WPR24LA041

NTSB accident investigation · Bell OH-58A · Brawley, CA · November 21, 2023

Accident · No injuriesClass 3 · LimitedFinal report
Date
November 20, 2023, 20:05 local (Nov 21, 2023, 04:05 UTC)
Place
Brawley, CA · Ag operation outstation/wash pad 2.9 nm NE of KBWC
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N158TRBell OH-58A
Defining event
Initial climb: Loss of engine power (total)
Weather
Visual (VMC) · Night
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Western Pacific Region
Parties
Rolls-Royce Corporation, Federal Aviation Administration
FAA report
20231120020249A
Case key
193429

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

On this page

Probable cause

A total loss of engine power due to the failure of the No. 8 bearing and the subsequent failure of the scavenge oil pump.

Findings · 3

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.

Engine (turbine/turboprop): oil systemAircraft › Aircraft power plant · FailureBell OH-58A: 1 caseAll aircraft: 16 casesProbable cause
Aircraft capabilityAircraft › Aircraft oper/perf/capability · Capability exceededBell OH-58A: 2 casesAll aircraft: 57 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 pilot was conducting agricultural operations at night and had just departed from a company loading area. About 150 ft above ground level (agl), the pilot experienced a sudden power surge, abnormal engine noise, and vibration. The pilot believed that engine failure was imminent and turned back toward his point of departure. Engine power decayed, and the pilot bled off rotor rpm to maneuver over terrain toward flat ground. The helicopter landed hard, entered a pylon whirl condition, and the main rotor hub assembly separated from the main rotor mast. Postaccident examination of the airframe revealed no evidence of preaccident mechanical malfunction or failure. However, postaccident examination revealed a sheen of oil beneath the engine and that the engine’s compressor (N1) and power turbine (N2) systems were seized. Further examination of the engine revealed multiple failed bearings, failed drives, and fractures within the turbine scavenge oil pump assembly. The engine had been installed on the helicopter about 10 flight hours before the accident. Based on metallurgical analysis of the engine components, the No. 8 bearing likely failed and shed debris to the oil pump, which bound the first level oil pump gears and led a gear tooth to fracture and the pump driveshaft to fail. Subsequently, the engine was starved of oil and lost all power. The cause of the bearing failure could not be determined.

Factual narrative

On November 20, 2023, about 2005 Pacific standard time, a Bell OH-58A helicopter, N158TR, was substantially damaged when it was involved in an accident near Brawley, California. The pilot was not injured. The helicopter was operated as a Title 14 Code of Federal Regulations Part 137 aerial application flight. According to the pilot, shortly after departure, about 150 ft agl, there was a sudden power surge followed by abnormal engine noise and vibration. He believed that engine failure was imminent and turned the helicopter toward flat terrain near his departure point. The engine power decayed and the pilot “bled off some of the available rotor rpm” to maneuver over an embankment. About 5 ft agl, he applied forward cyclic to level the skids. The pilot estimated that the helicopter “fell through” from about 4-5 ft agl before it landed hard and the main rotor hub assembly separated from the main rotor mast. The helicopter came to rest upright and the main rotor hub assembly came to rest about 46 ft from the helicopter. Postaccident examination of the airframe revealed no evidence of preaccident mechanical malfunction or failure. Examination of the airframe revealed damage to the main rotor mast, transmission mounts, and the K-flex driveshaft that was consistent with excessive main rotor flapping, pylon whirl, and spike knock. According to the helicopter operator’s manual, “Pylon whirl is a condition which occurs after blade flapping and mast bumping. The resultant motion of the pylon is elliptical, and spike knock is apt to occur…Spike knock occurs when the round pin in the drag-pin fitting contacts the side of the square hole of the pylon stop.” Postaccident examination of the engine revealed seized N1 and N2 systems, a sheen of oil beneath the engine, and ferrous debris on the upper and lower chip detectors. The security of all lubrication lines between the airframe and engine was verified. All engine external oil lines, fuel lines, air lines, and connections were secure. Engine control continuity was established between the cockpit controls and the engine fuel control system. The engine was removed and sent to the manufacturer for further examination and teardown. Teardown revealed multiple failed bearings, failed drives, and fractures within the turbine scavenge oil pump assembly. Metallurgical examination conducted by the manufacturer and reviewed by the NTSB Metallurgical Laboratory revealed no evidence of significant heat distress on the failed No. 8 bearing. Debris from the bearing was located within the turbine scavenge area of the oil pump. The condition of the debris was consistent with bearing deterioration while oil flow was present. Failure of the turbine scavenge oil pump was consistent with the presence of debris from the No. 8 bearing during pump operation, and additional bearing failures were consistent with deterioration due to oil starvation. Damage to the other engine components was consistent with rubbing damage and operationunder oil-starvation conditions. Maintenance records indicate that the most recent annual inspection was completed on April 18, 2023. On November 16, 2023, the previous engine assembly installed on the accident helicopter was removed, and the accident engine assembly was installed. After the accident engine installation, 10.3 hours were flown before the accident.

Aircraft

Registration
N158TR
Reported as
Bell OH-58A
Category
Helicopter
Serial number
71-20791
Built
1971
Airframe hours
9,911.1
Engine
Rolls-Royce 250-C20B, 420 horsepower, turbo shaft
Damage
Substantial damage
Fire
On-Ground
Flight
Aerial application · Part 137
Airworthiness certificate
Special, Restricted (Special)
Last inspection
100 hour · November 7, 2023 · 10.3 hours before
Destination
Same as departure
Airport
KBWC · Brawley Municipal
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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
70
Injuries
None
Certificates
Flight instructor, Commercial, Airline transport
Airplane ratings
Single-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 2, With waivers/limitations
Last flight review
June 29, 2023
Seat
Right
Restraint
4-point
Flight hours
13,255 total · 2,750 in this make and model · 13,180 as pilot in command · 138 in the last 90 days · 46 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
57 °F, dew point 28 °F
Altimeter
30.22 inHg
Observed at
KIPL, 11 nm away
METAR
METAR KIPL 210353Z AUTO 29004KT 10SM CLR 14/M02 A3022

Docket · 8

The files NTSB released with the investigation on June 4, 2025, on NTSB’s docket system: statements, records, photos and specialists’ reports. 23.1 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.