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Aviation safety reports, made easier to study

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NTSB Report

November 30, 1996 · Cessna T210N · N4788C

Scottsdale, AZ

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
November 30, 1996
Injury Outcomes
5 injuries (5 serious injuries)
Location
Scottsdale, AZ
Aircraft
Cessna T210N
Tail Number
N4788C
Operator
Scottsdale Flyers
Injuries
Serious
Aircraft Damage
Destroyed
NTSB Number
LAX97LA058

While the airplane was climbing after departure, the engine lost power, then the pilot made a forced landing, and the airplane was damaged. Postaccident examination of the engine revealed that the piston in the #2 cylinder had failed. The #2 piston crown was severely eroded over 80 percent of the piston circumference. Erosion, scoring, and metal transfer was evident on the piston skirts. Before removal of the #2 cylinder, heat discoloration was noted on the cylinder base. A report from the engine manufacturer stated that the failure was due to detonation/preignition. The entire fuel system, both magnetos, and the turbo controller were functionally tested at the respective manufacturer's facilities. All of the components met the FAA approved test data.

NTSB Probable Cause

detonation/pre-ignition for unknown reason(s), which resulted in failure of the number two piston, loss of engine power, and a subsequent forced landing on rough/uneven desert terrain.

Full Narrative

On November 30, 1996, at 0934 hours mountain standard time, a Cessna T210N, N4788C, was substantially damaged during a forced landing following a loss of power upon departure from Scottsdale, Arizona. The pilot and four passengers received serious injuries. Visual meteorological conditions prevailed for the personal cross-country flight and an IFR flight plan was filed. The flight was en route to San Diego, California. Postaccident examination of the engine revealed that the number 2 piston exhibited detonation/preignition damage with upper ring land failure and heavy piston scoring, erosion, and metal transfer to the piston skirt. A burn hole was observed through a piston ring groove into the interior of the piston. The top rings were fragmented. The lower ring was intact, but seized in its groove. The top edge of the piston crown was melted and eroded away over 80 percent of the piston circumference. The piston was shipped to the engine manufacturer for examination and analysis under the supervision of the FAA MIDO inspector. According to the report, the failure was caused by detonation/preignition due to undetermined causes. The report also listed some possible causes of this type of event. Both of the engine driven magnetos were shipped to the manufacturer's facility at Atlanta, Georgia. Functional testing and teardown examination was conducted under the supervision of the FAA MIDO inspector. According to the report, all installed parts were appropriate part numbers and in proper condition and adjustment. The magnetos were functional tested to the FAA approved TCM data. Both magnetos meet the test specifications of the data. The turbo controller was hand carried by a Safety Board investigator to the Allied Signal turbo division at Torrance, California, for functional testing. According to the test results the controller met the manufacturer's FAA approved test data. The engine fuel system was removed and shipped to the manufacturer, Continental Motors. The examination and functional testing was supervised by the FAA MIDO inspector. Some of the "O" ring seals had dried out from storage without fuel. The examination revealed that they exhibited the ability to flow fuel and appeared to be capable of functioning properly on the engine's fuel system. The items that were functional tested met the manufacturers specifications. According to a dictionary of aeronautical terms, detonation (a reciprocating engine condition) is an uncontrolled explosion inside the cylinder of a reciprocating engine. Detonation occurs when the pressure and temperature inside the cylinder become higher than the critical pressure and temperature of the fuel. The pressure rise inside the cylinder caused by the fast moving flame front can heat and compress the unburned fuel-air mixture enough for it to explode, or release it's energy almost instantaneously. Detonation releases the energy faster than the engine can accept it, and the engine is likely to be damaged. Preignition (reciprocating engine malfunction) is ignition of the fuel-air mixture inside the cylinder of an engine before the normal spark occurs. Preignition can be caused by an incandescent piece of carbon or by any other sharp edge or point inside the cylinder that gets red-hot.

Flight

Event TypeAccident
Event Time09:34 MST
Nearest Airport0nm
Runway0
Flight Plan FiledIFR
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftCessna T210N
Tail NumberN4788C
Aircraft CategoryAir
DamageDestroyed
OperatorScottsdale Flyers
Operating RulePart 91
Engines1
Engine TypeReciprocating
Engine DetailsContinental · TSIO-520-R · Reciprocating · 310
Seats6

People & Injuries

Injury Summary5 injuries (5 serious injuries)
Fatal0
Serious5
Minor0
Uninjured0
Total5
Crew 1Age 52 · First Class

Conditions

ConditionsVMC
LightDaylight
Wind170° @ 4 kt
Visibility60 sm
CeilingNone
Temperature / Dew Point0 C / 0 C
Altimeter30.00 inHg
Observation Time08:45
Weather SourceWFAC

Appendix: Source Data