CEN24LA271

NTSB accident investigation · Mcdonnell Douglas Helicopter 600N · Eagle Lake, TX · July 16, 2024

Accident · Serious injuriesClass 3 · LimitedFinal report
Date
July 16, 2024, 00:55 local (05:55 UTC)
Place
Eagle Lake, TX
Injuries
1 serious, 4 minor, 1 uninjured
Damage
Destroyed
Phase of flight
Maneuvering
Aircraft
N609RPMcdonnell Douglas Helicopter 600N
Defining event
Maneuvering-low-alt flying: Sys/Comp malf/fail (non-power)
Weather
Visual (VMC) · Night
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
Rolls Royce, Federal Aviation Administration, Houston FSDO
Case key
194714

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 operator’s improper installation of the fuel system, which resulted in fuel starvation, a loss of engine power, and impact with terrain.

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.

Fluids: fuelAircraft › Fluids/misc hardware · Fluid levelMcdonnell Douglas Helicopter 600N: 1 caseAll aircraft: 1,695 casesProbable cause
Maintenance: installationPersonnel issues › Task performance · Maintenance personnelMcdonnell Douglas Helicopter 600N: 1 caseAll aircraft: 371 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 operator was providing flight services to law enforcement for training purposes at the time of the accident. The pilot stated that during the last flight of the evening, he flew the helicopter at a low altitude and at a low airspeed when the helicopter exhibited low rotor rpm. The helicopter lost partial engine power, and the pilot performed a forced landing. The helicopter was destroyed by impact forces. Postaccident examination of the helicopter revealed the helicopter’s fuel system was incorrectly installed and drew fuel from the forward portion of the left fuel cell, allowing air to be drawn into the fuel system when the fuel level reached an unsustainable level for engine operation. A correct installation of the fuel system would have had fuel being drawn from the aft portion of the left fuel tanks, which had about 19.5 gallons of fuel available. Maintenance entries showed that the pilot, who was also a mechanic, performed recent maintenance within the left fuel cell and such maintenance would have required the pilot to remove and visually inspect the fuel system components within the left fuel cell that were found to be improperly installed. The improper installation resulted in the fuel system not scavenging the available fuel from the aft portion of the left fuel cell.

Factual narrative

On July 16, 2024, at 0055 central daylight time, a McDonnell Douglas Helicopter 600N, N609RP, was destroyed when it was involved in an accident near Eagle Lake, Texas. The commercial pilot was uninjured, one passenger received serious injuries, and four passengers received minor injuries. The helicopter was operated as a public use flight for law enforcement training. The operator was providing flight services for law enforcement training at the time of the accident. The pilot, who was employed by the operator, stated that during the last flight of the evening, he flew the helicopter at an altitude of about 60 ft above ground level and at a speed of about 20 kts. He said that during the flight, he heard a bang, and the helicopter exhibited low rotor rpm and a partial loss of engine power. The pilot performed an autorotation, during which the helicopter was destroyed due to impact with terrain. The helicopter sustained damage to the fuselage, main rotor, and tailboom. The McDonnell Douglas Helicopter 600N has left and right fuel cells equipped with a baffle that separated the forward and aft portions of each fuel cell. The baffles are several inches in height but do not extend to the top of their respective fuel cells. Each baffle has a one-way flapper valve that allows fuel to flow from the forward portion to the aft portion of the fuel cell. Fuel is drawn from the left aft fuel cell. A start pump/boost pump is installed in the aft portion of the left fuel cell, which is also used in emergency procedures. Cross-feed tubes, a scavenge line, and a one-way flapper valve are installed to ensure the aft portion of the left fuel cell is continuously full of fuel so it can be supplied to the engine through suction for the engine-driven fuel pump. During recovery of the helicopter from the accident site, the only fuel recovered was about 19.5 gallons of fuel from the aft portion of the left fuel cell. Postaccident examination of the helicopter’s fuel system revealed that the that the installation drew fuel from the forward portion of the left fuel cell, rather than the rear portion. The fuel start/boost pump was not present and the electrical wires leading to the fuel start/boost pump had been cut and its loose ends were zip-tied. A download of recorded engine data was performed, followed by an examination of the engine and engine accessories. Engine control unit (ECU) data showed the ECU commanding the fuel metering valve to full open in response to declining main rotor speed. ECU data showed a reduced fuel flow to the engine until the helicopter impacted terrain. The pilot held a mechanic certificate with airframe and powerplant ratings and held inspection authorization. A review of maintenance logbook entries showed that the most recent maintenance of the helicopter’s fuel system was performed by the pilot and was dated July 10, 2024, for the installation of forward and aft fuel probes. The helicopter’s Illustrated Parts Catalog shows that the fuelprobes are in the forward and aft portions of the left fuel tank.

Aircraft

Registration
N609RP
Reported as
Mcdonnell Douglas Helicopter 600N
Category
Helicopter
Serial number
RN009
Built
1997
Airframe hours
2,590
Engine
Rolls Royce 250-C47M, 650 horsepower, turbo shaft
Damage
Destroyed
Flight
Public aircraft - local · Public use
Operator
Last Shadow
Registered owner
Ronald A Peterson Inc DBA
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · July 10, 2024
Destination
Same as departure
Equipment
ADS-B, Data recorder

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
64
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Multi-engine land
Medical
Class 2, With waivers/limitations
Last flight review
November 22, 2022
Seat
Left
Restraint
4-point
Flight hours
16,800 total · 610 in this make and model · 16,755 as pilot in command

Weather

Conditions
Visual (VMC) · Night
Visibility
10 statute miles
Lowest ceiling
None
Temperature
73 °F, dew point 73 °F
Altimeter
29.98 inHg
Observed at
ELA, 4 nm away

Docket · 8

The files NTSB released with the investigation on February 26, 2025, on NTSB’s docket system: statements, records, photos and specialists’ reports. 13.2 MB in all.