LAX01LA025

NTSB accident investigation · Aerospatiale AS350BA · Kamuela, HI · October 22, 2000

Accident · Serious injuriesLimited investigationFinal report
Date
October 22, 2000, 08:07 local (18:07 UTC)
Place
Kamuela, HI
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N12NTAerospatiale AS350BA
Weather
Visual (VMC) · Day
Status
Completed · report July 17, 2001
Report
Approved by Office Director
FAA report
20001022018899A
Case key
50535

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 total loss of engine power due to the failure of the engine manufacturer's repair station personnel to install a circlip during engine overhaul, which resulted in the turbine assembly aft support bearing becoming dislodged and seized on the shaft. A factor in the accident was the rough and uneven nature of the landing site terrain.

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
Miscellaneous,bolt/nut/fastener/clamp/spring - not installedCause
Maintenance,overhaul,major - improperOther maintenance personnelCause
Engine assembly,bearing - seized
Turbine assembly - seized
Forced landingEmergency descent/landing
Hard landingLanding - flare/touchdown
Terrain condition - rough/unevenFactor

Analysis

A hard autorotation landing resulted from a loss of engine power in the takeoff initial climb. Inspection of the engine after the accident revealed that the engine gas generator compressor/turbine shaft was seized. The engine was overhauled 61 hours prior to the accident. The gas generator turbine aft support bearing was found dislodged from the bearing support cage. A circlip used to retain the bearing in the cage was not present and there was no evidence of the circlip having been installed during overhaul. The autorotation was made to an area of dirt and rocks that had a slight upslope.

Factual narrative

On October 22, 2000, at 0807 hours Hawaiian standard time, an Aerospatiale AS350BA, N12NT, was substantially damaged during an autorotative emergency landing following loss of engine power about 1 mile west-southwest of the Waimea-Kohala airport at Kamuela, Hawaii. The commercial certificated pilot, the sole occupant, received serious injuries. Visual meteorological conditions prevailed for the positioning flight that was operated by Mauna Kea Helicopters, under 14 CFR Part 91. The helicopter was departing from the airport at the time of the engine failure, destined for a nearby resort hotel. No flight plan was filed. The autorotation was performed to an upsloping area of dirt and rocks.

Inspection of the engine after the accident revealed that the engine compressor was seized. The engine was overhauled 61 hours prior to the accident. The engine is comprised of five modules. Module 1 is overhauled on-condition and was not serviced at the overhaul. Turbomeca Engine Corporation of Grand Prairie, Texas, overhauled modules 2 and 3, and Acro Aerospace, Inc., of Richmond, BC, Canada, overhauled modules 4 and 5. The five modules were assembled together and installed in the helicopter by the operator.

The engine was examined by Safety Board investigators at the facilities of Turbomeca Engine Corporation on December 7, 2000. The rotating assembly (compressor and turbine) of the gas generator section (N1, modules 1, 2 and 3) of the engine was seized and the power turbine assembly and output gearbox (N2, modules 4 and 5) was free to rotate. When modules 2 and 3 were separated, the compressor and accessory case (modules 1 and 2) rotated freely and the combustion section and turbine (module 3) remained seized.

Module 3 was difficult to disassemble due to damage at the rear bearing area. Further examination revealed the turbine rear support bearing (bearing, Turbomeca part number 9609000153) was backed out of the bearing support housing (cage, part number 0292502630). Ordinarily the bearing is retained in the housing by a circlip (part number 9560119360), however, no evidence of presence of the circlip was found. The circlip retaining groove in the support housing was visibly undamaged.

An additional party to the investigation was Mr. Joe Braz of Acro Aerospace, Inc, Richmond, BC, Canada. The wreckage was released to the owner on December 22, 2000.

Aircraft

Registration
N12NT
Reported as
Aerospatiale AS350BA
Category
Helicopter
Serial number
1670
Airframe hours
7,227
Engine
Turbomeca ARRIEL 1B, 680 horsepower, turbo shaft
Damage
Substantial damage
Flight
Positioning · Part 91
Registered owner
Mauna Kea Helicopters
Airworthiness certificate
Standard, Normal
Last inspection
Continuous airworthiness · August 26, 2000 · 64 hours before
Departed
MUE · HI
Destination
Private Helipad

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
34
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Helicopter
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Right
Flight hours
5,800 total · 2,600 in this make and model · 4,600 as pilot in command · 200 in the last 90 days · 60 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
150° at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
178 °F, dew point 154 °F
Altimeter
29.00 inHg
Observed at
HKO, 20 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.