WPR17LA014

NTSB accident investigation · Aerospatiale AS350 · Starbuck, WA · October 28, 2016

Accident · No injuriesLimited investigationFinal report
Date
October 28, 2016, 12:40 local (19:40 UTC)
Place
Starbuck, WA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N369BDAerospatiale AS350
Defining event
Maneuvering-low-alt flying: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report April 13, 2020
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
Case key
94317

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 total loss of engine power due to fuel exhaustion, which resulted from the pilot’s reliance on the fuel gauge that was displaying an incorrect fuel amount due to the separation of the fuel transmitter float pin guide from the float.

Findings · 4

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.

Fluids: fuelAircraft › Fluids/misc hardware · Fluid levelS N I A S AS-350B ECUREUIL: 1 caseAll aircraft: 1,695 casesProbable cause
Maintenance: repairPersonnel issues › Task performance · Maintenance personnelS N I A S AS-350B ECUREUIL: 1 caseAll aircraft: 99 casesProbable cause
Fuel system: fuel quantity sensorAircraft › Aircraft systems · Incorrect service/maintenanceS N I A S AS-350B ECUREUIL: 1 caseAll aircraft: 10 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 reported that, during the agricultural application flight in the helicopter, the fuel pressure warning light illuminated. The pilot scanned the instruments and noted that the fuel pressure was low and that the fuel quantity was indicating between 40% and 50%. Subsequently, the engine started to lose power. The pilot entered an autorotation and set up the helicopter for landing in the flattest area. Subsequently, the helicopter landed hard, which resulted in substantial damage to the tailboom and main rotor assembly. Postaccident examination of the helicopter revealed that the fuel tank was intact, undamaged, and empty of fuel. Given this evidence, the engine likely lost all power due to fuel exhaustion. Despite the lack of fuel, the fuel quantity gauge indicated that 42% of the fuel was remaining (or about 60 gallons). Disassembly of the fuel transmitter revealed that the float guide pin was separated from the float assembly at the tack weld. The separation of the float guide pin allowed the float to slide down the center torque shaft and prevented the potentiometer drive plate at the bottom from rotating when the fuel quantity changed, which led to the fuel quantity gauge displaying an incorrect fuel level. A review of the airplane's maintenance records revealed that the fuel transmitter was overhauled about 11 months before the accident. Given the evidence, it is likely that, during the overhaul, maintenance personnel improperly welded the float pin guide to its mount and subsequently did not adequately inspect it, which led to its eventual separation from the assembly at the welded area.

Factual narrative

On October 28, 2016, about 1240 Pacific daylight time (PDT), a Eurocopter S.N.I.A.S. AS350B helicopter, N369BD, sustained substantial damage during a forced landing following a loss of engine power near Starbuck, Washington. The commercial pilot was not injured. The helicopter was registered to a private individual and operated by Leading Edge Aviation LLC under the provisions of Title 14 Code of Federal Regulations Part 137 as an aerial application flight. Visual meteorological conditions prevailed, and no flight plan was filed for the local flight. The flight originated from a nearby staging area at 1137. The pilot reported that during the flight as he was making his 6th pass, on the 5th application load, and traveling upslope from the west to the east, the fuel pressure warning light illuminated. The pilot scanned the instruments and noticed the fuel pressure was low, and the fuel quantity was indicating between 40-50%. About 3-4 seconds later the engine started to lose power. The pilot entered an autorotation and set up for a landing in the flattest area he could find in the canyon. During the approach the pilot extended the landing to make it to a more suitable site. The helicopter subsequently landed hard. The helicopter sustained substantial damage to the tailboom and to the main rotor assembly. During the recovery it was noted that the helicopter fuel tank was intact, undamaged and void of fuel, but the fuel quantity gauge still indicated 42% fuel remaining, which converts to about 60-gallons.The helicopter was recovered from the accident site for further examination. Examination of the fuel transmitter revealed that the float guide pin was separated from the float assembly at the tack weld. According to the manufacturer, the separation of the float guide pin would allow the float to slide down the center torque shaft and not allow the potentiometer drive plate at the bottom to rotate with changing fuel quantity. Maintenance records for the overhauled fuel transmitter stated that the float guide was replaced at the time of overhaul on November 23, 2015.

Aircraft

Registration
N369BD
Reported as
Aerospatiale AS350 (BA)
Category
Helicopter
Serial number
1675
Built
1983
Airframe hours
14,004.8
Engine
Honeywell LTS101700D2, 732 horsepower, turbo shaft
Damage
Substantial damage
Flight
Aerial application · Part 137
Operator
Leading Edge Aviation LLC
Registered owner
Jim D. Pope
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · October 27, 2016 · 1.6 hours before
Departed
Starbuck, WA
Destination
Starbuck, WA
Airport
16W · Little Goose Lock And Dam

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
36
Injuries
None
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land
Medical
Class 2, Without waivers/limitations
Seat
Right
Restraint
4-point
Flight hours
4,529 total · 862 in this make and model · 4,441 as pilot in command · 320 in the last 90 days · 128 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
330° at 6 knots
Lowest ceiling
None
Temperature
61 °F, dew point 45 °F
Altimeter
29.98 inHg
Observed at
KALW, 30 nm away

Docket · 3

The files NTSB released with the investigation on January 15, 2020, on NTSB’s docket system: statements, records, photos and specialists’ reports. 828 KB in all.