Aircraft Accident/Incident Report

Goshen, Oregon 97405
Monday, April 22, 2002 11:30 PDT

NTSB Narrative Summary Released at Completion of Accident

While in cruise flight the engine experienced a total loss of power in the Hiller UH-12E rotorcraft. In an attempt to avoid a water landing he maneuvered over trees and then ran out of rotor RPM landing hard. Post crash examination revealed that the left hand exhaust stack tube inside the cylindrical stainless steel heat muffler was cracked and separated circumferentially in the vicinity of an old weld. The left side muffler was dedicated exclusively to providing engine heated air for carburetor heat application. The exhaust stack tube was observed to be thin and heat distorted and the circumferential split was noted to be in the vicinity of an old weld. The split in the tube allowed hot engine exhaust to duct directly to the carburetor via the carburetor heat plenum. Additionally, the carburetor heat valve within the plenum to the carburetor was found to be out of rig such that when carburetor heat was fully de-selected in the cockpit (FULL COLD), engine heated air was still partially flowing to the carburetor intake. A 100-hour inspection had been completed and signed off by company maintenance personnel 19.8 hours previous to the accident. Appendix D to Part 43 of the Federal Aviation Regulations requires each person performing an annual or 100-hours inspection to inspect (where applicable) components of the engine and nacelle group including exhaust stacks - for cracks, defects, and improper attachment.

NTSB Probable Cause Narrative

The failure of company maintenance personnel to identify and replace/repair the degraded exhaust stack. Contributing factors were the mis-rigged carburetor heat control and the pilot's failure to maintain appropriate rotor RPM. Additional contributing factors were trees and water.

Event Information

Type of Event Accident
Event Date 4/22/2002
Event Day of the Week Monday
Time of Event 1130
Event Time Zone Pacific Daylight Time
Event City Goshen
Event State OREGON
Event Country --
Zipcode of the event site 97405
Event Date Year 2002
Event Date Month 4
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 440100N
Event Location Longitude 1230118W
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 1127 Pacific Standard Time
Direction of event from weather observation facility (degrees) 280
Weather Observation Facility ID EUG
Elevation of weather observation facility --
Distance of event from weather observation facility (units?) 10
Time Zone of the weather observation PST
Lighting Conditions Day
Lowest Ceiling Height 1500
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions --
Sky Condition for Lowest Ceiling Overcast
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 10
Dew Point at event time (in degress fahrenheit) 7
Wind Direction (degrees magnetic) --
Variable Wind Indicator Variable
Wind Speed (knots) 3
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.27
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury None
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor --
Injury Total None 3
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 13263
NTSB Notification Source FAA SEA ROC
NTSB Notification Date Apr 22 2002 12:00AM
NTSB Notification Time 1205
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Apr 23 2003 12:26PM
User who most recently changed record NTSB\MONR
Basic weather conditions Visual Meteorological Cond
FAA District Office Hillsboro FSDO

Aircraft Involved

Aircraft #1

Aircraft Registration Number N3004T
NTSB Number SEA02LA073
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed Company VFR
Flight plan Was Activated? Yes
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Hiller
Aircraft Model UH-12E
Aircraft Series Identifier --
Aircraft Serial Number 5012
Certified Max Gross Weight 3150
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 3
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection 100 Hour
Date of Last Inspection Apr 10 2002 12:00AM
Airframe hours since last inspection 19.8
Airframe Hours 4114.8
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Stevenson, Philip R.
Aircraft Owner Street Address --
Aircraft Owner City Haines
Aircraft Owner State OR
Aircraft Owner Country USA
Aircraft Owner Zipcode 97833
Operator is an individual? No
Operator Name Sundance Helicopters, Inc.
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address --
Operator City --
Operator State --
Operator Country --
Operator Zip code --
Operator Code SD7A
Owner has at least one certificate --
Other Operator of large aircraft? --
Certified for Part 133 or 137 Operation --
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) Aerial Observation
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code EUG
Departure City Eugene
Departure State OR
Departure Country USA
Departure Time 1000
Departure Time Zone --
Destination Same as Local Flt --
Destination Airport Code 77S
Destination City Creswell
Destination State OR
Destination Country USA
Specific Phase of Flight Cruise
Report sent to ICAO? No
Evacuation occurred No
Date of most recent change to record Mar 11 2003 10:33AM
User who most recently changed record STAM
Since inspection or accident Time of Accident
Event Location Runway Number and Location --
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --