FTW04LA212

NTSB accident investigation · Enstrom F-28F · De Leon, TX · August 7, 2004

Accident · Minor injuriesLimited investigationFinal report
Date
August 7, 2004, 14:00 local (19:00 UTC)
Place
De Leon, TX
Injuries
2 minor, 1 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N78616Enstrom F-28F
Weather
Visual (VMC) · Day
Status
Completed · report December 28, 2004
Report
Approved by Office Director
Parties
Fort Worth FAA/FSDO
FAA report
20040807023399A
Case key
59892

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

The pilot's failure to properly secure a fuel line, which resulted in a loss of engine power due to leakage and subsequent fuel starvation.

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) - nonmechanicalManeuvering
Fluid,fuel - leakCause
Maintenance,installation - improperPilot in commandCause
Fluid,fuel - starvationCause
Fuel system,line fitting - not securedCause
Forced landingDescent - emergency
In flight collision with terrain/waterEmergency descent/landing
Terrain condition - none suitableFactor

Analysis

The 9,375-hour pilot was giving attendees of a local festival 6-7 minute helicopter rides. He departed with two passengers and climbed to an altitude of 500 feet above ground level (agl). Shortly after, the engine began firing through the exhaust and began to lose power. The pilot entered an autorotation and prepared to land in a school playground. While maneuvering toward the playground, the engine stopped producing power. During the landing, the helicopter slid forward, the skids collapsed and the main rotor severed the tail boom. Before exiting the helicopter, the pilot secured the electrical switches, the magnetos, and turned off the fuel shut-off valve. Examination of the engine revealed that when then fuel shut-off valve was turned back on, fuel began to drain from the port where the main fuel line attached to the fuel manifold valve. The b-nut, which secured the line to the manifold, was partially attached to the port and was finger loose. The b-nut was then tightened, and the engine was test run on the airframe. It started immediately and ran at various power settings without interruption. According to the pilot, he had removed and reassembled the fuel manifold valve approximately nine hours prior to the accident.

Factual narrative

On August 7, 2004, approximately 1400 central daylight time, an Enstrom F-28F single-engine helicopter, N78616, sustained substantial damage during a forced landing following a loss of engine power near De Leon, Texas. The commercial pilot was not injured and the two passengers sustained minor injuries. The helicopter was registered to and operated by Arrowhead Helicopters Incorporated, Kingman, Arizona. Visual meteorological conditions prevailed and no flight plan was filed for the personal flight conducted under 14 Code of Federal Regulations Part 91. The flight departed a field near De Leon, Texas, about 1355.

In a written statement, the 9,375-hour pilot stated that he was giving attendees of a local festival 6-7 minute helicopter rides. He departed at 1356 with two passengers, 100 pounds of fuel, and climbed to an altitude of 500 feet above ground level (agl). Shortly after, the engine began firing through the exhaust and began to lose power. The pilot entered an autorotation and prepared to land in a school playground. While maneuvering toward the playground, the engine stopped producing power. During the landing, the helicopter slid forward, the skids collapsed and the main rotor severed the tail boom. The pilot instructed the passengers to exit the helicopter. He then secured the electrical switches, the magnetos, and turned off the fuel shut-off valve before he exited the helicopter.

The engine was examined on October 27, 2004, under the supervision of a Safety Board investigator. The examination revealed that when then fuel shut-off valve was turned on, fuel began to drain from the port where the main fuel line attached to the fuel manifold valve. The b-nut, which secured the line to the manifold, was partially attached to the port and was finger loose. The b-nut was then tightened, and the engine was test run on the airframe. It started immediately and ran at various power settings without interruption.

According to the pilot, he had removed and reassembled the fuel manifold valve approximately nine hours prior to the accident.

Aircraft

Registration
N78616
Reported as
Enstrom F-28F
Category
Helicopter
Serial number
513
Airframe hours
1,032.6
Engine
Lycoming HIO-360-F1AD, 225 horsepower, reciprocating
Damage
Substantial damage
Flight
Aerial observation · Part 91
Registered owner
Arrowhead Helicopters Inc
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · October 23, 2003 · 24.6 hours before
Departed
NONE · De Leon, TX
Airport
None

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
58
Injuries
Minor
Certificates
Commercial, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Medical
Class 2, Valid Medical--w/ waivers/lim
Last flight review
August 21, 2002
Seat
Left
Flight hours
9,375 total · 268 in this make and model · 9,255 as pilot in command · 10 in the last 90 days · 5 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
160° at 4 knots
Visibility
10 statute miles
Lowest ceiling
4,500 ft broken
Temperature
84 °F, dew point 70 °F
Altimeter
29.97 inHg
Observed at
K7F9

FAA reports on this event · 1

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