WPR16LA032

NTSB accident investigation · Hughes 369D · Carlisle, WA · November 24, 2015

Accident · No injuriesLimited investigationFinal report
Date
November 24, 2015, 09:45 local (17:45 UTC)
Place
Carlisle, WA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N50713Hughes 369D
Defining event
Enroute-cruise: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report June 20, 2017
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Boeing Helicopter, Federal Aviation Administration, MD Helicopters
FAA report
20151124019009A
Case key
92368

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

The NTSB’s determination of the probable cause, and any contributing factors.

A total loss of engine power during cruise flight due to fuel exhaustion. Contributing to the accident was the improper calibration of the fuel quantity gauge.

Findings · 3

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings.

Analysis

The commercial pilot reported that, while relocating the helicopter to a staging area to refuel, the engine experienced a total loss of power. He initiated an autorotation to a partially-wooded area, where the helicopter touched down and rolled onto its right side. The pilot stated that, before the loss of engine power, he noticed that the fuel quantity indication was not decreasing as he would have expected. Postaccident examination revealed that the fuel quantity gauge indicated more fuel in the fuel tank than the amount that was physically present. This erroneous fuel level indication led the pilot to believe that more fuel was available than what was in the fuel tanks, and subsequently resulted in a total loss of engine power due to fuel exhaustion.

Factual narrative

The factual narrative707 words

On November 24, 2015, about 0945 Pacific standard time a Hughes 369D, N50713, sustained substantial damage during a forced landing following a loss of engine power near Carlisle, Washington. The helicopter was registered to and operated by Olympic Air, Shelton, Washington, under the provisions of Title 14 Code of Federal Regulations Part 91. The commercial pilot, sole occupant of the helicopter, was not injured. Visual meteorological conditions prevailed and no flight plan was filed for the repositioning flight. The flight originated from Hoquiam, Washington, about 5 minutes prior to the accident, with an intended destination of a staging area near Carlisle.The pilot reported that he originally departed a staging area near Francis, Washington, where he was parked on a hillside, waiting for improving weather. Prior to departing, he added about 50 pounds of fuel, noting he had 250 pounds of fuel total on board. The pilot departed and decided to land at Hoquiam, after noticing that the fuel gauge quantity indication was not decreasing as he would have expected for the flight. The pilot landed uneventfully at Hoquiam, noted he had about 140 pounds of fuel on board according to the fuel gauge, which was consistent with his estimations of how much fuel should have been on board. The pilot decided to depart and relocate the helicopter 12 nautical miles to a staging area where he was planning to refuel the helicopter prior to conducting external load operations in the area. The pilot stated that during the flight, the engine lost total power. He initiated an auto rotation to a partially open wooded area. Subsequently, the helicopter landed and rolled onto its right side. Postaccident examination of the helicopter by the pilot revealed that the tailrotor and tailrotor gearbox were separated from the tail boom. The helicopter was recovered to a secure location for further examination. Examination of the recovered wreckage revealed that the main rotor blades were removed to facilitate wreckage transport. The tailboom had contact damage from main rotor blade strike(s) and was fractured into multiple segments. The tail rotor system was still attached to the tailboom's aft frame. The tail rotor blades were damaged but exhibited little rotational damage. All main rotor blades exhibited various areas of bends, leading edge and trailing edge damage. Control continuity was established for the collective and cyclic controls. Except for breaks in the area of the tailboom damage, tail rotor control continuity was verified. The drive system was functional from the engine through the main transmission to the main rotor hub. The tail rotor driveshaft had multiple fractures aft of FS 150 due to impact damage. The tail rotor transmission and tail rotor controls functioned normally. The upper flight controls and main rotor hub sustained minimal damage. Electrical power was applied to the airframe and the N2 warning horn was found functional. The caution light panel wastested and all normal lights illuminated, including the low level fuel light. At this time, the fuel gauge indicated zero pounds of fuel. The fuel cell access covers were removed and the cells inspected. Only a small amount of fuel was found in the sump area below the start pump. The engine and related systems sustained little visible damage. A fuel system vacuum check was successfully completed. The airframe fuel filter was removed from the housing. The filter and housing exhibited a slight amount of foam-like debris. Similar debris was observed in the fuel boost pump and in both the left and right fuel tanks. In order to examine the fuel gauge quantity accuracy, 20 gallons of fuel was added in intervals utilizing 5-gallon fuel cans. With electrical power applied to the helicopter, the fuel quantity indicated on the fuel gauge were measured. When 4, 5, 7.5, 10, 12.5, 15, and 20 gallons of Jet A, which weighs about 6.8 pounds per gallon, was added to tank, the fuel quantity gauge indicated about 40-45, 80, 100, 150, 155-160, 175, and 245 pounds of fuel respectively. While removing the fuel which was previously added, the low level fuel light illuminated at which time the fuel gauge displayed about 70 pounds of fuel. After the low level fuel light illuminated, the remaining fuel within the tank was removed and measured at about 5 gallons.

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident.

Aircraft

Registration
N50713
Reported as
Hughes 369D (D)
Category
Helicopter
Serial number
710982D
Airframe hours
17,942.3
Engine
Rolls Royce 250-C20B, 420 horsepower, turbo shaft
Damage
Substantial damage
Flight
Positioning · Part 91
Operator
Olympic Air Inc
Registered owner
Olympic Air Inc
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · November 13, 2015
Departed
Hoquiam, WA
Destination
Carlisle, 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
31
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Helicopter
Medical
Class 2, Without waivers/limitations
Seat
Right
Flight hours
1,092 total · 624 in this make and model · 1,008 as pilot in command · 183 in the last 90 days · 59 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
20° at 5 knots
Visibility
6 statute miles
Lowest ceiling
2,400 ft broken
Temperature
39 °F, dew point 30 °F
Altimeter
29.85 inHg
Observed at
KHQM, 12 nm away

Docket · 6

The files NTSB released with the investigation on April 5, 2017, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.5 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.