CHI07IA042

NTSB incident investigation · Bell 407 · Raytown, MO · December 12, 2006

Incident · No injuriesIncident investigationFinal report
Date
December 11, 2006, 22:17 local (Dec 12, 2006, 04:17 UTC)
Place
Raytown, MO
Injuries
4 uninjured
Damage
Minor damage
Phase of flight
Enroute
Aircraft
N302LEBell 407
Weather
Visual (VMC) · Night/bright
Status
Completed · report March 31, 2008
Report
Approved by Office Director
Parties
Standard Aero, Rolls Royce, Life Flight Eagle, Federal Aviation Administration, CJ Systems Aviation Group, Bell Helicopter
FAA report
20061211026119I
Case key
65062

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

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Probable cause

The loss of engine power during cruise flight due to third stage turbine wheel blade fatigue and subsequent separation, which resulted in an emergency landing.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of engine power(total) - mech failure/malfCruise
Turbine assembly,turbine blade - fatigueCause
Turbine assembly,turbine blade - separationCause
Forced landingEmergency descent/landing

Analysis

The air ambulance helicopter executed an emergency landing on an elementary school parking lot following a loss of engine power. Night visual meteorological conditions prevailed at the time of the incident. The pilot stated that he heard a bang and got a low frequency vibration during cruise flight. The helicopter received minor damage due to internal engine components exiting the engine collector and exhaust stack. Examination of the third stage turbine wheel noted high cycle fatigue features on the fracture surface of one of the blades. The fatigue initiated at the trailing edge of the airfoil and propagated 0.515 inch before a fast fracture separation. Although a small area of porosity was observed in the microstructure adjacent to the fracture, it did not intersect the fracture surface, and no evidence of porosity was observed on the fracture surface. Chemistry and hardness were as specified. Given the high cycle features, good material properties, and lack of a stress-concentrating defect at the origin, the fatigue could be secondary to some other event that produced unusual loading or vibrations in the blade.

Factual narrative

On December 11, 2006, at 2217 central standard time, a Bell 407, N302LE, operated by CJ Systems Aviation Group (dba Life Flight Eagle), as an air ambulance helicopter, executed an emergency landing on an elementary school parking lot near Raytown, Missouri. Night visual meteorological conditions prevailed at the time of the incident. The pilot stated that he heard a bang and got a low frequency vibration during cruise flight. The helicopter received minor damage due to internal engine components exiting the engine collector and exhaust stack. The air ambulance flight was operating under Title 14 CFR Part 135. The pilot, two paramedics, and patient were uninjured. The flight last departed from Golden Valley Hospital, Clinton, Missouri, at 2154, for a patient transfer to St. Lukes Hospital, Kansas City, Missouri.

The National Transportation Safety Board Materials Lab review of the Rolls Royce Metallurgical Investigation Report focused on damage to the third stage turbine wheel where high cycle fatigue features were observed on the fracture surface of one of the blades. The fatigue initiated at the trailing edge of the airfoil and propagated 0.515 inch before a fast fracture separation. Although a small area of porosity was observed in the microstructure adjacent to the fracture, it did not intersect the fracture surface, and no evidence of porosity was observed on the fracture surface. Chemistry and hardness were as specified.

Parties to the investigation were Bell Helicopter, CJ Systems Aviation Group, FAA, Life Flight Eagle, Standard Aero, and Rolls Royce.

Aircraft

Registration
N302LE
Reported as
Bell 407
Category
Helicopter
Serial number
53572
Airframe hours
1,865
Engine
Rolls-Royce Turbomeca 250-C47B, 630 horsepower, turbo shaft
Damage
Minor damage
Flight
Part 135
Operator
CJ Systems Aviation Group, Inc.
Registered owner
Lifeflight Eagle Inc
Airworthiness certificate
Standard, Normal
Departed
Clinton, MO
Destination
Kansas City, MO
Flight plan
Company VFR

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
52
Injuries
None
Certificates
Private, Commercial
Airplane ratings
Single-engine land
Instrument ratings
Helicopter
Medical
Class 2, With waivers/limitations
Last flight review
December 1, 2006
Seat
Right
Flight hours
6,525 total · 100 in this make and model · 6,225 as pilot in command

Weather

Conditions
Visual (VMC) · Night/bright
Wind
180° at 13 knots, gusting 20
Visibility
9 statute miles
Lowest ceiling
None
Temperature
55 °F, dew point 48 °F
Altimeter
29.90 inHg
Observed at
MKC

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.