Aircraft Accident/Incident Report

Cold Springs, Nevada 89406
Sunday, August 13, 2000 16:45 PDT

NTSB Narrative Summary Released at Completion of Accident

While flying along a mountain ridgeline to make a water drop on a wild fire, the helicopter lost power in one engine and collided with terrain as the pilot turned downslope toward a landing area. Ground crews watching the helicopter make its drop run observed smoke emanating from the right engine, then the helicopter made a left descending turn and impacted the downsloping mountainous terrain. A trailing pilot saw the helicopter about 150 feet above the ridgeline, then it made a sudden left descending turn. He did not see the pilot jettison either the water or the bucket. A teardown inspection and metallurgical examination of the No. 1 and No. 2 power sections was conducted. The examination of the No. 1 power section CT disc revealed that the firtree serrations adjacent to the No.s 24 and 25 blade positions were fractured above the blade retaining rivet hole, and that the No.s 27-29 firtree serrations were fractured at the blade roots. During the metallurgical examination, the failure of the CT disc was attributed to cyclic stress rupture due to extended and repeated operation of the engine at, near, or above its temperature/power limits. Dimensional measurements of the blades showed growth and deformation to the disk in the areas of the fractures. There were no material, manufacture, or design deficiencies identified during the metallurgical examination of the CT disc. The examination of the No. 2 power section revealed that the intermediate drive shaft fractured in a counterclockwise direction due to sudden stoppage of the left engine while it was at a high power level. Due to the degree of destruction and lack of dispatch records, the investigation was not able to accurately determine the operating weight of the helicopter at the time of the accident; however, for the 9,500-foot density altitude, it is believed that the helicopter's weight with the water load was at a point that resulted in marginal single engine capability at best. The accident helicopter had been modified with the installation of a water bucket and long line system. The long line and water bucket circuit breakers, and the emergency electrical release, were connected to the nonessential bus. This system was installed on a Form 337 field approval. According to the helicopter manufacturer, the electrical system is designed so that if one generator and/or engine failed both of the nonessential buses would automatically drop offline. Thus the emergency electrical release of the water bucket and long line would have been rendered inoperable in the event of a generator and/or engine failure. An override switch on the electrical panel can restore power to the nonessential buses; however, based on the event timeline reported by the witnesses, it is unlikely that the pilot could have restored power to the nonessential busses in time to prevent a collision with the ground.

NTSB Probable Cause Narrative

failure of the compressor turbine disc due to cyclic fatigue brought about by repeated operation near or above the engines' temperature/power limits by company personnel over an extended period of time. Factors in the accident were: 1) the high density altitude, mountainous terrain, and the helicopter's resulting marginal single engine performance capability; 2) the design, fabrication, and installation of the emergency external load release system, which had the power supply wired to the nonessential bus that would automatically drop offline during an engine or generator failure; and 3) the pilot's resulting inability to electrically release the water load, bucket, or line while dealing with the engine failure.

Event Information

Type of Event Accident
Event Date 8/13/2000
Event Day of the Week Sunday
Time of Event 1645
Event Time Zone Pacific Daylight Time
Event City Cold Springs
Event State NEVADA
Event Country --
Zipcode of the event site 89406
Event Date Year 2000
Event Date Month 8
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 393400N
Event Location Longitude 1174856W
Event Location Airport --
Event Location Nearest Airport ID --
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation --
Weather Briefing Completeness Not pertinent
Investigator's weather source Weather Observation Facility
Time of the weather observation 1656 Pacific Daylight Time
Direction of event from weather observation facility (degrees) 270
Weather Observation Facility ID NFL
Elevation of weather observation facility 4412
Distance of event from weather observation facility (units?) 60
Time Zone of the weather observation PDT
Lighting Conditions Day
Lowest Ceiling Height --
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions Clear
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 33
Dew Point at event time (in degress fahrenheit) -3
Wind Direction (degrees magnetic) 290
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 12
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30
Density Altitude (feet) 9571
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Fatal
On Ground, Fatal Injuries 0
On Ground, Minor Injuries 0
On Ground, Serious Injuries 0
Injury Total Fatal 1
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 1
Investigating Agency NTSB
NTSB Docket Number (internal use) 17844
NTSB Notification Source FAA
NTSB Notification Date Aug 13 2000 12:00AM
NTSB Notification Time 1715
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Jun 8 2005 12:51PM
User who most recently changed record NTSB\JOHB
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N174EH
NTSB Number LAX00GA297
Missing Aircraft Indicator N
Federal Aviation Reg. Part Public Use
Type of Flight Plan filed Company VFR
Flight plan Was Activated? No
Damage Destroyed
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Bell
Aircraft Model 412
Aircraft Series Identifier 412
Aircraft Serial Number 33085
Certified Max Gross Weight 11900
Aircraft Category Helicopter
Aircraft Registration Class U.S. Registered/U.S. Soil
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 15
Number of Engines 2
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection Aug 7 2000 12:00AM
Airframe hours since last inspection 32
Airframe Hours 7683
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name ERA AVIATION
Aircraft Owner Street Address 6160 CARL BRADY DRIVE
Aircraft Owner City ANCHORAGE
Aircraft Owner State AK
Aircraft Owner Country USA
Aircraft Owner Zipcode 99502
Operator is an individual? No
Operator Name US Department of Interior
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address 3833 S. DEVELOPMENT AVE.
Operator City BOISE
Operator State ID
Operator Country --
Operator Zip code 83705
Operator Code ERAA
Owner has at least one certificate --
Other Operator of large aircraft? --
Certified for Part 133 or 137 Operation External Load
Operator Certificate Number --
Indicates whether an air carrier operation was scheduled or not --
Indicates Domestic or International Flight --
Operator carrying Pax/Cargo/Mail --
Type of Flying (Per_Bus / Primary) Public Use
Second Pilot on Board No
Departure Point Same as Event Yes
Departure Airport Code --
Departure City Cold Springs
Departure State NV
Departure Country USA
Departure Time 1605
Departure Time Zone PDT
Destination Same as Local Flt dest & departure same, accident can occur anywhere
Destination Airport Code --
Destination City --
Destination State --
Destination Country --
Specific Phase of Flight Maneuvering
Report sent to ICAO? --
Evacuation occurred No
Date of most recent change to record Apr 7 2005 3:54PM
User who most recently changed record COOS
Since inspection or accident Last Inspection
Event Location Runway Number and Location NA
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --