5 Mar 2020: Bell 206 L1 — Air Evac Ems Inc

5 Mar 2020: Bell 206 L1 (N32AE) — Air Evac Ems Inc

No fatalities • Clark, MO, United States

Probable cause

The fatigue failure of the pneumatic line for reasons that could not be determined, which resulted in a loss of engine power and subsequent hard landing.

— NTSB Determination

Accident narrative

On March 4, 2020, about 1842 central standard time, a Bell 206 L1 helicopter, N32AE, was substantially damaged when it was involved in an accident near Clark, Missouri. The commercial pilot, two crewmembers, and one patient were uninjured. The helicopter was operated as a Title 14 Code of Federal Regulations Part 135 helicopter air ambulance flight. The pilot reported that during cruise on the patient transfer flight, the helicopter yawed right, the rotor rpm warning light illuminated, and the rpm aural indication sounded. The engine continued to operate but was producing less than 90% power. The pilot reduced collective and turned the helicopter toward a field for a precautionary landing. The helicopter touched down hard and the tail boom sustained substantial damage. A postaccident examination of the helicopter revealed that a pneumatic line, exhibited a separation near its filter connection. The pneumatic line and filter were shipped to the engine manufacturer for examination, which revealed that the tube was fractured completely through at the toe of the weld between the tube and its filter fitting. Surface smearing was present on sections of the separation; however, the separation exhibited surfaces consistent with fatigue that initiated near the top of the tube. The tube’s outer diameter surface near the elbow separation exhibited rub damage. A photo of the engine bay showed that a red ribbed hose was present in the engine bay near the tube separation and the ribbed hose exhibited discoloration on its outer surface. Measurements taken during non-destructive examination revealed that the height of the weld root reinforcement exceeded its component specifications. The remaining tube and weld measurements met their component specifications. A polished cross-section through the weld on the fitting side fracture revealed the fatigue fracture was located at the toe of the weld, initiating at the approximate intersection of the weld heat affected zone (HAZ) and the weld metal of the tube. There were no material anomalies at the fatigue origin location. The fatigue fracture progressed approximately along the intersection between the HAZ and weld metal near the outer diameter surface before proceeding into the HAZ to the inner diameter surface at this plane of examination. Additionally, the weld and base metal microstructures were consistent with the materials required by the component specifications and energy dispersive x-ray spectroscopy revealed that the tube, fitting, and weld materials also met component specifications. The outer diameter of the filter housing exhibited depressions and deformations consistent with tool marks. The line was sectioned near its intact (non-failed) connector weld for a computed tomography (CT) examination, which revealed indications of three voids within that tube weld area. The void indications ranged in diameter from 0.0019 to 0.0026 inch. A pneumatic leak check was performed 114.9 hours before the accident flight. The tube was last removed 238.9 hours before the accident flight. A leak in the pneumatic line can cause the engine control system to enter a sub-idle fuel flow condition and result in an engine power loss. After the accident, the operator examined their fleet of helicopters equipped with Rolls Royce 250-C30 engines and no other pneumatic line leaks were found. According to the engine manufacturer, this was the first occurrence of failure involving this pneumatic line design, which was released in 1998. Since that time, the fleet equipped with the pneumatic line had accumulated a total of 17 million flight hours.

Contributing factors

  • cause Fuel controlling system — Failure
  • Contributed to outcome

Conditions

Weather
VMC, vis 10sm

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