N9663X

Substantial
Minor

CESSNA 210BS/N: 21057963

Accident Details

Date
Wednesday, August 30, 2023
NTSB Number
CEN23LA388
Location
Wichita, KS
Event ID
20230830192968
Coordinates
37.649952, -97.433043
Aircraft Damage
Substantial
Highest Injury
Minor
Fatalities
0
Serious Injuries
0
Minor Injuries
3
Uninjured
0
Total Aboard
3

Probable Cause and Findings

Loss of engine power for reasons that could not be determined.

Aircraft Information

Registration
N9663X
Make
CESSNA
Serial Number
21057963
Engine Type
Reciprocating
Year Built
1962
Model / ICAO
210BC210
Aircraft Type
Fixed Wing Single Engine
No. of Engines
1

Registered Owner (Historical)

Name
SALE REPORTED
Address
PO BOX 1862
Status
Deregistered
City
MONTROSE
State / Zip Code
CO 81402-1862
Country
United States

Analysis

On August 30, 2023, about 1314 central daylight time, a Cessna 210B airplane, N9663X, sustained substantial damage when it was involved in an accident near the Wichita Dwight D Eisenhower International Airport (ICT), Wichita, Kansas. The pilot, flight instructor, and passenger received minor injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 instructional flight.

The flight instructor and private pilot receiving instruction both reported that they twice attempted to depart previously but that each time, the pretakeoff engine run-up revealed engine roughness during the magneto checks. Both times, they returned the airplane to a maintenance facility for diagnosis. Ultimately, one of the engine’s spark plugs was replaced, and the subsequent pretakeoff engine checks were satisfactory. The final engine run-up was performed near the maintenance hangar where the work was performed and was followed by a long taxi to the takeoff runway.

The flight instructor and the pilot reported that, during the accident takeoff, as the airplane was climbing through about 150 ft agl, the ICT tower air traffic controller advised them that he saw smoke coming from the airplane. About that time, the airplane’s engine lost all power, and the flight instructor executed a forced landing to a field north of the runway. During the landing, the airplane struck a ditch, and the nose landing gear and left main landing gear separated from the airplane. The airplane sustained substantial damage to the fuselage, both wings, and horizontal stabilizer.

Postaccident examinations revealed no evidence of a fire or any external oil leakage. All of the top spark plugs were removed from the engine and exhibited a dry, black, sooty appearance consistent with an overly rich fuel mixture. The engine contained 4 quarts of oil. The total oil sump capacity was 12 quarts with a specified minimum operating capacity of 9 quarts.

A fuel line fitting that extended from the engine driven fuel pump to the mixture valve was loose and moved freely when slight finger pressure was applied. Blue staining was evident at the fitting location. The fuel injection mixture control valve screen contained substantial debris and fibers. Fuel sumped during the examination was blue in color and clean. The main fuel strainer contained a slight amount of debris.

Both magnetos exhibited spark on all leads when actuated. Engine compression was observed when the engine was rotated through and engine controls were continuous from the cabin outboard to the engine.

The outer portion of the propeller blades were bent aft about 45 degrees. Neither blade exhibited S bending, or leading edge damage. The cambered side of each blade exhibited polishing where the blade was bent.

The airplane was equipped with a fuel flow transducer that was mounted to a bracket on the firewall in a horizontal position with its wires facing up. The location of the transducer placed it in the fuel system upstream of the engine-driven fuel pump. The transducer was connected to flexible fuel lines that were unsupported.

According to the maintenance records for the airplane, the transducer was initially installed on August 3, 2022, but relocated on March 21, 2023, during the airplane’s most recent annual inspection. The records stated that the relocation was performed in accordance with STC SA02594SE revision M.

Review of the STC indicated that the installation was to be completed in accordance with Dynon Avionic System Installation Manual, Document Number 103261-000, Revision M, dated January 19, 2022, or later FAA-approved revision. The fuel flow transducer installation section of Revision S of this installation manual stated the following:

• Do not install the fuel flow transducer, hoses, and fittings near exhaust system or turbocharger. Excessive heat can damage fuel system components.

• Do not install 90° fittings (elbows) on the input or output of the fuel flow transducer. Doing so will cause turbulence in the fuel flow which causes inaccurate fuel flow data.

• Install the fuel flow transducer with the three wires pointed UP.

• Install a fuel filter UPSTREAM of the fuel flow transducer to screen out debris.

• For best measuring performance, the fuel should travel uphill by 1 to 2 inches (2.54-5.08 cm) after leaving the fuel flow transducer.

• Placement of the fuel flow transducer is dependent upon other components in the fuel system lek fuel pumps is left to the builder. It is common to place the sensor downstream of any auxiliary electric boost pumps but upstream of the engine driven fuel pump.

A review of the installation manual from the transducer manufacturer revealed the following:

“If the aircraft has a fuel pump(s), the flow transducer MUST be installed downstream of the last fuel pump. Installing the transducer upstream of the fuel pump(s) can cause vapor lock and jumpy inaccurate readings.”

The manual further stated that the fuel flow transducer:

“…should not be installed with the wires pointing DOWN (the best situation is with wires pointing UP). Also, the fuel line on the outlet port should not drop down after exiting the transducer. Both of these configurations can trap bubbles in the transducer causing jumpy readings. The inlet port, outlet port and flow direction are marked on the top of the…[transducer]. This transducer must be suspended between flexible hoses on the inlet and exiting ports. The hoses must be supported within 6 inches of the transducer.”

Postaccident functional testing of the fuel pump, fuel control unit, and fuel transducer on a calibrated flow bench did not reveal any deficiencies. The contaminated fuel screen was installed during the functional testing.

The pilot, who was a part owner of the airplane, stated that other pilots of the airplane told him that the fuel pressure indication could be jumpy at times and would go to red line during takeoff. The reported erratic indication could not be replicated during postaccident examination and testing.

Data Source

Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# CEN23LA388