Aircraft Accident/Incident Report

Ely, Nevada 89301
Wednesday, January 18, 2006 13:30 PST

NTSB Narrative Summary Released at Completion of Accident

While en route on a positioning flight, the restricted category helicopter lost power in both engines and then landed hard and rolled over during an autorotative forced landing on a road. Both pilots said that as they neared the area of the accident site the flight had to maneuver around areas of bad weather. The helicopter was at 80 knots and 200 feet above ground level (agl) following a road while maneuvering around weather when a loud bang was heard and both engines suddenly lost power. The flying pilot entered an autorotation and managed to get the helicopter onto the road. The landing was hard and the main rotor blades flexed downward and damaged the empennage, then the helicopter rolled to the right. The pilot said that just prior to the loud noise and the dual engine failure, the engine instrument indications were normal and the fuel gauges were reading around 1,500 pounds in each tank. The fuel system was configured for normal operation; the number 1 engine feeding from the forward tank and the number 2 engine feeding from the aft tank, with boost pumps on and the crossfeed valve closed. The engine and airframe deice/anti-ice systems were on and functioning, and no annunciator lights were illuminated concerning any of the systems elements. The helicopter's Federal Aviation Administration approved and issued Type Certificate Data Sheet states that flight into known icing conditions is prohibited and notes that "the helicopters approved under this type certificate are done so under the concept of limited exposure associated with escape from inadvertent ice encounters." The anti-ice/deice systems on the helicopter consist of a combination of electrically and bleed air heated elements protecting the windshield, the oil tank mounting ring, engine air intake ducts, engine inlet guide vanes, starter cover, and the front frame of each engine. In addition to the anti-ice systems, an engine inlet ice deflector shield can be installed in front of the engine inlets to prevent any accumulation of ice and snow that forms around the upper deck and mast area ahead of the engines from entering the engine inlets. According to company Director of Maintenance and the subsequent examination of the wreckage, the optional engine inlet ice/snow deflector shields were not installed. The pilot received three preflight weather briefings from two separate Automated Flight Service Stations (AFSS), with the first two from the same station and the third from a different one. In the first briefing, the pilot was told that a routing from Oregon down to southern California could expect widespread IFR conditions due to mountain obscurement, clouds, precipitation, icing, and turbulence. An hour later the pilot called the same AFSS, but spoke to a different briefer, who told the pilot he had overheard the earlier briefing and then suggested the pilot consider a routing through northern Nevada to Utah, then south to Arizona. The specialist then stated that two stations east of the Cascade Mountain range had high scattered clouds with good visibility, and Winnemucca, Nevada, had current conditions of 8,500 broken. The pilot responded, "Oh, really." The specialist then said "it was...like clear below 12,000" all the way to Cedar City, Utah, and concluded with, "I think once you get by like Winnemucca or Elko (Nevada) things improve drastically." The pilot responded, "We may just try that." An hour and a half later the pilot called and reached a different AFSS facility and asked about the conditions on the northern Nevada routing. The specialist said that presently there were AIRMETS in effect over the route for moderate rime and mixed icing, moderate turbulence, mountain obscurement and general IFR conditions over the entire area. The specialist said that VFR flight was not recommended over that route and another two alternate routings the pilot inquired about, and he cautioned the pilot that icing conditions would be moderate rime and mixed icing in clouds and precipitation from the surface to 21,000 feet, especially in the Ely, Nevada, area. Analysis of the actual weather conditions disclosed that en route to the accident site, the helicopter probably encountered occasional snow showers with low ceilings and visibilities. The freezing level was at or near the surface and that in-flight icing was likely from the surface to 18,000 feet. The formation of airframe ice due to the freezing of melted snow was also possible. The airframe fuel and anti-icing systems were functionally tested and operated normally. The number 1 engine had inlet guide vane trailing edge and first stage compressor blade leading edge damage that was consistent with the ingestion of ice chunks. Detailed disassembly of the number 1 engine revealed no other damage, condition, or abnormality that would have precluded normal operation. The number 2 engine was not damaged and was installed in a test cell where it ran normally. The fuel system components from the number 1 engine where then installed on the number 2 and the test cell run repeated with identical results to the first test.

NTSB Probable Cause Narrative

the loss of power in both engines due to the ingestion of ice and snow. Also causal was the pilot's preflight and in-flight decisions to fly into areas of known and forecast moderate icing conditions in contravention to the prohibitions contained in the helicopter's Federal Aviation Administration approved Type Certificate Data sheet. A factor in the accident was the failure of the company maintenance organization to install the optional ice/snow deflector shields in front of the engine inlets that are designed to prevent the ingestion of ice and snow. An additional factor was the inaccurate and inappropriate weather briefing provided by the second AFSS specialist.

Event Information

Type of Event Accident
Event Date 1/18/2006
Event Day of the Week Wednesday
Time of Event 1330
Event Time Zone Pacific Standard Time
Event City Ely
Event State NEVADA
Event Country --
Zipcode of the event site 89301
Event Date Year 2006
Event Date Month 1
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 392820N
Event Location Longitude 1152203W
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 Weather Observation Facility
Time of the weather observation
Direction of event from weather observation facility (degrees) 95
Weather Observation Facility ID KELY
Elevation of weather observation facility 6259
Distance of event from weather observation facility (units?) 23
Time Zone of the weather observation --
Lighting Conditions Day
Lowest Ceiling Height 3600
Lowest Non-Ceiling Height 2800
Sky/Lowest/Cloud Conditions Few
Sky Condition for Lowest Ceiling Broken
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 7
Air Temperature at event time (in degrees celsius) 0
Dew Point at event time (in degress fahrenheit) -4
Wind Direction (degrees magnetic) 350
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 5
Wind Velocity Indicator --
Wind Gust Indicator Gusting
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 29.8
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 4
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 20988
NTSB Notification Source FAA
NTSB Notification Date Jan 18 2006 12:00AM
NTSB Notification Time --
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Feb 26 2007 11:14AM
User who most recently changed record NTSB\lema
Basic weather conditions Visual Meteorological Cond
FAA District Office WP-FSDO Reno, NV

Aircraft Involved

Aircraft #1

Aircraft Registration Number N612CK
NTSB Number LAX06LA092
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 Croman Corporation
Aircraft Model SH-3H
Aircraft Series Identifier --
Aircraft Serial Number 149713
Certified Max Gross Weight 21000
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 5
Number of Engines 2
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection Jan 1 2006 12:00AM
Airframe hours since last inspection --
Airframe Hours 14305
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Croman Corporation
Aircraft Owner Street Address 801 Avenue C
Aircraft Owner City White City
Aircraft Owner State OR
Aircraft Owner Country USA
Aircraft Owner Zipcode 97503
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 JYEL
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) Positioning
Second Pilot on Board Yes
Departure Point Same as Event No
Departure Airport Code WMC
Departure City Winnemucca
Departure State NV
Departure Country USA
Departure Time 1130
Departure Time Zone PST
Destination Same as Local Flt --
Destination Airport Code PGA
Destination City Page
Destination State AZ
Destination Country USA
Specific Phase of Flight Cruise
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Dec 18 2006 5:19PM
User who most recently changed record COOS
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 --