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Accidents · NTSB ERA12LA164 · Final report

Cessna T210M accident near Clearwater, Florida, January 28, 2012

On January 28, 2012 at about 7:08 pm local time, a Cessna T210M, registered N761HW, was substantially damaged in an accident during initial climb near Clearwater, Florida (St. Petersburg-Clearwater Intl airport). It was a personal flight under general aviation rules (Part 91). 1 person had minor injuries. The weather was visual conditions (good weather).

The NTSB's probable cause their words, unchanged

The total loss of engine power due to fuel starvation for reasons that could not be determined because postaccident testing of the engine did not reveal any malfunctions or failures that would preclude normal operation. Contributing to the accident was the pilot’s improper in-flight fuel management following the loss of engine power.

Source: NTSB aviation accident database, copy made November 2, 2026. Docket and reports at the NTSB.

What the record shows

Date
January 28, 2012 · about 7:08 pm local time · cases in 2012
Place
Clearwater, Florida · St. Petersburg-Clearwater Intl · cases near this airport · map
Type
Accident
Injuries
1 person had minor injuries.
Weather
visual conditions (good weather)
Aircraft
Cessna T210M · all T210Ms on the register
Registration
N761HW · no longer on the register · serial 21062279
Damage
Substantial damage
Flight
Personal flight · general aviation rules (Part 91)

The NTSB's narrative final · quoted from the NTSB record

The pilot stated that, during the preflight inspection, he did not visually inspect the fuel tanks or use an available dipstick to determine the fuel quantity. Rather, he relied on the fuel quantity gauges, which indicated the left wing tank had slightly more than 1/2 capacity or about 25 gallons, and the right wing tank had slightly more than 1/3 capacity or about 15 gallons. During the takeoff roll, with the fuel selector positioned to the right tank, the pilot noted the fuel flow reading was satisfactory. After takeoff, the pilot turned left to a west-southwesterly heading and applied rudder trim to center the ball of the turn coordinator, reporting that the flight was uncoordinated for about 10 seconds during the left turn. According to the airplane’s GPS and engine data monitor, while continuing in the west-southwesterly direction and climbing, the pilot reduced the fuel flow from about 41 gallons-per-hour (GPH) to 36 GPH. About 1 minute 18 seconds after takeoff, the fuel flow decreased to 16 GPH and was the same value at the next recorded data point 6 seconds later. The fuel flow then decreased to 0 GPH, increased to 31 GPH, and again decreased to 0 GPH. When the airplane was about 1,600 feet mean sea level, the engine lost power. The pilot turned both auxiliary fuel pump switches on for 2 seconds in an attempt to restore engine power but was not successful. He stated that he did not move the fuel selector. The pilot did not report performing any other actions to restore engine power. He declared an emergency and initiated a right descending turn toward the departure airport while the recorded fuel flow was about 1 GPH. After completion of the right descending turn while flying in a southeasterly direction, the fuel flow increased though engine power was not restored. The pilot turned to the right to maneuver the airplane for a forced landing and during that time the fuel flow again decreased, consistent with fuel starvation. While maneuvering, the left wing collided with a tree followed by the right wingtip contacting the ground. The pilot rolled the airplane to a wings-level attitude and it impacted the ground, resulting in damage to the right 1-gallon reservoir tank. The airplane slid about 110 yards before coming to rest upright. Witnesses and fire department personnel noted fuel leaking due to a cracked fuel line from the right reservoir tank. Any fuel remaining in the right main tank would leak due to this breach in the airplane’s gravity-fed fuel supply system. The amount of fuel leakage could not be determined. Twenty-nine gallons of fuel were drained from the left tank. According to Federal Aviation Administration documentation, the airplane’s engine was installed about 2 months before the accident, in accordance with the applicable supplemental type certificate (STC). During postaccident testing, the engine operated normally when configured to simulate the configuration of the airplane. Although the 41 GPH fuel flow recorded by the engine data monitor before the engine lost power is about 4 GPH greater than the maximum specified in the flight manual supplement pertaining to the STC, flight and ground-based testing of different airplanes equipped with the same engine model with the same engine limitations indicated that excessive fuel flow did not result in the loss of engine power. Therefore, it is unlikely that the excessive fuel flow recorded on the accident flight contributed to the loss of engine power. Review of maintenance records for the accident airplane indicated that it did not have a service kit that was announced via an airplane manufacturer service information letter, nor was it required to. The service kit made available the installation of fuel lines from each reservoir tank to each respective wing tank for excess fuel/vapor return. Because rapid fluctuating fuel flow did not occur during the accident flight, vapor lock is not considered to be a factor in the accident. Based on the available fuel flow data, the engine lost power most likely due to fuel starvation. The reason for the fuel starvation could not be determined because postaccident testing of the engine did not reveal any malfunctions or failures that would preclude normal operation. The pilot operating handbook (POH) cautions that fuel starvation can result if uncoordinated flight occurs for more than 1 minute with a fuel tank that is 1/4 full or less. Although the reported conditions of the accident flight (uncoordinated turn for about 10 seconds with a fuel tank about 1/3 full) do not correspond exactly to the POH guidance, the exact amount of fuel in the right tank could not be determined and it is possible that it was less than 1/3 full. The pilot’s initiation of the flight with the fuel selector positioned to a tank with a lesser quantity of fuel, as indicated by the fuel quantity gauge, and his failure to change the fuel selector following the loss of engine power contradicted procedures in the POH and Federal Aviation Administration-approved airplane flight manual. If the pilot had repositioned the fuel selector to the left tank following the power loss, he would likely have been able to restore engine power.

The complete narrative as the NTSB published it. The NTSB's docket holds the report as a PDF and any photographs, statements and other documents from the investigation.

The factual record from the NTSB's investigation tables, in plain English

What happened, in order

  1. Loss of engine power (total) during initial climb defining event
  2. Collision with terrain or object (not controlled flight into terrain) during emergency descent

The NTSB's findings

  • cause Not determined › Not determined › (general) › (general) › Unknown/Not determined
  • factor Personnel issues › Task performance › Use of equip/info › Use of equip/system › Pilot
  • factor Aircraft › Aircraft power plant › Engine fuel and control › (general) › Incorrect use/operation other cases naming the engine

Pilot

  • Certificate: private
  • Ratings: multi-engine land; single-engine land; single-engine sea; instrument: airplane
  • Flight time: 1,756 hours in all; 1,376 in this make and model
  • Last flight review: September 2, 2010
  • Medical certificate: Class 3 (with waivers/limitations)
  • Seat: left
  • Injury: minor injuries

The aircraft

  • Airframe total time: 3,185 hours
  • Last inspection: annual inspection, June 11, 2011
  • Maximum gross weight: 4,000 lb
  • Seats: 4
  • Landing gear: retractable
  • Engine: Cont Motor IO-550-P6B (piston); 0 hours total
  • Operator: Pinnacle Sales LLC

The flight

  • Departed from: PIE Clearwater FL at 7:03 pm
  • Destination: PIE Clearwater FL
  • Flight plan: none

Weather at the time

  • Light: daylight
  • Wind: from 310° at 9 knots
  • Visibility: 10 statute miles
  • Sky: clear
  • Temperature: 68°F (20°C), dew point 48°F (9°C)
  • Altimeter: 30.13 inHg
  • Observation at 6:53 pm from PIE, 2 miles away

Injuries

FatalSeriousMinorNone
Flight crew1

Documents from the investigation the NTSB's docket: the evidence folder behind the report

35 documents, released by the NTSB on August 8, 2013. View them here, or download them; the NTSB redacts some personal details before release, and this site shows the NTSB's own titles rather than its file names.

#DocumentWhat it is
1 Pilot/operator Aircraft Accident Report, NTSB Form 6120.1 PDF, 7 pages View Download
2 GPS 17 - Specialist's Factual Report PDF, 8 pages View Download
3 GPS 17 - Attachment 1 Tabular Data data file Download
4 Witness Statement PDF, 1 page View Download
5 Weather Reports and Records PDF, 1 page View Download
6 FAA Inspector Statements PDF, 4 pages View Download
7 Reports from Parties to the Investigation-continental Motors, Inc. PDF, 12 pages View Download
8 Record of NTSB Conversation with Pilot-in-command PDF, 6 pages View Download
9 Excerpts from Airplane Type Certificate Data Sheet PDF, 10 pages View Download
10 Excerpts from Civil Aeronautics Manual (Cam) 3, Pertaining to Fuel System Design. PDF, 3 pages View Download
11 FAA Supplemental Type Certificate (STC) for Engine Installation PDF, 1 page View Download
12 FAA 337 Form Showing Installation of IO-550-P6B Engine in Accordance with Supplemental Type Certificate SA02918CH. PDF, 2 pages View Download
13 Maintenance Record Entries Regarding Engine and Propeller Installation PDF, 1 page View Download
14 E-mail from St. Petersburg-clearwater International Airport Operations Supervisor Regarding Fuel Leakage from the Right Header Tank. PDF, 1 page View Download
15 Invoice and Description of Work Performed by Cams, Inc. PDF, 6 pages View Download
16 E-mail from Airplane Owner Advising of Errors of Jpi Depicted Tachometer Readings and Also Error of the Analog Fuel Flow (Pressure) Gauge PDF, 1 page View Download
17 Excerpts from FAA Approved Airplane Flight Manual Supplement for Engine and Propeller Installation PDF, 10 pages View Download
18 Submission by Pilot-in-command PDF, 11 pages View Download
19 Fuel System Illustration PDF, 1 page View Download
20 FAA 337 Form for Installation of Jpi EDM 830 PDF, 2 pages View Download
21 Excerpts from Pilot's Operating Handbook PDF, 15 pages View Download
22 E-mail Approval from Owner of N4888C to Perform Ground Based Testing of His Airplane and Engine PDF, 2 pages View Download
23 Excel File with Jpi Recorded Data from December 1, 2011 data file Download
24 Excel File with Jpi Recorded Data from the Accident Flight data file Download
25 Fueling Record PDF, 1 page View Download
26 Statement from FAA Inspector Who Witnessed Ground Based Testing of N4888C PDF, 3 pages View Download
27 Document Depicting Header Tank Location. Captions Provided by Cessna Aircraft Company. PDF, 2 pages View Download
28 Statement of Party Representatives to NTSB Investigation PDF, 16 pages View Download
29 Release of Aircraft Wreckage, NTSB Form 6120.15 PDF, 4 pages View Download
30 Photo 1: Digital Photograph Provided by Pilot-in-command. View of the Airplane at the Accident Site. Note the Location of Absorbant Material on the Ground to Contain Fuel Leak from Right Header Tank. PDF, 1 page View Download
31 Photo 2: Digital Photograph Provided by the Pilot Reportedly Taken 8 Days After the Accident, Depicting the Brown and Green Vegetation Around the Absorbant Material. PDF, 1 page View Download
32 Photo 3: Digital Photograph Provided by Cams, Inc. View Depicts the Right Side of the Instrument Panel and the Manifold Pressure/fuel Flow (Pressure) Gauge. PDF, 1 page View Download
33 Photo 4: Digital Photograph Provided by the STC Holder. View Depicting the Correct Faceplate Markings of the Fuel Flow (Pressure) Gauge. PDF, 1 page View Download
34 Photo 5: Digitial Photograph Provided by FAA. View Depicting Damage to the Right Reservoir Tank. PDF, 1 page View Download
35 Photo 6: Digitial Photograph Provided by FAA. View Depicting Damage to the Aluminum Fuel Line Between Right Reservoir Tank and Fuel Selector Valve. PDF, 1 page View Download

The same docket at the NTSB · documents without a copy here are fetched from the NTSB when you open them.

Connections how this case links to the rest of the register

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The whole map of how records connect · these connections as data: /graph/accident/ERA12LA164.json.

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Everything on this page comes from the NTSB's public records. The narrative, probable cause and findings are the NTSB's own words; the coded tables behind the report are written out in plain English, with pilots' ages, home towns and medical details left out. The documents and photographs are the NTSB's docket, shown as the NTSB released them. This site's own text does not name anyone involved, its policy at this time. A preliminary report can change; the final report usually follows one to two years later, and the page is refreshed when it does.