WPR16LA020

NTSB accident investigation · Bell 206B · Dallas, OR · November 2, 2015

Accident · Minor injuriesLimited investigationFinal report
Date
November 2, 2015, 14:24 local (22:24 UTC)
Place
Dallas, OR
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N22743Bell 206B
Defining event
Maneuvering-low-alt flying: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed · report January 25, 2018
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration, Bell Helicopter, Rolls Royce
FAA report
20151102018019A
Case key
92270

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

A loss of engine power for reasons that could not be determined based on the available information.

Findings · 1

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.

Not determinedNot determined › Not determined · Unknown/Not determinedBell 206B: 9 casesAll aircraft: 2,247 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

The commercial pilot of the helicopter reported that, after he released the external load of trees in the loading zone and about 50 ft above ground level, it seemed like the engine experienced a partial loss of power. The pilot stated that he heard an abnormal noise as the helicopter began to spin to the right, and the low rotor rpm warning light illuminated. The pilot jettisoned the external load line and rolled the throttle toward a closed position in order to counteract the yawing motion, with no response noted. The pilot then initiated an autorotation; during the landing sequence, the helicopter impacted a tree and came to rest upright in a nose-high position. The pilot further stated that, after the helicopter came to rest, he noted that the engine was at a "very slow idle" and he had to shut down the engine. Postaccident examination of the helicopter revealed no evidence of any preexisting mechanical anomalies that would have precluded normal operation. The engine was removed and installed in an engine test cell and ran throughout various power settings. The airframe fuel filter was removed. The filter element was almost black. The fuel removed was dark, and debris was observed within the fuel filter bowl. The fuel sample from the filter housing was tested and found to be within Jet A specifications. The debris noted within the sample contained various metals, the source of which could not be determined. Given that fuel was found throughout the fuel system, it is unlikely that the debris in the filter resulted in a blockage and restriction of fuel flow; however, the reason for the partial loss of engine power could not be determined.

Factual narrative

On November 2, 2015, about 1424 Pacific standard time, a Bell 206B, N22743, was substantially damaged during an autorotation landing following a partial loss of engine power near Dallas, Oregon. The helicopter was registered to and operated by Applebee Aviation under the provisions of 14 Code of Federal Regulations Part 133. The commercial pilot, sole occupant of the helicopter, sustained minor injuries. Visual meteorological conditions prevailed, and no flight plan was filed for the external load flight. The local flight originated from a staging area about 15 minutes prior to the accident. The pilot reported that prior to the accident flight; the helicopter was refueled with 30 gallons of Jet-A fuel. The pilot departed from a staging area and began lifting Christmas trees from a field to a nearby loading zone. The pilot stated that after about 5 or 10 loads, he released a load of trees in the loading zone and shortly after, it seemed like the engine went to a reduced power setting at an altitude of about 50 feet above ground level. He further stated that he heard an abnormal noise originate from the helicopter as the helicopter began to spin to the right along with an illumination of a low rotor RPM light. The pilot jettisoned the external load line and rolled the throttle towards a closed position in order to counteract the yawing motion, with no response noted. The pilot initiated an autorotation and during the landing sequence, the helicopter impacted a tree. Subsequently, the helicopter came to rest upright in a nose high position. The pilot further stated that after the helicopter came to rest, he noted that the engine was at a "very slow idle" and he had to shut off the engine. Postaccident examination of the helicopter by a Federal Aviation Administration inspector revealed that the tailboom forward of the tailrotor gearbox was twisted about 90o. The helicopter was recovered to a secure location for further examination. On December 2, 2015, the recovered helicopter was examined at the facilities of AvTech Inc., Auburn, Washington, by the National Transportation Safety Board (NTSB) investigator-in-charge and representatives from Rolls Royce and Bell Helicopters. The examination revealed that the skids were removed to facilitate wreckage transport. Flight control continuity was established throughout the airframe to the main rotor head and aft to the tailrotor. An area of impact damage was observed just forward of the tailrotor gearbox. Continuity of the engine controls was established from the cockpit controls to the engine. The airframe fuel filter was removed. The filter element was dark, almost black in color. The fuel removed was dark in color (charcoal looking). Debris was observed within the fuel filter bowl. Samples of the debris and fuel were retained. Power was applied to the helicopter, and the fuel boost pumps were turned on. Fuel expelled out of the engine supply fuel lines. A sample was taken, and the fuel appeared to befairly clear in color with no debris noted. Visual inspection of the fuel tanks revealed that about 10 to 20 gallons of fuel was present. The engine was visually intact and all fuel and air lines appeared to be secure. N1 and N2 rotated freely and continuity was established throughout the engine to the gearbox. The engine fuel filter was removed from its housing, and a fuel sample was collected. The fuel was dark in color and contained an unknown sediment inside. The filter was dark in color. The fuel from the fuel nozzle supply line was captured and was found clear in color. The engine was removed and subsequently shipped to Rolls Royce for further inspection. Fuel samples were retained and sent for subsequent testing. On April 6, 2016, the engine was further examined at the facilities of Rolls Royce, Indianapolis, Indiana. The engine was placed on an engine stand, and visually examined. Compressed air was applied to the port where the PC Line connects to the compressor scroll. Air was found leaking from the PC line that connects to the fuel control unit. The engine was subsequently installed in an engine test cell and run for about 90 minutes throughout various power settings. During a governor droop test, when the load was removed from the engine to test the governor's ability to maintain RPM, N2 RPM increased to the limit for the test cell. Throughout the engine run, the engine produced rated power at cruise flight and takeoff power settings. The power turbine governor and fuel control unit were removed and subsequently examined at the facilities of Honeywell, Inc., South Bend, Indiana, under the supervision of an NTSB investigator. The investigator reported that the bench tests of the power turbine governor revealed the unit was "sluggish" however, would not result in a loss of engine power. The fuel control unit was placed on a test bench and functioned normally. The fuel sample from the fuel filter housing from the accident helicopter was submitted to a third-party laboratory for analysis. There was a small amount of unknown debris visible in the sample. Three tests, including Freezing Point; Flashpoint and Distillation were performed on the fuel sample. All tests were found to be within specification for Jet A fuel. The debris was retained and sent to the NTSB Materials Laboratory for further examination. The testing results for the debris found higher elemental levels of calcium (Ca), copper (Cu), iron (Fe), magnesium (Mg), nickel (Ni), potassium (K), silver (Ag) and zinc (Zn). The source of the debris could not be determined.

Aircraft

Registration
N22743
Reported as
Bell 206B (B)
Category
Helicopter
Serial number
3624
Airframe hours
18,443.3
Engine
Rolls Royce 250-C20B, turbo shaft
Damage
Substantial damage
Flight
External load · Part 133
Operator
Applebee Aviation Inc
Registered owner
Applebee Aviation Inc
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · September 25, 2015 · 55 hours before
Departed
Dallas, OR
Destination
Dallas, OR

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
26
Injuries
Minor
Certificate
Commercial
Medical
Class 2, With waivers/limitations
Last flight review
August 29, 2015
Seat
Right
Restraint
3-point
Flight hours
800 total · 600 in this make and model · 750 as pilot in command · 78 in the last 90 days · 6 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
230° at 5 knots
Visibility
4 statute miles
Lowest ceiling
6,500 ft broken
Temperature
57 °F, dew point 46 °F
Altimeter
29.93 inHg
Observed at
KMMV, 16 nm away

Docket · 7

The files NTSB released with the investigation on October 30, 2017, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.0 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.