N126P

Substantial
Serious

CESSNA 310NS/N: 310N-0127

Accident Details

Date
Friday, September 9, 2016
NTSB Number
WPR16FA176
Location
Wickenburg, AZ
Event ID
20160909X21758
Coordinates
33.965831, -112.813056
Aircraft Damage
Substantial
Highest Injury
Serious
Fatalities
0
Serious Injuries
4
Minor Injuries
0
Uninjured
0
Total Aboard
4

Probable Cause and Findings

Total loss of power to the right engine during takeoff due to a fuel contaminant, which blocked the fuel flow transducer and resulted in fuel starvation to the engine.

Aircraft Information

Registration
N126P
Make
CESSNA
Serial Number
310N-0127
Engine Type
Reciprocating
Year Built
1968
Model / ICAO
310NC310
Aircraft Type
Fixed Wing Multi Engine
No. of Engines
2

Registered Owner (Historical)

Name
GAGLIANO LINDA R TRUSTEE
Address
2695 W PINTO PL
Status
Deregistered
City
WICKENBURG
State / Zip Code
AZ 85390-1024
Country
United States

Analysis

HISTORY OF FLIGHTOn September 9, 2016, about 0700 mountain standard time, a Cessna 310N, N126P, struck a refuse transfer trailer shortly after takeoff from Wickenburg Municipal Airport, Wickenburg, Arizona. The airline transport pilot and three passengers were seriously injured, and the airplane sustained substantial damage. The twin-engine airplane was registered to and operated by the pilot under the provisions of 14 Code of Federal Regulations Part 91. The personal flight departed Wickenburg with a planned destination of Payson, Arizona. Visual meteorological conditions prevailed, and no flight plan had been filed.

Witnesses reported observing the airplane takeoff from runway 23, and veer to the right of centerline shortly after rotation. Having reached an altitude of about 75 ft above ground level, the airplane did not climb, and crossed over the runway verge and towards an adjacent industrial park. A witness stated that a few seconds later, the airplane rolled almost 90o to the right, and the right wing struck the refuse trailer. The right wing separated from the airframe, and the main fuselage came to rest about 75 ft downrange. The airplane came to rest within the confines of the City Sanitation Department, about 2,200 ft beyond the runway departure threshold, and about 30o right of its centerline.

The pilot and passengers sustained multiple serious injuries, and were initially treated and stabilized at the accident site by first response personnel. Due to the nature of their injuries, they were unable to recall the circumstances of the accident. PERSONNEL INFORMATIONThe pilot held an airline transport pilot certificate with ratings for airplane multiengine land. He also held an instructor rating for airplane single-engine land, along with type ratings for the B-727, B-757, B-767, DC3, and N-265. He held an airframe and powerplant mechanic certificate with inspection authorization.

The pilot's last flight review took place in March 2014, he also reported practicing single-engine procedures in the accident airplane during July 2016. AIRCRAFT INFORMATIONThe airplane was manufactured in 1968, and had been owned and maintained by the pilot since 1985. It was equipped with two six-cylinder, fuel injected, Continental Motors IO-470 series engines. The right engine had been overhauled and installed in 1986, and had accrued 690.9 flight hours at the last annual inspection on July 6, 2016. The left engine was overhauled and installed in a Cessna 310N airplane in 1978, and removed and installed on the accident airplane in 1988. It had accrued 1,268.7 flight hours at the last annual inspection. METEOROLOGICAL INFORMATIONArea winds were out of the northwest at 5 knots, with an altimeter setting at 29. 93 inches of mercury, and a temperature and dewpoint of 25° C and 16° C respectively. The corresponding density altitude for field elevation was about 4,200 ft. AIRPORT INFORMATIONThe airplane was manufactured in 1968, and had been owned and maintained by the pilot since 1985. It was equipped with two six-cylinder, fuel injected, Continental Motors IO-470 series engines. The right engine had been overhauled and installed in 1986, and had accrued 690.9 flight hours at the last annual inspection on July 6, 2016. The left engine was overhauled and installed in a Cessna 310N airplane in 1978, and removed and installed on the accident airplane in 1988. It had accrued 1,268.7 flight hours at the last annual inspection. MEDICAL AND PATHOLOGICAL INFORMATIONToxicological tests on specimens recovered from the pilot after he was admitted to the hospital were performed by the FAA Bioaeronautical Sciences Research Laboratory. Analysis revealed negative findings for ethanol and all screened drug substances except Etomidate, which is an anesthetic agent often used in emergency treatment. TESTS AND RESEARCHExamination of the engine control quadrant at the accident site revealed that both mixture controls were in the full rich position, the propeller controls were 1-inch short of full forward, and the throttle controls had bent to the right and over the quadrant about midrange. Both the flap actuator and landing gear assemblies were in positions consistent with retraction.

Left Engine

The left engine had partially separated from the firewall during the impact sequence, sustaining damage to the throttle body and rocker covers, and exposing the valve springs and rocker assemblies for all cylinders except number 4. The propeller blades and hub assembly remained attached to the crankshaft. Both blades exhibited a 15o bend about 12 inches from the hub, along with multiple nicks and chordwise scratches to their leading edges.

The fuel lines along with both the engine and propeller controls were intact, and the spark plug electrodes exhibited normal service life wear signatures, and dark grey coloration. The magneto-to-engine timing was correct, and "thumb" compression was confirmed at all cylinders, along with drive train continuity to all valves and accessories. The fuel lines from the metering unit through to the fuel flow transducer and the fuel manifold valve were free of obstruction, and the internal impellor of the transducer could be heard spinning when low-pressure air was applied to the inlet.

Disassembly of the fuel manifold valve, engine driven fuel pump, and throttle body metering unit revealed no mechanical anomalies, and residual fuel was observed within the cavity of the manifold valve. The fuel inlet screen was found clear and free from obstructions. During disassembly of the metering unit, debris was observed on the spring side of the mixture control cam. The debris appeared to be a combination of dried grease and ferrous material.

Right Engine

The right engine sustained similar impact damage, with the propeller hub assembly remaining attached to the crankshaft. Both blades had detached from the hub, and both were straight, with neither exhibiting any damage signatures associated with rotation such as leading edge nicks or chordwise scratches. Both blades displayed blue streak marks, similar in color to the paint on the refuse trailer which was struck during impact.

The engine exhibited comparable magneto-to-engine timing, cylinder compression, and spark plug characteristics as the left engine. Disassembly of the fuel manifold valve, engine driven fuel pump, and throttle body metering unit revealed no mechanical anomalies. However, about 1/8 of one side of the surface of the throttle body inlet screen was covered in lint material, and the fuel injector nozzle for cylinder 3 was partially occluded and coated with a solid glaze. No fuel was observed within the cavity of the manifold valve or the fuel line between the fuel flow transducer and the fuel manifold valve.

Disassembly of the fuel lines revealed that a clear gelatinous substance had completely blocked the fuel flow transducer inlet port (metering orifice) (Photo 1). The material was removed, and had a slimy wet texture. After one hour of exposure to air, the material had hardened and took on a texture similar to room-temperature-vulcanization (RTV) silicone. Six fragments were recovered, which, after drying for 24 hours, ranged in size from 1 to 3 mm. Further examination of the fuel manifold valve revealed a similar fragment of the material within the manifold cavity on the pre-filtered side of its screen.

Photo 1 - Fuel Flow Transducer Inlet Port

Fuel System

The airplane was equipped with a 20-gallon auxiliary fuel tank in each wing, and a 50-gallon main tank at each wingtip. The auxiliary tanks fed the system through gravity, and an electrically driven submerged fuel pump was housed in each tip tank for use during priming and starting, and for backup operation to the engine-driven fuel pump.

Each wing housed a combination fuel selector valve/strainer, which was controlled by a selector lever in the cabin via a set of cables. The mesh size of the strainer was 104 microns. The fuel flowed from the strainer to the engine driven fuel pump, and onward to the inlet port of the fuel metering unit, which was protected by a 210-micron mesh filter. Downstream of the metering unit, the fuel passed through the fuel flow transducer, and into the fuel manifold valve, which contained a 210-micron mesh filter.

Maintenance records revealed that a Shadin 910502 fuel flow indicating system was installed in 1982, in accordance with supplemental type certificate SA573GL and SE552GL. The fuel flow transducer installed at the time of the accident was a FloScan 201 series (p/n 680501), which according to the engine logbook, had been installed in 1995 as a replacement for the original unit.

The transducer inlet and outlet ports used 1/4-inch NPT threads, and the inlet metering orifice was about 0.115 inches (2.92mm) in diameter.

Both outboard tip tanks had been breached, exposing their inner surfaces. No debris was observed within the tanks. The auxiliary tanks were intact, and no debris was observed when examined through the respective fuel filler necks.

The airframe and engine fuel lines, filter plugs, fittings, and gaskets were examined to determine if RTV sealant material had been used as a sealing medium. No traces of such material were observed. Additionally, the fuel lines within the engine compartment were stiff, almost brittle, and exhibited significant chaffing damage. The owner stated that he had never used RTV silicon to seal any components within the fuel system.

Data provided by Continental Engines indicated that the fuel pressure from the engine driven fuel pump to the metering unit was between 28.8 and 31.0 psi when the engine was operating at 2,625 RPM, and 6.5 to 7.5 psi at 600 RPM. The metered fuel pressure at 2,625 RPM varies between 17.8 and 18.8 psi.

Material Examination

The rubber-like material was sent to the NTSB Materials Laboratory Division for analysis using a Fourier Transform Infrared spectrometer. The results revealed spectral peaks...

Data Source

Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# WPR16FA176