WPR20LA123

NTSB accident investigation · Cessna TU206 · Auburn, CA · April 18, 2020

Accident · FatalClass 3 · LimitedFinal report
Date
April 18, 2020, 10:41 local (17:41 UTC)
Place
Auburn, CA
Injuries
1 fatal, 1 serious
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N756THCessna TU206
Defining event
Initial climb: Fuel related
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Western Pacific Region
Parties
FSDO
FAA report
20200418001139A
Case key
101174

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 after takeoff due to water contamination of the fuel.

Findings · 1

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 conditionCessna TU206G: 2 casesAll aircraft: 1,695 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

Shortly after takeoff, at an altitude of about 200 to 300 ft above the ground, the airplane’s engine lost power. The pilot-rated passenger took over the flight controls and performed an emergency landing to a field near the departure airport. During the landing, the airplane impacted terrain and a post-crash fire ensued. A postaccident examination of the airplane revealed water in the fuel manifold valve cavity and corrosion type debris on the internal screen. Witness statements revealed several people associated with the pilot knew water had been accumulating in the fuel tanks due to leaky fuel tank caps, one of which was another pilot who flew the airplane twice in the weeks before the accident. The accident pilot reported that he performed a preflight inspection; however, it is unknown whether he checked the fuel tanks for contamination as the pilot-rated passenger did not observe him during the preflight. Autopsy and toxicology reports revealed the pilot had severe stenosis of his aorta and three coronary arteries and that he was taking hydroxychloroquine, a medication to treat rheumatoid arthritis. Both the cardiovascular disease and medication use placed him at an increased risk for a sudden cardiac event. However, there was no evidence to suggest that occurred and based on the circumstances of this accident, the pilot’s cardiovascular condition and the effects from his use of hydroxychloroquine were not factors in the accident.

Factual narrative

On April 18, 2020, about 1041 Pacific daylight time, a Cessna T206 airplane, N756TH, was destroyed when it was involved in an accident near Auburn, California. The pilot was fatally injured, and the pilot-rated passenger was seriously injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The passenger reported that the pilot planned to fly them in another airplane he owned; however, he noted discrepancies during the preflight (oil residue in the engine compartment) and opted to fly the accident airplane instead, which he also owned. The passenger reported that the pilot performed the preflight inspection on the airplane. Although he did not observe the pilot perform the inspection, he observed the pilot perform preflight inspections previously and he believed the pilot “performed thorough checks.” The passenger stated that shortly after takeoff, at an altitude of about 200 to 300 ft above the ground, the engine lost power. The passenger took over the flight controls and performed an emergency landing to a field near the departure airport. During the landing, the airplane impacted terrain and a post-crash fire ensued. Radar data indicated that the airplane departed runway 25 and turned to the left while climbing to about 155 ft above sea level (agl). The airplane then turned 90° to the right and started to descend until radar data was lost about 1,500 ft northwest of the departure end of the runway 25. The entire flight lasted less than one minute. A postaccident examination of the airplane revealed no catastrophic pre-impact mechanical anomalies; however, when the fuel manifold valve was disassembled, corrosion type debris was noted on the internal screen and liquid was observed within the fuel manifold valve cavity. Water finding paste was used to test the liquid and it was positive for water. A friend of the pilot’s flew the accident airplane on March 13, 2020 and March 26, 2020. During the preflight inspection of both flights, he noted substantial amounts of water in the fuel tanks and fuel system. He stated the fuel tank caps were older and known to leak and allow water into the fuel tanks. The pilot’s friend also stated that the pilot had ordered new fuel tank caps, but they were backordered at the time of the accident. He told the pilot not to fly the airplane until the new fuel tank caps were installed. An autopsy was performed on the pilot by the Office of the Sherriff-Coroner, Placer County, Auburn, California. The cause of death was multiple blunt force and thermal injures. The forensic pathologist reported that the pilot had marked abdominal aorta atherosclerosis and 75 to 90 percent calcific stenosis of portions of his left anterior descending coronary, left circumflex, and left main coronary arteries. Toxicology testing was performed on the pilot by the FAA Forensic Sciences Laboratory. The testing detected hydroxychloroquine in the pilot’s heart blood and urine. Hydroxychloroquine isindicated for use in rheumatoid arthritis, lupus, and malaria treatment. Patients are advised that serious cardiac side effects could occur including a fast or irregular heartbeat, lightheadedness, dizziness, or syncope. The non-impairing medication tamsulosin was also detected in the pilot’s heart blood and urine. The pilot reported taking hydroxychloroquine for a new medical diagnosis of inflammatory arthritis, on his most recent FAA third-class medical certificate, issued February 28, 2020.

Aircraft

Registration
N756TH
Reported as
Cessna TU206 (G)
Category
Airplane
Serial number
U20604340
Built
1978
Engine
Continental IO-520M, 310 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Destination
LHM · Lincoln Regional Airport, CA
Airport
AUN · Auburn Municipal Airport

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
72
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Unknown
Seat
Left
Toxicology
Performed
Flight hours
838 total

Weather

Conditions
Visual (VMC) · Day

Docket · 11

The files NTSB released with the investigation on May 25, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 9.0 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.