FTW95LA056

NTSB accident investigation · Bell 206B · Natchitoches, LA · November 29, 1994

Accident · No injuriesLimited investigationFinal report
Date
November 29, 1994, 14:32 local (20:32 UTC)
Place
Natchitoches, LA
Injuries
4 uninjured
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N2183PBell 206B
Weather
Visual (VMC) · Day
Status
Completed · report June 19, 1995
Report
Approved by Office Director
FAA report
19941129039879A
Case key
19313

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 delayed flare and the improper touchdown by the pilot in command. Factors were the operation of the aircraft with known deficiencies by the operator and the pilot, delayed maintenance, and, an engine compressor assembly stall, combined with erosion and corrosion of the stator vanes which resulted in a complete loss of power.

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) - mech failure/malfCruise
Compressor assembly,stator vane - stallFactor
Compressor assembly,stator vane - corrodedFactor
Compressor assembly,stator vane - erodedFactor
Operation with known deficiencies in equipment - continuedCompany/operator managementFactor
Operation with known deficiencies in equipment - continuedPilot in commandFactor
Maintenance - delayedCompany maintenance personnelFactor
Forced landingDescent - emergency
Hard landingLanding - flare/touchdown
Flare - delayedPilot in commandCause
Touchdown - improperPilot in commandCause

Analysis

During a maintenance test flight, the helicopter experienced a loss of engine power due to mechanical reasons. The maintenance history revealed that the engine had experienced a series of compressor stalls during the last 132 hours of flight. Company management elected to defer required maintenance until their 'busy season was over.' The metallurgical analysis showed that intergranular corrosion and erosion of the stator vanes combined to effectively weaken the individual vanes structurally. A compressor stall was experienced. The pilot performed an autorotation and during touchdown the main rotor blades severed the tail boom.

Factual narrative

On November 29, 1994, at 1432 central standard time, a Bell 206B, N2183P, was destroyed during a forced landing near Natchitoches, Louisiana. The commercial pilot and the three passengers were not injured. Visual meteorological conditions prevailed for the local 14 CFR Part 91 flight.

In a written report submitted by the operator, they stated that the aircraft was on a maintenance test flight to evaluate the engine performance. They further stated that the reason for the test flight was to determine the effects of previously reported compressor stalls during the last 132 hours of operation. The operator stated that they had three maintenance personnel onboard, 2 were engine specialists, conducting the testing.

During an interview conducted by a Federal Aviation Administrator (FAA) Inspector, the pilot stated that one of the onboard technicians monitoring the test equipment requested that he move the starter/generator switch to the "OFF" position during one of the tests. After completion of the test the pilot "rolled" the throttle back to flight idle and moved the starter/generator switch to the "ON" position. The throttle was then "rolled" back to the full on and the pilot heard a "rapid popping" sound. The engine sustained a total power loss and the pilot initiated an autorotation from 1,200 above the ground, onto a golf course.

Maintenance personal reported that management had deferred maintenance on the aircraft, following the compressor stalls, "until the end of our busy season."

An FAA Inspector reported that during the forced landing the fuselage and dynamic components sustained damage and that the tailboom was severed by a main rotor strike.

The case halves were taken to Materials Analysis,Inc., Dallas, Texas, for metallurgical analysis. They determined that two dynamic processes had weakened the stator vanes - erosion and intergranular corrosion (see enclosed metallurgical report). The report further states "a compressor stall alone would not normally apply sufficient load to the stator vanes to cause an overload failure; however, the combined effects of vane erosion and pre-existing intergranular cracks in the vanes could effectively weaken the individual vanes to such a degree that unusual load applications could result in unanticipated vane overload failures."

Aircraft

Registration
N2183P
Reported as
Bell 206B
Category
Helicopter
Serial number
3470
Airframe hours
7,455
Engine
Allison 250-C20 B, 420 horsepower, turbo shaft
Damage
Destroyed
Flight
Part 91
Registered owner
International Paper Company
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · October 15, 1994 · 100 hours before

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
32
Certificate
Commercial
Instrument ratings
Helicopter
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Right
Flight hours
2,427 total · 67 in this make and model · 2,300 as pilot in command · 62 in the last 90 days · 35 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
90° at 5 knots
Visibility
15 statute miles
Lowest ceiling
25,000 ft broken
Temperature
66 °F, dew point 34 °F
Altimeter
30.00 inHg
Observed at
SHV, 90 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.