LAX01LA079

NTSB accident investigation · Hughes 369D · Ely, NV · January 23, 2001

Accident · No injuriesLimited investigationFinal report
Date
January 23, 2001, 07:45 local (15:45 UTC)
Place
Ely, NV
Injuries
4 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N8353FHughes 369D
Weather
Visual (VMC) · Day
Status
Completed · report March 30, 2004
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20010123000819A
Case key
51383

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 mechanic's inadvertent activation of the bleed valve, which resulted in a loss of engine oil and loss of engine power while in cruise flight.

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
Acft/equip inadequate,equipment interferenceManufacturer
Lubricating system,oil quickdrain/drain plug - activatedCause
Maintenance,replacement - improperCompany maintenance personnelCause
Fluid,oil - leakCause
Fluid,oil - exhaustionCause
Forced landingEmergency descent/landing
Autorotation - performedPilot in command
Miscellaneous/otherLanding - flare/touchdown
Misc rotorcraft,main rotor/tail boom contact

Analysis

The single engine helicopter experienced a loss of engine power after the oil was inadvertently pumped overboard. A company mechanic replaced the torque gauge prior to the accident flight due to needle "bounce." The mechanic bled the torque system and reinstalled a radio that was removed to facilitate the work. During the radio installation, he inadvertently engaged the bleed valve, which is located behind the instrument panel, allowing oil to flow out of the engine from behind the instrument panel. While at 9,500 feet, the engine lost power and the pilot performed an autorotation landing to a field at the base of mountains. The pilot said he touched down smooth and light; however, the main rotor blades flexed and severed the tail boom. As a result of the accident, the operator rerouted the torque system bleed line toward the pilot's feet so that they could detect an inadvertent oil leak.

Factual narrative

On January 23, 2001, approximately 0745 Pacific standard time, a Hughes 369D single-engine helicopter, N8353F, impacted terrain during an autorotation landing following a loss of engine power while in cruise flight near Ely, Nevada. The helicopter was registered to and operated by Hawkins & Powers Aviation, Inc., Greybull, Wyoming, under the provisions of 14 CFR Part 91 as a business flight. The helicopter sustained substantial damage, and the commercial pilot and three passengers were not injured. The business flight departed Ely about 0730, and was destined for private property near Ely. Visual meteorological conditions prevailed, and a company flight plan had been filed.

According to the pilot's written statement, the torque gauge was showing a "bounce" in its reading. The pilot notified a company mechanic, who elected to replace the torque gauge with a new one. The mechanic replaced the torque gauge and bled the system at the torque gauge bleed valve behind the instrument panel. He removed the radio located below the torque gauge to facilitate the work. He tested the system, noted no leaks, and replaced the radio.

The flight departed to ferry company personnel to a job site. Approximately 1.5 miles from the planned destination, the pilot noticed the needle "bounce" on the torque gauge, and illumination of the "engine chip" caution light. The pilot notified his passengers and told them that they would be landing early. Approximately 30 seconds after noticing the chip light, at an elevation of 9,500 feet, the engine lost power. The pilot entered an autorotation and attempted to land at the base of mountains at the 7,500-foot level. The pilot stated the helicopter touched down "very smooth and light;" however, during the landing roll, the main rotor blades flexed down and severed the tail boom.

According to the operator, the bleed valve is located in a confined area behind the instrument panel. When the mechanic conducted the system bleed, and reinstalled the radio, he inadvertently hit the bleed valve. Oil seeped out of the engine through the bleed valve and down behind the instrument console. Examination of the engine after the accident revealed it had no oil, and metal covered the upper chip detector. The bottom of the helicopter was coated with oil.

Aircraft

Registration
N8353F
Reported as
Hughes 369D
Category
Helicopter
Serial number
1260062D
Airframe hours
11,037.7
Engine
Allison 250-C20-B, 420 horsepower, turbo shaft
Damage
Substantial damage
Flight
Business · Part 91
Registered owner
Hawkins and Powers Aviation, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · January 2, 2001 · 47.5 hours before
Departed
ELY · Ely, NV
Destination
Ely, NV
Flight plan
Company VFR

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
48
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Helicopter, Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Last flight review
November 6, 2000
Seat
Left
Flight hours
11,460 total · 764 in this make and model · 10,930 as pilot in command · 45 in the last 90 days · 32 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
170° at 9 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
18 °F, dew point 16 °F
Altimeter
30.17 inHg
Observed at
Ely, 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.

Other investigations on N8353F · 1

Matched to the same aircraft by N-number and date.