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NTSB Report

April 14, 1996 · Hughes 369D · N519BH

Yerington, NV

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
April 14, 1996
Injury Outcomes
No injuries (3 uninjured)
Location
Yerington, NV
Aircraft
Hughes 369D
Tail Number
N519BH
Injuries
None
Aircraft Damage
Substantial
NTSB Number
LAX96LA168

The pilot experienced a total loss of engine power while cruising between 200 and 300 feet above ground level and at an airspeed of 100 knots. The pilot reported that the engine noise resembled the same whining as if it were in a shut down mode. The pilot entered an autorotation and landed in an open field approximately 0.5 miles from his airstrip. The accident site examination revealed that the helicopter had touched down with forward speed and made depressions in the soft ground over a distance of 25 to 30 feet. The helicopter rolled onto its side and a main rotor blade severed the tail boom. Tail rotor blade and drive shaft components separated from the helicopter and were found 200 feet from the main wreckage. The last annual inspection was performed 6 months prior to the accident flight and the aircraft had flown 16.9 hours. Also, the last compressor wash was performed about 2 months prior to the flight and had flown 8 hours since then. The postaccident engine examination revealed accumulated nozzle port debris and dirty compressor blades and vanes. The engine flamed out during its first test run and, during subsequent tests, it produced power 7.8 percent below specifications.

NTSB Probable Cause

the partial loss of engine power and the pilot's misjudged flare during an autorotation landing in soft dirt with excessive forward speed. The power loss resulted from flight operations in an environment which debris contaminated the engine's nozzle port and compressor assembly.

Full Narrative

HISTORY OF FLIGHT On April 14, 1996, at 1155 hours Pacific daylight time, a Hughes 369D, N519BH, owned and operated by the pilot, experienced a loss of engine power during cruise flight. The helicopter was substantially damaged during landing in an open field about 30 miles south of Yerington, Nevada. Neither the private pilot nor the two passengers were injured during the personal flight. Visual meteorological conditions prevailed, and no flight plan was filed. The round robin flight originated at 1110 from the pilot's private airstrip at the Flying M. Ranch in Yerington. According to the pilot, he experienced a total loss of engine power while cruising between 200 and 300 feet above ground level at an airspeed of 100 knots. The pilot reported that "the engine noise resembled the same whining as if it were in a shut down mode." The pilot entered an autorotation and landed on a freshly plowed soft dirt field approximately 0.5 miles from his private airstrip. After touchdown, the helicopter rolled onto its right side. AIRCRAFT INFORMATION: The helicopter was maintained on an annual inspection program and had been operated for about 29 flight hours during the previous year. Since receiving its last annual inspection on October 11, 1995, the helicopter had been operated for about 16.9 hours. The last recorded engine maintenance was a compressor wash which was completed on February 7, 1996, at 1,785.0 hours. The helicopter's maintenance records were examined by representatives from the Federal Aviation Administration (FAA), McDonnell Douglas Helicopter Systems (MDD), and the Allison Engine Company. None of the parties reported observing any recorded deficiencies pertinent to the accident flight. WRECKAGE AND IMPACT INFORMATION Under FAA supervision, the helicopter was examined by the MDD and Allison Engine participants. The parties reported observing skid-like depressions over a 25- to 30-foot-long path between the initial point of ground impact and the main wreckage. Based upon structural deformation signatures and the wreckage fragmentation pattern, MDD opined that during the landing sequence a main rotor blade contacted and severed the helicopter's tail boom. Tail rotor blade and tail rotor drive shaft components were located over 200 feet from the main wreckage. MDD reported that the physical evidence indicated "at least partial engine power . . . was present at the time (of ground impact). . . . No evidence was found of any preexisting system or component failure or malfunction that would have caused or contributed to the mishap." TESTS AND RESEARCH On May 17, 1996, the helicopter's engine was inspected and test run at Allison Engine Company's Indianapolis, Indiana, facilities. In pertinent part, the FAA made the following observations: ". . . Accumulated debris encompassed the nozzle port. It was located towards an area of about 1/4 inch over the air atomizer path. Furthermore, fine dust particles were noted on the outer compressor case. The initial run was normal, but at 4,900 (N1) speed the engine flamed-out. During the second run the engine was operated at take-off power, flight idle, accelerations, decelerations and different power settings." An analysis of the test cell data revealed that during the tests the engine had operated below the targeted torque required for that specific engine model. According to the Allison Engine Company, during the engine test run power was produced at ". . . a level 7.8 percent below normal performance levels. The compressor was found to be extremely dirty on both blades and vanes throughout all stages." In conclusion, the Allison participant opined that the decreased engine performance was most probably the result of the dirty compressor. Also, during the accident sequence at the point of ground contact, engine power was likely being applied to the main rotor and tail rotor drives.

Flight

Event TypeAccident
Event Time11:55 PDT
Nearest Airport1nm
Runway0
Flight Plan FiledNone
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftHughes 369D
Tail NumberN519BH
Aircraft CategoryHeli
DamageSubstantial
Operating RulePart 91
Engines1
Engine TypeTurboshaft
Engine DetailsAllison · 250-C20B · Turboshaft · 420
Seats4

People & Injuries

Injury SummaryNo injuries (3 uninjured)
Fatal0
Serious0
Minor0
Uninjured3
Total3
Crew 1Age 68 · Second Class

Conditions

ConditionsVMC
LightDaylight
Wind315° @ 5 kt, gusting 7 kt
Visibility50 sm
CeilingNone
Temperature / Dew Point70 F / 0 C
Altimeter0
Weather SourcePILO

Appendix: Source Data