LAX08LA195

NTSB accident investigation · Arrow Falcon Exporters OH-58C · Fresno, CA · June 23, 2008

Accident · No injuriesLimited investigationFinal report
Date
June 23, 2008, 07:00 local (14:00 UTC)
Place
Fresno, CA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N912HPArrow Falcon Exporters OH-58C
Defining event
Takeoff: Powerplant sys/comp malf/fail
Weather
Visual (VMC) · Day
Status
Completed · report January 29, 2009
Report
Approved by Office Director
Parties
Rolls Royce, Federal Aviation Administration
FAA report
20080623857679A
Case key
68316

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

The loss of engine power due to fatigue failure of a second stage compressor blade.

Findings · 1

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Engine (turbine/turboprop): compressor sectionAircraft › Aircraft power plant · Fatigue/wear/corrosionAll aircraft: 53 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The pilot reported that he had filled the spray tanks with water and had lifted off from a platform on the back of a truck when he heard three loud noises followed by a loss of engine power. The pilot initiated a hovering autorotation to the landing platform; however, was only able to maneuver the forward portion of the helicopter over the platform. Subsequently, the helicopter slid off the platform and impacted the ground tail boom first, resulting in structural damage to the tail boom and fuselage. Examination of the engine revealed that 15 third stage compressor vanes were fractured near the root and had separated. The majority of the separated vanes were located in the lower compressor case half. The remaining attached vanes were bent over in the direction of engine rotation. A single second stage compressor vane located in the lower case halve was fractured near the root and had liberated. Multiple third and fourth stage compressor blades had leading edge damage. One second stage vane airfoil was separated and the area of separation was found consistent with high cycle fatigue (HCF). An additional second stage vane airfoil exhibited a crack, consistent with HCF near the root, but it did not separate. A Semi-quantitative x-ray energy dispersive analysis (XEDA) revealed deposits at the suction side vane root were consistent with oxidized braze alloy, indicating the braze alloy was exposed during engine operation. It was also found that the chemistry, microstructure and hardness of the second stage vanes were consistent with component specifications.

Factual narrative

On June 23, 2008, about 0700 Pacific daylight time, an Arrow Falcon Exporters, Inc., OH-58C helicopter, N912HP, was substantially damaged during an emergency landing following a reported loss off engine power while hovering west of Fresno, California. The helicopter was registered to Del Rio Aviation, Inc., Paso Robles, California, and operated by Double Tree Helicopters, Turlock, California, under the provisions of 14 Code of Federal Regulations Part 137. The commercial pilot, sole occupant of the helicopter, was not injured. Visual meteorological conditions prevailed, and no flight plan had been filed for the local aerial application flight that was originating at the time of the accident. The pilot reported that he had filled the spray tanks with water and had lifted off from the back of a truck platform when he heard three loud noises followed by a loss of engine power. The pilot initiated a hovering autorotation to the landing platform, however, was only able to maneuver the forward portion of the helicopter over the platform. Subsequently, the helicopter slid off the platform and impacted the ground tail boom first, resulting in structural damage to the tail boom and fuselage. On June 23, 2008, the Allison T63-A720 engine was examined by a representative from Rolls Royce under the supervision of a Federal Aviation Administration (FAA) inspector. The examination revealed that all fuel, lube and pneumatic lines, "B" nuts and their associated fittings were secure. Several black "carbon-like" particles lay loose in the base of the exhaust collector. Inspection of the inlet plenum chamber did not reveal any evidence of foreign material or missing hardware. Inspection of the compressor inlet revealed dirt deposits on the inlet guide vanes as well as a small ferrous type material adjacent to the inlet guide vane at the six o'clock position. A single first stage compressor blade contained a small nick to the leading edge of the blade near the tip. The engine was then removed from the airframe and the compressor was partially disassembled. The compressor module was removed from the accessory gearbox and the compressor case halves were removed for further inspection. Inspection revealed that 15 third stage compressor vanes were fractured near the root and were separated. The majority of the separated vanes were located in the lower compressor case halve. The remaining attached vanes were bent over in the direction of engine rotation. One second stage compressor vane located in the lower case halve was fractured near the root and was separated. Multiple third stage and fourth stage compressor blades were damaged at the leading edge. Compressor case lining material was missing from both compressor case halves. During removal and disassembly of the compressor, oil was evident at the number one bearing supply and scavenge fittings. The compressor bleed valve was dirty but moved freely from full open to full close. No radial play of the poppet valve wasnoted. The outer combustion case and combustion liner were removed. The fuel nozzle inlet screen was clean. Visual inspection of the first stage nozzle shield and first stage nozzle vane exhibited metal spray fused to the surface of the pressure side. The compressor was sent to the facilities of Rolls Royce for further metallurgical examination under the supervision of an FAA inspector. The examination of the compressor section revealed that the compressor case lining material was partially missing and eroded from both compressor case halves with the highest level of erosion on the top half, downstream of the first stage vane band. One second stage vane airfoil was separated. The area of separation was found consistent with high cycle fatigue (HCF). An additional second stage vane airfoil exhibited a crack, consistent with HCF near the root, but did not separate. A semi-quantitative x-ray energy dispersive analysis (XEDA) revealed deposits at the suction side vane root were consistent with oxidized braze alloy, indicating the braze alloy was exposed during engine operation. It was also found that the chemistry, microstructure and hardness of the second stage vanes were consistent with properly processed AMS 5604 (17-4 PH steel).

Aircraft

Registration
N912HP
Reported as
Arrow Falcon Exporters OH-58C
Category
Helicopter
Serial number
71-20679
Airframe hours
5,047.3
Engine
Allison T63-A720, 420 horsepower, turbo shaft
Damage
Substantial damage
Flight
Aerial application · Part 137
Operator
Double Tree Helicopters
Registered owner
Del Rio Aviation
Airworthiness certificate
Special, Restricted (Special)
Last inspection
Annual · January 17, 2008 · 20.5 hours before
Departed
Fresno, CA

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
29
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land
Medical
Class 2, Without waivers/limitations
Last flight review
February 18, 2008
Seat
Right
Flight hours
1,823 total · 1,606 in this make and model · 1,823 as pilot in command · 121 in the last 90 days · 31 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
280° at 3 knots
Visibility
5 statute miles
Lowest ceiling
None
Temperature
79 °F, dew point 36 °F
Altimeter
29.95 inHg
Observed at
KFAT

FAA reports on this event · 1

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