FTW94FA293

NTSB accident investigation · Eurocopter AS-350-B2 · Cascade, CO · September 8, 1994

Accident · Minor injuriesField investigationFinal report
Date
September 8, 1994, 10:43 local (16:43 UTC)
Place
Cascade, CO
Injuries
2 minor, 1 uninjured
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N99TVEurocopter AS-350-B2
Weather
Visual (VMC) · Day
Status
Completed · report May 9, 1995
Report
Approved by Office Director
FAA report
19940908026739A
Case key
18924

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

A power loss due to contaminated fuel from an unknown source that clogged the fuel filter and internally damaged the fuel control unit. A factor was unsuitable terrain for a 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 powerTakeoff - initial climb
Fluid,fuel - contaminationCause
Reason for occurrence undetermined
Fuel system,filter - obstructed
Fuel system,fuel control - scored
Forced landingEmergency landing after takeoff
In flight collision with objectDescent - emergency
Object - tree(s)
Terrain condition - none suitableFactor

Analysis

Shortly after takeoff from atop pikes peak, the engine lost power and the pilot autorotated straight ahead. The helicopter collided with trees and rolled over. Fuel samples contained visible contaminants and the fuel control unit (fcu) was unable to attain target fuel flow during post accident testing. The contaminants were identified as filter material and particles of metal, glass, sand, and plastic. Metallic particles were identified as being copper, iron, nickel, and chromium. Fcu disassembly revealed a clogged amplifier piston filter, a scored isochronous piston, and a collapsed temperature compensator. According to the engine manufacturer, the fuel contaminants could disturb fcu operation and the scored piston was 'evidence of an operation with polluted fuel.' The source of contaminants was not determined. No reports of fuel contamination were received from other pilots using the same fuel vendor.

Factual narrative

History of flight

On September 8, 1994, at 1043 mountain daylight time, a Eurocopter AS 350 B2, N99TV, was destroyed when it impacted trees during descent at Cascade, Colorado. The pilot and one passenger received minor injuries, and another passenger was not injured. Visual meteorological conditions prevailed.

The following is based on an interview with the pilot and the pilot/operator report. The helicopter landed at the 12,800 foot level of 14,110 foot Pikes Peak and two passengers, a reporter and photographer, disembarked to cover a news story. While awaiting their return, the pilot decided to reconnoiter another landing site in case it would be needed for a high altitude, high gross weight departure. During the takeoff, he made a power check and noted all instruments were normal. After determining it would be safe to depart from the original site, he returned and landed.

After the passengers boarded, the pilot lifted the helicopter to a hover and made another power check, noting he had "plenty of power." With bleed air off, he brought the rotor speed up to 385 RPM (385 to 395 RPM normal), and noted Ng (free turbine rotation speed) was 99.7% (98% maximum continuous), torque was 86%, and T4 (exhaust gas temperature) was 720 degrees. He made a "left pedal turn" and initiated a climbout. When the helicopter was about 80 feet above the ground the helicopter yawed. He knew the engine was decelerating and confirmed this by noting a decay in rotor rpm, an Ng drop to 97.2%, and a drop in T4. The low rotor rpm warning horn also sounded. He decided his safest course of action would be to autorotate straight ahead. The helicopter collided with trees and rolled over on its right side. The engine was shut down by closing the fuel valve.

Tests and research

Examination of the helicopter disclosed the Fuel Control Unit (FCU) at the flight gate position indicated 49 degrees, and the Power Turbine Governor Anticipator indicated 42 degrees. According to the Turbomeca Engine technical representative, the readings should have been 52 degrees and 50 to 60 degrees, respectively. The rigging measurements, he said, were similar to those of a "B" model helicopter, not a "B2" model.

Fuel samples taken from the airframe fuel filter and fuel tank contained visible contaminants. These samples were analyzed by two independent Arlington, Texas, laboratories --- Atomus Laboratory and Spectro, Inc. Both laboratory reports disclosed the presence of filter material and particles of metal, glass, sand, and plastic. The metals were identified as being copper, iron, nickel, and chromium (see report attached). According to Turbomeca's report, such contamination could have resulted in the fuel filter becoming clogged and bypassed. The report said that the Fuel Control Unit filter, "which is only a protection filter, leaves particles up to 20 microns to enter the FCU and to disturb its operation." The source of these contaminants was not determined. No reports of fuel contamination were received from other pilots using the same fuel vendor.

The engine and FCU were examined and tested at Turbomeca's facilities in Grand Prairie, Texas, under the supervision of a Federal Aviation Administration inspector. The engine operated within all manufacturer's specifications except for the maximum Ng test. Maximum engine speed attained was 52,088 RPM (allowable range is 53,531 RPM to 53,322 RPM). The FCU was unable to attain a target fuel flow of 236 liters per hour (equivalent to 53,359 RPM), but instead attained 215.5 liters per hour (equivalent to 52,173 RPM). After recalibrating the FCU to settings found at the accident site (Alpha = 49 degrees and Beta = 88 degrees), a fuel flow of 214.5 liters per hour (equivalent to 52,063 RPM) was attained. Disassembly of the FCU revealed a clogged amplifier piston filter (p/n 0164247350), a scored isochronous piston (p/n 0164242440), and a collapsed temperature compensator (p/n 9560142660). According to Turbomeca's report, the score marks are "evidence of an operation with polluted fuel."

Aircraft

Registration
N99TV
Reported as
Eurocopter AS-350-B2
Category
Helicopter
Serial number
2666
Airframe hours
840
Engine
Turbomeca ARRIEL 1D1, 732 horsepower, turbo shaft
Damage
Destroyed
Flight
Business · Part 91
Registered owner
Kusa Tv
Airworthiness certificate
Standard, Normal
Destination
CO88 · Denver, CO

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
52
Certificates
Flight instructor, Airline transport, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Right
Flight hours
16,715 total · 830 in this make and model · 16,500 as pilot in command · 161 in the last 90 days · 73 in the last 30 days · 5 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
75 °F, dew point 43 °F
Altimeter
30.00 inHg
Observed at
COS, 15 nm away

FAA reports on this event · 1

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