# NTSB CHI02LA285: Hughes 369D, N500EK, O'Neill, NE, September 17, 2002

- Type: NTSB accident investigation
- Classification: Accident · Minor injuries · Limited investigation · Final report
- Date: September 16, 2002, 21:35 local (Sep 17, 2002, 02:35 UTC)
- Place: O'Neill, NE
- Coordinates: 42.485832, -98.645553
- Nearby events: https://openairdocs.org/map.md?lat=42.4858&lon=-98.6456&mi=10
- Phase of flight: [Enroute](https://openairdocs.org/ntsb-phases/400) (OpenAirDocs' grouping)
- Highest injury: Minor injuries
- Injuries: 1 minor, 1 uninjured
- Status: Completed, report March 30, 2004
- Report: Approved by Office Director
- Parties: FAA-Lincoln-FSDO
- NTSB case key (mKey): 55738
- NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=CHI02LA285
- NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/55738/pdf
- Page: https://openairdocs.org/ntsb/CHI02LA285

## Probable cause

A loss of engine power due to turbine blade separation as a result of hot corrosion damage to the turbine blades.  Contributing to the accident was the pilot misjudging the flare at the completion of the autorotation resulting in a hard landing.  The dark night was a factor.

## Sequence of events

In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf).

- Loss of engine power, cruise
  - turbine assembly,turbine blade - corroded (cause)
  - turbine assembly,turbine blade - failure,total (cause)
  - powerplant - failure,total (cause)
- Forced landing, emergency descent/landing
- Hard landing, emergency descent/landing
  - flare - misjudged, pilot in command (cause)
  - light condition - dark night (contributing factor)

## Analysis

The helicopter was substantially damaged during a forced landing following a complete loss of engine power during cruise flight at night.  The pilot stated that during the flight, the engine failed, the emergency annunciator lights illuminated, and he felt a yaw due to the loss of full torque.  He executed an autorotation to a bean field.  The pilot stated that it was very dark and that depth perception was difficult and he flared too soon and "ran out of lift at about 10-12 feet above the ground."  The helicopter subsequently impacted the ground.  The main rotor blades sheared off the front right upper portion of the cabin and the tailboom.  Examination of the engine at the accident site revealed that the N1 rotor system would not rotate.  Subsequent examination revealed that the first stage turbine wheel had all of the blades broken off 0.2 to 0.4 inch above the rim at the leading edge and 0.1 to 0.15 inch above the rim at the trailing edge.  Scanning electron microscope examination of the fractures revealed no fatigue progression.  The fracture surface was oxidized and the macroscopic features were interdendritic, indicating that separation occurred in overload.  A metallographic section of one of the blades was made.  This section showed a loss of metal as a result of hot corrosion.  Distinct spherical particles were observed ahead of the corrosion front, consistent with sulfadation.  The chemistry of the spherical particles was found to be rich in sulfur.  Examination of the second stage turbine wheel also showed features consistent with hot corrosion damage.  Further examination of the submitted items showed that the microstructure, hardness and chemistry conformed to the engineering drawing requirements.

## Factual narrative

On September 16, 2002, at 2135 central daylight time, a Hughes 369D, N500EK, piloted by a commercial pilot, sustained substantial damage during a forced autorotation into a bean field, near O'Neill, Nebraska, after an engine failure.  The 14 CFR Part 91 personal flight was operating in night visual meteorological conditions without a flight plan.  The pilot was not injured and his passenger received minor injuries.  The flight originated from the Fort Dodge Regional Airport (FOD), Fort Dodge, Iowa, about 1900 and was en route to the Ainsworth Municipal Airport, Ainsworth, Nebraska.

In a written report, the pilot stated that he departed from his home in Harvard, Illinois, at 1530.  The pilot stated that he flew 2.7 hours to FOD where the helicopter was refueled.  He stated that they departed from FOD about 1900 and landed in Creighton, Nebraska, for a rest stop.  He stated that during this rest stop, the engine was not shut down.  The pilot said that after continuing the flight, the engine failed about 5 nautical miles west of O'Neill.  He stated that the emergency annunciator lights illuminated, he felt the helicopter yaw due to the loss of full torque and he executed an autorotation to a bean field.  The pilot stated that it was very dark and that depth perception was difficult and he flared too soon and "ran out of lift at about 10-12 feet above the ground."  The helicopter subsequently impacted the ground.  The main rotor blades sheared off the front right upper portion of the cabin and the tailboom.

The helicopter was a Hughes model 369D powered by a 420 shaft horsepower Allison model 250-C20B engine.  The helicopter had accumulated 2,323.0 hours total time is service, and the engine had accumulated 2,320.0 hours total time in service at the time of the accident.  The helicopter and engine had undergone an annual inspection on September 9, 2002.  The airframe time was 2,310.5 hours at the time of the inspection.

Examination of the engine at the accident site revealed that the N1 rotor system would not rotate.  The helicopter engine was shipped to the manufacturers facility where it underwent a teardown examination under the supervision of a National Transportation Safety Board Investigator.  The examination revealed that the first stage gas producer (GP-1) wheel, had evidence of heat distress with approximately 90% of the blade material missing.  The second stage gas producer (GP-2) wheel showed heat distress with approximately 10-20% of the blade material missing.  The GP-1 wheel, GP-2 wheel, GP-1 nozzle, GP-2 nozzle, and GP-3 nozzle assemblies were submitted to the Rolls-Royce failure analysis department for further investigations.

The NTSB Materials Laboratory reviewed the metallurgical examination performed by Rolls Royce.  The examination showed that the first stage turbine wheel had all of the blades broken off 0.2 to 0.4 inch above the rim at the leading edge and 0.1 to 0.15 inch above the rim at the trailing edge.  The separated blades were not recovered.  Scanning electron microscope examination of the fractures revealed no fatigue progression.  The fracture surface was oxidized and the macroscopic features were interdendritic, indicating that separation occurred in overload.  A metallographic section of one of the blades was made.  This section showed a loss of metal as a result of hot corrosion.  Distinct spherical particles were observed ahead of the corrosion front, consistent with sulfadation.  The chemistry of the spherical particles was found to be rich in sulfur.  Examination of the second stage turbine wheel also showed features consistent with hot corrosion damage.  Further examination of the submitted items showed that the microstructure, hardness and chemistry conformed to the engineering drawing requirements.

## Aircraft

- Registration: [N500EK](https://openairdocs.org/aircraft/N500EK), registered now, S/N 1190610D, built 1979 (OpenAirDocs)
- Reported make and model: Hughes 369D
- Registry model: [Hughes Helicopters HUGHES 369D](https://openairdocs.org/model/hughes-helicopters-hughes-369d) (registry code 4470706) (OpenAirDocs)
- Registry engine: [Allison 250-C20](https://openairdocs.org/engine/allison-250-c20) (registry code 03080, turbo-shaft) (OpenAirDocs)
- Category: Helicopter
- Serial number: 1190610D
- Airframe hours: 2323
- Engines: Allison 250-C20B 420 horsepower turbo shaft
- Damage: Substantial damage
- Flight: Personal, Part 91
- Registered owner: Headwest Sky Operations, Inc.
- Airworthiness certificate: Standard, Normal
- Last inspection: Annual, September 9, 2002, 12.5 hours before
- Departed: FOD, FORT DODGE, IA
- Destination: ANW, AINSWORTH, NE

## Flight crew

As NTSB recorded them. NTSB leaves out names.

- Pilot; age 41; injuries: none; flight instructor, commercial; airplane ratings: multi-engine land, single-engine sea, single-engine land; instrument ratings: airplane; medical: class 2, valid medical--no waivers/lim.; last flight review May 11, 2001; flight hours: 5,200 total

## Weather

- Conditions: Visual (VMC), Night/dark
- Wind: 170° at 10 knots
- Visibility: 10 statute miles
- Lowest ceiling: none
- Temperature: 66 °F, dew point 46 °F
- Altimeter: 29.90 inHg
- Observed at: ONL, 5 nm away

## FAA reports on this event (1)

The FAA's own accident and incident reports, matched to the aircraft by N-number and date (OpenAirDocs).

- [Accident 20020916027609A](https://openairdocs.org/incident/20020916027609A), Sep 16, 2002: Hughes 369D, O'Neill, NE, Substantial damage. (-23) On September 16, 2002, at 2145 CDT on a cross country flight from harvard, IL, to his cabin in Idaho, the PIC experienced an engine shutdown while in…

From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model.

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