27 Mar 2019: Aerospatiale AS350 B3 — Mountain Air Helicopters Inc

27 Mar 2019: Aerospatiale AS350 B3 (N818MC) — Mountain Air Helicopters Inc

1 fatality • Montgomery, TX, United States

Probable cause

Maintenance personnel's failure to properly re-install and secure a fuel line, which resulted in a total loss of engine power.

— NTSB Determination

Accident narrative

HISTORY OF FLIGHTOn March 27, 2019, about 1410 central daylight time, an Airbus AS350B3 helicopter, N818MC, was substantially damaged when it was involved in an accident near Montgomery, Texas. The pilot was seriously injured, one crew member was fatally injured, and another crew member sustained minor injuries. The helicopter was operated as a public flight.

The helicopter and United States Forest Service (USFS) crew were conducting plastic sphere dispenser (PSD) applications in support of a controlled fire operation in an area of the Sam Houston National Forest. The pilot and surviving crew member reported that, after completing the application, they began flying back to the staging area when the engine lost total power. The helicopter descended into trees and subsequently impacted terrain, coming to rest on its right side. The surviving crew member and pilot were able to exit the helicopter; however, the second crew member was partially ejected from the helicopter and sustained fatal injuries. WRECKAGE AND IMPACT INFORMATIONThe helicopter came to rest in a wooded area of the Sam Houston National Forest, at an elevation of 328 ft mean sea level on a 108° magnetic heading. All major components of the helicopter were located at the accident scene. Trees surrounding the accident site were about 70 ft tall and displayed damage consistent with a helicopter descent vector of about 40-50°. There was no post impact fire.

The fuel line between the firewall and hydro-mechanical unit (HMU) was loose and the required safety wire was not installed. All other connections were found to be secure.

Examination of the airframe and engine did not reveal any additional discrepancies.

Federal Aviation Administration inspectors from the Houston Flight Standards District Office interviewed Mountain Air’s Director of Maintenance, who stated that on February 14, 2019, the USFS requested to validate the helicopter’s weight and balance. The helicopter was defueled, which involved disconnecting the main fuel line. After the weight and balance were verified, the main fuel line was reconnected. The director of maintenance asked another mechanic to verify that the fuel lines were reconnected, which was reportedly accomplished. The mechanic that accomplished the work informed the operator that he “was confident” that he torqued and secured the line. There was no other maintenance work which involved opening the fuel line after that day. On February 23, 2019, the helicopter’s engine would not light, and the engine’s igniters and/or igniter box was replaced. A maintenance records review found that the helicopter flew about 24.9 hours after the weight and balance was conducted on February 14, 2019.

On March 25, 2019, the pilot reported to management that the fuel pressure light had “flickered” during a flight “a few days before;” the pilot turned on the fuel boost pump, turned it off, and the light never reappeared. The pilot was informed to monitor the situation and report if it occurred again.

Following the accident, the digital engine control unit (DECU) was removed and sent to the manufacturer for data download. On April 11, 2019, the DECU was downloaded under the auspices of the FAA. The last recorded fault was a “P3 drift or engine flame out.” ADDITIONAL INFORMATIONReview of Mountain Air Fleet

Following the accident, Mountain Air inspected their other helicopters, and all helicopters had the fuel lines properly secured.

Contributing factors

  • Maintenance personnel
  • Incorrect service/maintenance

Conditions

Weather
VMC, wind 120/07kt

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