WPR15LA159

NTSB accident investigation · Garlick UH-1B · Kettle Falls, WA · May 8, 2015

Accident · Minor injuriesLimited investigationFinal report
Date
May 7, 2015, 17:50 local (May 8, 2015, 00:50 UTC)
Place
Kettle Falls, WA
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N46969Garlick UH-1B
Defining event
Maneuvering: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report June 29, 2016
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Honeywell, Federal Aviation Administration
FAA report
20150507006299A
Case key
91154

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

A total loss of engine power due to foreign object (towel) ingestion. Contributing to the accident was maintenance personnel’s inadequate postmaintenance inspection of the engine.

Findings · 6

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.

Object/animal/substance: debris/dirt/foreign objectEnvironmental issues › Physical environment · Effect on equipmentBell UH-1B: 1 caseAll aircraft: 101 casesProbable cause
Maintenance/inspectionsAircraft › Aircraft handling/service · Inadequate inspectionBell UH-1B: 1 caseAll aircraft: 103 casesProbable cause
Inspection: post maintenance inspectionPersonnel issues › Task performance · Maintenance personnelBell UH-1B: 1 caseAll aircraft: 57 casesProbable cause
Object/animal/substance: tree(s)Environmental issues › Physical environment · Contributed to outcomeBell UH-1B: 1 caseAll aircraft: 933 cases
Terrain: sloped/uneven terrainEnvironmental issues › Physical environment · Contributed to outcomeBell UH-1B: 1 caseAll aircraft: 270 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 an external load logging flight in the helicopter. A review of maintenance records revealed that, on the day of the accident, the engine had been replaced with an overhauled engine. Following the maintenance, the pilot completed one logging cycle without incident. The pilot reported that, about 50 minutes into the second cycle, she heard a loud screeching/grinding noise followed by a muffled "bang." The low rotor rpm horn sounded, and she initiated an autorotation. The helicopter touched down, impacted trees, rolled down sloped terrain, and then came to rest. A postaccident examination of the engine's particle separator assembly revealed that it was intact and installed properly on the air inlet section; however, the inlet guide vanes exhibited signatures consistent with foreign object damage, and a material consistent with a towel was found within the vanes. Given the damage signatures and the found material, it is likely that maintenance personnel did not adequately inspect the engine area after installing the overhauled engine and left a towel in its compressor section, which the engine subsequently ingested and resulted in a total loss of power.

Factual narrative

On May 07, 2015, about 1750 Pacific daylight time, a Garlick UH-1B, N46969, experienced a total loss of engine power near Kettle Falls, Washington. R & R Conner Aviation, the registered owner, was operating the helicopter under the provisions of 14 Code of Federal Regulations Part 133 as an external load logging flight. The commercial pilot, the sole occupant, sustained minor injuries; the helicopter sustained substantial damage. The flight departed from the landing zone in the area at about 1700. Visual meteorological conditions prevailed, and no flight plan was filed.During a telephone conversation with a Safety Board investigator, the pilot stated that she had been performing logging operations for the past four days. The engine had been replaced the day of the accident. Following the maintenance, the operator's chief pilot conducted a short test flight. Thereafter, the long-line was attached to the helicopter and the pilot conducted a 50-minute logging cycle. She returned to the landing zone and refueled, planning on another 1 hour 20-minute logging cycle. The operation was configured with the log landing was located at the base of a steep hill, and the hookers were located at the top. After about 50 minutes into the cycle, equating to about 22 picks, the pilot was maneuvering the helicopter up the mountain toward the hookers. When the helicopter was about three quarters of the way up the mountain, about 200 to 300 feet above the tree line, she heard a loud screeching/grinding noise followed by a muffled "bang." The low rotor rpm horn sounded and she initiated an autorotation, maneuvering the nose of the helicopter to touch down upslope. The helicopter impacted trees and after touching down, began to roll down the slope. She braced herself through several rolls until the helicopter came to a stop. Upon exiting out the bubble window, she noticed the engine was smoking. A post accident examination was conducted of the engine and airframe. The complete examination report with embedded pictures is contained in the public docket for this accident. Drive train continuity was verified from the tail rotor drive shaft to the transmission. Rotation of the tail rotor drive shaft in the direction of rotation (free wheel via sprag clutch) produced a corresponding rotation of the main rotor. There were was no evidence of airframe mechanical malfunctions or failures. The helicopter is equipped with a Lycoming T53-L-13B engine, serial number LE-17588. The T53 series engines are shaft turbine engines with a two stage, free type power turbine and a two stage gas producer turbine that drives a combination axial centrifugal compressor. The external areas of the engine appeared intact with no visible damage. The interior of the engine exhaust tail pipe showed signs consistent with internal overheating. The power turbine section could not be rotated manually and various power turbine blades were damaged. The particle separator assembly appeared intact andinstalled properly on the air inlet section. Examination of the inlet guide vanes (IGV) revealed material appearing to be consistent with a towel within the various IGVs. The trailing edges of the IGVs appeared to be displaced forward and distorted, and displayed signs consistent with foreign object damage. Material consistent with a towel was also observed in the compressor section. The helicopter records indicated that the newly-overhauled engine was installed on the day of the accident.

Aircraft

Registration
N46969
Reported as
Garlick UH-1B
Category
Helicopter
Serial number
63-8548
Airframe hours
24,111
Engine
Lycoming T53, turbo shaft
Damage
Substantial damage
Fire
On-Ground
Flight
External load · Part 133
Operator
R & R Conner Aviation LLC
Registered owner
R & R Conner Aviation LLC
Airworthiness certificate
Special, Restricted (Special)
Last inspection
Condition · May 7, 2015 · 1 hours before
Departed
Kettle Falls, WA
Destination
Kettle Falls, 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
30
Injuries
Minor
Certificate
Commercial
Airplane ratings
Single-engine land
Medical
Class 1, Without waivers/limitations
Last flight review
March 24, 2015
Seat
Left
Restraint
Lap only
Flight hours
2,450 total · 1,700 in this make and model · 2,250 as pilot in command · 200 in the last 90 days · 25 in the last 30 days · 9 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Visibility
10 statute miles
Lowest ceiling
None
Temperature
75 °F
Altimeter
29.92 inHg

Docket · 5

The files NTSB released with the investigation on May 9, 2016, on NTSB’s docket system: statements, records, photos and specialists’ reports. 10.5 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.

Other investigations on N46969 · 1

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