CEN19LA121

NTSB accident investigation · Bell OH 58A · Omaha, NE · April 16, 2019

Accident · No injuriesClass 3 · LimitedFinal report
Date
April 16, 2019, 07:30 local (12:30 UTC)
Place
Omaha, NE
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N109PDBell OH 58A
Defining event
Initial climb: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
Federal Aviation Administration, Rolls Royce Corporation
FAA report
20190416002889A
Case key
99266

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 partial loss of engine power for reasons that could not be determined based on the available evidence.

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.

Not determinedNot determined › Not determined · Unknown/Not determinedBell OH-58A: 8 casesAll aircraft: 2,247 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

Shortly after takeoff and while climbing through 200 to 250 ft above ground level in a left turn, the pilots of the helicopter noted an audible horn, low main rotor rpm, and a loss of altitude” indicating a loss of rotor RPM and engine power." The flying pilot entered an autorotation to recover rotor rpm, and the pilots located a forced landing location. Upon touchdown, the forward landing gear skids dug into the soft terrain, and the helicopter rocked forward and backward, resulting in the main rotor contacting the tail boom. An examination of the helicopter revealed no preimpact mechanical anomalies that would have precluded normal operation. The engine was removed and placed in a production test cell for an engine test run. The engine responded normally to all power demands without surging or hesitation. Based on the available evidence, the reason for the partial loss of engine power could not be determined.

Factual narrative

On April 16, 2019, at 0730 central daylight time, a Bell OH-58A helicopter, N109PD, impacted terrain during an autorotation following a reported partial loss of engine power near Omaha, Nebraska. The pilot and co-pilot were not injured, and the helicopter sustained substantial damage to the tail boom. The helicopter was registered to and operated by the Omaha Police Department (OPD) as a public aircraft operations flight under Title 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed in the area at the time of the accident. The flight originated from the North Omaha Airport (3N0), Omaha, Nebraska, at the time of the accident and was destined for Blair, Nebraska. According to the pilot, shortly after takeoff and climbing through 200 to 250 ft above ground level in a left turn, the pilots recognized an audible horn, low rotor RPM, and a loss of altitude "indicating a loss of rotor RPM and engine power." The pilot, who was seated in the right seat, entered an autorotation in an attempt to recover rotor RPM. The pilot and co-pilot observed the best suitable landing area was north and west of 3N0. Upon touchdown in the soft terrain, the forward landing gear skids dug into the terrain, and the helicopter rocked forward and backward which then caused the main rotor blades to contact the tail boom. The helicopter came to rest upright with the tail boom separated from the airframe. The pilots shut down the engine, which continued to operate about 35% N1, waited for the engine to stop, and exited the helicopter. A review of the maintenance records revealed that on March 15, 2019, the Rolls Royce T63-A-720 250-C20C engine shut off uncommanded during the cool down cycle. A 200-hour inspection was completed on March 16, 2019, at a total airframe time of 12,089.3 hours, which included the removal of fuel control and fuel pump, and replacement of the fuel filters. The fuel pump and fuel control were checked by a certified repair station and reinstalled onto the engine. No mechanical anomalies were noted during subsequent ground and flight tests. On March 21, 2019, the engine shut off uncommanded during the cool down cycle. The fuel control throttle rigging was checked, no obstructions were found in the intake/particle separator, and the helicopter was returned to service. At the time of the accident, the total airframe and engine times were 12,099.2 hours and 6,588 hours respectively. On April 23, 2019, the helicopter was examined by a Federal Aviation Administration (FAA) inspector, and representatives from the OPD and Rolls-Royce. No preimpact mechanical anomalies were noted during the examination with the airframe or engine. The engine was removed for further examination and testing. On July 16, 2019, the engine was examined at a Rolls-Royce's authorized maintenance center, Lafayette, Louisiana, under the supervision of the FAA. The engine was placed in a production test cell for an engine test run. The engine successfullycompleted ground idle, flight-idle, max-continuous-power, takeoff power runs, and "wave-off" maximum power increases. The engine responded normally to all power demands without surging or hesitation.

Aircraft

Registration
N109PD
Reported as
Bell OH 58A (No Series)
Category
Helicopter
Serial number
71-20455
Built
1971
Airframe hours
12,099.2
Engine
Rolls Royce 250-C20C, 420 horsepower, turbo shaft
Damage
Substantial damage
Flight
Public aircraft - local · Public use
Operator
Omaha Police Department
Registered owner
Omaha Police Department
Airworthiness certificate
None
Last inspection
100 hour · March 16, 2019
Departed
3NO · Omaha, NE
Destination
BTA · Blair, NE
Airport
3NO · North Omaha Airport
Equipment
ADS-B

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
42
Injuries
None
Certificate
Commercial
Medical
Class 2, With waivers/limitations
Last flight review
September 20, 2017
Seat
Right
Restraint
3-point
Flight hours
4,115 total · 3,950 in this make and model · 4,115 as pilot in command · 44 in the last 90 days · 23 in the last 30 days
Role
Co-pilot
Age
46
Injuries
None
Certificate
Commercial
Medical
Class 2, Without waivers/limitations
Last flight review
April 15, 2019
Seat
Left
Restraint
3-point
Flight hours
5,327 total · 2,925 as pilot in command · 38 in the last 90 days · 5 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
90° at 11 knots
Visibility
10 statute miles
Lowest ceiling
None
Observed at
OMA, 7 nm away

Docket · 4

The files NTSB released with the investigation on December 5, 2019, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.4 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.