LAX01LA121

NTSB accident investigation · Schweizer 269C · Ojai, CA · March 19, 2001

Accident · Minor injuriesLimited investigationFinal report
Date
March 18, 2001, 18:00 local (Mar 19, 2001, 02:00 UTC)
Place
Ojai, CA
Injuries
2 minor, 1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N6123ASchweizer 269C
Weather
Visual (VMC) · Day
Status
Completed · report November 25, 2003
Report
Approved by Office Director
Parties
Federal Aviation Administration, Sun Air Aviation LLC, Textron Lycoming
FAA report
20010318003499A
Case key
51929

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 loss of engine power for undetermined reasons.

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 powerCruise
Reason for occurrence undeterminedCause
Forced landingEmergency descent/landing
Autorotation - performedPilot in command
Roll overLanding - flare/touchdown
Terrain condition - rough/uneven

Analysis

The helicopter collided with terrain and rolled over during an autorotation following a loss of engine power. The helicopter was in cruise at 4,700 feet, and the pilot planned to fly along a ridgeline northwest of Lake Casitas. As he approached the mountaintop, the nose suddenly veered to the left. He heard several coughing sounds from the engine. He entered an autorotation, but could not reach the flat mountaintop. The helicopter collided with the terrain and rolled over. The helicopter was examined following recovery from the site. Investigators established control continuity for the throttle, mixture control, collective, and cyclic. The bottom spark plugs were gray in color, which corresponded to normal operation according to the Champion Aviation Check-A-Plug AV-27 Chart. Investigators started the engine; the oil and fuel pressures indicated within the green operating range on their respective instruments and the engine ran smoothly. The engine was accelerated to 2,000 rpm; a smooth drop of 200 rpm was noted when each magneto was individually cycled. Engine shutdown was unremarkable.

Factual narrative

On March 18, 2001, about 1800 Pacific standard time, a Schweizer 269C, N6123A, rolled over during a forced landing near Ojai, California. The forced landing was precipitated by a loss of engine power in cruise flight. Sun Air Aviation LLC was operating the helicopter under the provisions of 14 CFR Part 91. The private pilot was not injured and two passengers sustained minor injuries. The helicopter sustained substantial damage. The local personal flight departed Camarillo, California, about 1640. Day visual meteorological conditions prevailed, and no flight plan had been filed. The primary wreckage was at 34 degrees 28.51 minutes north latitude and 119 degrees 23.90 minutes west longitude.

The pilot submitted a written statement. He was in cruise at 4,700 feet. He planned to fly along a ridgeline northwest of Lake Casitas. As he approached the mountaintop, the nose suddenly veered to the left. He heard several coughing sounds from the engine. He entered an autorotation, but could not reach the flat mountaintop. The helicopter collided with the terrain and rolled. He secured the fuel shutoff valve, pulled the mixture control out, and turned the battery and ignition switch off. He observed fuel leaking from the helicopter.

The wreckage was examined by a Safety Board investigator at Ray's Aviation, Santa Paula, California, on May 18, 2001. The investigator established control continuity for the throttle and mixture controls. Both controls moved freely from stop to stop. The bottom spark plugs were removed from each cylinder. The spark plug electrodes were gray in color, which corresponded to normal operation according to the Champion Aviation Check-A-Plug AV-27 Chart.

The Safety Board investigator established continuity for the collective and cyclic. The investigator added 4 quarts of oil and set up a temporary fuel supply. The engine started on the fifth attempt. The engine ran smoothly; oil and fuel pressures indicated within the green operating range on their respective instruments. Once the oil temperature rose into the green operating range, the engine was run up to 2,000 rpm and a magneto check was completed. The rpm dropped about 200 rpm when each magneto was selected, and the engine continued to run smoothly. No fuel or oil leaks were observed after engine shutdown.

An examination of the engine logbooks revealed that maintenance personnel complied with TEXTRON Lycoming Mandatory Service Bulletin 388B on February 16, 2001, at a Hobbs time of 409.6 hours. This inspection revealed that the exhaust guides for cylinders No. 3 and No. 4 were not within the allowable limit range. The exhaust pushrods for both cylinders were damaged and replaced. Maintenance personnel reamed the exhaust guides in both cylinders as corrective action. The Hobbs meter read 462.6 at the examination. The accident occurred at an estimated 230 hours since the engine was overhauled by a maintenance facility.

On June 15, 2001, a Safety Board investigator and the Textron Lycoming representative removed and disassembled all four cylinders. They determined the pushrods were straight. The exhaust valve for cylinder No. 4 appeared different from the other exhaust valves. The number 4 piston was not mechanically damaged. Cylinder No.4 was sent to the Lycoming factory.

The No. 4 cylinder exhaust valve was inspected under the supervision of a Safety Board investigator at the Textron Lycoming facility in Williamsport, Pennsylvania, on September 20, 2001. An oversized "go-no go" tool was used to examine the exhaust guide of the cylinder, with no discrepancies noted. The exhaust valve stem was inspected under a microscope and no metal transfer was observed on the stem.

Aircraft

Registration
N6123A
Reported as
Schweizer 269C
Category
Helicopter
Serial number
S1523
Airframe hours
3,294
Engine
Lycoming HIO-360-D1A, 170 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Sun Air Aviation LLC
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · March 2, 2001 · 37 hours before
Departed
CMA · Camarillo, CA

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
24
Injuries
None
Certificate
Private
Medical
Class 2, Valid Medical--no waivers/lim.
Last flight review
December 10, 2000
Seat
Left
Flight hours
109 total · 80 in this make and model · 29 as pilot in command · 43 in the last 90 days · 28 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
250° at 5 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
61 °F, dew point 57 °F
Altimeter
30.05 inHg
Observed at
SBA, 24 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.