# NTSB MIA03TA036: Hughes OH-6, N317LC, New Port Richey, FL, January 3, 2003 - Type: NTSB accident investigation - Classification: Accident · No injuries · Final report - Date: January 2, 2003, 19:51 local (Jan 3, 2003, 00:51 UTC) - Place: New Port Richey, FL - Coordinates: 28.274723, -82.632225 - Nearby events: https://openairdocs.org/map.md?lat=28.2747&lon=-82.6322&mi=10 - Phase of flight: [Initial climb](https://openairdocs.org/ntsb-phases/350) (OpenAirDocs' grouping) - Highest injury: No injuries - Injuries: 2 uninjured - Status: Completed, report April 28, 2004 - Report: Approved by Office Director - Parties: Rolls-Royce Corporation, Pasco County Sheriff's Office, FAA FSDO, FAA Flight Standards District Office - NTSB case key (mKey): 56307 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=MIA03TA036 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/56307/pdf - NTSB docket: https://data.ntsb.gov/Docket?ProjectID=56307 - Page: https://openairdocs.org/ntsb/MIA03TA036 ## Probable cause The pilot's inadequate preflight of the helicopter following maintenance he observed, and failure of maintenance personnel to tighten the "B" nut at the fuel nozzle following a compressor wash resulting in the total loss of engine power. Also, the pilot's intentional decay of main rotor rpm while attempting to clear obstructions and unsuitable terrain encountered during the forced landing resulting in a hard landing. ## Sequence of events In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf). - Loss of engine power(total) - nonmechanical, takeoff - initial climb - maintenance - inadequate, other maintenance personnel (cause) - fuel system,line - loose - aircraft preflight - inadequate, pilot in command (cause) - Forced landing, descent - emergency - autorotation - performed, pilot in command - Hard landing, landing - flare/touchdown - rotor rpm - intentional, pilot in command - unsuitable terrain or takeoff/landing/taxi area - encountered, pilot in command (cause) ## Analysis The pilot stated that after takeoff while in a left turn climbing through 600 feet at 60 knots indicated airspeed, he heard a loss of engine power. He stopped the turn and noted that the engine was at flight idle as indicated by the dual tachometer. He verified the throttle was full open, and maneuvered the helicopter towards an open area. He bled off main rotor rpm to clear obstacles that were ahead, and decelerated at 10 feet above ground level. The helicopter touched down with little forward movement, coming to rest upright with the skids and tailboom separated. The helicopter was found to contain a sufficient quantity of fuel to sustain engine operation; no contaminants were reported. Examination of the engine revealed the fuel inlet line "B" nut was found loose by 2 1/2 flats at the fuel inlet nozzle. The fuel inlet line was drained and found to contain approximately 1 teaspoon of fuel while the fuel filter was full of fuel. The engine control rigging was found to be in limits. An abnormal sound was heard during testing of the aircraft fuel shutoff valve. Operational testing of the valve revealed it was operational but rotation of the valve body occurred with rotation of the valve. The engine was removed from the helicopter and transported to the manufacturer's facility. Prior to the engine run, the bleed air valve was found failed in the closed position; the internal spring was found unwound. The engine was operated in the presence of an FAA airworthiness inspector with a new bleed valve and the accident bleed valve installed; no appreciable difference was noted with respect to starting temperature, acceleration times, or stabilized operation. A customer bleed line that attaches to the scroll was found loose, it was tightened followed by engine operation. The line was loose when checked following the engine run. No significant findings were noted during the engine runs. Safety concerns prevented operation of the engine with the as-found position of the loose "B" nut at the fuel nozzle; however, a valve was installed to divert fuel from the fuel nozzle simulating the as-found position of the loose "B" nut. During the engine run, the valve was opened 1/4 and the engine operated normally. The valve was opened to 1/2 then 3/4, the engine continued to operate normally though the fuel flow increased. The valve was then fully opened and the engine flamed out. Several hours before the accident, a mechanic performed a compressor wash. It was common practice for the mechanic to clean the fuel nozzle when he performed a compressor wash. ## Factual narrative On January 2, 2003, about 1951 eastern standard time, a Hughes OH-6, N317LC, registered to and operated by Pasco County Sheriff's Office, landed hard during an autorotative landing following a loss of engine power after takeoff from Hidden Lake Airport, New Port Richey, Florida. Visual meteorological conditions prevailed at the time and no flight plan was filed for the public use flight. The helicopter was substantially damaged and there were no reported injuries to the commercial-rated pilot or observer. The flight originated about 6 minutes earlier from the Hidden Lake Airport. The pilot stated that earlier that day after arriving at work, the mechanic had prepared the helicopter for a compressor wash. He motored the engine while the mechanic pumped the engine cleaner into the engine. He and the mechanic waited 5 minutes, then the engine was flushed with clean water. The mechanic then prepared the helicopter for an engine run-up while he was about 10 feet away. He did observe the mechanic remove a wedge from the bleed air valve. He checked the engine and checked all bleed air, and fuel lines that had been disconnected which included the main fuel line, though he did not put his hand on that line. Shortly after takeoff, while in a left turn climbing through 600 feet at 60 knots indicated airspeed, he heard a loss of engine power. He stopped the turn and noted that the engine was at flight idle as indicated by the dual tachometer. He verified the throttle was full open, and maneuvered the helicopter towards an open area. He bled off main rotor rpm to clear obstacles that were ahead, and decelerated at 10 feet above ground level. The helicopter touched down with little forward movement, coming to rest upright. The mechanic stated that with respect to compressor cleaning, he removed then cleaned the fuel drain valve and fuel nozzle, dried and set them aside for reinstallation later. He performed a compressor wash and following that procedure, reinstalled the fuel nozzle, and reconnected the fuel line. The fuel system was purged of air and the drain valve was then reinstalled. The engine was started and allowed to stabilize while he looked for fuel and oil leaks; none were reported. A leak check was performed on the bleed and fuel lines, no leaks were reported. The engine was then brought up to full power (100 percent) with no discrepancies reported. The engine allowed a 2-minute cool down period, then secured. The observer stated that he witnessed the mechanic perform a compressor wash which included disconnect the fuel line at the fuel nozzle, but he did not observe the mechanic tighten the inlet fuel line "B" nut. The mechanic then had the accident pilot perform a post maintenance run-up at full throttle. During the run-up, he observed the mechanic perform a leak check by brushing a solution on several fittings; he did not recall having any leaking fittings. The helicopter was then placed on the flight-line. Examination of the helicopter revealed the skids and tailboom were separated. The helicopter was found to contain a sufficient quantity of fuel to sustain engine operation; no contaminants were reported. The helicopter was recovered for further examination. Examination of the engine following recovery revealed the fuel inlet line "B" nut was found loose by 2 1/2 flats at the fuel inlet nozzle. The fuel inlet line was drained and found to contain approximately 1 teaspoon of fuel while the fuel filter was full of fuel. The engine control rigging was found to be in limits. An abnormal sound was heard during testing of the aircraft fuel shutoff valve. Operational testing of the valve revealed it was operational but rotation of the valve body occurred with rotation of the valve. The engine was removed from the helicopter and transported to the manufacturer's facility. The engine was test run in the presence of an FAA airworthiness inspector. Prior to the test cell run, the bleed air valve was found failed in the closed position; the internal spring was found unwound. The engine was operated with a new bleed valve and the accident bleed valve; no appreciable difference was noted with respect to starting temperature, acceleration times, or stabilized operation. A customer bleed line that attaches to the scroll was found loose, it was tightened followed by engine operation. The line was loose when checked following the engine run. Safety concerns prevented operation of the engine with the as-found position of the loose "B" nut at the fuel nozzle; however, a valve was installed to divert fuel from the fuel nozzle simulating the as-found position of the loose "B" nut. During the engine run, the valve was opened 1/4 and the engine operated normally. The valve was opened to 1/2 then 3/4, the engine continued to operate normally though the fuel flow increased. The valve was then fully opened and the engine flamed out. The helicopter minus the retained engine was released to Jim P. Greene, the Chief Pilot for Pasco County Sheriff's Office, on January 8, 2003. The retained engine was also released to Jim P. Greene on March 1, 2004. ## Aircraft - Registration: [N317LC](https://openairdocs.org/deregistered/N317LC-2018-02-20), registration cancelled 2018-02-20, S/N 68-17310 (OpenAirDocs) - Reported make and model: Hughes OH-6 - Registry model: [Hughes OH-6](https://openairdocs.org/model/hughes-oh-6) (registry code 4470904) (OpenAirDocs) - Category: Helicopter - Serial number: 68-17310 - Airframe hours: 5649.3 - Engines: Allison T63-A-700 317 horsepower turbo shaft - Damage: Substantial damage - Flight: Public aircraft, Public use - Registered owner: Pasco County Sheriff's Office - Last inspection: 100 hour, October 29, 2002, 49.8 hours before - Departed: FA40, New Port Richey, FL - Destination: FA40, New Port Richey, FL ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 52; injuries: none; commercial; airplane ratings: single-engine land; instrument ratings: airplane, helicopter; medical: class 2, valid medical--w/ waivers/lim; last flight review January 19, 2002; seat: right; flight hours: 5,810 total, 1,015 in this make and model, 121 in the last 90 days, 38 in the last 30 days, 3 in the last 24 hours ## Weather - Conditions: Visual (VMC), Night/dark - Wind: 190° at 4 knots - Visibility: 10 statute miles - Lowest ceiling: 25,000 ft overcast - Temperature: 64 °F, dew point 63 °F - Altimeter: 29.98 inHg - Observed at: KTPA ## FAA reports on this event (1) The FAA's own accident and incident reports, matched to the aircraft by N-number and date (OpenAirDocs). - [Accident 20030102000659A](https://openairdocs.org/incident/20030102000659A), Jan 2, 2003: Hughes OH6A, New Port Richey, FL, Substantial damage. (.19) On January 2, 2003, about 1951 eastern standard time, a Hughes OH-6, N317LC, registered to and operated by pasco county sheriff's office, landed hard… ## Docket (17 files) The files NTSB released with the investigation on March 5, 2004, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=56307. 14.5 MB in all. - Pilot/Operator Aircraft Accident Report, NTSB Form 6120.1 (item 1, .PDF, 313 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40438199&FileExtension=.PDF&FileName=Pilot%2FOperator%20Aircraft%20Accident%20Report,%20NTSB%20Form%206120.1-Redacted.PDF - Passenger Statements (item 2, .PDF, 55 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40438198&FileExtension=.PDF&FileName=Passenger%20Statements-Redacted.PDF - Map of Area (item 3, .PDF, 38 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40207027&FileExtension=.PDF&FileName=Map%20of%20Area-Master.PDF - FAA Inspector Statement (item 4, .PDF, 62 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40389956&FileExtension=.PDF&FileName=FAA%20Inspector%20Statement-Redacted.PDF - Statements from Kenneth A. Fietz (item 5, .PDF, 122 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40438200&FileExtension=.PDF&FileName=Statements%20from%20Kenneth%20A.%20Fietz-Redacted.PDF - Statement from Jim Greene (item 6, .PDF, 46 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40207030&FileExtension=.PDF&FileName=Statement%20from%20Jim%20Greene-Master.PDF - Excerpts of Maintenance Records (item 7, .PDF, 201 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40389959&FileExtension=.PDF&FileName=Excerpts%20of%20Maintenance%20Records-Redacted.PDF - Report from Rolls-Royce (item 8, .PDF, 12.7 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40438201&FileExtension=.PDF&FileName=Report%20from%20Rolls-Royce-Redacted.PDF - Excerpts from Rolls-Royce Allison 250-C20 Maintenance Manual (item 9, .PDF, 293 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40438202&FileExtension=.PDF&FileName=Excerpts%20from%20Rolls-Royce%20Allison%20250-C20%20Maintenance%20Manual-Redacted.PDF - Excerpts from Rolls-Royce Allison 250-C20 Maintenance Manual (item 10, .PDF, 270 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40207034&FileExtension=.PDF&FileName=Excerpts%20from%20Rolls-Royce%20Allison%20250-C20%20Maintenance%20Manual-Master.PDF - Record of Conversation with Jim Greene (item 11, .PDF, 31 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40207035&FileExtension=.PDF&FileName=Record%20of%20Conversation%20with%20Jim%20Greene-Redacted.PDF - Statement of Party Representatives to NTSB Investigation (item 12, .PDF, 61 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40438206&FileExtension=.PDF&FileName=Statement%20of%20Party%20Representatives%20to%20NTSB%20Investigation-Redacted.PDF - Release of Aircraft Wreckage, NTSB Form 6120.15 (item 13, .PDF, 78 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40438205&FileExtension=.PDF&FileName=Release%20of%20Aircraft%20Wreckage,%20NTSB%20Form%206120.15-Redacted.PDF - Photo 1: Photograph provided by Pasco County Sheriff's Office;no negative. View of the helicopter at the accident site. (item 14, .PDF, 53 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40207039&FileExtension=.PDF&FileName=Photo%201%3A%20Photograph%20provided%20by%20Pasco%20County%20Sheriff%27s%20Office;no%20negative.%20View%20of%20the%20helicopter%20at%20the%20accident%20site.-Master.PDF - Photo 2: Photograph provided by Pasco County Sheriff's Office;no negative. View of the helicopter at the accident site. (item 15, .PDF, 47 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40207040&FileExtension=.PDF&FileName=Photo%202%3A%20Photograph%20provided%20by%20Pasco%20County%20Sheriff%27s%20Office;no%20negative.%20View%20of%20the%20helicopter%20at%20the%20accident%20site.-Master.PDF - Photo 3: Photograph provided by Pasco County Sheriff's Office;no negative. View of the helicopter at the accident site. (item 16, .PDF, 49 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40207041&FileExtension=.PDF&FileName=Photo%203%3A%20Photograph%20provided%20by%20Pasco%20County%20Sheriff%27s%20Office;no%20negative.%20View%20of%20the%20helicopter%20at%20the%20accident%20site.-Master.PDF - Photo 4: Photograph provided by Pasco County Sheriff's Office;no negative. View of the helicopter at the accident site. (item 17, .PDF, 50 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40207042&FileExtension=.PDF&FileName=Photo%204%3A%20Photograph%20provided%20by%20Pasco%20County%20Sheriff%27s%20Office;no%20negative.%20View%20of%20the%20helicopter%20at%20the%20accident%20site.-Master.PDF From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.