LAX04TA018

NTSB accident investigation · Bell UH-1H · Sacramento, CA · October 15, 2003

Accident · No injuriesFinal report
Date
October 15, 2003, 13:27 local (20:27 UTC)
Place
Sacramento, CA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N114FDBell UH-1H
Weather
Visual (VMC) · Day
Status
Completed · report July 25, 2007
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20031015026939A
Case key
58208

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 loss of engine power due to the fatigue failure of a planetary reduction gear.

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/malfApproach - vfr pattern - downwind
Reduction gear assy,accessory drive gear - fatigueCause
Reduction gear assy,accessory drive gear - separationCause
Compressor assembly - foreign object damageCause
Forced landingEmergency descent/landing
Terrain condition - uphill
Hard landingLanding - flare/touchdown

Analysis

The helicopter landed hard following a loss of engine power in the traffic pattern. The pilot reported that he picked up the helicopter after maintenance was performed on the audio and visual low rpm warning systems and was positioning the helicopter to back to the airport. As he entered the pattern, he heard a bang and what he described as "a horribly loud grinding sound coming from the rear of the aircraft," and lost engine power. The pilot entered an autorotation to a clear area on the airport. As the helicopter neared the touchdown point, the pilot realized the selected landing area was sloped and so he increased collective to extend the glide to reach a flat area. The helicopter landed hard. A teardown and examination of the engine disclosed that the type and degree of damage to the engine was indicative of the separation of a portion of a planetary reduction gear, which resulted in a piece of inlet housing entering the compressor. This resulted in damage to the compressor airfoils and a loss of power. The separation of the portion of planetary reduction gear was determined to be the result of a fatigue fracture emanating from the aft root corner of one gear tooth. The root cause of the fatigue fracture could not be determined due to smearing of the initiation site. The planetary gears installed in the engine were military direct purchase breakout parts. The engine manufacturer does not approve of the use of military direct purchase hardware in FAA certified or military surplus engines used in public-use operations.

Factual narrative

On October 15, 2003, at 1327 Pacific daylight time, a Bell UH-1H, N114FD, experienced an in-flight engine fire and made an emergency landing at Mather Field, Sacramento, California. The Sacramento Metro Fire Department was operating the helicopter under the provisions of 14 CFR Part 91. The commercial pilot, the sole occupant, was not injured; the helicopter sustained substantial damage. The public-use positioning flight departed Rancho Murietta, California, about 1320, en route to McClellan Airport, Sacramento. Visual meteorological conditions prevailed, and no flight plan had been filed.

The pilot reported that he picked up the helicopter after maintenance was performed on the audio and visual low rpm warning systems and he was positioning the helicopter to McClellan. As he flew near Mather, he heard a bang and what he described as "a horribly loud grinding sound coming from the rear of the aircraft," and lost engine power. The pilot entered an autorotation to a clear area on the airport. As the helicopter neared the touchdown point, the pilot realized the selected landing area was sloped and so he increased collective to extend the glide to reach a flat area. The helicopter landed hard.

The engine was removed from the aircraft and shipped to the Honeywell Product Integrity Investigation Laboratory, Phoenix, Arizona, where a teardown inspection was conducted under the supervision of a National Transportation Safety Board investigator. The complete report of the teardown and subsequent materials laboratory analysis is contained in the public docket for this accident.

According to the Honeywell report, in summary, the teardown and examination of the engine disclosed that the type and degree of damage to the engine was indicative of the separation of a portion of a planetary reduction gear, which resulted in a piece of inlet housing entering the compressor. This resulted in damage to the compressor airfoils and a loss of power. The separation of the portion of planetary reduction gear was determined to be the result of a fatigue fracture emanating from the aft root corner of one gear tooth. The root cause of the fatigue fracture could not be determined due to smearing of the initiation site. The planetary gears installed in the engine, including the separated gear, were identified with CAGE code 81996, indicating that the parts were military direct purchase breakout parts. Honeywell does not approve of the use of military direct purchase hardware in FAA certified or military surplus engines used in public-use operations.

Aircraft

Registration
N114FD
Reported as
Bell UH-1H
Category
Helicopter
Serial number
72-21558
Airframe hours
3,956
Engine
Honeywell T53-L-13B, 1,300 horsepower, turbo shaft
Damage
Substantial damage
Flight
Public aircraft · Public use
Registered owner
Sacramento Metro Fire District
Last inspection
100 hour · September 1, 2003 · 17 hours before
Departed
Rancho Murietta, CA
Destination
MCC · Sacramento, CA
Airport
MHR · Sacramento Mather, runway 22L, 11,301 × 150 ft, asphalt

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
56
Injuries
None
Certificate
Commercial
Instrument ratings
Helicopter
Medical
Class 2
Seat
Right
Flight hours
3,696 total · 2,988 in this make and model · 3,550 as pilot in command · 36 in the last 90 days · 20 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
Variable at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
79 °F, dew point 43 °F
Altimeter
29.96 inHg
Observed at
SMF

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.