WPR11FA348

NTSB accident investigation · Cessna 210-5(205) · Darby, MT · July 22, 2011

Accident · Minor injuriesField investigationFinal report
Date
July 22, 2011, 12:25 local (18:25 UTC)
Place
Darby, MT
Injuries
2 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N8427ZCessna 210-5(205)
Defining event
Enroute-cruise: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report November 7, 2012
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
FAA FSDO
FAA report
20110722015599A
Case key
81223

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

The fatigue failure of the aluminum air intake duct, which resulted in material being ingested into the engine cylinders and a subsequent loss of engine power during cruise flight.

Findings · 2

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Power plant: air intakeAircraft › Aircraft power plant · Fatigue/wear/corrosionCessna 210-5(205): 1 caseAll aircraft: 50 casesProbable cause
AircraftAircraft › Aircraft power plant · FailureCessna 210-5(205): 1 caseAll aircraft: 151 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The pilot reported that, while in a cruise flight, the engine began to run rough and eventually lost power. The pilot subsequently initiated a forced landing to a gravel road, and the airplane collided with a tree during the landing roll. Postaccident examination of the engine found a 4-inch by 2-inch hole and material loss on the bottom side of the aluminum air intake duct assembly. The circumference of the hole was an irregular shape with both jagged and smooth edges/fracture surfaces. The fractures were consistent with fatigue and were possibly the result of vibration. Internal borescope examination of the cylinders revealed mechanical etching to the No. 4 and No. 6 combustion chambers and associated valve heads. The corresponding spark plugs were removed and mechanical damage was noted. The ground electrodes were bent down onto the insulators and center electrodes. No other mechanical failures were noted with the engine or airframe. It is likely that the missing aluminum duct material was ingested into the cylinders, which resulted in a loss of engine power. Although there was evidence that a weld repair had been performed on the air intake duct near the area of the hole, it could not be determined if it contributed to the hole and loss of material. A review of the airplane’s maintenance records showed no recent modifications or repairs to the engine air intake duct.

Factual narrative

HISTORY OF FLIGHT On July 22, 2011, at 1225 mountain daylight time, a Cessna 210-5, N8427Z, sustained substantial damage following a loss of engine power and subsequent forced landing near Darby, Montana. The airplane was registered to the pilot and operated under the provisions of 14 Code of Federal Regulations (CFR) Part 91. The commercial pilot and passenger sustained minor injuries. The flight departed Lemhi County Airport, Salmon, Idaho, at 1155, with a planned destination of Chamberlin, Idaho. Visual meteorological conditions (VMC) prevailed and no flight plan was filed for the cross-country flight. The pilot reported that the airplane was in a cruise flight configuration when the engine began to run rough and eventually lost power. The pilot maneuvered the airplane towards a nearby open valley and gravel road. The pilot positioned the airplane to land downwind to the road and prepared for a short/soft field landing. He reported that the airplane touched down on the gravel road about 200 feet beyond a cattle guard and began to skid. The pilot reduced braking pressure and crossed a second cattle guard. During the landing rollout, the airplane's left wing impacted a tree and the airplane pivoted approximately 90-degrees to the left before it came to an abrupt stop. The airplane sustained substantial damage to the left wing and forward fuselage. AIRCRAFT INFORMATION The accident airplane (serial number 205-0427) was manufactured in 1963. The single engine airplane was equipped with a Continental IO-470 S engine and constant-speed propeller manufactured by McCauley. The most recent annual inspection of the airplane, engine, and propeller was completed on January 9, 2011. At the time of the accident, the airplane had accumulated 7,343 total hours and the engine had accumulated 475 total hours since new. The airplane had accumulated approximately 56 hours between the annual inspection and the accident. TESTS AND RESEARCH The NTSB conducted a postaccident examination of the engine and airframe after the airplane was transported to a storage facility in Phoenix, Arizona. The examination revealed a dark residue that covered the left side of the engine accessory section (aft) and associated baffling and hoses. The residue was concentrated in the area of the outboard engine air intake duct assembly, just aft of the bracket air filter. The air filter, bracket assembly and aluminum air intake duct were removed. A large hole (approximately 4.25 inches by 1.75 inches) and material loss was noted on the bottom side of the duct. The circumference of the hole was an irregular shape with both jagged and smooth edges/fracture surfaces. A dark residue was noted to the face of the fracture surfaces. A weld repair was noted adjacent to the hole. A section of fuel pump baffle tubing was routed adjacent to the hole in the outboard intake duct. Rub marks and dark residue was noted along the baffle tubing, concentrated in the area of the hole in the duct. Materialloss and deformation was noted to the baffle tubing in the area adjacent to the hole in the intake duct. Internal borescope examination of the piston cylinders revealed mechanical etching to the No. 4 and No. 6 combustion chambers and associated valve heads. The corresponding spark plugs were removed and mechanical damage was noted. The ground electrodes were bent down onto the insulators and center electrodes. The examination of the airframe and engine revealed no additional findings or anomalies. Additional examination notes are located in the public docket associated with this case file. A senior NTSB metallurgist examined the engine air intake duct and reported that the fractures were consistent with fatigue and possibly the result of vibration. Although there was evidence that a weld repair had been performed near this area, it was not determined if it contributed to the hole and loss of material. A review of the airplane’s maintenance records showed no recent modifications or repairs to the engine air intake duct.

Aircraft

Registration
N8427Z
Reported as
Cessna 210-5(205)
Category
Airplane
Serial number
205-0427
Airframe hours
7,343
Engine
Cont Motor IO-470 SERIES, 260 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Finkle Richard G
Registered owner
Finkle Richard G
Airworthiness certificate
Standard, Normal
Last inspection
Annual · January 1, 2011 · 56 hours before
Departed
KSMN · Salmon, ID
Destination
U79 · Chamberlain, ID

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
66
Injuries
Minor
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Without waivers/limitations
Last flight review
August 5, 2010
Seat
Left
Flight hours
7,521 total · 7,107 in this make and model · 7,107 as pilot in command · 70 in the last 90 days · 17 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
340° at 3 knots
Visibility
75 statute miles
Lowest ceiling
None
Temperature
75 °F, dew point 48 °F

Docket · 4

The files NTSB released with the investigation on July 31, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.1 MB in all.

FAA reports on this event · 1

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