LAX97LA307

NTSB accident investigation · Cessna T210M · San Martin, CA · August 29, 1997

Accident · No injuriesLimited investigationFinal report
Date
August 29, 1997, 15:10 local (22:10 UTC)
Place
San Martin, CA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N761HQCessna T210M
Weather
Visual (VMC) · Day
Status
Completed · report February 2, 1998
Report
Approved by Office Director
FAA report
19970829024909A
Case key
29889

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

Installation of improper connecting hardware by maintenance personnel, and, the inadequate inspection of the installed hardware by inspection personnel resulting in separation of the engine throttle linkage.

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
Throttle/power lever,linkage - disconnected
Throttle/power lever,linkage - loose part/bolt/nut/clamp/etc
Maintenance,replacement - improperOther maintenance personnelCause
Maintenance,inspection - inadequateOther maintenance personnelCause
Forced landingDescent - emergency
On ground/water collision with objectEmergency landing
Object - fence
Terrain condition - roadway/highway
Distance/speed - misjudgedPilot in command

Analysis

The pilot was conducting a post-maintenance check flight of the aircraft following an annual inspection completed the prior day. During repairs associated with the annual inspection, the three engine control cables were replaced. While in cruise flight the engine lost power and the pilot attempted to glide to an emergency landing. He overshot the 3,100-foot-long runway and went off the departure end. When the engine was uncowled, the bolt which connects the throttle control to the throttle body actuator arm was missing. The bolt was found in the bottom of the cowling, but the nut was not located. The bolt did not comply with an applicable Airworthiness Directive. The pilot opined that after the throttle control separated, the engine may not have gone completely to the idle power position and the resulting partial engine power may have contributed to the landing overshoot. The pilot stated that he was wearing a headset and could not hear the engine well enough to detect a partial power condition.

Factual narrative

On August 29, 1997, at 1510 hours Pacific daylight time, a Cessna T210M, N761HQ, overshot the landing runway and impacted a fence and terrain at South County Airport, San Martin, California. The aircraft was substantially damaged, and the airline transport pilot was not injured. Visual meteorological conditions prevailed for the post-maintenance check flight. The flight departed from the San Jose International Airport about 1430.

The pilot told an inspector from the San Jose Flight Standards District Office that he was conducting the check flight of the aircraft following an annual inspection, which was completed the prior day. While in cruise flight, the engine lost power and he attempted to glide to runway 32 for an emergency landing. He overshot the 3,100-foot-long runway and went off the departure end.

The inspector reported that when the engine was uncowled, the bolt which connects the throttle control to the throttle body actuator arm was missing. The bolt was found in the bottom of the cowling, but the nut was not located. Subsequent investigation revealed that, during maintenance associated with the inspection, the throttle, propeller and mixture control cables had been replaced. The bolt found in the bottom of the cowling was an improper type that did not comply with an applicable Airworthiness Directive.

In his report to the Safety Board, the pilot stated that after the throttle control separated, the engine may not have gone completely to the idle power position and the resulting partial engine power may have contributed to the landing overshoot. The pilot stated that he was wearing a headset and could not hear the engine well enough to detect a partial power condition.

Aircraft

Registration
N761HQ
Reported as
Cessna T210M
Category
Airplane
Serial number
21062273
Airframe hours
2,680
Engine
Continental TSIO-520-R1A, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Part 91
Registered owner
Squadron Two Flying Club Inc.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · August 28, 1997 · 1 hours before
Departed
SJC · San Jose, CA
Airport
Q99 · South County, runway 32, 3,100 × 75 ft, asphalt

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
69
Certificates
Flight instructor, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
6,018 total · 26 in this make and model · 5,083 as pilot in command · 18 in the last 90 days · 8 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
330° at 12 knots
Visibility
40 statute miles
Lowest ceiling
None
Temperature
79 °F, dew point 52 °F
Altimeter
29.00 inHg
Observed at
SJC, 300 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.