Premium research interface

The modern interface for aviation safety intelligence.

Search investigations, review source evidence, monitor watched reports, and trace long-term patterns from one calm, data-first workspace.

63k+
Reports indexed
1940-2026
Coverage
Recent
Last data refresh
Featured Report

Loading…

Loading featured report…

Loading…
Open Report

Safety trends by operating rule

Track fatal and non-fatal accident patterns across Part 91, Part 135, and Part 121 operations.

Loading trend charts…

Browse the aviation graph

Move quickly by aircraft, airport, operator, and time with indexes built for research, not wandering.

Last Data Update

By Decade

By Month

Aircraft Manufacturer

More manufacturers

Airports

More airports

Operators

More operators

About

Aviation safety reports, made easier to study

NTSB Reports is an independent research and search tool for public aviation accident and incident records. It brings NTSB aviation reports, structured fields, docket files, extracted figures, photos, videos, and update history into one searchable interface.

The goal is practical safety education: make it faster to find relevant investigations, compare similar events, review factual records, and understand the evidence behind probable-cause and preliminary reports.

The investigative work and source records belong to the National Transportation Safety Board and the published investigation record. This site is not affiliated with or endorsed by the NTSB.

FAQs

NTSB Report

August 20, 1999 · Cessna T210L · N5378V

Byron, CA

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
August 20, 1999
Injury Outcomes
No injuries (6 uninjured)
Location
Byron, CA
Aircraft
Cessna T210L
Tail Number
N5378V
Injuries
None
Aircraft Damage
Substantial
NTSB Number
LAX99LA277

The pilot said the aircraft was in level cruise at 6,500 feet msl when the engine suddenly quit without warning. The pilot switched fuel tanks and turned on the electric boost pump, which restored fuel flow on the gage, but the engine did not restart. Coincident with the loss of power, the pilot heard a 'pop' sound come from the engine compartment. The pilot selected an open field and continued to attempt a restart as he prepared for the off-airport landing. The aircraft touched down in the field and rolled some distance before the nose gear collapsed. During the teardown inspection of the engine, all cylinder bases and through bolt studs exhibited evidence of oil leakage. During removal of the cylinders, all through bolt and cylinder hold down stud nuts were loose enough to break torque with one hand using a short open-end wrench. Removal of the cylinders revealed fretted cylinder bases and pads. Separation of the case halves revealed fretting on all cylinder pads and bearing saddle-parting surfaces, with more fretting observed on the No. 2 main bearing saddle surfaces. The No. 2 main bearing was fragmented and found in the oil sump, with erosion and smearing evident to the bearing saddle. The crankshaft was fractured across the No. 3 short cheek, with heavy scoring evident to the Nos. 2 and 3 main journals. Review of the maintenance records disclosed that cylinders 1, 2, 4, 5, and 6 were replaced on March 24, 1997, 232 hours prior to the accident.

NTSB Probable Cause

The failure of the operator's maintenance personnel to properly torque the cylinder and engine case through bolts during the replacement of five cylinders, which led to the spinning of the No. 2 main bearing and the resultant oil starvation induced catastrophic internal engine failure.

Full Narrative

On August 19, 1999, at 1905 hours Pacific daylight time, a Cessna T210L, N5378V, sustained substantial damage during a forced landing near Byron, California. The forced landing was precipitated by a total loss of engine power during cruise. The aircraft was owned and operated by Auburn Flying Service of Auburn, California, as an on-demand nonscheduled passenger flight under the provisions of 14 CFR Part 135 of the Federal Aviation Regulations. The commercial pilot and five passengers were not injured. The flight originated at the Pine Mountain Lake airport, Groveland, California, and was en route to Concord, California. In a telephone interview on the night of the accident, the pilot said the aircraft was in level cruise at 6,500 feet msl when the engine suddenly quit without warning. The pilot switched fuel tanks and turned on the electric boost pump, which restored fuel flow on the gage, but the engine did not restart. Coincident with the loss of power, the pilot heard a "pop" sound come from the engine compartment. The pilot selected an open field and continued to attempt a restart as he prepared for the off-airport landing. The aircraft touched down in the field and rolled some distance before the nose gear collapsed. During retrieval of the aircraft, an initial assessment of the engine was made. The crankshaft was rotated but no corresponding movement was observed in the vacuum pump drive or magnetos. Very weak compression with crankcase blow-by was noted for the No. 6 cylinder. The mechanic who performed the assessment noted that there was an odd feeling in the crankshaft as it was rotated though the No. 6 cylinder compression stroke. The Continental TSIO-520-HCR engine, serial number 506459, was disassembled for internal examination on August 30, 1999, under the supervision of an Federal Aviation Administration (FAA) Airworthiness Inspector from the Oakland, California, Flight Standards District Office. A complete report of the teardown inspection is appended to this report. External examination disclosed that the crankshaft could only be rotated through about 45 degrees, with no corresponding movement in the accessory gear section. The lower forward cylinder hold down stud for the No. 3 cylinder was broken. The outer end, with nut still attached, was found on the lower cylinder baffle, and the fracture surface displayed semicircular beach markings evident to the naked eye. All cylinder bases and through bolt studs exhibited evidence of oil leakage. During removal of the cylinders, all through bolt and cylinder hold down stud nuts were loose enough to break torque with one hand using a short open-end wrench. A large amount of metal particles were found in the oil sump, which contained 10 quarts of oil. Removal of the cylinders revealed fretted cylinder bases and pads. Orange silicone sealant was found on the cylinder bases and the stud threads. Separation of the case halves revealed fretting on all cylinder pads and bearing saddle-parting surfaces, with more fretting observed on the No. 2 main bearing saddle surfaces. The No. 2 main bearing was fragmented and found in the oil sump, with erosion and smearing evident to the bearing saddle. The crankshaft was fractured across the No. 3 short cheek, with heavy scoring evident to the Nos. 2 and 3 main journals. Review of the maintenance records disclosed that cylinders 1, 2, 4, 5, and 6 were replaced on March 24, 1997, 232 hours prior to the accident.

Flight

Event TypeAccident
Event Time19:05 PDT
Nearest Airport0nm
Runway0
Flight Plan FiledCvfr
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftCessna T210L
Tail NumberN5378V
Aircraft CategoryAir
DamageSubstantial
Operating RulePart 135
Engines1
Engine TypeReciprocating
Engine DetailsContinental · TSIO-520-HCR · Reciprocating · 310
Seats6

People & Injuries

Injury SummaryNo injuries (6 uninjured)
Fatal0
Serious0
Minor0
Uninjured6
Total6
Crew 1Age 53 · Second Class

Conditions

ConditionsVMC
LightDaylight
Wind300° @ 10 kt
Visibility10 sm
CeilingNone
Temperature / Dew Point0 C
Altimeter29.00 inHg
Observation Time02:22
Weather SourceWFAC

Appendix: Source Data