# NTSB NYC01FA141: Cessna P210N, N450M, Honesdale, PA, June 11, 2001 - Type: NTSB accident investigation - Classification: Accident · Fatal · Field investigation · Final report - Date: June 11, 2001, 10:10 local (14:10 UTC) - Place: Honesdale, PA - Coordinates: 41.569721, -75.250602 (estimated) - Nearby events: https://openairdocs.org/map.md?lat=41.5697&lon=-75.2506&mi=10 - Phase of flight: [Maneuvering](https://openairdocs.org/ntsb-phases/450) (OpenAirDocs' grouping) - Highest injury: Fatal - Injuries: 3 fatal - Status: Completed, report October 23, 2002 - Report: Approved by Office Director - Parties: FAA/FSDO, Cessna Aircraft Company, O&N Aircraft Modifications, Inc., Rolls-Royce (Allison), Keystone Engine Services, a division of - NTSB case key (mKey): 52461 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=NYC01FA141 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/52461/pdf - Page: https://openairdocs.org/ntsb/NYC01FA141 ## Probable cause An improperly manufactured torquemeter gearshaft assembly, which resulted in gearshaft assembly failure, an N2 overspeed, and a subsequent uncontained engine failure. ## Sequence of events In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf). - Loss of engine power(total) - mech failure/malf, maneuvering - material inadequate, manufacturer (cause) - torquemeter system,shaft type - failure - misc,engine uncontained failure - overspeed - Forced landing, emergency descent/landing - In flight collision with object, emergency landing ## Analysis The sales demonstration pilot was in the right seat and the prospective buyer was in the left seat. About 1 1/2 hours after takeoff, while in cruise flight at an altitude estimated by a witness to be between 3,000 feet and 3,500 feet, an explosion occurred in the engine compartment, and white smoke began emanating from the exhaust stacks. The airplane circled down to a forced landing in an area of rolling hills, farms, and pastures bordered by stone walls embedded with trees. As the airplane was nearing the ground, a witness saw it make a sharp left turn, then impact trees and a stone wall between two pastures. Area winds at the time of the accident were calm. The airplane was equipped with an overhauled Allison (Rolls Royce Corporation) 250-B17F2 engine which had been installed 9 months, and about 25 operating hours earlier. Teardown examination of the engine after the accident revealed a tri-burst of the third stage turbine wheel, due to an overspeed of N2 after a sudden loss of load on the power train. It also revealed a failure of the torquemeter gearshaft, from a crack which initiated in an area of intergranular separation, and subsequently progressed in high cycle fatigue. The intergranular separation resulted from "stress corrosion mechanisms during the AMS 2485 black oxide treatment [process]." The torquemeter gearshaft had been installed during the engine overhaul. ## Factual narrative HISTORY OF FLIGHT On June 11, 2001, about 1010 eastern daylight time, a turbine-powered Cessna P210N, N450M, was destroyed during a forced landing near Honesdale, Pennsylvania. The two certificated private pilots and the passenger were fatally injured. Visual meteorological conditions prevailed at the time of the accident. No flight plan had been filed for the local flight, which originated at Seamans Field (9N3), Factoryville, Pennsylvania. The sales demonstration flight was conducted under 14 CFR Part 91. The airplane was being brokered by O & N Aircraft Modifications, Inc., which was located at Seamans Field. In 1992, under a Supplemental Type Certificate, O & N installed an Allison (Rolls-Royce Corporation) 250-B17F2 engine in the airplane as part of a Silver Eagle conversion, then subsequently sold the converted airplane to the current owner. According to the president of O & N, the current owner, who operated the airplane as a Delaware-based corporation, had recently lost his medical certificate, and requested that O & N handle the airplane's resale. About a week prior to the accident, the airplane arrived from Delaware. An O & N pilot flew with the ferry crew back to Delaware, then returned to O & N with the airplane. The O & N pilot wrote up some maintenance discrepancies, including an engine vibration at high power rpm. However, at the time, none of the discrepancies appeared noteworthy, and the airplane's owner had not commented on the airplane having any engine difficulties. The airplane had not flown since its arrival. The sales demonstration pilot, who worked under contract with O & N from his home in Vermont, had arranged the demonstration flight with the prospective buyer and his adult son, from California. The three met at O & N on the morning of the accident, with the airplane fueled to capacity to demonstrate full-fuel performance. The sales demonstration pilot was observed conducting a preflight inspection, which included taking fuel samples, while explaining the preflight procedures to the prospective buyer. After the preflight inspection, the sales demonstration pilot got into the right front seat, and the prospective buyer got into the left front seat. The airplane was subsequently started up, and departed Seamans Field about 0845. The maneuvers performed during the accident flight were not known; however, according to the president of O & N, a sales demonstration flight would normally include a climb to about 16,000 feet, some maneuvering at that altitude, and a descent to incorporate lower level maneuvers and touch and go landings at one of several airports that had longer runways than Seamans Field. During a portion of level flight, at an altitude estimated by a witness to be between 3,000 feet and 3,500 feet, the airplane was seen transiting westbound, towards Factoryville. The witness, who was also a private pilot, stated the airplane had caught his attention because he was part-owner of a Cessna 206, and originally thought it was his airplane. As the witness continued to watch the airplane, he saw a puff of smoke emanate from the right side of the engine compartment, and shortly thereafter, he heard an explosion which sounded like a "blown piston." Immediately following that, he saw white smoke come from the engine's exhaust stacks, and trail beneath the airplane. Another witness, close to the accident site, was in front of her house when she heard a high pitched hum. She stepped away from the house to get a better look, and saw the airplane pass almost directly over it. At the time, the airplane was flying in a circle, and she lost it from view. About 15 seconds later, it came around to the front of her house again. The airplane was flying lower than the first time she saw it, and she could make out the propeller and the airplane's painted stripes. She continued to hear the high pitched hum, and could see "a dirty white ribbon of smoke coming from the back of the plane." The airplane banked more sharply than the first time; and the last she saw of it, it flew over her house, then disappeared over trees towards the northwest. About 10 seconds later, she heard the sound of the airplane impacting trees. A third witness, about 1 mile from the accident site, heard the airplane approach, making a whistling sound. She looked up and saw flames emanating from behind the propeller, and a 10- to 12-foot trail of grayish smoke. At the time, the airplane was flying straight; however, it then made a left turn, and she lost sight of it. A fourth witness also heard the airplane make a whistling sound. The airplane was very low when he saw it, and heading westbound, directly toward him. The witness did not see any smoke, but did see one of the propeller blades sticking straight up. As the airplane approached him, he saw it make a sharp left turn, then descend and impact the trees. He raced to the accident site, but the wreckage was in flames when he arrived. The accident occurred during the hours of daylight, in the vicinity of 41 degrees, 38.35 minutes north latitude, 75 degrees, 19.44 minutes west longitude. PERSONNEL INFORMATION The sales demonstration pilot held a private pilot certificate, with ratings for single-engine and multi-engine airplanes, and instrument airplane. According to his flight logbook, as of May 15, 2001, he had 8,553 hours of flight time, with an estimated 274 hours in the turbine-powered P210s. His latest Federal Aviation Administration (FAA) third class medical certificate was dated September 8, 2000. The prospective buyer also held a private pilot certificate, with ratings for single-engine and multi-engine airplanes, and instrument airplane. On his latest application for his FAA third class medical certificate, dated September 12, 2000, he reported 2,300 hours of flight time. METEOROLOGICAL INFORMATION Weather, recorded at an airport about 28 nautical miles to the southwest, about 15 minutes before the accident and 45 minutes after the accident, included calm winds, clear skies, and visibility 8 - 10 statute miles. AIRCRAFT INFORMATION A review of the Safety Board database revealed that on December 15, 1999, the airplane was substantially damaged when it collided with trees at the end of a runway, then landed gear-up in a field. The event was documented as Safety Board accident number NYC00LA052. According to engine maintenance records dated April 28, 2000, the engine gearbox and turbine assemblies, and the combustion section and fuel nozzle, were disassembled and inspected by Keystone Engine Services, West Chester, Pennsylvania. The propeller reduction gearbox and the compressor were replaced with zero-time units, and additional parts were replaced or reworked as required. The engine was reassembled, and tested with a slaved fuel system, without the propeller reduction gearbox. After testing, the reduction gearbox and original fuel system were installed. During the engine rebuild, torquemeter gearshaft part number 23035299 serial number NN129830 was replaced with a new, Rolls-Royce-manufactured torquemeter gearshaft, serial number NN134898. According to the airplane's maintenance logbook, engine reinstallation on the airframe was completed on September 13, 2000. Operating time of the engine since then, until the accident flight, was 25.2 hours. WRECKAGE AND IMPACT INFORMATION The accident site was about 20 nautical miles east of Factoryville, in a pasture located within a group of pastures, in an area of rolling hills and farms. The pastures were bordered by stone walls embedded with trees. The pastures were located south of an east-west road, and a farm and irregular terrain were located north of the road. A wreckage path began at the base of a stone wall, between two of the pastures, and proceeded along a 160-degree magnetic heading. Part of the wall was displaced, and tw ## Aircraft - Registration: [N450M](https://openairdocs.org/deregistered/N450M-2018-01-23), registration cancelled 2018-01-23, S/N P21000631, built 1980 (OpenAirDocs) - Reported make and model: Cessna P210N - Registry model: [Cessna P210N](https://openairdocs.org/model/cessna-p210n) (registry code 2073454) (OpenAirDocs) - Registry engine: [Continental TSIO-520 series](https://openairdocs.org/engine/continental-tsio-520-series) (registry code 17040, reciprocating) (OpenAirDocs) - Category: Airplane - Serial number: P21000631 - Airframe hours: 2311 - Engines: Allison 250-B17F/2 450 horsepower turbo prop - Damage: Destroyed - Fire: On-Ground - Flight: Other work use, Part 91 - Operator: O & N Aircraft Modifications, INc. - Registered owner: Imperial Sales, Inc. - Airworthiness certificate: Standard, Normal - Last inspection: Annual, September 13, 2000, 25 hours before - Departed: 9N3, Factoryville, PA ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 63; injuries: fatal; private; airplane ratings: single-engine land, multi-engine land; instrument ratings: airplane; medical: class 3, valid medical--w/ waivers/lim; last flight review November 15, 2000; seat: right; toxicology performed; flight hours: 8,553 total, 270 in this make and model, 26 in the last 90 days, 2 in the last 30 days - Co-pilot; age 57; injuries: fatal; private; airplane ratings: single-engine land, multi-engine land; instrument ratings: airplane; medical: class 3, valid medical--w/ waivers/lim; seat: left; toxicology performed; flight hours: 2,300 total ## Weather - Conditions: Visual (VMC), Day - Wind: calm - Visibility: 8 statute miles - Lowest ceiling: none - Temperature: 66 °F, dew point 59 °F - Altimeter: 29.87 inHg - Observed at: AVP, 28 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 (OpenAirDocs). - [Accident 20010611014389A](https://openairdocs.org/incident/20010611014389A), Jun 11, 2001: Cessna P210N, Honesdale, PA, Destroyed, 3 fatal. (.19)On June 11, 2001, about 1010 eastern daylight time, a turbine-powered Cessna P210N, N450M, was destroyed during a forced landing in Honesdale,… ## Other investigations on N450M (1) From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. - [NTSB NYC00LA052](https://openairdocs.org/ntsb/NYC00LA052), Dec 15, 1999: Cessna P210N (N450M), Greenwood, DE, substantial damage. Probable cause: the failure of the pilot to use full power for takeoff, which resulted in not obtaining a positive rate of climb and the inadvertent collision with trees. A factor was the fog. From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.