ATL02LA159

NTSB accident investigation · Schweizer 300C · Haleyville, AL · August 17, 2002

Accident · Serious injuriesLimited investigationFinal report
Date
August 16, 2002, 22:15 local (Aug 17, 2002, 03:15 UTC)
Place
Haleyville, AL
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N269FWSchweizer 300C
Weather
Visual (VMC) · Night/dark
Status
Completed · report April 29, 2003
Report
Approved by Office Director
Parties
Birmingham FSDO-09, Textron Lycoming
FAA report
20020816022239A
Case key
55506

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 failure of maintenance personnel to perform an adequate inspection of loose intake components, which resulted in a total loss of engine power and subsequent emergency descent, forced landing, and collision with terrain in dark night conditions.

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.

Loss of engine power(total) - mech failure/malfCruise
Induction air control,intake manifold - loose part/bolt/nut/clamp/etc
Maintenance,annual inspection - inadequateOther maintenance personnelCause
Forced landingEmergency descent/landing
Autorotation - performedPilot in command
In flight collision with terrain/waterEmergency landing
Light condition - dark nightCause

Analysis

During cruise flight, the helicopter lost engine power, and the pilot was unable to restore it. During the forced landing in the darkness, the pilot was unable to see the terrain, and the helicopter hit the ground hard. Examination of the engine revealed two lower screws of the No. 3 valve cover were missing. The attachment bolts of the intake pipes of both the No. 1 and No. 3 cylinder assemblies were found loose. The No. 3 intake pipe was found rotated approximately 180 degrees from the normally installed position. The gaskets normally installed under the intake pipe flanges of the No. 1 and No. 3 intake pipes were missing. The No. 1, No. 2, and No. 4 spark plugs were wet with fuel, and the No. 3 spark plug was dry and displayed tan-colored combustion deposits. A review of maintenance records revealed the engine had operated 38.2 hours since inspection.

Factual narrative

On August 16, 2002, at 2215 central daylight time, a Schweizer 300C, N269FW, registered to Freedom Flight, LLC, and operated by the pilot, collided with terrain during an emergency landing following a loss of engine power in the vicinity of Haleyville, Alabama. The personal flight was operated under the provisions of Title 14 CFR Part 91 with no flight plan filed. Visual meteorological conditions prevailed at the time of the accident. The commercial pilot received serious injuries, and the helicopter sustained substantial damage. The flight originated from Tuscaloosa, Alabama, at 2130.

The pilot initially departed Demopolis, Alabama, at 1730 for a visual flight rules flight to Russellville, Alabama, with a full fuel load of 49 gallons. After 40 minutes of flight, the pilot became aware of thunderstorms along the intended route and elected to land in Tuscaloosa, Alabama. Once the weather cleared, the pilot departed at 2130 and proceeded toward Russellville, Alabama. After 40 minutes in cruise flight at 2,000 feet MSL, the pilot noticed the sound of the engine changed suddenly, and the helicopter began to descend. The engine and rotor tachometer needles fell below normal operating range, and the pilot's attempts to restore power were unsuccessful. The pilot entered an autorotation and sought a suitable landing area. During flare, the pilot was unable to see the terrain in the darkness, and the helicopter hit the ground hard.

Examination of the wreckage revealed the skids were spread and broken, the cockpit glass was broken, the main rotor blades were buckled, the fuselage framework near the engine assembly was distorted, the left pilot seat sustained downward compression, and the engine displayed damage to the bottom and rear sections. Fuel was observed leaking near the engine fuel pump.

Examination of the engine revealed two lower screws of the No. 3 valve cover were missing. The attachment bolts of the intake pipes of both the No. 1 and No. 3 cylinder assemblies were found loose by three to four revolutions of each bolt. The No. 3 intake pipe was found rotated approximately 180 degrees from the normally installed position. The No. 1 and No. 3 intake pipes were removed for examination, and the gaskets normally installed under the intake pipe flanges were missing. The surfaces of the No. 1 and No. 3 intake pipe flanges and the cylinder intake ports showed signs of metal-to-metal chafing and showed no evidence of gasket material. The attachment bolts of the intake pipes of the No. 2 and No. 4 cylinder assemblies were found secure, and the No. 2 and No. 4 pipe flange gaskets were found installed. The No. 4 intake pipe flange gasket was found split in the inboard area between the attachment bolts. Examination of the bottom spark plugs revealed the No. 1, No. 2, and No. 4 spark plugs were wet with fuel, and the No. 3 spark plug was dry and displayed tan-colored combustion deposits. The engine was rotated utilizing the starter motor, and all four cylinders produced compression and valve action appeared normal.

A review of maintenance records revealed the engine received a 100-hour/annual inspection on July 2, 2002, and had operated 38.2 hours since inspection. There was no record of any maintenance performed since the inspection. A review of Title 14 CFR Part 43, Appendix D revealed, (d) "Each person performing an annual or 100-hour inspection shall inspect (where applicable) components of the engine and nacelle group as follows: (2) Studs and nuts - for improper torquing and obvious defects, and (10) All systems - for improper installation, poor general condition, defects, and insecure attachment."

Aircraft

Registration
N269FW
Reported as
Schweizer 300C
Category
Helicopter
Serial number
S1431
Airframe hours
2,683
Engine
Lycoming HIO-360-DIA, 190 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 2, 2002 · 38 hours before
Departed
TCL · Tuscaloosa, AL
Destination
M22 · Russellville, AL

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
40
Injuries
Serious
Certificate
Commercial
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
865 total · 276 in this make and model · 411 as pilot in command · 58 in the last 90 days · 26 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night/dark
Wind
120° at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
72 °F, dew point 72 °F
Altimeter
30.17 inHg
Observed at
MSL, 35 nm away

FAA reports on this event · 1

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