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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.

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NTSB Report

November 20, 1990 · Cessna 210M · N9139M

Fallbrook, CA

Overview

Report Status
Probable Cause
Event Type
Accident
Date
November 20, 1990
Injury Outcomes
1 injury (1 serious injury)
Location
Fallbrook, CA
Aircraft
Cessna 210M
Tail Number
N9139M
Operator
Self Enterprises
Injuries
Serious
Aircraft Damage
Destroyed
NTSB Number
LAX91LA035

A Cessna 210M lost engine power and collided with a pole after a forced landing on a city street. The engine crankcase was fractured and the #5 piston connecting rod had separated from the engine and was found along the wreckage path. Examination of the number 5 cylinder wall disclosed evidence of the area below the normal piston stroke being scraped by the piston rings. According to the metallurgic report, the piston's connecting rod failed due to a fatigue crack. The connecting rod was bent some time after initial engine operation. The bending that occurred to the No. 5 connecting rod is characteristic of a hyd lock condition where the piston is forced against incompressible fluids between the piston and cylinder head. No indication of metallurgical defect was observed in the connecting rod. Hardness readings on the connecting rod, which indicates the strength, conformed to material specifications. The maintenance records note that a major overhaul was accomplished 207.8 hours before the accident.

NTSB Probable Cause

THE FAILURE OF THE NUMBER 5 CYLINDER PISTON CONNECTING ROD DUE TO BENDING AND SUBSEQUENT FATIGUE FRACTURE. CONTRIBUTING TO THE ACCIDENT WAS THE IMPROPER STARTING PROCEDURE ACCOMPLISHED BY AN UNIDENTIFIED PERSON WHICH RESULTED IN EXCESSIVE FUEL IN THE CYLINDER RESULTING IN A HYDRAULIC LOCK WITHIN THE NUMBER 5 CYLINDER.

Full Narrative

A CESSNA 210M LOST ENG POWER AND COLLIDED WITH A POLE AFTER A FORCED LANDING ON A CITY STREET. THE ENGINE CRANKCASE WAS FRACTURED AND THE #5 PISTON CONNECTING ROD HAD SEPARATED FROM THE ENG AND WAS FOUND ALONG THE WRECKAGE PATH. EXAM OF THE NUMBER 5 CYLINDER WALL DISCLOSED EVIDENCE OF THE AREA BELOW THE NORMAL PISTON STROKE BEING SCRAPED BY THE PISTON RINGS. ACCORDING TO THE METALLURGIC REPORT, THE PISTON'S CONNECTING ROD FAILED DUE TO A FATIGUE CRACK. THE CONNECTING ROD WAS BENT SOME TIME AFTER INITIAL ENG OPERATION. THE BENDING THAT OCCURRED TO THE NO. 5 CONNECTING ROD IS CHARACTERISTIC OF AN HYD LOCK CONDITION WHERE THE PISTON IS FORCED AGAINST INCOMPRESSIBLE FLUIDS BETWEEN THE PISTON AND CYLINDER HEAD. NO INDICATION OF METALLURGICAL DEFECT WAS OBSERVED IN THE CONNECTING ROD. HARDNESS READINGS ON THE CONNECTING ROD, WHICH INDICATES THE STRENGTH, CONFORMED TO MATERIAL SPECIFICATIONS. THE MAINTENANCE RECORDS NOTE THAT A MAJOR OVERHAUL WAS ACCOMPLISHED 207.8 HOURS BEFORE THE ACCIDENT.

Flight

Event TypeAccident
Event Time12:00 PST
Nearest Airport0nm N
Runway0
Runway Length0
Runway Width0
Flight Plan FiledNone
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftCessna 210M
Tail NumberN9139M
Aircraft CategoryAir
DamageDestroyed
OperatorSelf Enterprises
Operating RulePart 91
Engines1
Engine TypeReciprocating
Engine DetailsContinental · IO-520L · Reciprocating · 300

People & Injuries

Injury Summary1 injury (1 serious injury)
Fatal0
Serious1
Minor0
Uninjured0
Total1
Crew 1Age 44 · Third Class

Conditions

ConditionsVMC
LightDaylight
WindCalm
CeilingNone
Temperature / Dew Point0 C / 0 C
Altimeter0
Weather SourceWIT

Appendix: Source Data