SEA08LA035

NTSB accident investigation · Schweizer 269C · Newberg, OR · November 21, 2007

Accident · Serious injuriesLimited investigationFinal report
Date
November 21, 2007, 10:10 local (18:10 UTC)
Place
Newberg, OR
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N61480Schweizer 269C
Weather
Visual (VMC) · Day
Status
Completed · report April 30, 2008
Report
Approved by Office Director
Parties
Schweizer Aircraft, Precision Airmotive, Federal Aviation Administration
FAA report
20071121827919A
Case key
67184

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

The student pilot's inadvertent application of the fuel shut off valve during flight. Contributing to the accident were the locations of the heater and fuel shutoff controls.

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 powerCruise
Fuel system,fuel shutoff - activatedCause
Acft/equip,inadequate control locationOwner/pilot mechanicFactor
Fuel system - inadvertentPilot in commandCause
Forced landingEmergency descent/landing
Autorotation - initiatedPilot in command
Hard landingEmergency landing
Terrain condition - ground

Analysis

The student pilot was initiating a cross-country flight. As the helicopter entered cruise flight, the student pilot intended to apply the cabin heater control; however, he inadvertently applied the fuel shut off control. Moments later, the engine lost power and the student pilot performed an autorotation and the helicopter landed hard. The student pilot had been training in two models of the same make of helicopter and heaters had been installed (supplemental type certificate) by the operator. The accident helicopter was flown from the left seat and the fuel shut off control was installed on the left side of the instrument panel, with the heater control on the far right side. The other helicopter was flown from the right seat with the fuel shut off control on the right side and the heater control to its left side. Pull-type knobs operate the heater and fuel shut off controls. The helicopter manufacturer offers the heater installation as an optional, after market installation, and its heater control is installed on the front of the center seat area and not on the instrument panel. The manufacturer's heater control is also operated using side-to-side motion for "ON" and "OFF" positions. No evidence of any preimpact mechanical anomalies was discovered.

Factual narrative

On November 21, 2007, at 1010 Pacific standard time, a Schweizer 269C helicopter, N61480, lost engine power during cruise flight approximately 7 miles east-southeast of the departure point of Chehalem Airpark, Newberg, Oregon. Precision Helicopters, Inc., the registered owner of the helicopter, was operating it under the provisions of 14 Code of Federal Regulations Part 91. The student pilot, the sole occupant, sustained serious injuries. The helicopter was substantially damaged. Visual meteorological conditions prevailed, and no flight plan was filed for the flight that was destined for Aurora State Airport, Aurora, Oregon. The pilot departed from Newberg about 1000.

The student pilot reported that he departed on a cross-country flight. As the helicopter was in cruise flight at 1,500 feet mean sea level, the student pilot applied the cabin heater and did not make any additional adjustments. The engine then sputtered twice and lost power. The student pilot attempted to restart the engine and then entered an autorotation. Upon impact with the ground, the student pilot blacked out. The student pilot stated that the fuel shut off control was located on the left side of the instrument panel, and that the heater control was located on the far right side of the instrument panel. The helicopter sustained structural damage to the airframe, cockpit, and tail boom.

Initial on-scene documentation showed that the heater control was in the "IN" position, indicating that the heater was off. The fuel shut off control was in the "OUT" position, which cuts off fuel flow to the engine.

The accident helicopter is flown from the left seat and the fuel shut off control is located on the left side of the panel, close to the pilot. The heater control, which was installed by Supplemental Type Certificate (STC), is located to the right of the fuel shut off control on the far right side of the panel. On the Schweizer 269C1 model (also operated by the operator), the pilot flies the helicopter from the right seat. Therefore, the fuel shut off control is on the right side of the panel. In the operator's Schweizer 269C1 model, the heater control had been installed to the left of the fuel shut off control, opposite to the Schweizer 269C model. The student pilot had flown both of these helicopters. Pull-type knobs operate the heater and fuel shut off controls.

The operator had obtained an STC for installation of the heater in the 269C model, and was in the process of getting approval for the heater installation for the 269C1 model.

Schweizer Aircraft Corporation offers an optional, after market heater installation. The heater control is installed on the front of the center seat area and not on the instrument panel. The control is operated using side-to-side motion for "ON" and "OFF" positions.

No anomalies were noted with the airframe, engine, and components that would have resulted in a loss of engine power.

Aircraft

Registration
N61480
Reported as
Schweizer 269C
Category
Helicopter
Serial number
S1765
Airframe hours
1,309.4
Engine
Textron Lycoming HIO-360-D1A, 190 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Registered owner
Precision Helicopters
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · September 1, 2007
Departed
17S · Newberg, OR
Destination
4S9 · Portland-Mulino, OR

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
Student pilot
Age
25
Injuries
Serious
Certificate
Student
Medical
Class 3, With waivers/limitations
Last flight review
November 1, 2007
Seat
Left
Flight hours
31 total · 31 in this make and model · 7 as pilot in command · 31 in the last 90 days · 30 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
20° at 12 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
45 °F, dew point 34 °F
Altimeter
30.40 inHg
Observed at
MMV, 8 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.