WPR14LA340

NTSB accident investigation · Hughes 269C · Darrington, WA · August 11, 2014

Accident · No injuriesLimited investigationFinal report
Date
August 11, 2014, 11:30 local (18:30 UTC)
Place
Darrington, WA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N7432FHughes 269C
Defining event
Enroute-descent: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed · report October 23, 2017
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
FAA report
20140811013229A
Case key
89852

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

Maintenance personnel’s failure to secure the throttle mount bracket during a recent engine installation, which resulted in the loss of throttle movement and an inability to control engine power.

Findings · 4

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 controls: power leverAircraft › Aircraft power plant · Incorrect service/maintenanceHughes 269C: 2 casesAll aircraft: 95 casesProbable cause
Maintenance: installationPersonnel issues › Task performance · Maintenance personnelHughes 269C: 1 caseAll aircraft: 371 casesProbable cause
Object/animal/substance: tree(s)Environmental issues › Physical environment · Contributed to outcomeHughes 269C: 1 caseAll aircraft: 933 cases
Object/animal/substance: water/moistureEnvironmental issues › Physical environment · Contributed to outcomeHughes 269C: 1 caseAll aircraft: 10 cases

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

The commercial pilot was conducting a local, personal flight in the rented helicopter. The pilot reported that, while descending the helicopter from 5,000 ft and approaching 4,000 ft, he increased the collective and noticed that the engine was slowing down; he was unable to recover the engine rpm to a normal range. The helicopter continued to descend until the pilot entered an autorotation. The helicopter then impacted a tree and came to rest in a small stream. The pilot stated that he did not believe that the engine ever quit but that it did not produce enough power to continue flight. Postaccident examination of the helicopter revealed that the throttle mount bracket was hanging by the throttle cable linkage and was not secured to the servo mount studs, which would have led to the loss of throttle movement for acceleration. The operator stated that the engine had been installed in the helicopter 10 flight hours before the accident. It is likely that maintenance personnel did not properly secure the throttle mount bracket during the engine installation, which led to the loss of throttle movement and inability to control engine power.

Factual narrative

On August 11, 2014, about 1130 Pacific daylight time (PDT), a Hughes 269C Helicopter, N7432F, impacted terrain following a partial loss of engine power near Darrington, Washington. The airline transport pilot was not injured; the helicopter sustained substantial damage. Snohomish Flying Service (SFS) was operating the helicopter under the provisions of 14 Code of Federal Regulations (CFR) Part 91. The local personal flight departed Snohomish, Washington, about 0815. Visual meteorological conditions prevailed, and no flight plan had been filed.The pilot reported that during a flight in the rented helicopter he was descending out of 5,000 ft. As he approached 4,000 ft, he increased collective and noticed that the engine was slowing down; he was unable to recover the engine rpm to a normal range. The helicopter continued to descend until the pilot entered an autorotation. The helicopter impacted a tree about 30 ft high and then came to rest in a small stream. The pilot stated he did not believe the engine ever quit, but the engine would not produce enough power to continue flight. The helicopter was recovered on August 12, 2014, by SFS and examined by Federal Aviation Administration inspectors with assistance from SFS personnel. They found that the throttle mount bracket was hanging by the throttle cable linkage and was not secured to the servo mount studs as it should have been. This would prevent the loss of throttle movement for acceleration. The operator stated that the engine had just been installed into the helicopter 10 flight hours prior to the accident.

Aircraft

Registration
N7432F
Reported as
Hughes 269C
Category
Helicopter
Serial number
160458
Built
1976
Airframe hours
3,015
Engine
Lycoming HIO-360-D1A, 200 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · August 9, 2014
Departed
S43 · Snohomish, WA
Destination
S43 · Snohomish, WA
Equipment
Unknown

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
59
Injuries
None
Certificates
Commercial, Airline transport, Private
Airplane ratings
Single-engine sea, Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
July 13, 2014
Seat
Left
Restraint
4-point
Flight hours
18,000 total · 80 in this make and model · 10,000 as pilot in command · 270 in the last 90 days · 90 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
300° at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
77 °F, dew point 61 °F
Altimeter
29.93 inHg
Observed at
AWO, 19 nm away

Docket · 2

The files NTSB released with the investigation on October 5, 2017, on NTSB’s docket system: statements, records, photos and specialists’ reports. 933 KB 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.

Other investigations on N7432F · 2

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