ATL02LA095

NTSB accident investigation · McDonnell Douglas MD-600N · Deland, FL · May 10, 2002

Accident · No injuriesLimited investigationFinal report
Date
May 10, 2002, 13:15 local (17:15 UTC)
Place
Deland, FL
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N810LAMcDonnell Douglas MD-600N
Weather
Visual (VMC) · Day
Status
Completed · report September 30, 2003
Report
Approved by Office Director
Parties
Orlando FSDO
FAA report
20020510014349A
Case key
54713

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

The pilot's failure to follow the FADEC malfunction checklist that resulted in the loss of rotor RPM, and the pilot's improper use of the flight controls during the precautionary landing that resulted in a hard landing. A factor was the malfunction of the FADEC unit for undetermined reasons.

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
Fuel system,fuel control - malfunction
Miscellaneous/otherOther
Precautionary landing - attemptedPilot in command
Terrain condition - none suitableFactor
Checklist - not followedPilot in commandCause
Hard landingLanding
Rotorcraft flight controls - improperPilot in commandCause

Analysis

According to the pilot, while en route to Fernandina Beach, Florida, he observed an auto re-lite master caution indication on the annunciator panel. He diverted to Deland Airport to make a precautionary landing. On approach he observed an electronic control unit (ECU) failure indication. The pilot switched the ECU switch from auto to manual twice, and the engine started to over speed. He then rolled the throttle back twice, and received a "fuel flow fix" voice warning indication. The engine started to making loud "bangs" like a compressor stall. The pilot stated he tried to maintain forward airspeed to clear trees. As the helicopter cleared the trees and power lines, the pilot received a voice warning "low rotor". During the descent to land the pilot increased collective to arrest the descent. The "low rotor" warning light came on again and the helicopter landed hard. The main rotor blades came in contact with the tail boom and severed it from the airframe. According to the FADEC malfunction procedures, occasional electronic transients may produce a false ECU fail indication. If ECU fail indication persists after 2 reset attempts, place switch in MANUAL. With the twistgrip, manually control Np/Nr at 100%. According to an operational "NOTE", occasional RPM transients between 90% and 106.4% are allowable as long as the maximum or minimum RPM limits are not exceeded. The pilot is advised to land as soon as practical. During the approach the main rotor blades came in contact with the tail boom and severed it from the airframe. Inspection of the engine and engine accessories revealed no evidence of pre-impact part failures.

Factual narrative

On May 10, 2002, at 1315 eastern daylight time, a McDonnell Douglas MD-600N, N810LA, registered to a private owner, collided with the ground during a precautionary landing at Deland Municipal Airport, Deland, Florida. The personal flight was operated under the provisions of Title 14 CFR Part 91 and visual flight rules. Visual meteorological conditions prevailed at the time of the accident. The helicopter was substantially damaged and the private pilot and his passenger were not injured. The flight originated from Orlando Executive Airport, Orlando, Florida, on May 10, 2002 at 1245.

According to the pilot, while enroute to Fernandina Beach, Florida, he observed an auto re-lite master caution indication on the annunciator panel. He diverted to the nearest airport to trouble shoot the situation. After calling air traffic control for the frequency to Deland Municipal Airport to make a precautionary landing, he observed an electronic control unit (ECU) failure indication. When the pilot switched the ECU switch from auto to manual position, and the engine started to over speed. He rolled the throttle back twice, and received a "fuel flow fix" voice warning indication. The pilot stated the engine started to make loud "bangs" like a compressor stall. The pilot stated he tried to maintain forward airspeed to clear trees. As the helicopter cleared the trees and power lines, the pilot received a voice warning "low rotor". During the emergency descent to land the pilot increased collective to arrest the descent. The "low rotor" warning light came on again and the helicopter landed hard. The main rotor blades came in contact with the tail boom and severed it from the airframe.

On site examination of the helicopter revealed that the tail boom had been separated from the airframe. The engine was intact and it exhibited N1 and N2 shaft continuity throughout the drive train. All rigid and flexible oil and pneumatic lines were checked and found to be intact. All engine controls; hydro mechanical unit, electronic control unit, and combined engine filter assembly were intact. Fuel was present in the appropriate lines. The magnetic indicating plugs were also absent of any particles. A review of the maintenance fault page indicates a failed NG1 and NG2 sensors: NG1- Gas producer speed sensor, NG2- Gas producer sensor 2, as the primary contributor to the cockpit indications the pilot received.

The engine was tested in accordance with a standard acceptance test with no deviations or points outside of acceptable service limits. The engine full authority digital electronic fuel control unit (FADEC) main harness (P/N-23064230, S/N-0099) and accessory harness (P/N-23068851, S/N-0026) were both subject to hand movements during the engine run with no deviations outside of the service limits. The faults could not be duplicated on the engine, sensors or harness. Inspection of the engine and engine accessories revealed no evidence of pre-impact component failures.

Review of the MD 600N Rotorcraft Flight Manual, emergency and malfunction procedures, page 3-13, FADEC Malfunctions, states:

NOTE: With an ECU failure, the engine fuel flow is fixed until the ECU Auto/Manual

switch is placed in Manual. Changing the collective position with ECU switch

still in Auto may result in higher or lower than normal Np/Nr speeds.

· Reset ECU by momentarily placing the AUTO/MANUAL switch to MANUAL and then back to AUTO (2 reset attempts allowed).

NOTE: Occasional electronic transients may produce a false ECU fail indication. If ECU

Fail indication persists after 2 reset attempts, place switch in MANUAL.

· AUTO/MANUAL switch to MANUAL at pilot's discretion.

· Twistgrip: immediately reduce a given amount based on power setting.

NOTE: The amount of twistgrip reduction required is based on setting (torque).

Low power settings require a larger reduction to prevent Np/Nr overspeed.

If no Twistgrip reduction is made, it takes from 4 seconds at lower power to 5

seconds at high power to see an increase in Np/Nr.

Upon completion of Allison CEB-73-6033:

If no twistgrip reduction is made, it takes from approximately 3 seconds at lower

power to approximately 4 seconds at high power to see an increase in Np/Nr.

· Twistgrip: manually control Np/Nr at 100%.

NOTE: Occasional RPM transients between 90% and 106.4% are allowable as long as the maximum or minimum RPM limits are not exceeded.

· Land as soon as practical

· Advise maintenance

Aircraft

Registration
N810LA
Reported as
McDonnell Douglas MD-600N
Category
Helicopter
Serial number
RN044
Airframe hours
444
Engine
Rolls-Royce 250C47M, 808 lbs thrust, turbo shaft
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Greg Arnette
Airworthiness certificate
Standard, Normal
Last inspection
Annual · February 26, 2002 · 27 hours before
Departed
ORL · Orlando, FL
Destination
55J · Fernandina Beac, FL
Flight plan
VFR
Airport
DED · Deland Muni-Sidney H Taylor Fi

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
51
Injuries
None
Certificate
Private
Airplane ratings
Single-engine sea, Single-engine land
Instrument ratings
Helicopter
Medical
Class 2, Valid Medical--no waivers/lim.
Last flight review
April 5, 2002
Seat
Left
Flight hours
2,000 total · 500 in this make and model · 1,800 as pilot in command · 70 in the last 90 days · 15 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
0° at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
84 °F, dew point 66 °F
Altimeter
30.22 inHg
Observed at
DAB, 13 nm away

Docket · 3

The files NTSB released with the investigation on July 21, 2003, on NTSB’s docket system: statements, records, photos and specialists’ reports. 595 KB in all.

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.