WPR12LA392

NTSB accident investigation · Cessna 210 · Kemmerer, WY · August 30, 2012

Accident · No injuriesLimited investigationFinal report
Date
August 30, 2012, 09:48 local (15:48 UTC)
Place
Kemmerer, WY
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N7321ECessna 210
Defining event
Enroute-cruise: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report November 6, 2013
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
FAA report
20120830019079A
Case key
84892

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 total loss of engine power due to fuel exhaustion. Contributing to the accident was the incorrect installation of the fuel bladder tanks.

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.

Fluids: fuelAircraft › Fluids/misc hardware · Fluid levelCessna 210: 6 casesAll aircraft: 1,695 casesProbable cause
Fuel systemAircraft › Aircraft systems · Incorrect service/maintenanceCessna 210: 1 caseAll aircraft: 181 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 before the accident flight, he verified that both of the airplane’s fuel tanks were full and that he reviewed the pilot operating handbook for the fuel consumption rate for his intended flight. While he was en route, the pilot noticed that the fuel gauges indicated that both the left and right tanks were about 1/4 full. The pilot stated that he diverted to a nearby airport. As the airplane descended, the left fuel tank “gave out,” and the pilot switched the fuel selector to the right fuel tank. However, as the airplane approached the airport, the engine lost power. Despite the pilot’s attempts, the engine would not restart, and the pilot made a forced landing to an open field. Wreckage recovery personnel reported that they removed about 4 ounces of fuel from the right fuel tank and 4 gallons from the left fuel tank. According to the Cessna 210 pilot operating handbook, the airplane’s fuel system contained 3.5 gallons of unusable fuel per tank. Both the left and right fuel caps and seals were intact and undamaged. No additional mechanical anomalies were noted. It is likely that the engine lost power due to fuel exhaustion. A postaccident examination of the airplane revealed that the right wing fuel bladder tank was mostly disconnected from all of its internal retaining clips, and the left wing fuel bladder tank was disconnected from two of its internal clips. The displacement of the fuel bladder tanks from the retaining clips likely resulted in the pilot observing inaccurate fuel level indications in the tanks and on the fuel gauges during the preflight visual inspection. The maintenance logbooks were not made available for review and thus a maintenance history could not be determined.

Factual narrative

On August 30, 2012, about 0948 mountain daylight time, a Cessna 210, N7321E, sustained substantial damage during a forced landing following a loss of engine power near Kemmerer, Wyoming. The airplane was registered to Zibby Flight Service LLC., Lewes, Delaware, and operated by the pilot under the provisions of Title 14 Code of Federal Regulations Part 91. The private pilot and his passenger were not injured. Visual meteorological conditions prevailed and no flight plan was filed for the personal flight. The cross-country flight originated from Williston, North Dakota, at 0700 central daylight time with an intended destination of Heber City, Utah. The pilot reported that prior to the flight, he verified that both fuel tank fuel levels were full and reviewed the pilot operating handbook (POH) for fuel consumption. The pilot stated that at 10 psi indicated on the fuel flow gauge, the airplane should have been able to fly 700 miles with a sufficient visual flight rules (VFR) reserve, as his intended flight was about 654 miles in length. The pilot further reported that he departed Williston, which has a reported field elevation of 1,982 feet mean sea level (msl), and climbed to 6,500 feet msl and remained at that altitude throughout North Dakota and Montana. As the flight crossed the Wyoming border, he began a cruise ascent to 12,500 feet msl, where he remained at until crossing the Big Horn mountain range. The pilot stated that he descended to 10,500 feet msl until crossing over Riverton, Wyoming, where he initiated a second ascent to 14,500 feet msl. Upon crossing the Wind River mountain range, he descended to 10,500 feet msl, when he noticed that the left and right fuel gauges indicated one-quarter tank fuel levels. The pilot initially diverted to Fort Bridger, Wyoming, however, he was unsure if the fuel gauges were indicating properly, and diverted to Kemmerer. The pilot further stated that while descending through 9,000 feet msl, the left fuel tank “gave out”; he then switched to the right fuel tank. As the flight approached Kemmerer, the engine lost power. Despite the pilot’s attempts, the engine would not restart and he initiated a forced landing to an open field. Subsequently, the airplane landed gear up and came to rest upright. The passenger reported that during the flight, he had talked to the pilot about each instrument, and recalled that the pilot had the fuel pressure gauge set between 9 and 10. Examination of the airplane by the pilot revealed that the fuselage was structurally damaged. The pilot and passenger also noted a blue streak originating from the right fuel cap. The airplane was recovered to a secure location for further examination. Examination of the airframe revealed that both the left and right wings were separated from the fuselage by wreckage recovery personnel. Wreckage recovery personnel reported that they removed approximately four ounces of fuel from the right tank and about four gallons of fuel from the left fueltank. The right wing was intact. Four of the five screws securing the fuel sending unit were finger tight. The fuel sending unit was removed and the seal appeared to be intact and undamaged. Dark staining was observed in the general area surrounding the fuel sending unit. The fuel cap was secure to the filler neck and undamaged. The fuel cap seal was intact. A purple color stain was observed about six inches aft of the fuel cap. The panel surrounding the fuel filler neck was removed allowing visual examination of the internal fuel tank. The fuel bladder tank was found mostly disconnected from all of the internal clips. The left wing was intact. The fuel cap was secure to the filler neck and undamaged. The fuel cap seal was intact. The panel surrounding the fuel filler neck was removed allowing visual examination of the internal fuel tank. The fuel bladder tank was found disconnected from two of the internal clips. No additional mechanical anomalies were noted. Review of the Pilot Operating Handbook, Section VI, Operational Data, revealed cruise performance charts for various altitudes including 2,500 feet, 5,000 feet, 7,500 feet, 10,000 feet, and 15,000 feet msl provided hourly fuel burn, fuel pressure settings, and fuel endurance time. The chart labeled 5,000 feet showed that at 2,450 revolutions per minute (RPM), 24 inches of manifold pressure, fuel pressure of 10 psi, the fuel burn per hour was 14.8 gallons, 3.7 hours endurance, and a range of 700 statute miles in a no wind condition. There were no fuel burn calculations at 10 psi for the charts for 7,500, 10,000, and 15,000 feet altitudes; however, at 2,450 rpm they showed a fuel pressure and gallons per hour of 8.6 psi and 13.4 gallons/hour, 7.5 psi and 12.2 gallons/hour, and 5.5 psi and 9.7 gallons/hour respectively. The airframe, engine, and propeller maintenance records were not located.

Aircraft

Registration
N7321E
Reported as
Cessna 210
Category
Airplane
Serial number
57021
Engine
Cont Motor IO-470 SERIES, 260 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Ernest P. Jessop
Registered owner
Zibby Flight Service LLC
Airworthiness certificate
Standard, Normal
Departed
Williston, ND
Destination
Heber City, UT
Flight plan
Unknown

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
38
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Last flight review
February 4, 2011
Seat
Left
Flight hours
504 total · 11 in this make and model · 11 in the last 90 days · 11 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
30° at 5 knots
Visibility
10 statute miles
Lowest ceiling
10,000 ft broken
Temperature
66 °F, dew point 37 °F
Altimeter
30.23 inHg
Observed at
KEVW, 35 nm away

Docket · 4

The files NTSB released with the investigation on August 21, 2013, on NTSB’s docket system: statements, records, photos and specialists’ reports. 618 KB 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.