WPR12LA373

NTSB accident investigation · Cessna P210 · Alturas, CA · August 27, 2012

Accident · No injuriesLimited investigationFinal report
Date
August 27, 2012, 12:12 local (19:12 UTC)
Place
Alturas, CA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
C-GFCKCessna P210
Defining event
Approach-VFR go-around: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report October 9, 2014
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration FSDO, Cessna Aircraft Company, Transport Safety Board Canada
Case key
84827

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

A loss of engine power due to fuel vaporization. Contributing to the accident was the pilot’s failure to use the auxiliary fuel pump when he noticed a degradation in the airplane’s climb performance.

Findings · 3

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.

Fuel system: fuel pressureAircraft › Aircraft systems · MalfunctionAll aircraft: 16 casesProbable cause
Info processing/decision: identification/recognitionPersonnel issues › Action/decision · PilotAll aircraft: 559 casesProbable cause
Use of equip/info: use of equip/systemPersonnel issues › Task performance · PilotAll aircraft: 1,391 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 was making an approach for landing to runway 21 when he noticed that the wind was favoring runway 03. He executed a go-around and maneuvered to approach runway 03 for landing. During the approach to runway 03, he decided that he was too high to make a safe landing, and he executed another go-around. The pilot described the airplane's climb performance as "sluggish." The pilot raised the flaps when the airplane was between 600 and 800 feet above ground level, and, shortly after, the engine experienced a total loss of power. The pilot did not attempt to turn on the auxiliary fuel pump, switch fuel tanks, or adjust the mixture; he stated that the fuel selector was in the "both" position. The pilot executed a forced landing on a nearby highway, which resulted in damage to the right wing and left horizontal stabilizer. During the airplane's recovery, a total of 22 gallons of fuel was obtained from three of the four fuel tanks. The fourth fuel tank had been breached during the accident sequence, and recovery personnel observed fuel draining from the damaged tank. The postaccident engine examination revealed no evidence of mechanical malfunctions or failures that would have precluded normal operation. The airplane was climbing in conditions conducive to fuel vapor formation. According to the Pilot's Operating Handbook, when such conditions exist, it may be necessary to use the auxiliary fuel pump to attain or stabilize the fuel flow required for the type of climb being performed.

Factual narrative

The Cessna P210N Pilot's Operating Hand book and FAA Approved Airplane Flight Manual, in the Airplane and Systems Descriptions (Section 7), advises that "Under hot day-high altitude conditions or conditions during a climb that are conductive to fuel vapor formation, it may be necessary to utilize the auxiliary fuel pump to attain or stabilize the fuel flow required for the type of climb being performed." The six seat, high-wing, single engine, retractable landing gear airplane, serial number P21000767, was manufactured in 1981. It was powered by a Continental Motors, TSIO-520-AF, serial number 245217-R, 310 hp engine and equipped with a McCauley, model D2A34C402, constant speed propeller. The FAA inspector who examined the airplane reported that the airframe total time was 3,272.1 hours. The most recent annual inspection was completed on October 5, 2011. Examination of the engine maintenance logbook showed that the engine's total time since overhaul (TSOH) was 1,119.4 hours, and 45.6 hours since the annual inspection. On August 27, 2012, at 1212 Pacific daylight time, a Cessna P210N, Canadian registration C-GFCK, experienced a loss of engine power and force landed on a highway 1 mile south of the Alturas Municipal Airport, Alturas, California. The airplane was registered to Poodle Aircraft Hangars Ltd, and the pilot operated the airplane under the provisions of Title 14 Code of Federal Regulations, Part 91. The private pilot was not injured, and the airplane was substantially damaged. Visual meteorological conditions prevailed, and a VFR flight plan had been filed. The pilot made his first landing approach to runway 21 at Alturas Municipal Airport. He noticed that the winds were favoring runway 03. He executed a go-around, and maneuvered to line up for runway 03. During his approach to runway 03, he decided that he was too high to make a safe landing, and executed a go-around. During the climb out, the pilot stated that the airplane's climb performance felt sluggish. After he raised the flaps, between 600-800 feet above ground level, the engine appeared to stop completely. The pilot did not attempt to turn on the auxiliary fuel pump, switch fuel tanks, or adjust the mixture, however, the pilot stated that the fuel selector was in the BOTH position. The pilot executed a forced landing on a nearby highway, highway US 395. The right wing impacted a road sign before the airplane came to a halt on the side of the road. First responders observed fuel leaking from the right wing. The pilot, age 58, held a private pilot certificated for airplane single-engine and airplane single engine sea issued July 13, 2011, and a third-class medical certificate issued on October 27, 2010, with the limitation that he must wear glasses. The pilot reported in the NTSB Pilot Accident Report that he had 600 total flight hours, and 40 hours in the model of the accident airplane. The pilot's most recent flight review was conducted on June 12, 2012. An FAA inspector whoresponded to the accident scene reported that the right wing had been substantially damaged; the left horizontal stabilizer and elevator were damaged, the fuselage forward of the right horizontal stabilizer was buckled, the nose gear was collapsed, and the propeller blades were bent aft. The airplane was recovered and transported to Progressive Air Services, Ltd, in Kamloops, British Columbia, Canada. Recovery personnel drained 12 gallons of fuel from the right-hand tip tank, 5 gallons from the left-hand tip tank, 5 gallons from the left main tank, and the right main was empty (breached). An engine exam was conducted by airframe and power-plants mechanics under the oversight of the Transport Safety Board of Canada (TSB). Engine mechanical continuity was verified, magneto timing was verified as correct, thumb compression was achieved on all cylinders, and the spark plugs exhibited normal wear signatures with no mechanical damage. The fuel injectors were inspected, and no blockages were identified. The gascolator bowl was removed, blue colored liquid was observed, the screen was clear of debris, and a small amount of dirt was observed in the bottom of the bowl. The induction and exhaust manifold attachment hardware was tight, and no sign of blow-by was observed. There was no evidence of leakage in or around the fuel selector, and the auxiliary fuel pump was verified as operational..

Aircraft

Registration
C-GFCK
Reported as
Cessna P210 (N)
Category
Airplane
Serial number
P21000767
Airframe hours
3,272.1
Engine
Continental TSIO-520-AF, 310 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental (Special); Standard, Normal
Last inspection
Annual · October 5, 2011
Departed
KBLI · Bellingham, WA
Destination
KAAT · Alturas, CA
Flight plan
VFR
Airport
KAAT · Alturas, runway 03, 4,300 × 50 ft

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
58
Injuries
None
Certificate
Private
Airplane ratings
Single-engine sea, Single-engine land
Medical
Class 3, With waivers/limitations
Last flight review
June 12, 2012
Seat
Left
Flight hours
600 total · 40 in this make and model · 430 as pilot in command · 57 in the last 90 days · 29 in the last 30 days · 4 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
260° at 9 knots
Visibility
7 statute miles
Lowest ceiling
None
Temperature
79 °F, dew point 21 °F
Observed at
KAAT, 1 nm away

Docket · 11

The files NTSB released with the investigation on August 21, 2014, on NTSB’s docket system: statements, records, photos and specialists’ reports. 10.4 MB in all.