SEA90GA180

NTSB accident investigation · Bell 204B · Keller, WA · September 12, 1990

Accident · FatalFinal report
Date
September 11, 1990, 17:46 local (Sep 12, 1990, 00:46 UTC)
Place
Keller, WA
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
CGKQHBell 204B
Weather
Visual (VMC) · Day
Status
Completed · report July 2, 1993
Report
Approved by Office Director
Case key
41131

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 total loss of engine power due to turbine blade separation while the pilot was operating in the aircraft at a gross weight that exceeded performance specifications for existing meteorological conditions. Factors include the failure or inability to jettison the external load, the use of an improper cinch strap, and an improperly assembled and maintained wiring connector.

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/malfCruise
Aircraft weight and balance - exceededCause
Misc eqpt/furnishings - improperCause
Maintenance,replacement - improperCompany maintenance personnelCause
Turbine assembly,turbine blade - separationCause
Load jettison - not possiblePilot in commandFactor
Forced landingDescent - uncontrolled
In flight collision with terrain/waterDescent - uncontrolled

Analysis

The pilot was conducting fire fighting multiple water drops using an external load 'bambi bucket'. Early that day the bucket's cinch strap had been replaced. On this drop the pilot radioed that he was heavy...3600 pounds. A puff of smoke was observed, and the helicopter crashed. Investigation revealed that a loss of power had occurred due to the loss of all 2nd turbine rotor blades, precipitated by a stress rupture failure of 3 consecutive blades induced by high operating temperatures. The cinch strap was bought at a hardware or sporting goods store - it was not that provided by the manufacturer. Disassembly of the bucket control head wiring assembly revealed evidence to support intermittent operation.

Aircraft

Registration
CGKQH
Reported as
Bell 204B
Category
Helicopter
Serial number
2006
Airframe hours
18,980
Engine
Lycoming T53-11A, 1,100 horsepower, turbo shaft
Damage
Destroyed
Fire
On-Ground
Flight
Public aircraft · Part 91
Operator
Cazn-Arc Helicopters, Ltd
Registered owner
Can-Arc Helicopters Ltd
Last inspection
100 hour · August 24, 1990 · 16 hours before

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
53
Certificate
Commercial
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Right
Toxicology
Performed
Flight hours
6,682 total · 1,900 in this make and model · 6,600 as pilot in command · 182 in the last 90 days · 32 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
225° at 5 knots, gusting 9
Lowest ceiling
None
Temperature
90 °F, dew point 70 °F
Observed at
1 nm away