CEN20LA051

NTSB accident investigation · Enstrom F28 · Danbury, TX · December 31, 2019

Accident · No injuriesClass 3 · LimitedFinal report
Date
December 31, 2019, 13:30 local (19:30 UTC)
Place
Danbury, TX
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N57SJEnstrom F28
Defining event
Maneuvering: 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
FAA - Houston FSDO
FAA report
20191231022339A
Case key
100750

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

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Probable cause

The failure of the engine's No.3 intake valve resulting is a loss of engine power and a rollover following the autorotation to soft ground.

Findings · 2

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.

Terrain: wet/muddy terrainEnvironmental issues › Physical environment · Contributed to outcomeEnstrom F-28A: 1 caseAll aircraft: 110 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 student pilot turned the helicopter onto the crosswind leg of the traffic pattern during a training flight when the engine suddenly began to run rough and lost partial power. The flight instructor took the controls and executed an autorotation into a clearing. The skids of the helicopter sank into the soft mud, the rotor blades contacted the ground, and the helicopter rolled onto its side. Examination of the engine revealed that a portion of the No. 3 cylinder intake valve had broken off and migrated into the No. 1 cylinder, where it lodged between the No. 1 cylinder's intake valve and seat, holding that valve in the open position and resulting in the partial loss of engine power.

Factual narrative

On December 31, 2019, about 1415 central standard time, an Enstrom F28A helicopter, N57SJ, sustained substantial damage when it nosed over during a forced landing following a partial loss of engine power. During the nose-over, the tailboom was separated and the main rotor system and fuselage were damaged. The student pilot and flight instructor were not injured. The helicopter was registered to and operated by a private individual under the provisions of Title 14 Code of federal Regulations Part 91 as an instructional flight. Visual meteorological conditions prevailed for the flight, which was not operated on a flight plan. The local flight originated from the Salaika Aviation Airport (07TA), Danbury, Texas, at an unconfirmed time. The certificated flight instructor stated that he and his student had departed for a second pattern during a training mission. After the helicopter made the turn onto the crosswind leg of the traffic pattern the engine suddenly began to run rough and had lost a lot of power. He took the controls and executed an autorotation into a clearing, flared and touched down. The skids of the helicopter sunk into the soft mud, the rotor blades contacted the ground, and the helicopter rolled onto its side. The operator reported that examination of the engine after the accident revealed that a portion of the intake valve for the No. 3 cylinder had broken off and had migrated into the No. 1 cylinder where it lodged between the No. 1 intake valve and seat, holding that valve in the open position.

Aircraft

Registration
N57SJ
Reported as
Enstrom F28 (A)
Category
Helicopter
Serial number
278
Built
1975
Airframe hours
3,632
Engine
Lycoming HIO-360-C1A, 205 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · September 4, 2019
Departed
07TA · Danbury, TX
Destination
07TA · Danbury, TX
Airport
07TA · Salaika Aviation
Equipment
Handheld GPS, Electronic primary flight display, ADS-B, Satellite tracking device

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
37
Injuries
None
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land
Medical
Class 2, Without waivers/limitations
Last flight review
August 23, 2018
Seat
Right
Restraint
Lap only
Flight hours
4,902 total · 4,000 in this make and model · 4,700 as pilot in command · 122 in the last 90 days · 36 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
90° at 3 knots
Visibility
10 statute miles
Lowest ceiling
7,500 ft overcast
Temperature
59 °F, dew point 28 °F
Altimeter
30.20 inHg
Observed at
LBX

Docket · 2

The files NTSB released with the investigation on July 31, 2020, on NTSB’s docket system: statements, records, photos and specialists’ reports. 664 KB 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.