FTW02LA117

NTSB accident investigation · Bell 206B · Walnut Hill, TX · April 11, 2002

Accident · Minor injuriesLimited investigationFinal report
Date
April 11, 2002, 08:00 local (13:00 UTC)
Place
Walnut Hill, TX
Injuries
1 minor, 3 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N513FDBell 206B
Weather
Visual (VMC) · Day
Status
Completed · report September 30, 2003
Report
Approved by Office Director
Parties
Bell Helicopter Textron, Rolls-Royce, FAA FSDO
FAA report
20020411007419A
Case key
54493

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 loss of engine power as a result of the backing off of the PC air line "B" nut due to the improper installation by the company maintenance personnel. Contributing factors were the inadequate preflight by the pilot and the lack of suitable terrain for the forced 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 powerCruise
Fuel system,pc line - loose part/bolt/nut/clamp/etcCause
Maintenance,installation - improperCompany maintenance personnelCause
Fuel system,pc line - undertorqued
Aircraft preflight - inadequatePilot in command
Forced landingDescent - emergency
Autorotation - initiatedPilot in command
Hard landingLanding - flare/touchdown
Terrain condition - mountainous/hillyFactor
Object - tree(s)

Analysis

During cruise flight, approximately 400 feet agl, the helicopter experienced a "sudden" loss of power. The pilot initiated an autorotation to a residential street. During the forced landing, the main rotor blades struck trees that over hung the street. Subsequently, the helicopter touched down "hard" and slid to a stop. An examination of the helicopter revealed the B-nut on the PC pneumatic line from the power turbine governor tee fitting to the fuel control, at the fuel control end, was backed off from the fitting. When viewed initially, the B-nut appeared to be connected, but when moved by hand, it dislodged from the fuel control connection. Further examination revealed the whole engine was void of the required torque striping on all B-nuts. Examination of the maintenance records revealed the helicopter accumulated 42.6 hours since the last 100-hour maintenance inspection that was performed on March 29, 2002.

Factual narrative

On April 11, 2002, at 0800 central daylight time, a Bell 206B helicopter, N513FD, was substantially damaged during a forced landing following a loss of engine power near Walnut Hill, Texas. The helicopter was registered to Heartland Helicopter Leasing of Rogersville, Missouri, and operated by Sky One Helicopters of Fort Worth, Texas. The airline transport pilot and two passengers were not injured, and one passenger sustained minor injuries. Visual meteorological conditions prevailed, and a flight plan was not filed for the 14 Code of Federal Regulations Part 91 traffic reporting flight. The flight originated from the Dallas Love Field Airport, Dallas, Texas, at 0550.

According to information obtained in the Pilot/Operator Aircraft Accident Report (NTSB Form 6120.1/2) the helicopter experienced a "sudden" loss of power while at approximately 400 feet agl. The pilot initiated an autorotation to a residential street. During the forced landing, the main rotor blades struck trees, which over hung the street. Subsequently, the helicopter touched down "hard" and slid to a stop.

An examination of the helicopter, by an FAA inspector who responded to the accident site, revealed that the helicopter's tail boom had separated aft of the horizontal stabilizer, one main rotor blade was damaged, and the landing skids were spread.

Further examination of the helicopter on April 16, 2002, at Air Salvage of Dallas in Lancaster, Texas, under supervision of the NTSB, revealed the B-nut on the PC pneumatic line from the power turbine governor tee fitting to the fuel control, at the fuel control end, was backed off from the fitting. When viewed initially, the B-nut appeared to be connected, but when moved by hand, it dislodged from the fuel control connection. The cushioned clamp on this same line was not fastened to anything. Further examination revealed the engine was void of the required torque striping on all B-nuts. According to the Rolls-Royce Allison 250C20 Series Operation and Maintenance manual, paragraph 9.B., "when proper free state alignment is attained, complete tubing installation by simultaneously securing the coupling nuts. After all B-nuts are properly tightened to the correct torque values, apply a slippage mark (torque paint) of contrasting color approximately 0.063 inch (1.60mm) wide minimum. The mark shall extend down the side of the B-nut and onto the mating fitting. Install necessary clamping."

Examination of the maintenance records revealed the helicopter accumulated 42.6 hours since the last 100-hour maintenance inspection that was performed on March 29, 2002.

The required inspections of this system are noted in table 602 of the Rolls-Royce Allison 250C20 Series Operation and Maintenance manual, under the "100 hour inspection checklist" section, it is noted to "inspect all "B" nuts for application and alignment of torque paint. If missing, loosen "B" nut, retighten, and apply torque paint." Also indicated in the Bell 206B Flight Manual, section 2, during the exterior preflight, the pneumatic lines should be checked for overall condition and security.

Aircraft

Registration
N513FD
Reported as
Bell 206B
Category
Helicopter
Serial number
891
Airframe hours
5,056.7
Engine
Rolls-Royce 250-C20, 400 horsepower, turbo shaft
Damage
Substantial damage
Flight
Aerial observation · Part 91
Operator
Sky One Helicopters
Registered owner
Heartland Helicopter leasing
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · March 29, 2002 · 42.6 hours before
Departed
DAL · Dallas, TX

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
50
Injuries
None
Certificates
Flight instructor, Commercial, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 2, Valid Medical--w/ waivers/lim
Last flight review
April 24, 2000
Seat
Right
Toxicology
Performed
Flight hours
8,000 total · 4,000 in this make and model · 7,000 as pilot in command · 300 in the last 90 days · 100 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
170° at 5 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
64 °F

Docket · 9

The files NTSB released with the investigation on July 31, 2003, on NTSB’s docket system: statements, records, photos and specialists’ reports. 12.3 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.