LAX97TA213

NTSB accident investigation · Bell 47G-3B-1 · Fallon, NV · June 16, 1997

Accident · No injuriesFinal report
Date
June 16, 1997, 12:28 local (19:28 UTC)
Place
Fallon, NV
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N1335XBell 47G-3B-1
Weather
Visual (VMC) · Day
Status
Completed · report May 21, 1998
Report
Approved by Office Director
FAA report
19970616014299A
Case key
29912

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

exhaustion of the aircraft's fuel supply, due to improper planning and/or decision. A factor related to the accident was the high density altitude which made a successful autorotative landing unlikely.

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) - nonmechanicalManeuvering
Planning/decision - inadequatePilot in commandCause
Fluid,fuel - exhaustionCause
Forced landingEmergency descent/landing
Autorotation - initiated
Hard landingEmergency landing
Weather condition - high density altitudeFactor

Analysis

The engine of the helicopter lost power after about 3 hours of flying. An autorotative descent was made to a site at 6,500 feet density altitude, and the helicopter was damaged during the landing. After the accident, 1.9 gallons of fuel were drained from the entire fuel system. The helicopter's unusable fuel quantity was 2.5 gallons. Examination of the helicopter revealed no evidence of a preaccident mechanical malfunction or failure. A manufacturer's representative opined that an autorotative landing at 6,500 feet density altitude would likely result in a hard landing. The engine carburetor flow tested within the manufacturer's specifications.

Factual narrative

On June 16, 1997, at 1228 hours Pacific daylight time, a Bell 47G-3B-1 helicopter, N1335X, lost engine power while returning to a refueling site and was substantially damaged during the ensuing forced landing at Fallon, Nevada. The commercial pilot and two passengers were not injured. Visual meteorological conditions prevailed. The aircraft was operated by High Desert Helicopters as a public-use aircraft under contract to the U.S. Department of the Interior and was engaged in a census of wild horses.

An investigator from the Department of the Interior, Office of Aircraft Services (OAS), examined the wreckage and drained 1.9 gallons of fuel from the entire fuel system. The aircraft has a 2.5 gallon unusable fuel quantity. The OAS examination of the aircraft found no evidence of mechanical malfunction or failure. The pilot's load calculation form shows that the aircraft departed with 60 gallons of fuel, however, the aircraft flight manual states that the maximum fuel load is 57 usable gallons and that when the fuel gage indicates EMPTY the fuel remaining is not usable in flight. According to the OAS investigator, the engine hour meter recorded that the engine lost power after 3.0 hours of flight.

The owner/pilot acknowledged exhausting the aircraft's fuel supply to the OAS investigator, but felt that the aircraft should have had more endurance. He reported that the engine should have consumed 18 gallons per hour and the endurance should have been 3.5 hours. He felt that the higher fuel consumption was due to a faulty carburetor. He did not report any error or abnormality in the fuel quantity gage.

The engine carburetor was sent to the manufacturer by the OAS for a flow test examination on July 26, 1997. It flow tested within the manufacturer's specifications. The carburetor was not disassembled for examination by the manufacturer.

In October, 1997, the operator returned the carburetor for examination by the company which last overhauled it. A representative of that company identified an air leak past the inner throttle shaft seal below the butterfly. The inspector advanced a theory that leakage past the seal could have resulted in a false reference pressure signal to the automatic mixture control which might have caused the engine fuel mixture to become abnormally rich. He reported that the damage to the seal might have resulted from a blow on the end of the throttle shaft sometime after the carburetor was overhauled. The inspector also advanced a theory why the enriched mixture would only occur in a supercharged pressure environment and would not have been detected in the flow bench test at atmospheric pressure. Their report is attached.

The density altitude was approximately 6,500 feet. A representative of the aircraft manufacturer told the Safety Board that an autorotative landing at that density altitude would likely result in a "hard landing," and that there is no information in the aircraft flight manual to tell the pilot at what density altitude an autorotative landing without damage becomes unlikely.

Aircraft

Registration
N1335X
Reported as
Bell 47G-3B-1
Category
Helicopter
Serial number
6556
Airframe hours
10,151
Engine
Lycoming TVO-435-B1A, 270 horsepower, reciprocating
Damage
Substantial damage
Flight
Public aircraft · Part 91
Operator
U.S. Dept. Of The Interior
Registered owner
Clifford J. Heaverne
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · May 20, 1997 · 10 hours before
Departed
FLX · NV
Flight plan
Company VFR

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
53
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Helicopter, Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
23,926 total · 10,112 in this make and model · 22,902 as pilot in command · 46 in the last 90 days · 13 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Variable at 5 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
84 °F, dew point 48 °F
Altimeter
30.00 inHg
Observed at
NFZ, 53 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.

Other investigations on N1335X · 4

Matched to the same aircraft by N-number and date.