SEA07LA108

NTSB accident investigation · Hughes 369D · Kahuku, HI · April 20, 2007

Accident · Minor injuriesLimited investigationFinal report
Date
April 19, 2007, 14:05 local (Apr 20, 2007, 00:05 UTC)
Place
Kahuku, HI
Injuries
2 minor, 2 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N911FTHughes 369D
Weather
Visual (VMC) · Day
Status
Completed · report April 30, 2008
Report
Approved by Office Director
Parties
Rolls-Royce, FAA FSDO
FAA report
20070419008229A
Case key
65605

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

Fatigue cracking of the oil line from the engine gearbox to the oil pressure gauge, which resulted in loss of engine lubricating oil, leading to seizure of the power turbine.

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) - mech failure/malfApproach - vfr pattern - final approach
Lubricating system,oil line - fatigueCause
Lubricating system,oil line - crackedCause
Fluid,oil - leakCause
Turboshaft engine,free(power) turbine - seizedCause
Forced landingEmergency descent/landing
Autorotation - performedPilot in command
Hard landingEmergency descent/landing

Analysis

During an aerial surveillance flight, the helicopter's engine chip light illuminated, and the pilot headed towards a nearby heliport to make a precautionary landing. The pilot established a steep fast approach in case of engine failure while on approach. At approximately 100 feet above the ground and an airspeed of 65 knots, he applied power and began to slow the helicopter. At this point, the engine lost power, and the pilot entered an autorotation. The helicopter landed hard breaking both forward landing gear struts and spreading the rear struts. The main rotor blades impacted the tail boom, and the tail boom separated from the fuselage. Examination of the helicopter revealed heavy deposits of oil on the inner surfaces of the engine compartment as well as on the exterior surfaces of the engine. There was no oil in the airframe engine oil reservoir. The oil line leading from the engine gearbox to the oil pressure gauge was found cracked beneath the "B" nut securing it to the fitting on the engine gearbox. The N2 (power turbine) drive could not be rotated. Partial disassembly of the engine revealed damage to the number six, seven, and eight bearings consistent with a lack of adequate lubrication. Laboratory examination of the cracked oil line found fatigue cracking had propagated through an estimated 90 percent of the cross-sectional area of the tube. The cracking allowed lubricating oil to leak from the line resulting in oil starvation to the bearings leading to seizure of the power turbine.

Factual narrative

On April 19, 2007, approximately 1405 Hawaii standard time, a Hughes 369D helicopter, N911FT, landed hard during an autorotation following a loss of engine power on final approach to Turtle Bay Heliport, Kahuku, Hawaii. The helicopter, which was registered to and operated by K&S Helicopters of Kailua Kona, Hawaii, sustained substantial damage. The commercial pilot and one passenger were not injured, and two passengers received minor injuries. Visual meteorological conditions prevailed and no flight plan was filed for the 14 Code of Federal Regulations Part 135 on demand air taxi flight conducted for the Honolulu Police Department. The purpose of the flight was aerial surveillance. The flight departed from Honolulu International Airport about 1305.

According to the pilot, the flight proceeded from Honolulu to the North Shore area without incident. While in the vicinity of the town of Kahuku, the "engine chips" light illuminated, and he headed towards the Turtle Bay Heliport to make a precautionary landing. The pilot established a steep fast approach in case of engine failure while on approach. At approximately 100 feet above the ground and an airspeed of 65 knots, he applied power and began to slow the helicopter. At this point, the engine lost power, and the pilot entered an autorotation. The helicopter landed hard breaking both forward landing gear struts and spreading the rear struts. The main rotor blades impacted the tail boom, and the tail boom separated from the fuselage.

Examination of the helicopter by a representative of the engine manufacturer, conducted under the supervision of a Federal Aviation Administration (FAA) inspector, revealed heavy deposits of oil on the inner surfaces of the engine compartment as well as on the exterior surfaces of the engine. There was no oil in the airframe engine oil reservoir. The oil line leading from the engine gearbox to the oil pressure gauge was found cracked beneath the "B" nut securing it to the fitting on the engine gearbox. The N2 (power turbine) drive could not be rotated. Partial disassembly of the engine revealed damage to the number six, seven, and eight bearings consistent with a lack of adequate lubrication.

Laboratory examination of the cracked oil line by the NTSB Materials Laboratory found fatigue cracking had propagated through an estimated 90 percent of the cross-sectional area of the tube. Under the supervision of an FAA inspector, the oil pressure gauge was bench tested through its full indicating range and no discrepancies were noted.

Aircraft

Registration
N911FT
Reported as
Hughes 369D
Category
Helicopter
Serial number
811036D
Airframe hours
14,899
Engine
Rolls-Royce 250-C20B, 420 horsepower, turbo shaft
Damage
Substantial damage
Flight
Part 135
Registered owner
K&S Helicopters, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · March 1, 2007
Departed
HNL · Honolulu, HI
Destination
HI58 · Kahuku, HI
Airport
HI58 · Turtle Bay Hilton 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
51
Injuries
None
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 2, With waivers/limitations
Last flight review
December 1, 2006
Seat
Left
Flight hours
14,000 total · 9,990 in this make and model · 13,804 as pilot in command · 95 in the last 90 days · 19 in the last 30 days · 5 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
40° at 20 knots
Visibility
10 statute miles
Lowest ceiling
10,000 ft broken
Temperature
72 °F
Altimeter
30.04 inHg

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 N911FT · 1

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