# NTSB WPR15LA177: Bell 206 L4, N73AW, Dewey, AZ, June 2, 2015

- Type: NTSB accident investigation
- Classification: Accident · No injuries · Limited investigation · Final report
- Date: June 1, 2015, 19:48 local (Jun 2, 2015, 02:48 UTC)
- Place: Dewey, AZ
- Coordinates: 34.310001, -112.120002 (estimated)
- Nearby events: https://openairdocs.org/map.md?lat=34.3100&lon=-112.1200&mi=10
- Phase of flight: [Enroute](https://openairdocs.org/ntsb-phases/400) (OpenAirDocs' grouping)
- Defining event: [Enroute-cruise: Loss of engine power (total)](https://openairdocs.org/ntsb-events/341)
- Highest injury: No injuries
- Injuries: 1 uninjured
- Status: Completed, report October 17, 2017
- Report: Approved by Office Director
- NTSB office: Western Pacific Region
- Parties: Rolls Royce Corporation, Federal Aviation Administration, Airwest Helicopters, Bell Helicopter
- NTSB case key (mKey): 91304
- NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=WPR15LA177
- NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/91304/pdf
- NTSB docket: https://data.ntsb.gov/Docket?ProjectID=91304
- Page: https://openairdocs.org/ntsb/WPR15LA177

## Probable cause

A total loss of engine power due to the failure of the No. 2 bearing, which resulted from a fractured separator.

## Findings

NTSB's coded findings; those marked are part of the probable cause.

- [Engine (turbine/turboprop): turbine section](https://openairdocs.org/ntsb-findings/01057250): Aircraft › Aircraft power plant · Failure (probable cause); cases with it: [Bell 206-L4, 2 cases](https://openairdocs.org/ntsb-findings/01057250/cases.md?model=1182110), [All aircraft, 74 cases](https://openairdocs.org/ntsb-findings/01057250/cases.md)

## Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event best describes what happened.

- [Enroute-cruise: Loss of engine power (total)](https://openairdocs.org/ntsb-events/341) (defining event); cases with it: [Bell 206-L4, 2 cases](https://openairdocs.org/ntsb-events/341/sequence.md?model=1182110), [All aircraft, 3,820 cases](https://openairdocs.org/ntsb-events/341/sequence.md)
- [Landing-flare/touchdown: Mast bumping](https://openairdocs.org/ntsb-events/245); cases with it: [Bell 206-L4, 1 case](https://openairdocs.org/ntsb-events/245/sequence.md?model=1182110), [All aircraft, 18 cases](https://openairdocs.org/ntsb-events/245/sequence.md)

## Analysis

The commercial pilot was conducting a cross-country ferry flight. He reported that the engine chip detector caution light briefly illuminated while the helicopter was in cruise flight about 750 ft above ground level. The pilot chose to make a precautionary landing and initiated a descent. During the descent, the detector light illuminated again, followed shortly thereafter by a "loud bang" and the engine losing power. The pilot initiated an autorotation emergency landing. During the landing sequence, the main rotor blades struck the tailboom. Examination of the engine revealed that the No. 2 bearing separator had fractured through both rails at the forward and aft sides of the bearing. The ball bearings were retained in the separator; however, half of them exhibited damage consistent with smearing and material transfer between the raceway and balls, which resulted in the failure of the No. 2 bearing and the subsequent engine power loss.

## Factual narrative

On June 1, 2015, about 1948 mountain standard time, a Bell 206 L-4, N73AW, sustained substantial damage during an emergency landing following a loss of engine power, near Dewey, Arizona. The commercial pilot, the sole occupant of the helicopter, was not injured. The helicopter was registered to Air Medical Services LLC and operated by Airwest Helicopters as a Title 14 Code of Federal Regulations Part 91 ferry flight. Visual meteorological conditions prevailed and a company visual flight rules, company flight plan, was filed. The cross country flight, departed Valle Airport (40G), Grand Canyon, Arizona about 1905 with a planned destination of Glendale Municipal Airport (GEU), Glendale, Arizona. The operator reported that several weeks prior to the accident, the helicopter's engine chip detector caution light momentary illuminated during a routine maintenance engine run. The engine was shut down and the magnetic chip detectors (MCDs) were examined. A small amount of debris, that was determined to be within the manufacturer's limits, was observed. The MCDs were cleaned and re-installed and then a 30-minute engine run was conducted. Afterward, no further debris was found and the helicopter was returned to service. During a subsequent flight, a couple of weeks later, the engine chip detector caution light momentary illuminated. The helicopter landed and the MCDs were once again inspected, and a small flake and metallic paste on the lower MCD was observed. The oil system was drained, flushed, changed, and a new filter was installed. A 30-minute ground engine run was accomplished, and the MCDs were inspected afterwards and free of debris. The helicopter was then flown about 30 minutes, to a location where an oil sample could be drawn from the original oil removed. The oil sample was sent out for analysis and the helicopter was not operated for about 2 weeks, while awaiting results. The oil analysis was received, and the operator was satisfied with the result of no metal detected, and attempted to ferry the helicopter back to its home base. During the flight, the pilot reported observing a momentary illumination of a caution light that he could not identify, prior to it extinguishing. About 10 minutes later, the engine chip detector caution light briefly illuminated, while the helicopter was in cruise flight, about 750 ft above ground level. The pilot elected to make a precautionary landing and initiated a descent. During the descent, the engine chip detector light illuminated again and shortly thereafter, was followed by a loud bang. Immediately, the engine lost power and an emergency autorotation landing was accomplished. During the landing sequence, the main rotor blades struck the tail boom and resulted in substantial damage. Postaccident examination of the helicopter, revealed control continuity with the cockpit controls to the engine and flight controls. Besides the tail boom damage, the remainder of the fuselage was relatively intact. Initialvisual examination of the engine revealed no obvious damage. The inlet, exhaust section, and turbine blades, were clear of obstructions and observed to be undamaged. The engine was removed to facilitate an examination. The compressor could not be rotated by hand but the power turbine could be rotated by hand, with resistance. The magnetic chip detectors were removed and observed to have accumulated ferrous debris. The engine was shipped to Rolls-Royce for further examination. The engine was examined and disassembled under the supervision of the National Transportation Safety Board, investigator-in-charge, at the Rolls-Royce facility near Indianapolis, Indiana. The compressor module was separated from the accessory gearbox by removing the compressor discharge tubes and the Compressor Turbine Drive Shaft (CT shaft). Thermal damage and cooked oil was observed on the CT shaft. The turbine module was removed for examination. On the first and second stages of the turbine, thermal and blade tip damage was observed. All the bearings were examined and were unremarkable, except for the No. 2 bearing. The aft end of the compressor module revealed damage to the No. 2 bearing. The No. 2 bearing was fractured and exhibited thermal damage. Examination of the No. 2 bearing oil delivery tube revealed it was properly installed with no obvious blockage of the oil jets. The tube was removed and x-rayed for internal contamination of the oil passages with negative results. Further, the tube was flow checked and verified to flow oil at the specified rate. The accessory gearbox was disassembled and observed to be intact and functional. Metal debris was observed throughout the gearbox. The oil pump screen, oil delivery tubes and engine mounted oil filter had minor contamination but no obstructions to flow. A detailed examination of the No. 2 bearing revealed that its composition was consistent with the manufacture material types required. The bearing separator was fractured completely through both rails, at the forward and aft sides, of the bearing. All 10 of the ball bearings were retained in the separator, however half of them exhibited damage consistent with smearing and material transfer between the raceway and balls. The No. 2 bearing is the primary means of support of the compressor impellor. Failure of the No. 2 bearing will allow the impellor to migrate forward, where it will eventually contact the compressor shroud. According to the manufacturer, only minor contact between the impeller and shroud is acceptable, however, examination of the compressor impellor revealed that the shroud and its vanes had considerable rubbing damage.

## Aircraft

- Registration: [N73AW](https://openairdocs.org/aircraft/N73AW), registered now, S/N 52115 (OpenAirDocs)
- Reported make and model: BELL 206 L4 (L4)
- Registry model: [Bell 206-L4](https://openairdocs.org/model/bell-206-l4) (registry code 1182110) (OpenAirDocs)
- Registry engine: [Allison 250-C30 series](https://openairdocs.org/engine/allison-250-c30-series) (registry code 03015, turbo-shaft) (OpenAirDocs)
- Category: Helicopter
- Serial number: 52115
- Year built: 1995
- Airframe hours: 4091.8
- Engines: Allison/Rolls Royce 250-C30P 650 horsepower turbo shaft
- Damage: Substantial damage
- Flight: Ferry, Part 91
- Operator: Airwest Helicopters
- Registered owner: Air Medical Services LLC
- Airworthiness certificate: Standard, Normal
- Last inspection: 100 hour, May 4, 2015
- Departed: 40G, GRAND CANYON, AZ
- Destination: GEU, GLENDALE, AZ
- Equipment: Satellite tracking device

## Flight crew

As NTSB recorded them. NTSB leaves out names.

- Pilot; age 31; injuries: none; commercial; airplane ratings: single-engine land, multi-engine land; instrument ratings: airplane; medical: class 2, without waivers/limitations; last flight review February 28, 2015; seat: right; restraint: 4-point; flight hours: 6,405 total, 3,460 in this make and model, 6,190 as pilot in command, 1,170 in the last 90 days, 60.5 in the last 30 days, 7 in the last 24 hours

## Weather

- Conditions: Visual (VMC), Dusk
- Wind: 210° at 6 knots
- Visibility: 10 statute miles
- Lowest ceiling: none
- Temperature: 75 °F, dew point 21 °F
- Altimeter: 30.07 inHg
- Observed at: PRC, 13 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 (OpenAirDocs).

- [Accident 20150601011989A](https://openairdocs.org/incident/20150601011989A), Jun 1, 2015: Bell 206-L4, Dewey, AZ, Substantial damage. A Bell 206, N73AW, reported engine problems, which caused the aircraft to autorotate in a field near Dewey, AZ., on 6/2/15. The helicopter was owned and…

## Other investigations on N73AW (1)

From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model.

- [NTSB GAA16CA179](https://openairdocs.org/ntsb/GAA16CA179), Apr 6, 2016: Bell 206 (N73AW), Supai, AZ, substantial damage. Probable cause: The pilot's decision to fly a normal approach and forgetting that the long line remained attached to the helicopter, which resulted in the line snagging on a ridgeline, a loss of lateral control, and…

## Docket (8 files)

The files NTSB released with the investigation on September 1, 2017, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=91304. 3.6 MB in all.

- Pilot/Operator Aircraft Accident Report, NTSB Form 6120.1 (item 1, .PDF, 1.7 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40455852&FileExtension=.PDF&FileName=Pilot%2FOperator%20Aircraft%20Accident%20Report,%20NTSB%20Form%206120.1-Master.PDF
- Record of Conversation (item 2, .PDF, 29 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40455853&FileExtension=.PDF&FileName=Record%20of%20Conversation-Master.PDF
- Airframe and Engine Examination Report (3 Embedded Images) (item 3, .PDF, 724 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40455854&FileExtension=.PDF&FileName=Airframe%20and%20Engine%20Examination%20Report%20(3%20Embedded%20Images)-Master.PDF
- Maintenance Log (item 4, .PDF, 214 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40455855&FileExtension=.PDF&FileName=Maintenance%20Log-Master.PDF
- DOM Statement (item 5, .PDF, 21 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40455856&FileExtension=.PDF&FileName=DOM%20Statement-Master.PDF
- Email of Engine Factual Information Release (item 6, .PDF, 256 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40455857&FileExtension=.PDF&FileName=Email%20of%20Engine%20Factual%20Information%20Release-Master.PDF
- Record of Email (Rolls Royce Corp.) (item 7, .PDF, 28 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40455858&FileExtension=.PDF&FileName=Record%20of%20Email%20(Rolls%20Royce%20Corp.)-Master.PDF
- Statement of Party Representatives to NTSB Investigation (item 8, .PDF, 653 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40455859&FileExtension=.PDF&FileName=Statement%20of%20Party%20Representatives%20to%20NTSB%20Investigation-Master.PDF

From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model.

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