Aircraft Accident/Incident Report

Mi 700, -- 00000
Sunday, February 16, 2003 12:25 CST

NTSB Narrative Summary Released at Completion of Accident

The helicopter, flown by 19,000-hour pilot and transporting 4 passengers to an offshore oil platform, experienced a catastrophic engine failure and autorotated into open ocean water in the Gulf Of Mexico. Within a few seconds after landing on the water, the helicopter rolled inverted, the pilot and passengers exited, inflated their personal life vests, and waited for rescue. The pilot and one of the passengers drowned prior to rescue personnel arriving about 2 hours after the accident. Surviving passenger statements indicated that they were not aware of an emergency lift raft on-board the helicopter, and that the skid-mounted emergency float system was not inflated prior to landing. Rescue personnel reported high wind and rough seas in the area of the accident. Examination of the wreckage revealed that the float "ARM" switch was found in the disarmed position and its cover closed. The skid-mounted emergency floats were found inside their protective bags. The float system tested functional, and no anomalies were found during airframe component examinations. Download data from the ECU showed that engine performance prior to the loss of power was normal and the engine was operating in a steady state condition prior to the initial deterioration of NG. Detailed inspection of the engine revealed progressive turbine wheel damage throughout the power turbine. The damage varied from approximately 95% of the airfoil material missing on the 1st stage wheel to approximately 10% of the material missing on the 4th stage wheel. The damage observed in the gas producer turbine section was consistent with the separation of one or more of the first stage wheel airfoils. Mostly all of the fracture surfaces were obscured, typical of elevated turbine temperatures (according to the manufacturer, in excess of turbine and material limits). All 4 turbine wheels had evidence of solutioning and incipient melting was observed at the tips of the airfoil remnants. Fracture surfaces of the 1st stage wheel airfoils did not reveal the presence of fatigue. Detailed metallurgical examination revealed the presence of sulfides on the 1st and 2nd stage turbine wheel surfaces. According to the manufacturer, the presence of sulfides is evidence that sulfidation has occurred. Damage on the concave surface adjacent to the fractures near the leading edges of the airfoils was found consistent with type 1 hot corrosion (sulfidation) damage. Examination of radial cracks at the trailing edges of the airfoils revealed heavy oxidation consistent with thermal fatigue. According to Rolls Royce, that "thermal fatigue cracking at the airfoil base is not uncommon." Evidence of EPS 10649 (S1 Aluminide, which is a protective coating applied to the turbine wheel during manufacturing), was confirmed adjacent to the corrosive damage found on the wheels.

NTSB Probable Cause Narrative

The catastrophic failure of the engine resulting from 1st stage turbine wheel blade failure due to type 1 hot corrosion (sulfidation). Contributing factors were the pilot's failure to brief the passengers on emergency safety equipment (life raft), the pilot's failure to deploy the skid-mounted emergency float system during the autorotation, the high wind conditions, and rough sea state.

Event Information

Type of Event Accident
Event Date 2/16/2003
Event Day of the Week Sunday
Time of Event 1225
Event Time Zone Central Standard Time
Event City MI 700
Event State GULF OF MEXICO
Event Country --
Zipcode of the event site 00000
Event Date Year 2003
Event Date Month 2
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 275111N
Event Location Longitude 0964141W
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 Witness
Time of the weather observation
Direction of event from weather observation facility (degrees) --
Weather Observation Facility ID --
Elevation of weather observation facility --
Distance of event from weather observation facility (units?) --
Time Zone of the weather observation --
Lighting Conditions --
Lowest Ceiling Height --
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions Clear
Sky Condition for Lowest Ceiling None
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) --
Wind Direction (degrees magnetic) 360
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 20
Wind Velocity Indicator --
Wind Gust Indicator Gusting
Wind Gust (knots) 30
Altimeter Setting at event time (in. Hg) --
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Fatal
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal 2
Injury Total Minor --
Injury Total None --
Injury Total Serious 3
Injury Total All 5
Investigating Agency NTSB
NTSB Docket Number (internal use) 17562
NTSB Notification Source FAA
NTSB Notification Date Feb 16 2003 12:00AM
NTSB Notification Time 1308
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Apr 28 2005 2:59PM
User who most recently changed record NTSB\JOHB
Basic weather conditions Visual Meteorological Cond
FAA District Office Houston, Texas

Aircraft Involved

Aircraft #1

Aircraft Registration Number N407HH
NTSB Number FTW03FA097
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 135: Air Taxi & Commuter
Type of Flight Plan filed Company VFR
Flight plan Was Activated? Yes
Damage Destroyed
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Bell
Aircraft Model 407
Aircraft Series Identifier --
Aircraft Serial Number 53460
Certified Max Gross Weight 6000
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 7
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection AAIP
Date of Last Inspection Dec 10 2002 12:00AM
Airframe hours since last inspection 62.2
Airframe Hours 546.8
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Houston Helicopters, Inc.
Aircraft Owner Street Address 3506 Lockheed
Aircraft Owner City Pearland
Aircraft Owner State TX
Aircraft Owner Country USA
Aircraft Owner Zipcode 77581
Operator is an individual? No
Operator Name --
Operator Same as Owner? Yes
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 YHHA
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 Non-scheduled
Indicates Domestic or International Flight Domestic
Operator carrying Pax/Cargo/Mail Passenger/Cargo
Type of Flying (Per_Bus / Primary) --
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code --
Departure City Ingleside
Departure State TX
Departure Country USA
Departure Time 1210
Departure Time Zone CST
Destination Same as Local Flt --
Destination Airport Code --
Destination City MI 700
Destination State GM
Destination Country USA
Specific Phase of Flight Cruise
Report sent to ICAO? No
Evacuation occurred Yes
Date of most recent change to record --
User who most recently changed record --
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 --