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February 16, 1999 · Hughes 369D · CGDCM

Baggs, WY

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
February 16, 1999
Injury Outcomes
1 injury (1 serious injury)
Location
Baggs, WY
Aircraft
Hughes 369D
Tail Number
CGDCM
Injuries
Serious
Aircraft Damage
Substantial
NTSB Number
DEN99LA040

The helicopter was conducting a seismic survey operation at 200 to 250 feet agl at 40 knots when the engine's automatic re-ignition system caution light illuminated, followed by an immediate loss of main rotor rpm. The pilot unsuccessfully attempted to perform an autorotation, and the aircraft impacted the ground. A postaccident examination of the turboshaft engine was performed, revealing that the PC line 'B' nut between the fuel control unit (FCU) and the power turbine governor (PTG) was not connected at the FCU, resulting in a loss of engine pneumatic pressure. According to aircraft maintenance records, the turbine section of the engine was removed by company maintenance and replaced with a rental turbine. The PC line and various pneumatic and fuel system lines had been removed to facilitate removal and replacement of the engine's turbine section. The helicopter had flown 6.1 hours since the turbine was replaced.

NTSB Probable Cause

A hard landing resulting from rotor rpm decay. Factors were the improper replacement of the turbine by company maintenance personnel resulting in the PC line nut becoming loose, and the pilot operating outside the normal height/velocity curve.

Full Narrative

On February 15, 1999, approximately 1715 mountain standard time, a Hughes 369D, C-GDCM, operated by Peace Helicopters of Edmonton, Alberta, Canada, was substantially damaged after impacting terrain following a loss of engine power while maneuvering nears Baggs, Wyoming. The Canadian registered commercial pilot, the sole occupant aboard, was seriously injured. The aircraft was being operated under Title 14 CFR Part 91, and a company VFR flight plan was filed. The flight originated from a local staging area approximately 10 minutes before the accident. Visual meteorological conditions prevailed. According to the pilot, the flight was being conducted as a seismic survey operation, and he was repositioning supplies for ground team members with a long line hook up. While flying at 200 to 250 feet above the ground (agl) at approximately 40 knots airspeed, the pilot observed that the engine's automatic re-ignition system caution light had illuminated, followed by an immediate loss of main rotor rpm. The helicopter yawed to the left, followed by a sudden turbine deceleration. The pilot stated that he attempted to perform an autorotation, but was unsuccessful due to the helicopter's low altitude and airspeed. The aircraft impacted the ground, causing structural distortion to the underside of the fuselage due to landing gear overload fractures, and damaging the upper fuselage due to the downward flexing of the tail boom. The elapsed time between first engine warning and impact with the ground was approximately 4 to 5 seconds. A postaccident examination of the turboshaft engine was performed by the FAA, with the assistance of engineering representatives from Rolls-Royce Allison and the Boeing Company. The inspection revealed that the PC line "B" nut between the fuel control unit (FCU) and the power turbine governor (PTG) was not connected at the FCU. The nut had completely backed off the threads of the fitting, resulting in a loss of engine pneumatic pressure. All additional oil and fuel lines were intact. During the investigation, air at 40 psi was supplied to the system, revealing the PC line leak. When the PC line fitting was connected and torqued, air was again supplied to the system. No additional leaks were observed. According to aircraft maintenance records supplied by the operator, the turbine section of the engine was removed by company maintenance personnel on February 12, 1999, and replaced with a rental turbine. The PC line and various pneumatic and fuel system lines had been removed to facilitate removal and replacement of the engine's turbine section. The helicopter had flown 6.1 flight hours since the installation which occurred 3 days prior to the accident.

Flight

Event TypeAccident
Event Time17:15 MST
Nearest Airport0nm
Runway0
Flight Plan FiledCvfr
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftHughes 369D
Tail NumberCGDCM
Aircraft CategoryHeli
DamageSubstantial
Operating RulePart 91
Engines1
Engine TypeTurboshaft
Engine DetailsAllison · 250-C20B · Turboshaft · 425
Seats4

People & Injuries

Injury Summary1 injury (1 serious injury)
Fatal0
Serious1
Minor0
Uninjured0
Total1
Crew 1Age 31 · First Class

Conditions

ConditionsVMC
LightDaylight
Wind250° @ 15 kt
Visibility40 sm
CeilingBroken clouds 2500 ft
Temperature / Dew Point32 C / 19 C
Altimeter30.00 inHg
Observation Time22:59
Weather SourceWFAC

Appendix: Source Data