Pilot Debrief

CESSNA P210N near West Memphis, AR — 2014-10-15

Final reportCEN15LA015
Sign in to save
Date
2014-10-15
Location
West Memphis, AR, USA
Airport
AWM
Aircraft
CESSNA P210N
Registration
N731QV
Category
Airplane
Highest injury
None
Fatalities
0
Phase of flight
Initial climb

Probable cause

A catastrophic engine failure due to an oil starvation event for reasons that could not be determined based on the available evidence.

NTSB narrative

Shortly after takeoff, the manifold pressure dropped. The private pilot then turned the airplane back to the airport. He saw smoke coming from under the engine cowl, and the engine stopped producing power while the airplane was on short final and about 800 ft above ground level. The airplane impacted power lines before landing in a grassy area short of the runway. Holes were observed in the top of the engine crankcase. Disassembly of the engine revealed all the crankshaft's connecting rod journals and connecting rods displayed signs of thermal distress and discoloration associated with engine operation without sufficient oil. All six cylinder bays exhibited mechanical damage consistent with an oil starvation event. The engine and component examinations did not identify any anomalies that would have precipitated an oil starvation event and subsequent engine failure. The No. 2 piston was fractured into numerous pieces. The area adjacent to the broken connecting rod displayed surface coloration and oxide formation consistent with exposure to very high temperatures. The engine had experienced a previous "hydraulic lock" event about 1 1/2 years before the accident, but it could not be determined if damage sustained during that event caused the catastrophic failure of the No. 2 piston.

Analysis

Primary failure mode
Engine power loss
First missed decision gate
Pilot could have aborted takeoff after initial engine anomalies were observed.

NTSB coding

Evidence available

  • FDR / data
  • Photos
  • 9 docket documents
View NTSB final reportView NTSB docket

Docket documents9

Related mishaps