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NTSB Report
April 25, 1991 · Cessna P210 · N65M
Kansas City, MO
Overview
Report Status
Probable Cause
Event Type
Accident
Date
April 25, 1991
Injury Outcomes
1 injury (1 fatality)
Location
Kansas City, MO
Aircraft
Cessna P210
Tail Number
N65M
Operator
Cavu
Injuries
Fatal
Aircraft Damage
Destroyed
NTSB Number
CHI91FA140
THE AIRCRAFT HAD BEEN PREVIOUSLY OPERATED WITH THE TURBOCHARGER INOPERATIVE. WHEN THE PILOT SUSPECTED ANOTHER TURBOCHARGER PROBLEM HE INTENTIONALLY INITIATED A FLIGHT FOR THE PURPOSE OF HAVING MAINTENANCE DONE ON THE AIRCRAFT. AN IN FLIGHT FIRE ENSUED WHICH LOCALIZED IN THE WASTE GATE AREA. WHEN THE PILOT BECAME AWARE OF THE FIRE HE ATTEMPTED AN EMERGENCY LANDING IN UNSUITABLE TERRAIN. SUBSEQUENT INVESTIGATION REVEALED THAT TWO BOLTS WERE MISSING FROM THE WASTE GATE TO THE EXHAUST PIPE CONNECTION WHERE A FRACTURE OCCURED. HOT EXHAUST GASES IMPINGED ON THE NOSE WHEEL WELL WHERE FIRE PENETRATED THE WHEEL WELL AND EVENTUALLY BECAME FED BY PRESSURIZED HYDRAULIC FLUID.
NTSB Probable Cause
THE PILOT IN COMMAND'S INTENTIONAL FLIGHT WITH KNOWN MECHANICAL DEFICIENCIES IN THE AIRCRAFT WHICH RESULTED IN A FIRE & FORCED LANDING IN UNSUITABLE TERRAIN. A FACTOR CONTRIBUTING TO THE ACCIDENT WAS IMPROPER MAINTENANCE TO THE TURBOCHARGER WASTE GATE BY OTHER MAINTENANCE PERSONNEL.
Full Narrative
THE AIRCRAFT HAD BEEN PREVIOUSLY OPERATED WITH THE TURBOCHARGER INOPERATIVE. WHEN THE PILOT SUSPECTED ANOTHER TURBOCHARGER PROBLEM HE INTENTIONALLY INITIATED A FLIGHT FOR THE PURPOSE OF HAVING MAINTENANCE DONE ON THE AIRCRAFT. AN IN FLIGHT FIRE ENSUED WHICH LOCALIZED IN THE WASTE GATE AREA. WHEN THE PILOT BECAME AWARE OF THE FIRE HE ATTEMPTED AN EMERGENCY LANDING IN UNSUITABLE TERRAIN. SUBSEQUENT INVESTIGATION REVEALED THAT TWO BOLTS WERE MISSING FROM THE WASTE GATE TO THE EXHAUST PIPE CONNECTION WHERE A FRACTURE OCCURED. HOT EXHAUST GASES IMPINGED ON THE NOSE WHEEL WELL WHERE FIRE PENETRATED THE WHEEL WELL AND EVENTUALLY BECAME FED BY PRESSURIZED HYDRAULIC FLUID.
Flight
Event TypeAccident
Event Time16:25 CDT
Nearest Airport0nm N
Runway0
Flight Plan FiledNone
Aircraft FireIflt
Aircraft ExplosionIflt
Aircraft
AircraftCessna P210
Tail NumberN65M
Aircraft CategoryAir
DamageDestroyed
OperatorCavu
Operating RulePart 91
Engines1
Engine TypeReciprocating
Engine DetailsContinental · TSIO-520-P · Reciprocating · 310
Seats6
People & Injuries
Injury Summary1 injury (1 fatality)
Fatal1
Serious0
Minor0
Uninjured0
Total1
Crew 1Age 57 · Third Class
Conditions
ConditionsVMC
LightDaylight
Wind110° @ 10 kt
Visibility7 sm
CeilingOvercast 2200 ft
Temperature / Dew Point0 C / 0 C
Altimeter0
Observation Time21:30
Weather SourceWFAC