LAX96LA168

NTSB accident investigation · Hughes 369D · Yerington, NV · April 14, 1996

Accident · No injuriesLimited investigationFinal report
Date
April 14, 1996, 11:55 local (18:55 UTC)
Place
Yerington, NV
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N519BHHughes 369D
Weather
Visual (VMC) · Day
Status
Completed · report December 16, 1996
Report
Approved by Office Director
FAA report
19960414007219A
Case key
29419

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 partial loss of engine power and the pilot's misjudged flare during an autorotation landing in soft dirt with excessive forward speed. The power loss resulted from flight operations in an environment which debris contaminated the engine's nozzle port and compressor assembly.

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(partial) - nonmechanicalCruise - normal
Fuel system,nozzle - contaminationCause
Compressor assembly,blade - dirty(foggy)Cause
Forced landingEmergency descent/landing
Autorotation - performedPilot in command
Roll overLanding - flare/touchdown
Flare - misjudgedPilot in commandCause
Terrain condition - open field
Terrain condition - softFactor

Analysis

The pilot experienced a total loss of engine power while cruising between 200 and 300 feet above ground level and at an airspeed of 100 knots. The pilot reported that the engine noise resembled the same whining as if it were in a shut down mode. The pilot entered an autorotation and landed in an open field approximately 0.5 miles from his airstrip. The accident site examination revealed that the helicopter had touched down with forward speed and made depressions in the soft ground over a distance of 25 to 30 feet. The helicopter rolled onto its side and a main rotor blade severed the tail boom. Tail rotor blade and drive shaft components separated from the helicopter and were found 200 feet from the main wreckage. The last annual inspection was performed 6 months prior to the accident flight and the aircraft had flown 16.9 hours. Also, the last compressor wash was performed about 2 months prior to the flight and had flown 8 hours since then. The postaccident engine examination revealed accumulated nozzle port debris and dirty compressor blades and vanes. The engine flamed out during its first test run and, during subsequent tests, it produced power 7.8 percent below specifications.

Factual narrative

History of flight

On April 14, 1996, at 1155 hours Pacific daylight time, a Hughes 369D, N519BH, owned and operated by the pilot, experienced a loss of engine power during cruise flight. The helicopter was substantially damaged during landing in an open field about 30 miles south of Yerington, Nevada. Neither the private pilot nor the two passengers were injured during the personal flight. Visual meteorological conditions prevailed, and no flight plan was filed. The round robin flight originated at 1110 from the pilot's private airstrip at the Flying M. Ranch in Yerington.

According to the pilot, he experienced a total loss of engine power while cruising between 200 and 300 feet above ground level at an airspeed of 100 knots. The pilot reported that "the engine noise resembled the same whining as if it were in a shut down mode."

The pilot entered an autorotation and landed on a freshly plowed soft dirt field approximately 0.5 miles from his private airstrip. After touchdown, the helicopter rolled onto its right side.

Aircraft information:

The helicopter was maintained on an annual inspection program and had been operated for about 29 flight hours during the previous year. Since receiving its last annual inspection on October 11, 1995, the helicopter had been operated for about 16.9 hours.

The last recorded engine maintenance was a compressor wash which was completed on February 7, 1996, at 1,785.0 hours. The helicopter's maintenance records were examined by representatives from the Federal Aviation Administration (FAA), McDonnell Douglas Helicopter Systems (MDD), and the Allison Engine Company. None of the parties reported observing any recorded deficiencies pertinent to the accident flight.

Wreckage and impact information

Under FAA supervision, the helicopter was examined by the MDD and Allison Engine participants. The parties reported observing skid-like depressions over a 25- to 30-foot-long path between the initial point of ground impact and the main wreckage.

Based upon structural deformation signatures and the wreckage fragmentation pattern, MDD opined that during the landing sequence a main rotor blade contacted and severed the helicopter's tail boom. Tail rotor blade and tail rotor drive shaft components were located over 200 feet from the main wreckage. MDD reported that the physical evidence indicated "at least partial engine power . . . was present at the time (of ground impact). . . . No evidence was found of any preexisting system or component failure or malfunction that would have caused or contributed to the mishap."

Tests and research

On May 17, 1996, the helicopter's engine was inspected and test run at Allison Engine Company's Indianapolis, Indiana, facilities. In pertinent part, the FAA made the following observations:

". . . Accumulated debris encompassed the nozzle port. It was located towards an area of about 1/4 inch over the air atomizer path. Furthermore, fine dust particles were noted on the outer compressor case. The initial run was normal, but at 4,900 (N1) speed the engine flamed-out. During the second run the engine was operated at take-off power, flight idle, accelerations, decelerations and different power settings." An analysis of the test cell data revealed that during the tests the engine had operated below the targeted torque required for that specific engine model.

According to the Allison Engine Company, during the engine test run power was produced at ". . . a level 7.8 percent below normal performance levels. The compressor was found to be extremely dirty on both blades and vanes throughout all stages." In conclusion, the Allison participant opined that the decreased engine performance was most probably the result of the dirty compressor. Also, during the accident sequence at the point of ground contact, engine power was likely being applied to the main rotor and tail rotor drives.

Aircraft

Registration
N519BH
Reported as
Hughes 369D
Category
Helicopter
Serial number
854D
Airframe hours
1,793
Engine
Allison 250-C20B, 420 horsepower, turbo shaft
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
William Barron Hilton
Airworthiness certificate
Standard, Normal
Last inspection
Annual · October 11, 1995 · 17 hours before
Departed
NV

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
68
Certificate
Private
Airplane ratings
Single-engine land, Multi-engine land
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
6,348 total · 176 in this make and model · 5,539 as pilot in command · 8 in the last 90 days · 8 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
315° at 5 knots, gusting 7
Visibility
50 statute miles
Lowest ceiling
None
Temperature
70 °F

FAA reports on this event · 1

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