LAX97LA299

NTSB accident investigation · Cessna 210E · Oxnard, CA · August 22, 1997

Accident · Serious injuriesLimited investigationFinal report
Date
August 22, 1997, 14:30 local (21:30 UTC)
Place
Oxnard, CA
Injuries
2 serious, 1 minor
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N1808FCessna 210E
Weather
Visual (VMC) · Day
Status
Completed · report February 29, 2000
Report
Approved by Office Director
FAA report
19970822023399A
Case key
29882

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

The failure of maintenance personnel to properly secure a fuel supply line during a 100-hour inspection and the failure of inspection personnel to detect the loose fitting.

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) - nonmechanicalClimb - to cruise
Fuel system,line - disconnected
Fuel system,line fitting - not secured
Maintenance,100-hour inspection - improperOther maintenance personnelCause
Maintenance,inspection - inadequateOther maintenance personnelCause
Forced landingDescent - emergency
In flight collision with objectEmergency descent/landing
Object - residence
Object - utility pole

Analysis

During departure climbout, after reaching 1,500 to 2,000 feet agl, the pilot/flight instructor noted that the student pilot had not properly set the throttle friction lock and the throttle had retarded to about 15 inches of manifold pressure. The pilot instructed his student to advance the throttle, however, when the student did so the manifold pressure rose momentarily and then the engine abruptly stopped delivering power. The pilot took control of the aircraft from his student, performed the engine failure checklist, declared an emergency, and established a glide toward a nearby airport. When it became apparent that the aircraft could not glide to the airport, he turned toward an open agricultural field. The aircraft impacted the roof of a house and a light pole across the street from the field boundary and came to rest at the edge of the field. Postaccident examination revealed that a fuel supply hose had come unscrewed off the inlet nipple of the fuel control unit. An 100-hour inspection was completed the prior day and this was the first flight following the inspection.

Factual narrative

On August 22, 1997, at 1430 hours Pacific daylight time, a Cessna 210E, N1808F, was destroyed when it collided with a building and a utility pole in Oxnard, California, after a loss of engine power while climbing to cruise altitude. The certified flight instructor and private pilot student received serious injuries; the sole passenger received minor injuries. The airplane was operated by Sun Air Aviation, Camarillo, California, as an instructional flight under 14 CFR Part 91. The flight originated in Camarillo and was destined for Burbank, California. An instrument flight plan was filed and visual meteorological conditions prevailed at the time.

The pilot/flight instructor reported that the right magneto rpm drop was excessive during pretakeoff checks and it was necessary to return to the ramp and have a mechanic clean the spark plugs. The magneto check on the second run-up was within limits and the ensuing takeoff was normal. During climbout, after reaching 1,500 to 2,000 feet agl, the pilot noted that the student pilot had not properly set the throttle friction lock and the throttle had retarded to about 15 inches of manifold pressure. The pilot instructed his student to advance the throttle. When he did so the manifold pressure started to rise and the engine abruptly stopped delivering power. The pilot took control of the aircraft from his student, performed the engine failure checklist, declared an emergency, and established a glide toward Oxnard Airport. When it became apparent that the aircraft could not reach the airport he turned toward an open agricultural field but impacted the roof of a house across the street from the field boundary. The left wing then struck a light pole and the aircraft came to rest at the edge of the field.

Inspectors from the Federal Aviation Administration Van Nuys Flight Standards District Office examined the aircraft at the accident scene. They noted that the fuel supply hose in the engine compartment extending from the engine driven fuel pump to the fuel control unit was disconnected at the attachment to the fuel control unit. On further examination, the hose end fitting and the fuel control unit inlet nipple appeared undamaged and serviceable. The engine recording tachometer time was 656.2 hours.

According to the aircraft and engine logbooks, a 100-hour inspection of the aircraft and engine was completed the previous day, August 21, 1997, at tachometer time of 655.8 hours. According to the records, all engine hoses were replaced during a 100-hour inspection on June 11, 1997, at engine recording tachometer time of 571.0 hours. There is another logbook entry on August 22, 1997 that the number one cylinder bottom spark plug was replaced at 656.0 hours.

Aircraft

Registration
N1808F
Reported as
Cessna 210E
Category
Airplane
Serial number
210-58708
Airframe hours
2,376
Engine
Continental IO-520-A, 285 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Instructional · Part 91
Registered owner
Henry Gantner
Airworthiness certificate
Standard, Normal
Last inspection
Annual · August 21, 1997 · 1 hours before
Departed
CMA · Camarillo, CA
Destination
BUR · Burbank, 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
34
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Right
Flight hours
3,120 total · 15 in this make and model · 1,132 as pilot in command · 128 in the last 90 days · 30 in the last 30 days · 4 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
260° at 10 knots
Visibility
15 statute miles
Lowest ceiling
None
Temperature
82 °F, dew point 63 °F
Altimeter
29.00 inHg
Observed at
OXR, 225 nm away

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 N1808F · 1

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