ATL89FA112

NTSB accident investigation · Bell 206B · Atlanta, GA · March 22, 1989

Accident · Serious injuriesField investigationFinal report
Date
March 22, 1989, 18:30 local (23:30 UTC)
Place
Atlanta, GA
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N5004FBell 206B
Weather
Visual (VMC) · Dusk
Status
Completed · report July 9, 1990
Report
Approved by Office Director
FAA report
19890322004339A
Case key
7882

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

Fatigue failure of the engine spur adapter gearshaft in an area where there was a lack of lubrication (oil starvation) due to a partially blocked oil delivery tube. Contributing factors were: inattentive maintenance or servicing of the aircraft by unknown maintenance personnel, the light conditions at dusk, and the electrical (transmission) wire.

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/malfTakeoff - initial climb
Lubricating system,oil port/passage,internal - blocked(partial)Cause
Maintenance,service of aircraft/equipment - inattentiveOther maintenance personnelFactor
Fluid,oil - starvationCause
Turboshaft engine,gas generator turbine shaft - fatigueCause
Forced landingDescent - emergency
Autorotation
In flight collision with objectApproach
Light condition - duskFactor
Object - wire,transmissionFactor
In flight collision with terrain/waterDescent - uncontrolled

Analysis

Drg takeoff from a helipad at dusk, the eng lost pwr as the helicopter was climbing thru aprx 75' AGL. The plt initiatedan autorotation to a parking lot, which required the use of collective to reach the lot. Subsequently, the helicopter hit an electrical wire over the parking lot, then crashed. An exam revealed the turbine spur adapter gearshaft had failed from fatigue. Aluminum rich metal debris was found blocking the oil delivery tube to the gearshaft; the oil inlet screen filter was missing; and there was evidence of overheating & excessive wear of the gearshaft splines. The 100 hr inspn checklist for the eng required the removal & inspn of the eng oil sys filter. With the filter removed, there was direct access to the spur adapter gearshaft oil delivery tube & the oil tube connector assembly cup filter.

Aircraft

Registration
N5004F
Reported as
Bell 206B
Category
Helicopter
Serial number
2443
Airframe hours
4,894
Engine
Allison 250-C20B, 420 horsepower, turbo shaft
Damage
Substantial damage
Fire
On-Ground
Flight
Positioning · Part 91
Operator
Dooley Helicopters Inc, doing business as Dooley Ltd
Registered owner
Revco Helicopters, Inc
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · January 28, 1989 · 72 hours before

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
64
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Helicopter, Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Right
Toxicology
Performed
Flight hours
19,400 total · 6,627 in this make and model · 101 in the last 90 days · 34 in the last 30 days · 4 in the last 24 hours

Weather

Conditions
Visual (VMC) · Dusk
Wind
110° at 9 knots
Visibility
11 statute miles
Lowest ceiling
1,400 ft overcast
Temperature
46 °F, dew point 39 °F
Altimeter
30.00 inHg
Observed at
PDK, 7 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.