CEN14LA412

NTSB accident investigation · Enstrom F 28F · Tomah, WI · August 7, 2014

Accident · Serious injuriesLimited investigationFinal report
Date
August 7, 2014, 09:46 local (14:46 UTC)
Place
Tomah, WI
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N213BLEnstrom F 28F
Defining event
Maneuvering-low-alt flying: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed · report January 14, 2015
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA Flight Standards
FAA report
20140807014129A
Case key
89828

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

A loss of engine power due to the malfunction of the No. 4 cylinder intake valve.

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 (reciprocating): recip eng cyl sectionAircraft › Aircraft power plant · MalfunctionEnstrom F-28F: 2 casesAll aircraft: 373 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 pilot felt a vibration in the cyclic control and he stated that the engine was running irregularly as he neared the intended application field on the agricultural application flight. He immediately elected to execute a precautionary landing to a cornfield; the corn crop was about 10 feet tall at the time. During the landing, the landing skids collapsed, and the tailboom was severed by a main rotor blade. A postaccident examination of the engine revealed that the No. 4 cylinder did not exhibit compression during crankshaft rotation. Further examination of the No. 4 cylinder revealed that the intake valve did not seat properly; a gap of about 0.015 inch existed when the valve should have been fully seated. Linear scoring was observed on the valve stem, and debris consistent with valve guide material was also recovered upon removal of the valve. No other anomalies with respect to the engine were observed. The engine had accumulated about 831 hours since overhaul. The helicopter maintenance records did not contain a record of any unresolved maintenance issues.

Factual narrative

On August 7, 2014, about 0946 central daylight time, an Enstrom F-28F helicopter, N213BL, was substantially damaged when the pilot executed a precautionary landing in a cornfield after experiencing engine difficulties near Tomah, Wisconsin. The pilot was seriously injured. The helicopter was registered to and operated by Paul Peterson Aviation LLC under the provisions of 14 Code of Federal Regulations Part 137 as an aerial application flight. Visual meteorological conditions prevailed for the flight, which was not operated on a flight plan. The local flight originated from the loading site about one-half mile from the accident site.The pilot's departure from the loading site on the third application flight of the morning proceeded without incident. However, about one-half mile from the planned application field, the pilot reportedly felt a vibration in the cyclic control and experienced an "irregular" running engine. He immediately elected to execute a precautionary landing to a corn field; the corn crop was approximately 10 feet tall at the time. During the landing, the landing skids collapsed and the tailboom was severed by a main rotor blade. A portion of the tail rotor drive shaft was separated from the airframe. Separation of the drive shaft was consistent with a main rotor strike. The tail rotor transmission separated into two sections; the appearance of the fracture surface was consistent with an overstress failure. The postaccident examination did not reveal any preimpact anomalies with respect to the flight control system and rotor drive system. Examination of the engine revealed that the no. 4 cylinder did not exhibit compression during crankshaft rotation. Further examination of the No. 4 cylinder determined that the intake valve was not seating properly; a gap of approximately 0.015 inch existed when the valve should have been fully seated. Linear scoring were observed on the valve stem. Debris consistent with valve guide material was also recovered on removal of the valve. No other anomalies with respect to the engine were observed. The accident helicopter was purchased by the operator on June 4, 2014. The aircraft was issued a restricted category, special airworthiness certificate for agriculture operations on July 25, 2014. The operator reported a total airframe time of 2,385.1 hours at the time of the accident. The most recent annual inspection was completed in December 2013 at 2,327.4 hours. The helicopter was powered by a 225-horsepower Lycoming HIO-360-F1AD fuel-injected, reciprocating engine. Maintenance records indicated that the engine was overhauled in March 2006. At the time of the accident, the engine had accumulated about 831.2 hours since overhaul, with about 57.7 hours of that time since the annual inspection. The most recent engine maintenance entry was dated August 4, 2014, and consisted of replacement of the spark plugs. The helicopter maintenance records did not contain a record of any unresolved maintenanceissues.

Aircraft

Registration
N213BL
Reported as
Enstrom F 28F
Category
Helicopter
Serial number
803
Built
1995
Airframe hours
2,385.1
Engine
Lycoming HIO-360-F1AD, 225 horsepower, reciprocating
Damage
Substantial damage
Flight
Aerial application · Part 137
Operator
Paul Peterson Aviation LLC
Registered owner
Paul Peterson Aviation LLC
Airworthiness certificate
Special, Restricted (Special)
Last inspection
Annual · December 2, 2013
Departed
PVT · Tomah, WI
Destination
PVT · Tomah, WI

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
70
Injuries
Serious
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 2, With waivers/limitations
Seat
Left
Restraint
3-point
Flight hours
18,000 total · 250 in this make and model · 12,000 as pilot in command · 40 in the last 90 days · 40 in the last 30 days · 9 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
110° at 7 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
77 °F, dew point 54 °F
Altimeter
30.12 inHg
Observed at
CMY, 7 nm away

Docket · 11

The files NTSB released with the investigation on November 13, 2014, on NTSB’s docket system: statements, records, photos and specialists’ reports. 26.2 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.