CEN12LA235

NTSB accident investigation · Eurocopter SA315B · Alva, OK · March 30, 2012

Accident · No injuriesLimited investigationFinal report
Date
March 30, 2012, 09:43 local (14:43 UTC)
Place
Alva, OK
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N929JVEurocopter SA315B
Defining event
Enroute: Uncontained engine failure
Weather
Visual (VMC) · Day
Status
Completed · report January 31, 2013
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA Flight Standards District Office
FAA report
20120330005509A
Case key
83335

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

On this page

Probable cause

Failure of the current and previous operators to comply with the manufacturer's maintenance procedures for operation in sandy environments, which resulted in turbine case erosion and the subsequent uncontained engine failure.

Findings · 4

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.

Action: lack of actionPersonnel issues › Action/decision · Maintenance personnelEurocopter SA315B: 1 caseAll aircraft: 792 casesProbable cause
Oversight: oversight of maintenanceOrganizational issues › Support/oversight/monitoring · OperatorEurocopter SA315B: 1 caseAll aircraft: 28 casesProbable cause
Oversight: oversight of reg complianceOrganizational issues › Support/oversight/monitoring · OperatorEurocopter SA315B: 1 caseAll aircraft: 14 casesProbable cause

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

The helicopter was flying at 300 feet above the ground with an external load when the pilot heard a loud noise from the engine and the rotor rpm began to decay. He jettisoned the load and entered an autorotation. During the flare, the helicopter's main rotor blades contacted the tail rotor drive shaft. Engine disassembly and examination revealed that the turbine casing was deeply eroded by particles that had accumulated in the casing as a result of operating in dusty environments. The erosion caused a crack to develop, and non-uniform overheating of the engine led to the partial melting of the nozzle guide vanes and the rupture of the blade tips in all three turbine stages. Uncontained debris then punctured the turbine casing and shroud. According to the helicopter's maintenance records, the helicopter had operated 68 hours past a 100-hour inspection. The erosion in the engine was likely preexisting since it had been purchased second hand. Further, the records contained no entries pertaining to compliance with the manufacturer's maintenance procedures, by either the current or previous owner, for operations in sandy environments. The current operator reported that they have since complied with the manufacturer’s procedures.

Factual narrative

On March 30, 2012, about 0943 central daylight time, the pilot of a Eurocopter SA315B, N929JV, made a forced landing in an open field about 25 miles northwest of Alva, Oklahoma, after the engine lost power. The pilot, the sole occupant on board, was not injured. The helicopter was substantially damaged. The helicopter was registered to Roberts Aircraft Company, Cheyenne, Wyoming, and operated by Trans Aero, Ltd., of Longmont, Colorado, under the provisions of 14 Code of Federal Regulations (Part 133 as an external load operation. Visual meteorological conditions prevailed at the time of the accident, and no flight plan had been filed. The local flight originated from Alva, Oklahoma, about 0830. According to the pilot's statement, he was flying at 300 feet above the ground with an external load. He heard a loud noise from the engine and the rotor rpm began to decay. He jettisoned the load and entered an autorotation. During the flare, the helicopter's main rotor blades contacted the tail rotor drive shaft. The helicopter tilted up on its nose then settled back on its skids. The engine was removed from the airframe and shipped to Turbomeca in Tarnos, France, where it was disassembled and examined under the oversight of the Bureau d’Enquêtes et d’Analyses (BEA), the French aircraft accident investigation bureau. According to Turbomeca's report, which was endorsed by BEA, the turbine casing was deeply eroded by particles that had accumulated in the casing as a result of operating in dusty environments. The erosion caused a crack to develop, and non-uniform overheating of the engine led to the partial melting of the nozzle guide vanes and the rupture of the blade tips in all three turbine stages. Uncontained debris then punctured the turbine casing and shroud. Turbomeca Procedure 72-40-01, page 203, describes how sand deposits were to be eliminated. There was nothing in the helicopter's engine maintenance records to indicate that this procedure had been performed.

Aircraft

Registration
N929JV
Reported as
Eurocopter SA315B
Category
Helicopter
Serial number
2361
Airframe hours
12,160
Engine
Turbomeca Artouste IIIB, 858 horsepower, turbo shaft
Damage
Substantial damage
Flight
External load · Part 133
Operator
Trans Aero, Ltd., doing business as Trans Aero Helicopters, Ltd
Registered owner
Roberts Aircraft Company
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · March 23, 2012 · 164 hours before
Departed
KAVK · Alva, OK
Destination
KAVK · Alva, OK
Flight plan
Unknown

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
63
Injuries
None
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine sea, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
April 1, 2011
Seat
Right
Flight hours
18,500 total · 3,500 in this make and model · 17,500 as pilot in command · 161 in the last 90 days · 52 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
210° at 2 knots
Visibility
7 statute miles
Lowest ceiling
None

Docket · 5

The files NTSB released with the investigation on December 3, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.6 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.