MIA00LA207

NTSB accident investigation · Cessna P210N · Boone, NC · July 7, 2000

Accident · Serious injuriesLimited investigationFinal report
Date
July 7, 2000, 11:00 local (15:00 UTC)
Place
Boone, NC
Injuries
1 serious, 2 minor
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N7VZCessna P210N
Weather
Visual (VMC) · Day
Status
Completed · report March 2, 2001
Report
Approved by Office Director
FAA report
20000707011119A
Case key
49629

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 the inter-cooler duct connecting the inter-cooler to the engine due to inadequate attachment of the inter-cooler to the aircraft which resulted in loss of turbocharger air overboard and loss of engine power and damage to the aircraft during a forced landing. Contributing to the accident was inadequate inspection requirements for the inter-cooler system and inadequate inspection of the inter-cooler system by the mechanic during the last inspection.

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(partial) - mech failure/malfTakeoff - initial climb
Cooling system,radiator - looseCause
Acft/equip,inadequate designManufacturerCause
Maintenance,inspection - inadequateOther maintenance personnelCause
Condition(s)/step(s) not listedManufacturerCause
Induction air ducting - tear/tornCause
Forced landingDescent - emergency
Nose gear collapsedLanding - roll
On ground/water encounter with terrain/waterLanding - roll
Terrain condition - dirt bank/rising embankment

Analysis

During takeoff rotation, engine power decreased and the pilot heard an unusual noise from the engine area. The pilot was unable to stop on the remaining runway and proceeded away from the airport and made a 180 degree turn to return to the airport. The engine did not produce enough power to return to the runway and the aircraft was landed in the grass adjacent to the runway. During rollout the nose landing gear collapsed and the aircraft impacted a mound of dirt where it came to rest. Post crash examination of the aircraft by an FAA inspector showed the engine inter-cooler system, which had been installed in accordance with an STC, was loose at the worn single attach point and the rubber duct from the inter-cooler to the engine was split about 50% around, causing turbocharged air to be exhausted overboard. The aircraft had received an annual inspection about 1 flight hour before the accident. Documents for the inter-cooler system did not give any directions for inspecting the system.

Factual narrative

On July 7, 2000, about 1100 eastern daylight time, a Cessna P210N, N7VZ, registered to Donatech Corporation, crashed while attempting to land, following loss of engine power during takeoff from Boone Airport, Boone, North Carolina, while on a Title 14 CFR Part 91 personal flight. Visual meteorological conditions prevailed at the time and no flight plan was filed. The aircraft received substantial damage and the private-rated pilot received serious injuries. The two passengers received minor injuries. The flight was originating at the time of the accident.

The pilot stated that upon takeoff rotation, power significantly decreased and there was a noise from the engine at the same time. On climb-out, the engine power and noise oscillated and power reduced. The aircraft failed to climb. At this point he had insufficient runway left to land. He began to maneuver the aircraft for a 180-degree turn back to the runway. As the turn progressed he found he had not enough power to complete the turn in order to land on the runway. The aircraft landed adjacent to the runway onto the grassed area. The aircraft began to skid, the nose wheel collapsed and then continued to slide until it contacted a large mound of dirt upon which the aircraft came to rest.

Postcrash examination of the aircraft by an FAA inspector and a representative of Teledyne Continental Motors showed that the aircraft and engine had been modified by the installation of a Riley International Corporation, Engine Inter-cooler System, in accordance with FAA Supplemental Type Certificates SA 2528 NM and SE 2529 NM. The single attach point for the inter-cooler had a worn bolt hole and the inter-cooler could be moved. The rubber duct which connects the outlet of the inter-cooler to the engine was split about 50% around, allowing turbocharged air to be exhausted overboard.

The aircraft had received an annual inspection on June 13, 2000, about 1 flight hour before the accident. The Riley International Corporation, Airplane Flight Manual Supplement and Pilot Operating Handbook Appendix, did not give any instructions for inspection of the inter-cooler system.

Aircraft

Registration
N7VZ
Reported as
Cessna P210N
Category
Airplane
Serial number
P21000005
Airframe hours
2,300
Engine
Continental TSIO-520-P, 310 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Robert H. Glazier
Airworthiness certificate
Standard, Normal
Last inspection
Annual · June 13, 2000 · 1 hours before
Departed
5A3
Airport
5A3 · Boone, runway 31, 2,600 × 40 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
52
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
785 total · 111 in this make and model · 716 as pilot in command · 23 in the last 90 days · 9 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
40° at 7 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
72 °F, dew point 61 °F
Altimeter
30.00 inHg
Observed at
TNB, 2 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.