failureCause
Forced landingEmergency descent/landing
In flight collision with terrain/waterEmergency landing
Terrain condition - rough/unevenFactor

Analysis

While the airplane was climbing after departure, the engine lost power, then the pilot made a forced landing, and the airplane was damaged. Postaccident examination of the engine revealed that the piston in the #2 cylinder had failed. The #2 piston crown was severely eroded over 80 percent of the piston circumference. Erosion, scoring, and metal transfer was evident on the piston skirts. Before removal of the #2 cylinder, heat discoloration was noted on the cylinder base. A report from the engine manufacturer stated that the failure was due to detonation/preignition. The entire fuel system, both magnetos, and the turbo controller were functionally tested at the respective manufacturer's facilities. All of the components met the FAA approved test data.

Factual narrative

On November 30, 1996, at 0934 hours mountain standard time, a Cessna T210N, N4788C, was substantially damaged during a forced landing following a loss of power upon departure from Scottsdale, Arizona. The pilot and four passengers received serious injuries. Visual meteorological conditions prevailed for the personal cross-country flight and an IFR flight plan was filed. The flight was en route to San Diego, California.

Postaccident examination of the engine revealed that the number 2 piston exhibited detonation/preignition damage with upper ring land failure and heavy piston scoring, erosion, and metal transfer to the piston skirt. A burn hole was observed through a piston ring groove into the interior of the piston. The top rings were fragmented. The lower ring was intact, but seized in its groove. The top edge of the piston crown was melted and eroded away over 80 percent of the piston circumference.

The piston was shipped to the engine manufacturer for examination and analysis under the supervision of the FAA MIDO inspector. According to the report, the failure was caused by detonation/preignition due to undetermined causes. The report also listed some possible causes of this type of event.

Both of the engine driven magnetos were shipped to the manufacturer's facility at Atlanta, Georgia. Functional testing and teardown examination was conducted under the supervision of the FAA MIDO inspector. According to the report, all installed parts were appropriate part numbers and in proper condition and adjustment. The magnetos were functional tested to the FAA approved TCM data. Both magnetos meet the test specifications of the data.

The turbo controller was hand carried by a Safety Board investigator to the Allied Signal turbo division at Torrance, California, for functional testing. According to the test results the controller met the manufacturer's FAA approved test data.

The engine fuel system was removed and shipped to the manufacturer, Continental Motors. The examination and functional testing was supervised by the FAA MIDO inspector. Some of the "O" ring seals had dried out from storage without fuel. The examination revealed that they exhibited the ability to flow fuel and appeared to be capable of functioning properly on the engine's fuel system. The items that were functional tested met the manufacturers specifications.

According to a dictionary of aeronautical terms, detonation (a reciprocating engine condition) is an uncontrolled explosion inside the cylinder of a reciprocating engine. Detonation occurs when the pressure and temperature inside the cylinder become higher than the critical pressure and temperature of the fuel. The pressure rise inside the cylinder caused by the fast moving flame front can heat and compress the unburned fuel-air mixture enough for it to explode, or release it's energy almost instantaneously. Detonation releases the energy faster than the engine can accept it, and the engine is likely to be damaged.

Preignition (reciprocating engine malfunction) is ignition of the fuel-air mixture inside the cylinder of an engine before the normal spark occurs. Preignition can be caused by an incandescent piece of carbon or by any other sharp edge or point inside the cylinder that gets red-hot.

Aircraft

Registration
N4788C
Reported as
Cessna T210N
Category
Airplane
Serial number
21063625
Airframe hours
5,374
Engine
Continental TSIO-520-R, 310 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Operator
Scottsdale Flyers LLC
Registered owner
Leonard Zaagman
Airworthiness certificate
Standard, Normal
Last inspection
Annual · December 18, 1995 · 95 hours before
Departed
SDL · AZ
Destination
MYF · San Diego, 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
52
Certificate
Airline transport
Airplane ratings
Single-engine sea, Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Right
Flight hours
12,000 total · 35 in the last 90 days

Weather

Conditions
Visual (VMC) · Day
Wind
170° at 4 knots
Visibility
60 statute miles
Lowest ceiling
None
Altimeter
30.00 inHg
Observed at
SDL

FAA reports on this event · 1

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