CEN12IA096

NTSB incident investigation · Bell Helicopter Textron Canada 407 · Gulf Of Mexico · December 1, 2011

Incident · No injuriesIncident investigationFinal report
Date
December 1, 2011, 10:05 local (16:05 UTC)
Place
Gulf Of Mexico
Injuries
2 uninjured
Damage
No damage
Phase of flight
Enroute
Aircraft
N435PHBell Helicopter Textron Canada 407
Defining event
Enroute: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report April 10, 2013
Report
Approved by Office Director
NTSB office
Central Region
Parties
Rolls Royce, PHI, Inc., Federal Aviation Administration
FAA report
20111201029769I
Case key
82447

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

On this page

Probable cause

The failure of the compressor section No. 2 bearing due to false brinnelling and fatigue.

Findings · 1

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

While maneuvering for a precautionary landing to an oil rig platform because of a chip light indication, the helicopter's engine lost power. The pilot entered an autorotation, called mayday, inflated the helicopter’s floats, and performed a successful water landing. The pilot and passenger were able to exit the helicopter unassisted into a life raft and were picked up within 10 minutes. Examination and disassembly of the engine revealed the No. 2 bearing had failed. Metallurgical examination of the bearing showed the No. 2 bearing outer ring cracked in fatigue due to false brinnelling, which occurs in cases where the bearing is stationary but is subjected to ambient vibration or shock during transport. A spalling area was severe enough to propagate mechanical stress in the outer ring causing the ring to fracture. The engine compressor section was overhauled 2.7 hours before the failure.

Factual narrative

On December 1, 2011, about 1005 central standard time, a Bell 407 helicopter, N435PH, was successfully autorotated to the water following a loss of engine power while maneuvering near a platform in the Gulf of Mexico. The helicopter was not damaged during the on water landing. The commercial pilot, and sole passenger, were not injured. The helicopter was registered to and operated by PHI, Inc., under the provisions of 14 Code of Federal Regulations Part 135 as a non-scheduled air-taxi flight. Visual meteorological conditions prevailed and a company flight plan had been filed. The flight originated from platform EC278-C, and was en route to platform EC261, both in the Gulf Of Mexico. According to the pilot, while en route to EC261 the engine chip light illuminated. The flight was abeam platform EC278-B at the time, and the pilot elected to divert for a precautionary landing. While on the base leg to EC278-B, the pilot heard a loud whining noise, followed by a loud popping noise, and the helicopter began to yaw. The pilot entered an autorotation, called mayday, inflated the floats, and performed a successful water landing. The pilot and passenger were able to exit the helicopter unassisted into a life raft and were picked up within 10 minutes. The helicopter remained upright for approximately 20 minutes before overturning. The engine was removed from the helicopter and examined at the PHI facility in Lafayette, Louisiana, under the supervision of a Federal Aviation Administration inspector. Examination and disassembly of the engine revealed the No. 2 bearing was fractured. The bearing components were located throughout the engine and retained for metallurgical examination. According to the operator's maintenance records, the Rolls-Royce Model 250-C74B gas turbine engine, serial number CAE 847428, underwent a 150/300 hour inspection, and an overhaul to the compressor section, at a total time of 7,475.6 hours. The engine was installed on the helicopter 2.7 hours prior to the accident. Metallurgical examination of the bearing and other components was completed by Rolls-Royce Corporation, Indianapolis, Indiana. According to Rolls-Royce, the No. 2 bearing outer ring cracked in fatigue, initiating from a spalled area on the raceway surface. The microstructure, hardness, and chemistry of the outer ring conformed to the engineering drawing requirements. The damage associated with the other compressor and turbine components examined was consistent with damage that would occur after the No. 2 bearing failure. The failed bearing was then sent to FAG Aerospace, Inc, Stratford, Ontario, Canada, for evaluation. Results of the evaluation showed the failure occurred due to false brinnelling, where the bearing is stationary, but subjected to ambient vibration or shock during transport. The bearing balls were free to vibrate within the bearing. During the vibration period, the bearing experienced relative microscopic motion. The spacing between each set ofbrinnelling marks was equal to the ball spacing within the bearing. False brinnelling increased sufficient load during bearing operation which caused premature spalling. One spalling area was severe enough to propagate mechanical stress in the outer ring causing the ring to fracture.

Aircraft

Registration
N435PH
Reported as
Bell Helicopter Textron Canada 407
Category
Helicopter
Serial number
53891
Airframe hours
4,769
Engine
Rolls-Royc 250-C47B, 813 horsepower, turbo shaft
Damage
No damage
Flight
Part 135
Operator
Phi Inc
Registered owner
Phi Inc
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · November 29, 2011 · 2.7 hours before
Departed
Ec-278c, GM
Destination
Ec-261, GM
Flight plan
Company VFR

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
32
Injuries
None
Certificate
Commercial
Instrument ratings
Helicopter
Medical
Class 1, Without waivers/limitations
Last flight review
March 27, 2011
Seat
Right
Flight hours
3,848 total · 849 in this make and model · 3,834 as pilot in command · 238 in the last 90 days · 52 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
130° at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
70 °F, dew point 52 °F
Altimeter
30.21 inHg

Docket · 5

The files NTSB released with the investigation on February 25, 2013, on NTSB’s docket system: statements, records, photos and specialists’ reports. 6.5 MB 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.