ACFT EQUIP PROB -- PLT BECAME DISORIENTED UNDER THE EFFECTS OF CARBON MONOXIDE POISONING.

Date: 1995-04 · Aircraft: Cessna 210 Centurion / Turbo Centurion 210C; 210D

Anomalies: aircraft-equipment-problem-critical|inflight-event-encounter-other-unknown|other-unspecified

Synopsis

ACFT EQUIP PROB -- PLT BECAME DISORIENTED UNDER THE EFFECTS OF CARBON MONOXIDE POISONING.

Narrative

WHAT OCCURRED AT THIS POINT IS UNCLR. IN MY MEMORY; I REMEMBER NOT BEING ABLE TO FIND THE APCH PLATES; EVEN THOUGH THEY WERE ON THE FLOOR BESIDE ME. I HAD BOTH AN APCH CERTIFIED GPS; RNAV AND MOVING MAP AND YET I WAS CONFUSED AS TO WHERE I WAS GOING. I ADVISED CTR THAT I WOULD TURN TOWARD THE ARPT WHEN I COULD SET MY GPS AND TAKE SOME TIME TO SORT OUT WHERE I WAS. I TRIED 3 TIMES TO SET KMVN INTO THE GPS IN THE ROUGH AIR -- EVEN THOUGH BOTH IT AND THE MOVING MAP OFFERED A 'KAREST' FUNCTION -- WHICH I NEVER THOUGHT TO USE. I WAS CLRLY CONFUSED AS TO WHAT TO DO AND PANIC BEGAN TO SET IN. I ADVISED ATC THAT I WAS GOING TO PROCEED GPS DIRECT TO THE ARPT AND I BELIEVED THAT I COULD OBTAIN A VISUAL; CANCEL IFR AND PROCEED VFR; IF THAT DIDN'T WORK I'D GO TO PLAN B. DURING THIS EXCHANGE A COMMUTER WAS HELD FROM DEP. FORTUNATELY AT 2800 FT MSL; I WAS ABLE TO ACQUIRE THE ARPT VISUALLY AT 10 O'CLOCK AND 3 MI AND COMPLETE THIS APCH VISUALLY. I WAS COMPLETELY CONFUSED AND TEMPORARILY WASN'T THINKING CLRLY. I COULD HAVE COMPLETED A FULL VOR APCH. I HAD BOTH A GPS APPROVED RECEIVER AND APCH PLATES; BUT I COULDN'T SEEM TO TUNE THE GPS; MUCH LESS THINK THROUGH WHAT WAS HAPPENING. UPON LNDG; I DISCOVERED MY CARBON MONOXIDE DETECTOR WAS JET BLACK. I NOW SUSPECT THAT I MAY HAVE BEEN SUFFERING DISORIENTATION AS A RESULT OF CARBON MONOXIDE EXPOSURE. MY ACFT IS SUBJECT TO AN EXHAUST CHK AT EACH 50 HRS; AND I AM JUST AT THAT POINT WITH THIS FLT FOR A RECHK. IF THAT IS NOT THE CAUSE; THEN I AM BAFFLED. I DID SUFFER DIZZINESS AND MILD DISORIENTATION DURING THE FLT; WHICH I THOUGH MIGHT BE BECAUSE I MISSED BREAKFAST. JUST PRIOR TO THE INCIDENT; I HAD ENCOUNTERED UNEXPECTED SLEET; ICING AND MODERATE TO SEVERE TURB; PERHAPS ALL THAT COMBINED TO OVERWHELM ME. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: THIS IS A CLASSIC CASE OF CARBON MONOXIDE POISONING. THE DETECTOR IN THE ACFT WAS BLACK; INDICATING CARBON MONOXIDE PRESENCE AND THE EFFECTS ON THE PLT WERE SYMPTOMATIC. THE RPTR SAID THAT HE FELT EXTREME FATIGUE; CONFUSION; IRRITABILITY AND INABILITY TO CONCENTRATE OR TO EVEN COMPLETE THE SIMPLE TASKS. HIS ACFT; A CESSNA TURBO 210; HAS SEVERAL NOTICES REGARDING CARBON MONOXIDE LEAKS IN THE HEATER SYS. THIS HEATER FITS AROUND THE EXHAUST SHROUD. THE LCL FBO CHKED THE ACFT FOR CARBON MONOXIDE LEAKAGE; BUT NONE WAS FOUND. THE PLT SUSPECTS THAT THE TURB HE WAS EXPERIENCING AT THE TIME MAY HAVE CAUSED SOME OF THE FLEXIBLE DUCT JOINTS TO OPEN ALLOWING CARBON MONOXIDE TO BE INGESTED INTO THE CABIN AIR HEATER. THE PLT IS GOING TO HAVE MORE EXTENSIVE TESTS PERFORMED. HE HAS NOW RECOVERED FROM THE FATIGUE AND NAUSEA THAT HE EXPERIENCED THAT DAY.

Source: NASA Aviation Safety Reporting System (public domain). Reports are voluntary submissions and are not verified by NASA.