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Aviation safety reports, made easier to study

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NTSB Report

May 8, 1997 · Cessna T210 · N7398M

Winona, MN

Overview

Report Status
Final with probable cause
Event Type
Incident
Date
May 8, 1997
Injury Outcomes
No injuries (1 uninjured)
Location
Winona, MN
Aircraft
Cessna T210
Tail Number
N7398M
Injuries
None
NTSB Number
CHI97IA127

The pilot reported that while flying at 8,000 feet msl, about a half hour into the flight, the engine missed then ran normal again. The engine power then decreased to 20 inches of manifold pressure. He stated he informed Air Traffic Control of the situation and requested the nearest airport which was 8 miles away. The pilot attempted to re-establish engine power to no avail. The pilot was able to reach the airport and the engine lost all power while on final approach. The pilot made an uneventful forced landing on the runway. Inspection of the engine revealed that the wrong pistons were installed in the engine. The pistons should have been part number 648044 (compression ratio of 7 to 1). The pistons found installed in the engine were part number 648045 (compression ratio of 8.5 to 1). The engine was overhauled on July 30, 1996.

NTSB Probable Cause

Loss of engine power due to improper maintenance installation.

Full Narrative

On May 8, 1997, at 0714 central daylight time, a Cessna 210, N7398M, operated as Prompt Air Flight 752, sustained a total loss of engine power during cruise flight near Winona, Minnesota. The commercial rated pilot conducted a forced landing at the Max Conrad Airport, Winona, Minnesota, without further incident. The pilot was not injured. The airplane was not damaged. The 14 CFR part 135, unscheduled air taxi flight departed Milwaukee, Wisconsin, at 0550 with a planned destination of Minneapolis, Minnesota. Visual meteorological conditions prevailed and an IFR flight plan was filed. The pilot reported that while flying at 8,000 feet mean sea level, about a half hour into the flight, the engine missed then ran normal again. He reported the oil pressure was at the bottom of the green arc, the oil temperature was running high, but still in the green arc, and the cylinder head temperature was high, but also still in the green arc. He stated the engine then lost partial power with the manifold pressure dropping to around 20 inches. He stated he informed air traffic control of the situation and requested the nearest airport which was the Winona Max Conrad Airport, 8 miles away. The pilot stated he turned toward the airport and established the best glide speed. He stated he applied full mixture, put on the fuel pump, switched fuel tanks, and tried switching magnetos to no avail. The pilot stated he pulled out the emergency checklist and used the restart and engine securing procedures. Air traffic control then instructed him to contact the unicom frequency at which time he stated he had the airport in sight. He stated he lowered the gear and flaps, and on short final the engine lost all power. The pilot landed the airplane on runway 29 without incident. The airplane was equipped with a Continental TSIO-520-R engine, s/n 517445. The engine was removed from the airplane and shipped to Teledyne Continental Motors, Mobile, Alabama, for a teardown inspection. The teardown inspection revealed that the wrong pistons were installed in the engine. The pistons should have been part number 648044 (compression ratio of 7 to 1). The pistons found installed in the engine were part number 648045 (compression ratio of 8.5 to 1). See teardown inspection reports for further details. The engine was overhauled on July 30, 1996, by G & N Aircraft, Griffith, Indiana. The last inspection on the engine was a 100 hour inspection on May 2, 1997 (6 days prior to the accident) at which time the engine had 736.6 hours since the overhaul.

Flight

Event TypeIncident
Event Time07:14 CDT
Nearest AirportMax Conrad Field (0nm)
Runway29
Runway Length5199 ft
Runway Width100 ft
Flight Plan FiledIFR
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftCessna T210
Tail NumberN7398M
Aircraft CategoryAir
Operating RulePart 135
Engines1
Engine TypeReciprocating
Engine DetailsContinental · TSIO-502-R · Reciprocating · 310
Seats2

People & Injuries

Injury SummaryNo injuries (1 uninjured)
Fatal0
Serious0
Minor0
Uninjured1
Total1
Crew 1Age 28 · First Class

Conditions

ConditionsVMC
LightDawn
Wind290° @ 7 kt
Visibility6 sm
CeilingBroken clouds 1500 ft
Temperature / Dew Point0 C / 0 C
Altimeter0
Weather SourcePILO

Appendix: Source Data