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November 30, 1999 · Boeing 369E · N5238C

Taft, CA

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
November 30, 1999
Injury Outcomes
No injuries (1 uninjured)
Location
Taft, CA
Aircraft
Boeing 369E
Tail Number
N5238C
Injuries
None
Aircraft Damage
Substantial
NTSB Number
LAX00LA047

During a forced landing after an engine failure, the helicopter struck a standpipe, shearing its cross tube, and rolling onto its side. The pilot was in the process of picking up an 800-pound sling load on a 100-foot-long line. As his load reached about 90 to 100 feet agl, the engine quit. He released his load, turned to the right to avoid people and equipment on the ground, and entered autorotation. The conditions at the accident site were dusty and gritty. The engine teardown revealed that a second stage compressor vane had failed in fatigue, which resulted in a catastrophic failure of the compressor section. All first stage vanes were intact, and all third, fourth, fifth, and sixth stage vanes exhibited some degree of foreign object damage (FOD). The plastic coating on the first and second stage vanes exhibited erosion that exceeded the maximum allowable limits specified by the Rolls-Royce Allison 250-C20 Series Operation and Maintenance Manual. The first stage compressor blades were eroded, with the leading edges rolled over and scalloped. Metallurgical examination of the failed vanes revealed that they met all chemical and manufacturing process specifications. According to the maintenance records, a 300-hour inspection had been performed on the engine 130.1 flight hours before the accident. The manufacturer recommends a compressor case inspection be accomplished every 300 hours when operating in a corrosive environment. No evidence was found in the maintenance records of compressor washes being performed as recommended by the manufacturer.

NTSB Probable Cause

The fatigue failure of a second stage compressor vane due to erosion, which resulted in a catastrophic engine failure. An inadequate inspection of the compressor section by company maintenance personnel during the last 300-hour inspection was also causal in this accident. The maintenance personnel's failure to conduct the periodic recommended compressor washes was a factor.

Full Narrative

On November 30, 1999, at 1345 hours Pacific standard time, a MDHI 369E, N5238C, collided with a standpipe during a forced, autorotative landing near Taft, California, following a loss of engine power. The helicopter sustained substantial damage; however, the certificated commercial pilot, the sole occupant, was not injured. The helicopter was being operated as an external load flight by Omni Energy Services under 14 CFR Part 133 when the accident occurred. The flight originated from a private helipad near Taft at 1135. Visual meteorological conditions prevailed at the time and no flight plan was filed. The pilot reported that he was in the process of picking up an 800-pound sling load on a 100-foot-long line. As his load reached about 90 to 100 feet agl, the engine quit. He released his load, turned to the right to avoid people and equipment on the ground, and entered autorotation. After touchdown, the left rear cross tube struck a standpipe, shearing the left skid tube and strut off the helicopter. As the main rotor slowed, the helicopter rolled onto its left side. The ground at the accident site had been disturbed by vehicles and construction equipment, producing dusty and gritty conditions. A representative of the engine manufacturer, Rolls-Royce Allison, participated in the investigation. The engine teardown revealed that the second stage compressor vanes had failed. All first stage vanes were intact, and all third, fourth, fifth, and sixth stage vanes exhibited some degree of foreign object damage (FOD). Additionally, erosion of the plastic coating on first and second stage vanes exceeded the maximum allowable limits specified by the Rolls-Royce Allison 250-C20 Series Operation and Maintenance Manual. The first stage compressor blades were found eroded with the leading edges rolled over and scalloped. Metallurgical examination of the failed vanes revealed that they conformed to all chemical and process specifications for the components. According to maintenance records, a 300-hour inspection had been performed on the engine at 2,418.8 flight hours, about 130 hours prior to the accident. The manufacturer recommends that an inspection of the compressor case be performed every 300 flight hours when operating in an erosive environment. In addition, there were no records found for compressor washes.

Flight

Event TypeAccident
Event Time13:45 PST
Nearest Airport0nm
Runway0
Flight Plan FiledNone
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftBoeing 369E
Tail NumberN5238C
Aircraft CategoryHeli
DamageSubstantial
Operating RulePart 133
Engines1
Engine TypeTurboshaft
Engine DetailsRolls-Royce · 250-C20 · Turboshaft · 420
Seats4

People & Injuries

Injury SummaryNo injuries (1 uninjured)
Fatal0
Serious0
Minor0
Uninjured1
Total1
Crew 1Age 45 · Second Class

Conditions

ConditionsVMC
LightDaylight
Wind360° @ 4 kt
Visibility10 sm
CeilingNone
Temperature / Dew Point16 C / 12 C
Altimeter30.00 inHg
Observation Time20:56
Weather SourceWFAC

Appendix: Source Data