NYC07LA149

NTSB accident investigation · Messerschmitt BO-105 · Isla de Vieques, PR · May 28, 2007

Accident · No injuriesLimited investigationFinal report
Date
May 27, 2007, 20:46 local (May 28, 2007, 00:46 UTC)
Place
Isla de Vieques, PR
Injuries
5 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N911GBMesserschmitt BO-105
Weather
Visual (VMC) · Night
Status
Completed · report June 30, 2008
Report
Approved by Office Director
Parties
FAA/FSDO
FAA report
20070527012199A
Case key
66338

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 mechanic's failure to secure the engine governor locking hardware, which resulted in the right engine losing power.

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 powerTakeoff
1 engine
Maintenance,installation - inadequateCompany maintenance personnelCause
Turboshaft engine,free turbine governor - disconnected
Forced landingEmergency landing after takeoff
Hard landingEmergency landing after takeoff

Analysis

Shortly after takeoff, the helicopter's right engine lost power, so the pilot performed an autorotation to the ground. During the autorotation, the helicopter "landed hard," and the fuselage was substantially damaged. Examination of the helicopter's right engine revealed the trim actuator control rod was disconnected, and the locking nut and washer, which secured the governor, were loose. According to maintenance records provided by the operator, the right engine was installed on the helicopter two days prior to the accident, and the engine governors were rigged at the same time. The helicopter flew approximately 3 hours since the maintenance was performed.

Factual narrative

On May 27, 2007, at 2046 eastern daylight time, N911GB, a Messerschmitt BO-105 helicopter, operated by Aviane Air Ambulance, was substantially damaged during a forced landing after takeoff from Vieques Hospital Heliport, Isla de Vieques, Puerto Rico. The certificated commercial pilot, two paramedics, a passenger, and the patient were not injured. Visual meteorological conditions prevailed, and no flight plan was filed for the air ambulance flight conducted under 14 Code of Federal Regulations Part 135.

According to a Federal Aviation Administration (FAA) inspector, shortly after takeoff the helicopter's right engine lost power, so the pilot performed an autorotation to the ground. During the autorotation, the helicopter "landed hard," and was substantially damaged.

Examination of the helicopter's right engine revealed the trim actuator control rod was disconnected, and the locking nut and washer, which secured the governor, were loose.

According to maintenance records provided by the operator, the right engine was installed on the helicopter on May 25, 2007. The governors were also rigged during the installation. The helicopter flew approximately 3 hours since the maintenance was performed.

Aircraft

Registration
N911GB
Reported as
Messerschmitt BO-105
Category
Helicopter
Serial number
694
Airframe hours
7,830
Engines
Allison 250 C20B, 410 horsepower, turbo shaftAllison 250 C20B, 410 horsepower, turbo shaft
Damage
Substantial damage
Flight
Part 135
Operator
Aviane Air Ambulance
Registered owner
MSE Air Group Inc
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 1, 2007
Departed
Vieques, PR
Destination
San Juan, PR
Flight plan
Company VFR
Airport
NONE · Vieques Hospital Heliport

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
45
Injuries
None
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land
Medical
Class 2, With waivers/limitations
Last flight review
June 1, 2006
Seat
Right
Flight hours
3,677 total · 340 in this make and model · 3,602 as pilot in command · 26 in the last 90 days · 10 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night
Wind
Variable at 4 knots
Visibility
5 statute miles
Lowest ceiling
3,800 ft broken
Temperature
79 °F, dew point 73 °F
Altimeter
29.94 inHg
Observed at
TJVQ

FAA reports on this event · 1

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