WPR12CA236

NTSB accident investigation · Bell 206B · Burbank, WA · May 30, 2012

Accident · No injuriesData collectionFinal report
Date
May 30, 2012, 07:10 local (14:10 UTC)
Place
Burbank, WA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N106TVBell 206B
Defining event
Maneuvering-low-alt flying: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report August 15, 2012
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
FAA report
20120530009489A
Case key
83795

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 failure of maintenance personnel to properly torque an air tube fitting, which resulted in a total loss of engine power.

Findings · 3

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Engine fuel and control: fuel controlling systemAircraft › Aircraft power plant · MalfunctionBell 206B: 2 casesAll aircraft: 59 casesProbable cause
Action: forgotten action/omissionPersonnel issues › Action/decision · Maintenance personnelBell 206B: 4 casesAll aircraft: 440 casesProbable cause
Misc hardware: hoses and tubesAircraft › Fluids/misc hardware · Incorrect service/maintenanceBell 206B: 1 caseAll aircraft: 40 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

During an aerial application flight, the single engine helicopter was flying low over an apple orchard when the engine began to lose power. The pilot decreased his airspeed toward zero and performed a hovering autorotation into the orchard. During the landing, the rotor blades impacted the trees, and the tail boom separated from the main fuselage. An examination of the engine revealed that the compressor discharge pressure (PC) air tube, which connected the PC air filter to the power turbine governor was disconnected. The “B” nut that connected the tube to the PC air filter was present on the tube but not threaded onto the PC air filter boss. The threads on both the PC air filter boss and the “B” nut did not exhibit any damage or abnormalities. Review of the maintenance records showed that, about 6 hours before the accident, the turbine assembly and bleed valve had been replaced. Removal and reinstallation of the PC air tube was conducted as part of the documented maintenance. It is likely that maintenance personnel did not properly torque the “B” nut when reinstalling the tube and the loose “B” nut backed off in-flight. According to the engine manufacturer's technical representative, disconnection of the PC air tube during engine operation would result in a loss of engine power.

Factual narrative

The pilot stated that as he was flying low over the apple orchard and rolled out of a turn, the engine began to lose power, which was accompanied by the engine out horn and light. He decreased his airspeed towards zero, and performed a hovering autorotation into the orchard. During the landing the rotor blades impacted the trees and the tail boom separated from the main fuselage. An examination of the engine revealed that Pc air tube that connects the Pc air filter to to the Power Turbine Governor (PTG) was disconnected. The b-nut that connects the tube to the Pc air filter was present on the tube but not threaded onto the Pc air filter boss. Review of the maintenance records showed that about 6 hours prior to the accident the turbine assembly and bleed valve had been replaced. The threads on both the Pc air filter and b-nut did not exhibit any damage or abnormalities. The removal and reinstallation of the Pc air tube was conducted as part of the documented maintenance. According to the engine manufacturer's technical representative, the disconnection of the Pc air tube during engine operation would result in a loss of engine power.

Aircraft

Registration
N106TV
Reported as
Bell 206B
Category
Helicopter
Serial number
2783
Airframe hours
11,900
Engine
Rolls Royce 250-C20B, 420 horsepower, turbo shaft
Damage
Substantial damage
Flight
Aerial application · Part 137
Operator
J.R. Helicopters Leasing LLC
Registered owner
J.R. Helicopters Leasing LLC
Airworthiness certificate
Special, Restricted (Special)
Last inspection
100 hour · May 19, 2012
Departed
Zillah, WA
Destination
Zillah, WA

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
49
Injuries
None
Certificates
Private, Commercial
Airplane ratings
Single-engine land
Medical
Class 2, With waivers/limitations
Last flight review
October 27, 2010
Seat
Right
Flight hours
3,975 total · 717 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
140° at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
57 °F, dew point 39 °F
Altimeter
30.14 inHg
Observed at
KPSC

Docket · 7

The files NTSB released with the investigation on June 28, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 8.7 MB in all.

FAA reports on this event · 1

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