Aviation Accident Summaries

Aviation Accident Summary ERA09IA499

Allentown, PA, USA

Aircraft #1

N801SB

MCDONNELL DOUGLAS HELICOPTER 369E

Analysis

The helicopter experienced a total loss of engine power in flight and the pilot performed an off-airport landing in a hayfield. The pilot was uninjured and the helicopter was not damaged. Examination of the exhaust stacks revealed minor internal impact damage, consistent with high velocity objects exiting the engine. The fourth-stage turbine wheel outer ring was missing material along an approximately 30-degree arc and could not be rotated by hand. The engine had been overhauled at a facility in Canada and installed on the incident helicopter by the operator approximately 6 flight hours prior to the event. Several parts of the engine were removed and sent to the Safety Board's Material Laboratory for examination. Examination of the second-stage turbine wheel revealed a fatigue fracture through a blade. The fatigue progressed through approximately half of the airfoil, and the origin was located in the transition radius between the wheel rim outer diameter and the blade near the junction of a fore-to-aft mold line that was created during original manufacture. The blade failed due to fatigue, and the oxidation of the blade fracture surface suggested that the fatigue was due to thermal loads. No metallurgical or mechanical discontinuities were noted at the surface. Examination of the other 23 blades on the same wheel revealed small cracks in the same general location as the fatigue origin on the fracture blade. The fuel nozzle spray pattern was within specification, and there was no indication of flame streaking throughout the turbine components. Although a crack at the base of the blades on the second-stage power turbine wheel was a relatively new location, and similar failures had the same performance modifications performed, the investigation was unable to identify a connection between the performance modifications and the fatigue at the base of the blade.

Factual Information

On September 29, 2008, about 1125 eastern daylight time, a McDonnell-Douglas 369E helicopter, N801SB, was undamaged during a forced landing in a hay field near Allentown, Pennsylvania, following an engine failure. The helicopter departed Queen City Airport (XLL), Allentown, Pennsylvania, about 1115, and was enroute to Stewart International Airport (SWF), Newburgh, New York. The commercial pilot was the sole occupant, and was uninjured. The positioning flight was operated under the provisions of 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed at the time, and no flight plan was filed for the flight. According to the pilot's written statement, he had performed a preflight of the helicopter and fuel was added prior to the 0915 departure from Battlefield Heliport (PA14), Gettysburg, Pennsylvania. The pilot planned an intermediate stop at SWF, and then planned to continue to the final destination of Laurence G Hanscom Field Airport (BED), Bedford, Massachusetts. While enroute, the left rear door of the helicopter become unlatched, and the flight diverted to XLL, where the pilot secured the door, and refueled the helicopter. After departure from XLL, and while in cruise flight at 1,000 feet above ground level (agl) and at a ground speed of 115 knots, the pilot heard a loud bang. This was followed by a left yawing of the helicopter, alerts by the "engine out" horn and light, and illumination of an engine chip detector light. The pilot noticed a decline in the rotor rpm, felt moderate vibration through the cyclic and the anti-torque pedals, and conducted a forced landing in the field. The helicopter touched down in a level attitude, and ground scars indicated that it slid for about 65 feet prior to coming to a stop. After he shut off the start pump, generator, and battery switches, the pilot exited the helicopter, saw the engine smoking, and heard sounds similar to an engine cooling down. Other anomalies noted by the pilot included thermal damage to the paint on the clam shell doors, engine oil throughout the engine compartment and tail section, unseating of the left exhaust stack, an approximate 10 inch crack around the mounting flange of the right side exhaust, unseating of the right side discharge tube snap rings, loose igniters and fuel spray nozzles, and broken safety wiring. The helicopter was equipped with a Rolls-Royce 250-C2B gas turbine engine. The helicopter and engine were transported to the operator's maintenance facility at PA14 and examined by a Federal Aviation Administration (FAA) inspector, representatives of Rolls-Royce, and representatives from the operator. According to the engine manufacturer representative, the exhaust stacks had minor internal impact damage which was consistent with high velocity objects exiting the engine. The exhaust collector had a 2 inch crack along its forward face. The fourth stage turbine wheel outer ring was missing material along an approximate 30 degree arc, and could not be rotated by hand. According to FAA records, the incident helicopter was issued an airworthiness certificate on October 28, 1986 and was added to the owner's Federal Aviation Regulations Part 133 certificate on September 19, 2008. In August 2008 the incident engine was installed on the helicopter. At the time of installation, the engine had 2,158.8 hours of time in service. Maintenance records indicated that the engine had most recently been overhauled at a facility in Canada, and was installed on the incident helicopter by the operator approximately 6 flight hours prior to the event. On October 21, 2008 the engine was examined at the overhaul facility in Canada with representatives of the Transportation Safety Board of Canada, Rolls-Royce, a representative of the owner of the helicopter, and representatives from the overhaul facility. The compressor section was removed and rotated freely. However, the turbine section was unable to be rotated, and had indications of thermal damage. Internal examination of the turbine section revealed bearing and labyrinth seal damage, as well as large carbon deposits. The second stage turbine wheel was missing one blade, but there were no indications of tip rub. The No. 6 bearing and associated stage exhibited signs of thermal damage. The No. 8 bearing was examined; oil was present, and no heat damage indicative of oil starvation was observed. Testing of the fuel nozzle spray pattern was found to be within the manufacturer's specifications, and there was no indication of flame streaking throughout the turbine components. The National Transportation Safety Board's Material Laboratory examined several parts of the engine on November 27, 2009 and on April 28, 2010. Examination of the exterior of the combustion liner revealed dark gray regions with localized wrinkling around the two largest holes, which was consistent with localized hot spots. The interior of the liner had no indication of local hot spots or streaking. Examination of the second stage turbine wheel revealed a fatigue fracture through an airfoil blade that initiated on the convex side of the blade. The fracture progressed through approximately half of the blade. Further examination of the blade revealed that the fracture origin was located in the transition radius, between the wheel rim outer diameter and the blade, near the junction of a fore to aft mold line that was created during original manufacture. No metallurgical or mechanical discontinuities were noted at the surface. Examination of the other 23 blades on the same wheel revealed small cracks in the same general location as the fatigue origin on the fractured blade. A small amount of rub was noted on several blades. The blades most affected were the blades adjacent to the fractured blade, and those 180 degrees opposed to the fractured blade. The second stage turbine wheel was sectioned, and then transversely cut at the location of the fatigue origin. The section intersected a visible crack in one of the adjacent blades. The origin of the fracture was about 0.008 inches above the wheel's outer surface, and propagated normally to about 40 degrees to the wheel radial. Cracks were found both in the blade radius and in the wheel rim between blades. The cracks had similar transgranular propagation, and oxidized surfaces consistent with thermal fatigue. All 38 blades on the first stage turbine wheel were fractured near the blade tips. Six blades on the third stage turbine wheel were fractured outboard of the mid-span, consistent with overstress separation, and no indications of preexisting cracking were found. The 1051 recorded weather observation at Lehigh Valley International Airport (ABE), Allentown, Pennsylvania approximately 10 miles south-southwest of the unscheduled landing site, reported winds from 290 degrees at 9 knots, a broken cloud layer at 2,900 feet agl, 10 miles visibility, temperature 20 degrees C, dew point 14 degrees C, and an altimeter setting of 29.99 inches of mercury.

Probable Cause and Findings

The fatigue failure of a blade in the second-stage turbine wheel, which resulted in a total loss of engine power.

 

Source: NTSB Aviation Accident Database

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