CHI96LA032

NTSB accident investigation · Hughes 369D · Crystal, MI · November 9, 1995

Accident · No injuriesLimited investigationFinal report
Date
November 9, 1995, 15:15 local (20:15 UTC)
Place
Crystal, MI
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N58231Hughes 369D
Weather
Visual (VMC) · Day
Status
Completed · report April 18, 1996
Report
Approved by Office Director
FAA report
19951109036419A
Case key
10153

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

fuel contamination resulting in the loss of engine power, and improper fuel sump screen installation on the nurse truck resulting in contamination of the fuel supply.

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) - nonmechanicalHover
Fluid,fuel - contamination,waterCause
Miscellaneous - improperOther personCause
Forced landingEmergency descent/landing
In flight collision with terrain/waterDescent - uncontrolled
Autorotation - attemptedPilot in command

Analysis

The helicopter was approximately 50 feet above the ground lifting a load of trees when its engine lost power. The pilot attempted autorotation. The helicopter's right skid collapsed on impact with the terrain rolling the helicopter on its side. A witness observed 'black smoke around the ship' as the helicopter descended. Examination of the wreckage at the site revealed fuel to the fuel control, but no fuel in the line from the fuel control to the nozzle. There was approximately 150 pounds of jet fuel in the fuel tank. About ten drops of water were collected from the fuel sump screen. Examination of the nurse truck fuel supply at the site indicated that a filter at the pump was installed at an incorrect angle allowing water to collect in the sump. An examination of the engine at the factory revealed no mechanical anomalies.

Factual narrative

On November 9, 1995, at 1515 eastern standard time (est), a Hughes 369-D, N58231, piloted by a commercial pilot, sustained substantial damage when while lifting a load of trees the helicopter's engine lost power. The helicopter subsequently impacted the terrain and rolled onto its side. Visual meteorological conditions prevailed at the time of the accident. The flight was conducted under 14 CFR Part 133. A flight plan was not on file. The pilot reported no injuries. The helicopter was on a local flight which originated at Crystal, Michigan, at 1415 est.

The pilot reported that he was lifting a load of trees and moving them toward a truck. He was approximately "50 feet above the ground when the helicopter's engine quit." The pilot attempted autorotation, "but there was not enough inertia within the rotor system to sustain a soft landing." The right skid collapsed on impact with the terrain rolling the helicopter on its side.

A witness at the scene reported hearing the helicopter's engine "shutting down." He observed "black smoke around the ship" as the pilot began to "nose the helicopter forward in an attempt to autorotate."

The Federal Aviation Administration (FAA) inspector who examined the wreckage at the site found the helicopter resting on its side in a cleared field. Four of the five main rotor blades showed evidence of impact damage. A gash was found in the tail boom at fuselage station 242. The right skid had collapsed under the right side of the fuselage. The struts had fractured and the right skid tube had separated. Examination of the fuel system showed evidence of fuel from the pump to the fuel control. There was no evidence of fuel in the line from the fuel control to the nozzle. There was appoximately 150 pounds of jet fuel in the fuel tank. Water was found in the helicopter's fuel strainer. About ten drops of water were collected from the fuel sump screen. Continuity of the engine gearbox and overrun clutch was confirmed.

Examination of the nurse truck fuel supply at the site indicated that a filter at the pump was installed at an incorrect angle allowing water to collect in the sump.

The engine was examined at the Allison-National Air Motive facility in Oakland, California, on November 21 and 22, 1995, under the direction of an FAA inspector. Three engine tests were conducted. During the second test, the engine flamed out while accelerating on the start schedule. A third test was conducted under the same conditions. The engine accelerated normally. The flame out condition which occurred during the second test could not be duplicated. No other anomalies were found.

Aircraft

Registration
N58231
Reported as
Hughes 369D
Category
Helicopter
Serial number
88021D
Airframe hours
5,717
Engine
Allison 250-C20B, 420 horsepower, turbo shaft
Damage
Substantial damage
Flight
Other work use · Part 133
Registered owner
Trinity Helicopters, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · October 13, 1995 · 135 hours before

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
37
Certificate
Commercial
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
5,600 total · 1,200 in this make and model · 5,530 as pilot in command · 100 in the last 90 days · 66 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
200° at 10 knots
Visibility
2 statute miles
Temperature
27 °F
Altimeter
29.00 inHg

FAA reports on this event · 1

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