WPR17IA198

NTSB incident investigation · Enstrom F 28F · Glendale, AZ · August 22, 2017

Incident · No injuriesIncident investigationFinal report
Date
August 22, 2017, 09:04 local (16:04 UTC)
Place
Glendale, AZ
Injuries
2 uninjured
Damage
No damage
Phase of flight
Emergency descent
Aircraft
N52PDEnstrom F 28F
Defining event
Autorotation: Fire/smoke (non-impact)
Weather
Visual (VMC) · Day
Status
Completed · report March 18, 2019
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
FAA FSDO
Case key
95947

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the incident.

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Probable cause

An internal failure of the turbo-compressor, which resulted in oil leaking into the turbo-compressor’s exhaust.

Findings · 2

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.

Turbocharging (recip only): turbochargerAircraft › Aircraft power plant · MalfunctionEnstrom F-28F: 1 caseAll aircraft: 29 casesProbable cause
Turbocharging (recip only)Aircraft › Aircraft power plant · Fatigue/wear/corrosionEnstrom F-28F: 1 caseAll aircraft: 6 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 flight instructor and student pilot were practicing hovering autorotations when the cockpit filled with smoke. The helicopter had just touched down, so the flight instructor secured the cockpit and both he and the student egressed the helicopter with the engine still running. About 5 minutes later, the engine stopped. Postincident examination of the helicopter revealed no fire or other related damage. Maintenance personnel reported that the smoke appeared to have originated from the failure of an internal oil seal within the turbocharger-compressor that leaked oil into the turbocharger-compressor's exhaust system. No further examination or repair was accomplished and the turbocharger was replaced. Further examination revealed damage to the turbocharger-compressor v-clamp assembly that was installed on the exhaust. The strap portion of the v-clamp assembly contained cracks on the outer face that emanated from three of the four spot welds. The edge of the strap portion exhibited evidence of bending deformation on both sides of the assembly. In the deformed areas, the distance between the edge of the retainer and the edge of the strap was smaller when compared to other, non-deformed areas. Further, microscopic examination of the largest crack revealed a fatigue crack emanating from the outer surface of the v-clamp assembly strap. It is likely that the v-clamp assembly bolts were tightened to an extent that caused the deformation in the strap. The damage found to the v-clamp was not related to the source of the smoke.

Factual narrative

On August 22, 2017, about 0904 mountain standard time, an Enstrom F-28F helicopter, N52PD, experienced smoke coming from the engine cowling area after touchdown at the Glendale Municipal Airport (GEU) Glendale, Arizona. The certified flight instructor and student pilot were not injured, and the helicopter was not damaged. The helicopter was registered to and operated by Airwest Aviation Academy LLC under the provisions of Title 14 Code of Federal Regulations Part 91, as an instructional flight. Visual meteorological conditions prevailed, and no flight plan had been filed. The local flight departed GEU about 0820. The flight instructor reported that at the time of the incident, the student was practicing hovering autorotations. Several had been accomplished without incident. During the last one, the engine appeared to have stalled, but sounded as if it were running rough when the cockpit filled with smoke. The helicopter was on the ground and the flight instructor secured the cockpit and both he and the student evacuated the helicopter with the engine still running and smoke coming out of the right side air scoop. About five minutes later, the engine stopped running. Postincident examination of the helicopter revealed that no fire or other related damage was present. Maintenance personnel reported that the source of the smoke appeared to have originated from the failure of an internal oil seal within the turbocharger-compressor that leaked oil into the turbocharger-compressor's exhaust system. No further examination or repair was accomplished and the turbocharger was replaced. Further examination identified that the V-clamp assembly that was installed on the turbo-compressor exhaust was damaged. The V-clamp assembly was removed and sent to the National Transportation Safety Board Material Laboratory, Washington DC for further examination. The examination of the V-clamp assembly revealed that the strap portion of the assembly contained cracks on three of the four spot welds that emanated from the outer face of the strap. The edge of the strap portion exhibited evidence of bending deformation on both sides of the assembly. In the deformed areas, the distance between the edge of the retainer and the edge of the strap, were smaller when compared to other non-deformed areas. Microscopic examination of the longest crack revealed that a fatigue crack emanated from the outer surface of the strap. The damage to the V-clamp was unrelated to the source of the smoke.

Aircraft

Registration
N52PD
Reported as
Enstrom F 28F
Category
Helicopter
Serial number
807
Built
1996
Airframe hours
6,264.3
Engine
Lycomng HIO-360-F1AD, 190 horsepower, reciprocating
Damage
No damage
Flight
Instructional · Part 91
Operator
Airwest Aviation Academy LLC
Registered owner
Airwest Aviation Academy LLC
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 6, 2017
Departed
GEU · Glendale, AZ
Destination
GEU · Glendale, AZ
Airport
GEU · Glendale Munical Airport
Equipment
None

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Flight instructor
Age
43
Injuries
None
Certificates
Commercial, Private, Flight instructor
Instrument ratings
Helicopter
Medical
Class 2, With waivers/limitations
Last flight review
December 18, 2015
Seat
Right
Restraint
4-point
Flight hours
1,300 total · 1,280 in this make and model · 1,220 as pilot in command · 90 in the last 90 days
Role
Student pilot
Age
40
Injuries
None
Certificates
Private, Student
Airplane ratings
Single-engine land
Medical
Class 3, Without waivers/limitations
Seat
Left
Restraint
4-point

Weather

Conditions
Visual (VMC) · Day
Wind
20° at 4 knots
Visibility
10 statute miles
Temperature
91 °F, dew point 57 °F
Altimeter
29.97 inHg
Observed at
KGEU

Docket · 3

The files NTSB released with the investigation on August 27, 2018, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.1 MB in all.