Aviation Accident Summaries

Aviation Accident Summary IAD05FA012

Paint Lick, KY, USA

Aircraft #1

N6539P

Cessna P210

Analysis

The single-engine airplane was in cruise flight at 19,000 feet when the pilot reported a loss of cabin pressurization, followed by a loss of engine oil pressure, and ultimately a total loss of engine power. With the assistance of air traffic control, the pilot was able to maneuver the airplane to a position over an airport, but was not able to successfully complete a forced landing due to a low cloud ceiling in the area. The wreckage was mostly consumed by a postcrash fire. Examination of the wreckage revealed the engine crankcase was breached, primarily above the number 5 and number 6 cylinders. A turbocharger wastegate hose that was realigned about 17 months earlier was found to have rubbed through. Staining on the turbocharger housing was consistent with the position of an oil leak from the hose; however, the quantity and rate at which the leak occurred could not be determined. The numbers 1 through 5 connecting rods and rod bearings exhibited thermal distress. The number 6 connecting rod and bearing did not, and according to the engine manufacturer, the bearing exhibited "no signs of cavitation, oil starvation, thermal distress, or hard particle embedment." Engine manufacturer correspondence stated that it was not uncommon for the number 6 connecting rod bearing to exhibit little or no damage after an oil starvation event. An examination of the number 6 connecting rod assembly revealed fatigue cracking; however, it was "high stress" fatigue cracking, suggesting that some other event occurred before the connecting rod fractured.

Factual Information

HISTORY OF FLIGHT On November 12, 2004, at 1147 eastern standard time, a Cessna P210, N6539P, was destroyed during a forced landing in Paint Lick, Kentucky. The certificated commercial pilot was fatally injured. Instrument meteorological conditions prevailed, and the airplane, which departed Talladega Municipal Airport (ASN), Talladega, Alabama, at 1003, was operating on an instrument flight rules flight plan to Port Columbus International Airport (CMH), Columbus, Ohio. The personal flight was conducted under 14 Code of Federal Regulations Part 91. According to combined Federal Aviation Administration (FAA) voice transcripts (with some punctuation added for clarity): At 1104, the pilot reported: "indianapolis center, centurion six five three niner papa checking in with you level flight level one niner zero," and the controller acknowledged the call. About 18 minutes later, the controller began issuing a change in routing. At 1127:09, the pilot reported: "and ah, center, centurion six five three niner papa, i got a little problem here," and the controller responded, "go ahead." The pilot then stated: "and six five three niner papa got an engine ah lost cabin pressure altitude, ah, failure, got to descend." The controller then cleared the pilot to descend to "one one thousand let me know if you need any more than that, london altimeter is ah, three zero zero niner." The pilot then responded with "one zero, ten thousand." At 1127:36, the controller asked: "november three niner papa, you say you're havin' engine trouble or just cabin pressure problem?" and the pilot responded: "...i've got engine trouble and cabin pressure problem." At 1127:44, the controller advised: "okay london airport is ah, at four o'clock and sixteen miles -- ah be the closest one there and just let me know what you want to do." The pilot then requested a vector to the airport, and the controller responded: "turn right to a heading of one four zero," which the pilot acknowledged. At 1128:09, the controller advised the pilot of the airport identifier, and at 1128:23, advised the pilot that the "weather at london is saying overcast at ah five hundred -- do you still wanna try to get there?" The pilot responded: "...stand by sir, i've got to, i've got to get oxygen on here, i'm" At 1129:46, the pilot stated: "okay six five three niner papa, i'm with you sir," and the controller responded: "...roger and ah, are you making any engine power at all?" At 1129:53, the pilot responded: "six five three niner papa, yes sir, showing manifold pressure of ah one five, fifteen inches sounds good, ah, i've got fuel flows of...one hundred pounds per hour. ah i think i probably lost the turbo charger, i've got really not a big difference in engine sound ah but um ah let me get a little lower here. ah can you give gimme that vector again please?" The controller responded that the pilot needed to turn to heading 150, and the airport was 17 miles away. The pilot acknowledged the heading, and stated: "we got oxygen on here." At 1130:24, the controller repeated that the ceiling was 500 feet, and that Bluegrass Airport was "six hundred feet so i'm not seeing anywhere closer that might be any better. At 1130:39, the pilot responded: "six five three niner papa, i will ah factor that in sir. i'm going to continue in the turn here and assess the situation and ah, i'll be calling you back here shortly." At 1130:49, the controller stated: "okay, just ah, let me know. there is some g-p-s approaches in to london. there is a v-o-r approach that comes in from the southwest," which the pilot acknowledged. At 1131:34, the pilot asked: "...could you look, ah, for some, ah better ah landing conditions ah, to the north?" At 1131:46, the controller responded that Louisville International Airport was 3,400 overcast, and that the heading would be 340 or 330, "and ah we'll get a mileage away from that if you want to start turning to a three three zero heading we'll get you a clearance to louisville international." At 1132:00, the pilot acknowledged: "...right turn to heading three three zero, just to keep you advised we're at seventeen inches of manifold pressure now at this lower altitude. looks like the turbo charger problem, engine seems healthy." At 1132:15, the pilot stated that he wanted to "conserve...altitude" and maintain 10,000 feet, and the controller cleared him to do so. At 1133:05, the controller cleared the pilot to Louisville, with a heading of 310 degrees, which the pilot acknowledged. The pilot then asked for the "designator" for Louisville, which the controller provided. At 1134:23, the pilot stated: "(unintelligible) the airport again," and the controller asked him to "say again please." At 1134:31, the pilot responded: "six five three niner papa, we're declaring an emergency. i've got low oil pressure. i need the closest airport." At 1134:36, the controller responded: "and november three niner papa, we've got madison airport at ah north, heading three six zero heading and ah, about ah --- one seven miles." The airport the controller was referring to was Madison County Airport (I39), Richmond, Kentucky. At 1134:46, the pilot responded: "six five three niner papa, we're we're settin' up for that -- and i'm gonna pull power here. i've got ah -- low as i said low oil pressure." At 1134:52, the controller stated: "november five three niner papa, roger, can you change frequency now? i can give you Lexington approach. that's in their airspace, they can help you out," and the pilot responded "six five three niner papa give it to me." At 1134:59, the controller advised the pilot to descend and maintain 4,000 feet, "you've got your emergency," and to contact Lexington approach on frequency 120.5, which the pilot acknowledged. During this timeframe, the Indianapolis Center and Lexington controllers coordinated the handoff and cleared the airspace. At 1135:27, the pilot stated: "lexington approach, centurion six five three niner papa with an emergency," and the controller responded: "november three niner papa, lexington approach, roger. lexington altimeter three zero one five. what approach do you want at richmond madison?" At 1135:36, the pilot answered: "i can't figure that out. give me the designator for this uh emergency landing airport." At 1135:44, the controller responded: "...the closest airport um in your vicinity is about one zero miles north of your position about one five miles north of your position richmond madison airport." There were then several calls between the pilot and the controller, confirming that the designator was india three nine. At 1136:24, the controller stated: "centurion uh three niner papa, at pilot's discretion, descend and maintain three thousand two hundred." At 1136:30, the pilot responded: "six five three niner papa p-d uh (unintelligible) i need some help here sir. i need these i need somebody to compute up for me a vertical descent profile to get me in. i'm about to lose my engine and uh i need somebody to be figuring out my current altitude and distance to the airport if you could please and give me a descent profile. i, i need to expect that i'm going to lose complete power here at any time. i'm at this point, i'm still maintaining a hundred and fifty knots on the airspeed ah but i'm going to have to try to level here to conserve that altitude and get my glideslope." At 1137:00, the controller stated: november three niner papa, roger, your position is one two miles south of the richmond madison airport and i'm showing you at one twelve thousand, three hundred feet, twelve thousand three hundred feet. At 1137:14, the pilot asked for the airport elevation, and at 1137:38, the controller reported it as 1,000 feet. At 1137:42, the pilot reported: "...three niner papa, we got engine failure in progress here. uh, okay, give me a vector sir." At 1137:47, the controller advised the pilot to fly heading 010 for the airport, which the pilot acknowledged, as well as, "we're setting up for maximum glide." At 1138:08, the controller asked for number of "souls on board," and the pilot responded "one." At 1138:15, the pilot stated: "the engine's coming apart sir." At 1138:28, the pilot stated: "sir, can i get somebody, i'm gonna get oil all over the windshield here. i need somebody to be giving me a vertical descent profile for this airport...," and the controller responded "november three niner papa you are five miles from the airport. you're still at uh ten thousand six hundred." At 1138:47, the pilot responded: "okay, six five three niner papa, i'm going to get over that (unintelligible) airport and circle down. i'm getting oil on the windshield," and the controller responded: "roger, i'll advise when you're over the airport sir." At 1138:57, the pilot controller asked: "...are you i-m-c?" and the pilot responded: "...no sir, but i'm about to be." At 1139:16, the controller stated: "november three niner papa, if uh able, you may be able to pick up an (unintelligible) interstate highway seventy five, just off to your right about one mile." At 1139:26, the pilot asked: "...how far to the airport sir?" and the controller responded that he was 4 miles to the south of it, at 9,800 feet. At 1139:35, the pilot stated: "continue the descent. i'm about to enter the cloud layer here. i'm going to be needing to make some ovals on east west headings uh, to uh, make this descent through the clouds. do you have a ceiling at that airport? can you give me anything about the weather there?" The controller responded: "...we'll see if we can get the awos weather for ya." At 1140:34, the pilot asked for the airport's radio frequency, which the controller provided. At 1141:21, the controller stated: "you're a half mile south of the airport now." At 1141:26, the pilot stated: "six five three niner papa, got total, complete engine failure, uh, and we're going to be setting up. i, i need some kind of a plan here for uh this descent in there. i'm showing seven thousand two hundred, uh, i'm gonna make a left turn here and uh, i'm right over the airport now." At 1141:48, the controller responded: november three niner papa, affirmative. you're directly over the airport and if you just circle uh, in that area for your descent i'm showing you at seven thousand two hundred." At 1141:57, the pilot asked: "six five three niner papa, did you get me a ceiling at that airport?" and the controller responded "we're working on it. they do not have a awos frequency we're, we'll try and call somebody over at the airport..." During that timeframe, controllers were making calls to attempt to get the pilot current weather conditions at Madison County Airport. At 1142:10, the pilot stated: "...appreciate that help sir, could you tell me about the terrain down there below the cloud deck?" and the controller responded that there were antennas about 5 miles to the south of the airport, but if the stayed directly above the airport, he should be fine there. At 1643:33, the pilot asked he was over mountainous terrain or relatively flat terrain, and the controller responded: "i believe it's fairly flat." At 1142:56, the controller stated: "...weather at bluegrass [airport] is six hundred overcast, visibility eight, and altimeter three zero one five," and the pilot responded: "...doesn't sound good." At 1143:12, the controller asked the pilot how much fuel he had onboard, and the pilot responded that he had 400 pounds. At 1143:29, the pilot requested the direction of the runway at Madison County, and the controller responded: "one eight and three six," which the pilot acknowledged. At 1144:20, a pilot from another airplane stated: "...the pilot in distress, there's an interstate going just east of that madison i-thirty nine airport. there's a big, long interstate going just east of that airport," and the controller responded: "thank you." At 1144:34, the other pilot stated: "probably not even a half a mile," then subsequently stated: "that interstate runs north south runs north south of the uh, parallel to the airport and the runway is also north and south." At 1144:59, the controller stated: " november three niner papa the uh, interstate there is uh runs along a north and south line too, if, uh, when you break out you don't have the airport its just a half mile east of the airport north south," and the pilot responded: "five three niner papa, gotcha." At 1145:19, the other pilot stated: "and the runway length is forty five hundred feet..." At 1146:19, the controller stated: "centurion three niner pap is uh on half mile west of the airport now and i show your altitude at two thousand six hundred. lexington altimeter three zero one five." At 1146:29, the pilot stated: "five three niner papa. yes sir, we're having a lot of difficulties maintaining control of the airplane at this and it's i-m-c..." At 1147:09, the controller stated: "centurion three niner pap is one mile west of the airport." At 1147:30, the controller stated: "centurion three niner papa, i show you now a mile south of the airport and equipment is standing by." At 1147:51, the controller stated: "centurion three niner papa, radar contact is lost." At 1147:54, the pilot stated: "five three niner." At 1147:58, the controller stated: "say again please," but there were no further transmissions from the airplane. A review of radar and transponder data revealed that the airplane's last recorded altitude, about 1 nautical mile southwest of the airport, was 1,800 feet, or about 800 feet over the terrain. The accident occurred during the hours of daylight, in the vicinity of 37 degrees, 37.11 minutes north latitude, 84 degrees, 21.82 minutes west longitude. AIRCRAFT INFORMATION The airplane was powered by a Teledyne Continental Motors (TCM) TSIO-520-P engine. According to airplane and engine maintenance logbooks, on June 20, 2003, at Van Bortel Aircraft, Inc., Arlington, Texas, all engine cylinders were removed due to low compression. The cylinders were reinstalled on the engine with new rings, piston pins, seals, valves and springs. In addition, the wastegate oil fitting o-rings were replaced. Time on the engine, since major overhaul, was listed as 952.0 hours. On July 1, 2004, a 100-hour inspection was performed, including an oil and filter change, and engine time listed in the logbook was 1,100.0 hours. PERSONNEL INFORMATION The pilot held a commercial certificate, with airplane single engine land, and instrument airplane ratings. On his latest FAA second class medical certificate application, dated September 19, 2003, the pilot reported 1,000 hours of total pilot flight time. The pilot's latest logbook was not recovered. METEOROLOGICAL INFORMATION Weather, reported at 1154, at Blue Grass Airport (LEX), Lexington, Kentucky, about 25 nautical miles to the northwest, included winds from 030 degrees true, at 11 knots, and overcast skies at 600 feet above the ground. The accident site elevation was about 20 feet higher than the Blue Grass Airport. WRECKAGE AND IMPACT INFORMATION The wreckage was located about 1 1/2 nautical miles southwest of Madison County Airport, in an area of rolling hills. The wreckage came to rest among several trees, and a separated transmission wire was draped over the airplane's left wing and fuselage. The airplane's fuselage, including all cockpit instruments, was mostly consumed by a postimpact fire. All flight control surfaces were accounted for at the scene. Actuator position correlated to a 5-degree flap setting, and 10-degrees tab down/nose up elevator trim. The main landing gear were up, the nose landing gear was separated from the airframe, and the fuel selector was off. The engine compartment and propeller were found separated from the fuselage. One of the two propeller blades was bent back, and neither blade exhibited leading edge nicks or chordwise scoring. The top of engine compartment was streaked with oil. Removal of the cowling revealed a 6-inch diameter hole in the top of the engine, b

Probable Cause and Findings

Improper alignment of a turbocharger oil line, which resulted in wear damage through the hose wall and a subsequent loss of engine oil. Contributing to the accident was the low cloud ceiling.

 

Source: NTSB Aviation Accident Database

Get all the details on your iPhone or iPad with:

Aviation Accidents App

In-Depth Access to Aviation Accident Reports