WPR21LA131

NTSB accident investigation · Cessna T210M · Leadore, ID · March 15, 2021

Accident · No injuriesClass 3 · LimitedFinal report
Date
March 15, 2021, 10:30 local (16:30 UTC)
Place
Leadore, ID
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N886KHCessna T210M
Defining event
Landing-landing roll: Runway excursion
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Western Pacific Region
Parties
FAA
FAA report
20210315000959A
Case key
102758

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

The pilot’s failure to attain the proper touchdown point on a graveled surfaced runway with insufficient landing performance and subsequent loss of control during the landing roll.

Findings · 6

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.

Landing gear system: landing gear brakes systemAircraft › Aircraft systems · Incorrect use/operationCessna T210M: 1 caseAll aircraft: 92 casesProbable cause
Performance/control parameters: surface speed/brakingAircraft › Aircraft oper/perf/capability · Capability exceededCessna T210M: 1 caseAll aircraft: 238 casesProbable cause
Performance/control parameters: directional controlAircraft › Aircraft oper/perf/capability · Not attained/maintainedCessna T210M: 5 casesAll aircraft: 3,958 casesProbable cause
Airport facilities/design: runway/landing area conditionEnvironmental issues › Operating environment · Effect on equipmentCessna T210M: 2 casesAll aircraft: 61 cases
Use of equip/info: use of equip/systemPersonnel issues › Task performance · PilotCessna T210M: 3 casesAll 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 circled the runway to determine the wind direction and examine the runway surface conditions. The runway surface consisted of deteriorated asphalt and gravel. The pilot reportedly touched down 1/3 the way down the runway and experienced a lack of braking effectiveness. He then pushed the brake pedal to the floor as he neared the end of the runway. The airplane exited the runway near the departure end, continued across the airport property, and impacted a small berm before coming to rest near a building. The first identifiable marks on the runway were skid marks that began 2,600 ft down the 3,500 ft long runway and continued off the runway. Tire marks continued over the rough terrain, over the berm and through a barbed wire fence before where the airplane came to rest. It is likely that the airplane’s brakes were not effective due to the deteriorated asphalt and gravel on the runway surface. Also, it is likely that the pilot applied an abundance of pressure due to the lack of runway remaining, preventing the proper braking for the runway surface condition. During the postaccident examination the right main landing gear brake line was separated near the caliper and line fitting. The line was examined and determined that the fracture surfaces were consistent with an overstress fracture. It likely that the line was damaged during the accident sequence. The pilot’s decision to land long on a gravel runway likely resulted in an inability to maintain control of the airplane during the landing roll.

Factual narrative

On March 15, 2021, about 1030 mountain daylight time, a Cessna T210M airplane, N886KH, was substantially damaged when it was involved in an accident near Leadore, Idaho. The pilot and passenger were not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. In a written statement, the pilot described the flight to Leadore Airport (U00), Leadore, Idaho, as smooth and uneventful. After arriving over the airport, the pilot circled runway to determine the wind direction for landing and examine the airport runway surface conditions. After the airplane landed on runway 29, the pilot applied brake pressure. According to local law enforcement, the pilot reportedly landed about 1/3 of the length down the runway at an airspeed of about 80 knots. Shortly after the pilot’s application of brake pressure, he realized the “brakes were not effective” and that he needed to apply more pressure during the landing roll. The airplane subsequently veered to the right, exiting the runway near the departure end. The airplane continued across the airport property impacting a small berm and came to rest near a building. The elevation at U00 is 6,029 ft mean sea level (msl) and runway 29 is a 3,500 ft long “rough”-surfaced runway. Accident site photos revealed that the approach end of runway had freshly mowed bunchgrass, while the remaining runway was covered in deteriorated asphalt and gravel. The first identifiable contact with the runway surface was a set of marks consistent with skidding tires, about 2,600 ft from the approach end of the runway, with about 900 ft of runway remaining. The skid marks continued off the runway and traveled through low sagebrush, impacting a small berm, through a barbed wire fence with metal poles, and ended near the main wreckage. The main wreckage was found about 420 ft from the departure end of the runway. The right main landing gear brake line near the wheel brake assembly was bent downward and separated from the caliper’s B-nut fitting. The horizontal stabilizers and elevators had substantial damage and the left main landing gear collapsed. The flaps were set to about 30°. A postaccident examination of the airplane’s brake system was conducted. The brake pedals were activated and showed no pressure and some residual brake fluid in the system. The right main landing gear brake hydraulic line was separated near the caliper and line fitting. Examination of the separated hydraulic line fracture surfaces were consistent with an overstress fracture. No other anomalies were noted. The Pilot’s Operating Handbook contained landing distance information for a dry, paved surface runway. Investigators calculated the airplane’s landing performance based on ambient temperature, calm wind, zero runway slope, an airplane maximum weight, 6,000 ft msl and flaps at 30°. Estimated landing distance over a 50 ft obstacle and ground roll were 1,710 and 905 ft, respectively.

Aircraft

Registration
N886KH
Reported as
Cessna T210M
Category
Airplane
Serial number
21061727
Built
1977
Airframe hours
1,436
Engine
Continental Motors TSIO-550-R, 310 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Lexi Air LLC
Registered owner
Lexi Air LLC
Airworthiness certificate
None
Last inspection
100 hour · September 18, 2020 · 28 hours before
Departed
BOI · Boise, ID
Destination
Same as departure
Airport
U00 · Leadore, runway 11/29, 3,500 × 140 ft, asphalt

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
34
Injuries
None
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
March 29, 2021
Seat
Left
Flight hours
4,950 total · 90 in this make and model · 3,017 as pilot in command · 64 in the last 90 days · 55 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
36 °F, dew point 28 °F
Altimeter
29.85 inHg
Observed at
SMN, 35 nm away

Docket · 7

The files NTSB released with the investigation on April 5, 2023, on NTSB’s docket system: statements, records, photos and specialists’ reports. 7.7 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.