LAX03LA052

NTSB accident investigation · Schweizer 269C · Los Banos, CA · December 18, 2002

Accident · No injuriesLimited investigationFinal report
Date
December 18, 2002, 15:21 local (23:21 UTC)
Place
Los Banos, CA
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N642KCSchweizer 269C
Weather
Visual (VMC) · Day
Status
Completed · report December 28, 2004
Report
Approved by Office Director
Parties
Lycoming, Schweizer, Federal Aviation Administration
FAA report
20021218034469A
Case key
56218

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 improper engine overhaul by other maintenance personnel, which resulted in an exhaust valve failure and a total loss of engine power while in maneuvering 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/malfManeuvering
Engine assembly,valve,exhaust - failure,totalCause
Maintenance,rebuild/remanufacture - improperOther maintenance personnelCause
Forced landingEmergency descent/landing
Autorotation
In flight collision with terrain/waterEmergency descent/landing
Terrain condition - muddy

Analysis

The pilot and aircraft maintenance technician were performing a post maintenance test flight when a vibration occurred, followed by a total loss of engine power. The commercial certificated helicopter pilot made a forced landing in a muddy field, during which the helicopter received structural damage. Post accident examination revealed a failed exhaust valve in the number 3 cylinder, and that two exhaust spring seats had been installed, one on top of the other, causing excessive spring/valve pressures. The engine had been overhauled about 1.5 service hours prior to the loss of engine power.

Factual narrative

On December 18, 2002, at 1521 Pacific standard time, a Schweizer 269C, N642KC, experienced a total loss of engine power and rolled over during a forced landing in a muddy field at Los Banos, California. The helicopter was operated by the pilot under 14 CFR Part 91. The commercial pilot and one passenger were not injured. The helicopter was substantially damaged. Visual meteorological conditions prevailed, and no flight plan had been filed. The flight originated at Los Banos about 1500.

The pilot and aircraft maintenance technician were performing a post maintenance test flight when a vibration occurred followed by a total loss of engine power. Post accident examination revealed a failed exhaust valve in the number 3 cylinder. Further examination revealed two exhaust spring seats had been installed, one on top of the other, causing excessive spring/valve pressures. The operator had just overhauled the engine; the failure occurred about 1.5 hours after the overhaul.

Aircraft

Registration
N642KC
Reported as
Schweizer 269C
Category
Helicopter
Serial number
S1682
Airframe hours
3,784.6
Engine
Avco Lycoming HIO-360-D1A, 200 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
John Raven
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · August 23, 2002 · 1.5 hours before
Departed
LSN · Los Banos, CA
Airport
LSN · Los Banos

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
Certificates
Private, Flight instructor, Commercial
Airplane ratings
Single-engine land
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
1,900 total

Weather

Conditions
Visual (VMC) · Day
Wind
10° at 3 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
54 °F, dew point 37 °F
Altimeter
30.20 inHg
Observed at
MCE, 22 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.