WPR20LA009

NTSB accident investigation · Cessna 206 · Stockton, CA · October 18, 2019

Accident · Minor injuriesClass 3 · LimitedFinal report
Date
October 17, 2019, 18:00 local (Oct 18, 2019, 01:00 UTC)
Place
Stockton, CA
Injuries
2 minor
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N11379Cessna 206
Defining event
Initial climb: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
FAA report
20191017020159A
Case key
100464

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

A total loss of engine power after takeoff for reasons that could not be determined based on the available information.

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.

Engine (reciprocating)Aircraft › Aircraft power plant · Unknown/Not determinedCessna 206H: 1 caseAll aircraft: 497 casesProbable cause
Not determinedNot determined › Not determined · Unknown/Not determinedCessna 206H: 1 caseAll aircraft: 2,247 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 flight instructor and pilot receiving instruction were departing on a flight to practice instrument approaches. About 150 ft above ground level (agl), the engine “surged” then “smoothed out.” The airplane continued to climb, but the pilots elected to conduct a precautionary landing. The pilot continued the climb and made a left turn for the traffic pattern. During the turn, the engine lost total power at 380 ft agl and the instructor took control of the airplane. He landed the airplane in an empty lot; the airplane continued through a perimeter fence and impacted a semi-trailer parked along an adjacent roadway. The airplane came to rest nose down against the fence and semi-trailer, resulting in substantial damage to the left wing and forward fuselage. The postaccident airframe and engine examination revealed low fuel pressure at the fuel injectors into the cylinders. The electric fuel pump tested normally; however, low fuel pressure was noted exiting the fuel servo. The fuel servo was removed and functionally tested. The fuel flow tested slightly below manufacturer’s specifications; however, it still would have provided adequate fuel for normal operation. A teardown of the fuel servo’s metering section did not reveal any anomalies. The reason for the loss of engine power could not be determined.

Factual narrative

On October 17, 2019, about 1800 Pacific daylight time, a Cessna 206H airplane, N11379, was substantially damaged when it was involved in an accident near Stockton, California. The flight instructor and private pilot receiving instruction sustained minor injuries. The airplane was operated as a 14 Code of Federal Regulations Part 91 instructional flight. The flight instructor reported that the purpose of the flight was to practice instrument approaches. After a thorough preflight and engine run-up, the pilot took off from runway 29L. About 150 feet above the ground, the engine “surged” then “smoothed out.” The airplane continued to climb, but the pilots elected to conduct a precautionary landing. The pilot continued the climb and made a left turn for the traffic pattern. During the turn, the engine lost total power at 380 feet above the ground and the instructor took control of the airplane. He landed the airplane in an empty lot; the airplane continued through a perimeter fence and impacted a semi-trailer parked along an adjacent roadway. The airplane came to rest nose down against the fence and semi-trailer. The left wing and forward fuselage sustained substantial damage. Postaccident engine examination by the Federal Aviation Administration revealed no visual indications of catastrophic engine failure. The ignition leads were inspected and produced spark with normal impulse coupling operation. The spark plugs were removed and exhibited signatures consistent with a rich/low power condition. The rocker covers were removed. When the propeller was rotated, valve train continuity was established throughout, and thumb compression was established on all cylinders. The electric fuel pump was turned on and low fuel pressure was noted at fuel injectors to the cylinder heads. The fuel line between the fuel servo and the fuel distributor was removed and low fuel pressure was noted. The fuel pump was tested, and fuel pumped normally to the inlet of the fuel servo. The fuel servo was removed from the engine for an operational test and teardown. After a visual examination, it was installed onto a test stand and operated slightly below manufacturer’s specifications. The fuel servo was removed from the test stand and the fuel screen was removed; no debris was present. Disassembly of the metering section did not reveal any anomalies that would have precluded normal operation. A Lycoming representative reported that, although the fuel flow was slightly below specifications, the engine still would have had adequate fuel to operate normally.

Aircraft

Registration
N11379
Reported as
Cessna 206 (H)
Category
Airplane
Serial number
20608077
Built
1999
Airframe hours
5,513
Engine
Lycoming IO-540 SER, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
County Of San Joaquin
Registered owner
County Of San Joaquin
Airworthiness certificate
Standard, Normal
Last inspection
Annual · January 4, 2019 · 12 hours before
Departed
SCK · Stockton, CA
Destination
SCK · Stockton, CA
Airport
SCK · Stockton Metropolitan Airport, runway 29L, 4,448 × 75 ft, asphalt
Equipment
Auto-pilot, Electronic flight bag or handheld device, Handheld GPS, Stall warning system

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
36
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Without waivers/limitations
Last flight review
January 22, 2019
Seat
Left
Restraint
3-point
Flight hours
206 total · 9 in this make and model · 82 as pilot in command · 2 in the last 90 days · 1 in the last 30 days · 0 in the last 24 hours
Role
Flight instructor
Age
63
Injuries
Minor
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
April 13, 2018
Seat
Right
Restraint
3-point
Flight hours
2,176 total · 453 in this make and model · 2,095 as pilot in command · 9 in the last 90 days · 1 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
310° at 15 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
72 °F, dew point 43 °F
Altimeter
29.89 inHg
Observed at
KSCK

Docket · 7

The files NTSB released with the investigation on May 25, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 20.3 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.