ERA15LA280

NTSB accident investigation · MD Helicopter 369FF · Vega Baja, PR · July 24, 2015

Accident · No injuriesClass 3 · LimitedFinal report
Date
July 24, 2015, 09:45 local (13:45 UTC)
Place
Vega Baja, PR
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N5842ZMD Helicopter 369FF
Defining event
Enroute-cruise: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
Puerto Rico Electric Power Authority, FAA/FSDO, MD Helicopters, Inc., Rolls Royce Engines
FAA report
20150724015779A
Case key
91625

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

A total loss of engine power due to insufficient lubrication to the engine's No. 2 bearing, which resulted in the failure of the bearing and a subsequent forced landing.

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.

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

About 20 minutes into a flight, the helicopter's engine experienced a total loss of power while at an altitude of about 300 ft above ground level. The pilot then entered an autorotative descent, and during the landing attempt, the helicopter impacted an area of shallow water near a beach and the fuselage was substantially damaged. Postaccident examination of the engine revealed that the No. 2 bearing had failed most likely as the result of a reduction in oil flow to the bearing. Examination of the tube that fed oil to the bearing revealed that it was unremarkable; however, its design had been superseded with an improved design for new helicopters several months before the accident. The newly designed tube was implemented to "decrease the bearing temperature and improve the bearing performance."

Factual narrative

On July 24, 2015, about 0945 Atlantic standard time, an MD Helicopters Inc. 369FF, N5842Z, was substantially damaged when it impacted shallow water near Vega Baja, Puerto Rico. The commercial pilot, pilot-rated passenger, and another passenger were not injured. Visual meteorological conditions prevailed, and no flight plan was filed for the flight, which originated from Luis Munoz Marin International Airport (SJU), San Juan, Puerto Rico and was destined for Antonio (Nery) Juarbe Pol Airport (ABO), Arecibo, Puerto Rico. The work use flight was conducted under the provisions of Title 14 Code of Federal Regulations Part 91. The helicopter was operated by the Puerto Rico Electric Power Authority and was assisting with electrical power distribution system construction. The helicopter departed from SJU and proceeded to the work site, cruising at an altitude of 300 feet along the northern coastline of Puerto Rico. About 20 minutes into the flight, the pilot heard a loud "bang" emanate from the area of the engine, followed by a second bang 2 to 3 seconds later. The engine then experienced a total loss of power and the pilot responded by entering an autorotative descent. During the descent, the pilot recalled hearing and observing the "low engine rpm" annunciations. The helicopter subsequently impacted an area of shallow water near a beach. During the landing, the main rotor struck the tail boom, separating it from the fuselage. Examination of the engine revealed that the power section was not free to rotate, and borescope examination revealed thermal damage to the first stage turbine blades. The engine oil was drained, and examination of the oil and oil filter element revealed slivers and chips of ferrous metal. Detailed examination of the engine revealed that the No. 2 bearing was damaged. The bearing displayed evidence of thermal distress, spalling of the balls and races, and the ball separator was fractured. The oil delivery tube (also referred to as a "piccolo tube") that serviced the bearing with oil was installed and undamaged. Metallurgical examination of the No. 2 bearing showed a thermal distress pattern consistent with a possible reduction in oil flow to the bearing. The bearing's metallurgical composition was consistent with the material types specified in its design. X-ray examination of the bearing's oil delivery tube revealed no evidence of obstruction or restrictions; the inlet screen was absent of debris. The oil delivery tube installed in the accident engine was subject to a Commercial Engine Bulletin published by the manufacturer (CEB-72-3299), which was effective for all engines built before November 30, 2014. The bulletin stated that the reason for the part replacement was to, "…improve oil delivery to the #2 thrust bearing. This change will decrease the bearing temperature and improve the bearing performance." The bulletin further stated that it should be complied with the next time the engine's gearbox was at an authorizedrepair/overhaul facility and was disassembled for any reason.

Aircraft

Registration
N5842Z
Reported as
MD Helicopter 369FF
Category
Helicopter
Serial number
0137FF
Built
1999
Airframe hours
4,961.2
Engine
Rolls-Royce 250-C30, 650 horsepower, turbo shaft
Damage
Substantial damage
Flight
Other work use · Part 91
Operator
Puerto Rico Electric Power Authority
Registered owner
Puerto Rico Electric Power Authority
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · March 12, 2015
Departed
SJU · San Juan, PR
Destination
ABO · Arecibo, PR

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
48
Injuries
None
Certificate
Commercial
Instrument ratings
Helicopter
Medical
Class 2, With waivers/limitations
Last flight review
March 28, 2014
Seat
Left
Restraint
4-point
Flight hours
6,021 total · 657 in this make and model · 5,671 as pilot in command · 163 in the last 90 days · 52 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
70° at 10 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
84 °F, dew point 75 °F
Altimeter
30.12 inHg
Observed at
TJSJ, 19 nm away

Docket · 6

The files NTSB released with the investigation on October 16, 2020, on NTSB’s docket system: statements, records, photos and specialists’ reports. 11.3 MB 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.