CEN13LA378

NTSB accident investigation · Bell 206B · St Louis, MO · May 24, 2013

Accident · No injuriesLimited investigationFinal report
Date
May 23, 2013, 21:00 local (May 24, 2013, 02:00 UTC)
Place
St Louis, MO
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N297CABell 206B
Defining event
Maneuvering: Uncontained engine failure
Weather
Visual (VMC) · Night
Status
Completed · report December 15, 2014
Report
Approved by Office Director
NTSB office
Central Region
Parties
NTSB - Materials Lab, NTSB - Engineering, FAA FSDO
FAA report
20130523011509A
Case key
86992

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

The loss of engine power due to the separation of compressor blades, which resulted from fatigue cracking.

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.

Engine (turbine/turboprop): compressor sectionAircraft › Aircraft power plant · FailureBell 206B: 2 casesAll aircraft: 53 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 flight instructor reported that, shortly after he and the pilot-rated student departed on a night training flight in the turbine-powered helicopter, they heard a loud bang, and the helicopter yawed left. The flight instructor chose to perform an autorotation with forward airspeed onto the airport's taxiway. Examination of the turbine engine revealed several holes in the compressor case, consistent with engine blades exiting the engine. Further examination revealed that the stages 3 through 6 compressor blades had separated at the roots. Examination also revealed that the 3rd-stage wheel blade root had fractured due to progressive cracking, consistent with fatigue; 54 percent of the fracture surface exhibited fatigue features. However, the fracture initiation surface was destroyed, so it was not possible to determine the cause of the fatigue failure. Indications of fatigue were also found on the stages 3 through 6 blades' fracture surfaces. The engine's compressor had 13,874 hours time since new (TSN) and the compressor rotor stages 1 through 6 wheels had 1,185.3 hours TSN and were Parts Manufacturer Approval replacement parts.

Factual narrative

On May 23, 2013, about 2100 central daylight time, a Bell 206B helicopter, N297CA performed an autorotation to a forced landing at the Spirit of St. Louis Airport (KSUS), St. Louis, Missouri. The flight instructor and commercial rated pilot were not injured and the helicopter was substantially damaged. The helicopter was registered to GM Leasing Co., LLC and operated by Air-Evac Lifeteam, O'Fallon, Missouri, under the provisions of 14 Code of Federal Regulations Part 91 as a training flight. Night visual meteorological conditions prevailed for the flight that operated on a company flight plan. The flight instructor reported that he was demonstrating a normal takeoff. As the helicopter accelerated to about 50 knots and was 20 feet in altitude, there was a loud bang. The helicopter yawed left, and then the instructor elected to perform an autorotation landing with forward airspeed on the taxiway. During an initial visual inspection of the airframe, no observable damage was noted. Inspection of the engine, revealed a case breach on the axial compressor. Further examination of the helicopter's airframe revealed substantial damage to the aft fuselage and main rotor system.A review of the helicopter's Rolls-Royce 250-C20B engine maintenance records, revealed that the engine had 15,179.6 hours TSN (time since new) and 4,948 cycles TSN. The engine's compressor had 13,874 hours (TSN) and the compressor rotor stage 1-6 wheels had 1,185.3 hours (TSN) and were Parts Manufacturer Approval (PMA) replacement parts. The examination of the engine revealed several areas where the compressor case had been breached by fragments exiting the engine. Further examination of the stage 1 compressor blades revealed the blades were in place and in good condition. The stage two blades were present, but exhibited varying degrees of trailing edge damage. All stage 3 through 6 blades had separated at the blade root. The 3, 4, and 6 compressor stator vanes were completely separated and ingested. Stage 2 and 5 vanes were present, but bent and/or torn in the direction of rotation. The compressor impeller was intact, but had leading edge damage 360-degrees around the disk. Several impeller blades exhibited blade tip bending, consistent with debris ingestion. The axial compressor rotor and stator was sent to the National Transportation Safety Board (NTSB) materials lab, in Washington, D.C. Examination of the 3rd stage wheel found a blade root that had about a 54% progressive cracking area, consistent with fatigue. The examination also found indications of fatigue on stage 3 through 6 blades.

Aircraft

Registration
N297CA
Reported as
Bell 206B
Category
Helicopter
Serial number
1453
Airframe hours
15,025
Engine
Rolls-Royce 250-C20B, 420 horsepower, turbo shaft
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Air-Evac Lifeteam
Registered owner
Gm Leasing Co LLC
Airworthiness certificate
Unknown
Last inspection
Annual · May 14, 2013
Departed
KSUS · St Louis, MO
Destination
KSUS · St Louis, MO
Flight plan
Company VFR
Airport
KSUS · Spirit of St. Louis Airport

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
Flight instructor
Age
51
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Helicopter
Medical
Class 2, Without waivers/limitations
Last flight review
November 2, 2012
Seat
Right
Restraint
3-point
Flight hours
6,895 total · 5,536 in this make and model · 6,744 as pilot in command · 63 in the last 90 days · 18 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night
Wind
80° at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
57 °F, dew point 52 °F
Altimeter
30.21 inHg
Observed at
KSUS

Docket · 4

The files NTSB released with the investigation on November 10, 2014, on NTSB’s docket system: statements, records, photos and specialists’ reports. 47.4 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.

Other investigations on N297CA · 1

Matched to the same aircraft by N-number and date.