# NTSB WPR13LA267: Cessna T210L, N732BS, Chiloquin, OR, June 7, 2013

- Type: NTSB accident investigation
- Classification: Accident · Minor injuries · Limited investigation · Final report
- Date: June 7, 2013, 10:15 local (17:15 UTC)
- Place: Chiloquin, OR
- Coordinates: 42.579166, -121.87889 (estimated)
- Nearby events: https://openairdocs.org/map.md?lat=42.5792&lon=-121.8789&mi=10
- Phase of flight: [Landing](https://openairdocs.org/ntsb-phases/550) (OpenAirDocs' grouping)
- Defining event: [Landing-landing roll: Loss of control on ground](https://openairdocs.org/ntsb-events/230)
- Highest injury: Minor injuries
- Injuries: 2 minor
- Status: Completed, report November 13, 2014
- Report: Approved by Office Director
- NTSB office: Western Pacific Region
- Parties: Federal Aviation Administration
- NTSB case key (mKey): 87149
- NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=WPR13LA267
- NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/87149/pdf
- NTSB docket: https://data.ntsb.gov/Docket?ProjectID=87149
- Page: https://openairdocs.org/ntsb/WPR13LA267

## Probable cause

The pilot’s unstabilized approach and use of an excessive speed at touchdown, which resulted in a loss of directional control during the landing and a subsequent runway excursion.

## Findings

NTSB's coded findings; those marked are part of the probable cause.

- [Use of equip/info: aircraft control](https://openairdocs.org/ntsb-findings/02063040): Personnel issues › Task performance · Pilot (probable cause); cases with it: [Cessna T210L, 5 cases](https://openairdocs.org/ntsb-findings/02063040/cases.md?model=2073449), [All aircraft, 9,295 cases](https://openairdocs.org/ntsb-findings/02063040/cases.md)
- [Performance/control parameters: directional control](https://openairdocs.org/ntsb-findings/01062020): Aircraft › Aircraft oper/perf/capability · Not attained/maintained (probable cause); cases with it: [Cessna T210L, 3 cases](https://openairdocs.org/ntsb-findings/01062020/cases.md?model=2073449), [All aircraft, 3,958 cases](https://openairdocs.org/ntsb-findings/01062020/cases.md)
- [Performance/control parameters: airspeed](https://openairdocs.org/ntsb-findings/01062010): Aircraft › Aircraft oper/perf/capability · Incorrect use/operation (probable cause); cases with it: [Cessna T210L, 2 cases](https://openairdocs.org/ntsb-findings/01062010/cases.md?model=2073449), [All aircraft, 1,681 cases](https://openairdocs.org/ntsb-findings/01062010/cases.md)

## Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event best describes what happened.

- [Landing-landing roll: Loss of control on ground](https://openairdocs.org/ntsb-events/230) (defining event); cases with it: [Cessna T210L, 5 cases](https://openairdocs.org/ntsb-events/230/sequence.md?model=2073449), [All aircraft, 4,585 cases](https://openairdocs.org/ntsb-events/230/sequence.md)

## Analysis

The pilot reported that, as the airplane neared the destination airport, he maneuvered the airplane on a higher-than-normal approach to avoid tall trees located on the runway's approach path. The airplane touched down at an excessive ground speed and began to veer left. The pilot attempted to regain directional control with rudder control and brakes, but the airplane continued off the left edge of the runway, impacted a culvert, nosed over, and then came to rest inverted. A postaccident examination of the airplane revealed no evidence of preimpact mechanical malfunctions or failures that would have precluded normal operation.

## Factual narrative

On June 07, 2013, about 1015 Pacific daylight time, a Cessna T210L, N732BS, veered off the runway surface and came to rest inverted while landing at the Chiloquin State Airport, Chiloquin, Oregon. The airplane was registered to and operated by the pilot under the provisions of 14 Code of Federal Regulations (CFR) Part 91. The private pilot and passenger sustained minor injuries; the airplane sustained substantial damage. The personal cross-country flight departed from the Siskiyou County Airport, Montague, California about 0915 with a planned destination of Chiloquin. Visual meteorological conditions prevailed and no flight plan had been filed.A witness stated that he observed the airplane touchdown on runway 35. He noted that the airplane was landing at a higher-than-expected airspeed, which he estimated to be about 100 miles per hour. Following touchdown, the airplane veered into a gravel area adjacent to the runway and continued until encountering a culvert. The airplane flipped over inverted and came to rest at the edge of the airport's safety perimeter. The pilot stated that as he entered the vicinity of the destination airport, he maneuvered the airplane on a higher-than-normal approach in an effort to avoid the tall trees located south of runway 35. During touchdown, the airplane's nose wheel failed and he continued down the runway at an excessive ground speed. The airplane began to veer left and in response the pilot applied right rudder. Despite his efforts to regain directional control, the airplane continued off the left of the edge of the runway. The pilot retarded the engine throttle to idle and realized that both wheel brakes had locked up. The airplane continued onto the dirt area adjacent to the runway, over a taxiway, and impacted a culvert; it subsequently nosed over and came to rest inverted. In the section titled "RECOMMENDATION" in the NTSB Pilot/Operator Report, form 6120.1/2, the pilot stated that the accident could have been prevented if the trees located on the south end of the runway were shortened so it was not necessary to make such a fast, steep descent. He additionally stated that the culvert was too close to the taxiway and the airport environment contributed to the damage sustained. A postaccident examination by a Federal Aviation Administration (FAA) certificated airframe and powerplant mechanic revealed no evidence of preimpact mechanical malfunctions or failures that would have precluded normal operation. PERSONNEL INFORMATION The pilot was certified to operate the accident airplane in accordance with existing Federal Aviation Regulations (FARs). A review of the Federal Aviation Administration (FAA) Airman and Medical Records database disclosed that the pilot held a private pilot certificate, with a rating for airplane single-engine land. The pilot's third-class medical certificate was issued in January 2013, with limitation that he must wear glasses for near vision. The pilot's self-reported flight timeindicated he had amassed 2,857 hours total flight experience, with 150 hours accumulated in Cessna 210 airplanes. The pilot reported that during the preceding 90 days, 30 days, and 24 hours, he had flown in the capacity of pilot-in-command approximately 44, 21, and 0.5 hours, respectively. The pilot stated that he had recorded making 128 landings at that airport. AIRPORT INFORMATION The Chiloquin State Airport was a FAR Part 139 certificated facility that had one hard-surfaced asphalt runway (runway 16/34). The runway was 3,749 feet long and 60 feet wide. According to the FAA Airport Facility Directory, there was a 66 foot tree, 1,058 from runway 35 requiring a 13:1 slope to clear it.

## Aircraft

- Registration: [N732BS](https://openairdocs.org/deregistered/N732BS-2022-11-05), registration cancelled 2022-11-05, S/N 21061392, built 1976 (OpenAirDocs)
- Reported make and model: CESSNA T210L
- Registry model: [Cessna T210L](https://openairdocs.org/model/cessna-t210l) (registry code 2073449) (OpenAirDocs)
- Registry engine: [Continental TSIO-520 series](https://openairdocs.org/engine/continental-tsio-520-series) (registry code 17040, reciprocating) (OpenAirDocs)
- Category: Airplane
- Serial number: 21061392
- Year built: 1976
- Engines: CONT MOTOR TSIO-520 SER 300 horsepower reciprocating
- Damage: Substantial damage
- Flight: Personal, Part 91
- Airworthiness certificate: Standard, Normal
- Last inspection: Annual, September 4, 2012
- Departed: SIY, Montague, CA
- Destination: 2S7, Chiloquin, OR
- Airport: 2S7, Chiloquin State Airport, runway 35, 3,749 × 60 ft, asphalt

## Flight crew

As NTSB recorded them. NTSB leaves out names.

- Pilot; age 77; injuries: minor; private; airplane ratings: single-engine land; medical: class 3, without waivers/limitations; last flight review June 7, 2013; seat: left; flight hours: 2,857 total, 150 in this make and model, 2,774 as pilot in command, 44 in the last 90 days, 21 in the last 30 days

## Weather

- Conditions: Visual (VMC), Day
- Wind: 10° at 3 knots
- Visibility: 10 statute miles
- Lowest ceiling: none
- Temperature: 72 °F, dew point 54 °F
- Altimeter: 30.13 inHg
- Observed at: LMT, 27 nm away

## Docket (3 files)

The files NTSB released with the investigation on October 7, 2014, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=87149. 1.1 MB in all.

- Pilot/Operator Aircraft Accident Report, NTSB Form 6120.1 (item 1, .PDF, 713 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40396558&FileExtension=.PDF&FileName=Pilot%2FOperator%20Aircraft%20Accident%20Report,%20NTSB%20Form%206120.1-Redacted.PDF
- Record of Conversation - Mechanic (item 2, .PDF, 88 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40417517&FileExtension=.PDF&FileName=Record%20of%20Conversation%20-%20Mechanic-Master.PDF
- Stay Centered Safety Alert (item 3, .PDF, 338 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40448616&FileExtension=.PDF&FileName=Stay%20Centered%20Safety%20Alert-Master.PDF

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.

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