WPR22LA248

NTSB accident investigation · Cessna T210R · Stanley, ID · July 7, 2022

Accident · No injuriesClass 3 · LimitedFinal report
Date
July 7, 2022, 14:40 local (20:40 UTC)
Place
Stanley, ID
Injuries
4 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N6353UCessna T210R
Defining event
Landing-landing roll: Loss of control on ground
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
20220707007289A
Case key
105459

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 pilot’s failure to provide adequate braking during a tailwind landing, which resulted in a runway excursion.

Findings · 4

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.

Wind: crosswindEnvironmental issues › Conditions/weather/phenomena · Effect on equipmentCessna T210R: 1 caseAll aircraft: 1,008 cases
Wind: tailwindEnvironmental issues › Conditions/weather/phenomena · Effect on equipmentCessna T210R: 2 casesAll aircraft: 594 cases
Use of equip/infoPersonnel issues › Task performance · PilotCessna T210R: 1 caseAll aircraft: 111 casesProbable cause
Landing gear system: brakeAircraft › Aircraft systems · Incorrect use/operationCessna T210R: 1 caseAll aircraft: 297 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 stated that after an uneventful flight he decided to land to the south. He was unable to maintain a stable approach and performed a go-around immediately after touching down. He then made an approach to land to the north. The airplane touched down about 1/3 down the runway with about a 5-knot tailwind. With about 2,300 feet of runway remaining, the pilot immediately applied heavy braking and retracted the wing flaps. The brakes did not respond, and he attempted to rapidly depress and release (pump) them several times. Despite his attempts, the brakes did not function adequately, and he was unable to stop the airplane. The airplane continued off the end of the runway, went down a hill, and collided with trees. A postaccident examination of the brake system revealed no evidence of pre-impact mechanical malfunction or failure. There were no skid marks on the runway surface or flat spots on the tire. There were no signs of hydraulic leaks, and the brake master cylinder had adequate fluid. The right brake was non-operational due to damage to the brake line at the caliper as a result of it striking rocks at the runway's end; the left brake operated normally.

Factual narrative

On July 07, 2022, about 1440 Mountain daylight time, a Cessna T210R, N6353U, was substantially damaged when it was involved in an accident near Stanley, Idaho. The pilot and three passengers were not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 135 on-demand air taxi flight. The pilot stated that after an uneventful flight he entered the proximity of the destination airport about 1,500 ft above ground level. He noted that the airport’s north windsock indicated a direct crosswind, and the south windsock indicated the wind was from the southwest at 10-15 mph. He decided to land on runway 17 and maneuvered the airplane to enter the downwind leg of the traffic pattern around midfield. During the landing phase, he was unable to maintain a stable approach and performed a go-around immediately after touching down. He then made an approach to runway 35 and touched down on the runway surface just past the south windsock (located about 1/3 down the runway). With about 2,300 ft of runway remaining, the pilot immediately applied heavy braking and retracted the wing flaps. The brakes did not respond, and he attempted to rapidly depress and release them (pump) several times. Despite his attempts, the brakes did not function, and he was unable to stop the airplane. The airplane continued off the end of the runway, went down a hill, and collided with trees. The airplane had undergone an annual inspection on July 01, 2022, or 6 days before the accident. Since that maintenance, he had flown the airplane on three flights. Investigators from the Federal Aviation Administration responded to the accident site. One stated there was no evidence of skid marks on the runway and no flat spots on the tires. Their examination of the brake system revealed no signs of hydraulic leaks and the brake master cylinder was approximately two-thirds full. The right brake was non-operational due to damage to the brake line at the caliper as a result of it striking rocks at the runway's end. The left brake appeared to function correctly. The inspectors physically engaged the brakes by pressing the pedals with their feet. One inspector stated that while the brakes weren't exceptionally firm, it was a common characteristic in this make and model airplane. A weather station located 12 miles east of the airport recorded that at the time of the accident, the wind was from the southwest at 8 knots, equating to a tailwind of about 5 knots. The pilot reported the wind was from the southwest at 10-15 knots.

Aircraft

Registration
N6353U
Reported as
Cessna T210R
Category
Airplane
Serial number
21064941
Built
1985
Airframe hours
4,875.6
Engine
Continental Motors TSIO520-CEIF, 325 hp, reciprocating
Damage
Substantial damage
Flight
Other work use · Part 135
Operator
Sawtooth Aviation
Registered owner
Shine Robert M DBA
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 1, 2022 · 5.8 hours before
Departed
BOI · Boise, ID
Destination
Same as departure
Flight plan
Company VFR
Airport
2U7 · Stanley, runway 35, 4,300 × 150 ft, asphalt
Equipment
ADS-B, Auto-pilot

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
79
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Helicopter
Medical
Class 2, Without waivers/limitations
Seat
Left
Restraint
3-point
Flight hours
6,664 total · 4,880 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
225° at 8 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
85 °F, dew point 48 °F
Altimeter
30.20 inHg
Observed at
KIDSTANL12, 12 nm away
METAR
METAR KBOI 062253Z 31011KT 10SM CLR 32/04 A2982 RMK AO2 SLP068 T03220044=

Docket · 4

The files NTSB released with the investigation on May 9, 2024, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.5 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.