Aircraft Accident/Incident Report

Eugene Is. 27, -- 00000
Sunday, November 16, 2003 10:35 CST

NTSB Narrative Summary Released at Completion of Accident

The helicopter, which had a FADEC controlled turboshaft engine installed, experienced a loss of engine power after take off from an offshore platform in the Gulf of Mexico. The 10,000-hour commercial rated helicopter pilot, reported that the helicopter "cleared" the platform deck and entered translational lift when "it lurched violently to the left and started a rapid descent." The pilot then lowered the collective and dropped the nose to avoid striking the platform. He recalled hearing a "screaming or screeching type of sound" as the helicopter descended, and was not able to maintain main rotor RPM. The helicopter landed into the water, and rolled to the right. After the occupants evacuated, the helicopter submerged 30 feet under the surface. The skid mounted float system was not activated, although the pilot stated that the floats were "armed" and that he attempted to deploy the floats while in the autorotation, via the float activation button that was mounted on the collective. The float activation button was located within a circular ring that was mounted on the pilot's collective. Download of the Incident Recorder (IR) of the ECU showed that the IR was first triggered by a droop in rotor RPM, followed by a MGT exceedence, power surge, engine flameout, and Ng underspeed in a span of 3.38 seconds. Download of the MGT instrument showed a recorded peak temperature of 953 degrees for 1 second. Teardown examination of the engine revealed a catastrophic failure of the power turbine assembly. Metallurgical examinations by the NTSB and Rolls Royce revealed evidence that the 3rd stage turbine wheel airfoil(s) had failed. A root cause of the failure was not determined, and further testing was conducted at Rolls Royce. As a result of some of the dynamic test results, Rolls Royce issued several Commercial Engine Bulletins (CEBs) regarding inspection of in-service turbine assemblies. Additionally, Bell Helicopter issued an Alert Service Bulletin (ASB), which introduced flight manual revisions to avoid power turbine RPM (Np) steady state operation between 68% and 97%. After examinations of the airframe (fuel system, rotor systems, flight control systems, drive systems, electronic control systems), no anomalies were found other than within the power turbine assembly.

NTSB Probable Cause Narrative

The loss of engine power due to the failure of the 3rd stage turbine wheel and subsequent catastrophic failure of the turbine assembly.

Event Information

Type of Event Incident
Event Date 11/16/2003
Event Day of the Week Sunday
Time of Event 1035
Event Time Zone Central Standard Time
Event City Eugene Is. 27
Event State GULF OF MEXICO
Event Country --
Zipcode of the event site 00000
Event Date Year 2003
Event Date Month 11
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 292120N
Event Location Longitude 0914641W
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 --
Investigator's weather source Pilot
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 Day
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) 25
Dew Point at event time (in degress fahrenheit) 23
Wind Direction (degrees magnetic) 180
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 5
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.09
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) 18115
NTSB Notification Source FAA Operations Center
NTSB Notification Date Nov 16 2003 12:00AM
NTSB Notification Time 1537
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Sep 13 2005 12:54PM
User who most recently changed record NTSB\JOHB
Basic weather conditions Visual Meteorological Cond
FAA District Office Baton Rouge, Louisiana

Aircraft Involved

Aircraft #1

Aircraft Registration Number N405PH
NTSB Number FTW04IA023
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 Minor
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Bell
Aircraft Model 407
Aircraft Series Identifier --
Aircraft Serial Number 53207
Certified Max Gross Weight 5250
Aircraft Category Helicopter
Aircraft Registration Class --
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 Aug 1 2003 12:00AM
Airframe hours since last inspection 124
Airframe Hours 4606
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Petroleum Helicopters Inc.
Aircraft Owner Street Address PO Box 90808
Aircraft Owner City Lafayette
Aircraft Owner State LA
Aircraft Owner Country USA
Aircraft Owner Zipcode 78909
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 HEEA
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 Only
Type of Flying (Per_Bus / Primary) --
Second Pilot on Board No
Departure Point Same as Event Yes
Departure Airport Code NONE
Departure City EI 27
Departure State GM
Departure Country USA
Departure Time --
Departure Time Zone CST
Destination Same as Local Flt --
Destination Airport Code NONE
Destination City EI 63
Destination State GM
Destination Country USA
Specific Phase of Flight Takeoff
Report sent to ICAO? Yes
Evacuation occurred Yes
Date of most recent change to record Jun 2 2005 3:39PM
User who most recently changed record CASH
Since inspection or accident Time of Accident
Event Location Runway Number and Location NA
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --