ANC92GA155

NTSB accident investigation · Bell 206B · Fairbanks, AK · August 25, 1992

Accident · No injuriesFinal report
Date
August 25, 1992, 09:43 local (17:43 UTC)
Place
Fairbanks, AK
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N83139Bell 206B
Weather
Visual (VMC) · Day
Status
Completed · report August 26, 1993
Report
Approved by Office Director
NTSB office
Alaska Regional Office
Case key
5654

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

Poor maintenance and inspection procedures by the contract maintenance personnel, as well as improper maintenance and installation of the fuel line by the contract maintenance personnel. Factors relating to the accident were the turboshaft engine vibrations and the cracked fuel line(s).

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Airframe/component/system failure/malfunctionCruise
Turboshaft engine,free(power) turbine - vibrationFactor
Maintenance,inspection - poorOther maintenance personnelCause
Fuel system,line - crackedFactor
Maintenance,installation - improperOther maintenance personnelCause
FireLanding - flare/touchdown
Fuel system,line - fire

Analysis

The state of Alaska helicopter experienced a fuel leak and an uneventful precautionary landing. The leaking fuel line was replaced in field maintenance without manufacturer's required securing clamps. A second fuel leak, precautionary landing and fuel line replacement was effected, again without clamps. A third fuel leak at the same replacement line was followed by a fire following a precuationary landing. The NTSB supervised manufacturer's engine examination revealed vibration in rotating components of 15 times the allowed limits, as well as a fatigue crack in the hot section. These vibrations and cracks were not discovered during engine maintenance and inspections by company contract maintenance personnel. The metallurgical examination of the fuel lines in each event revealed fatigue propagation and the lack of clamp marks on the fuel lines from events 2 and 3.

Aircraft

Registration
N83139
Reported as
Bell 206B
Category
Helicopter
Serial number
1018
Airframe hours
11,658
Engine
Allison 250-C20, 317 horsepower, turbo shaft
Damage
Substantial damage
Fire
Both
Flight
Public aircraft · Public use
Operator
Alaska Public Safety, doing business as Alaska State Troopers
Registered owner
State Of Alaska
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · June 30, 1992 · 39 hours before
Departed
FAI
Destination
TKJ · Tok, AK
Flight plan
Company VFR
Airport
FAI · Fairbanks

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
54
Certificate
Airline transport
Airplane ratings
Single-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Right
Flight hours
8,700 total · 4,500 in this make and model · 8,000 as pilot in command · 100 in the last 90 days · 40 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
360° at 8 knots
Lowest ceiling
None
Temperature
52 °F, dew point 39 °F
Altimeter
29.00 inHg
Observed at
FAI, 1 nm away