Individually Owned: 150,657
Corporate Owned: 137,281
Aircraft Accident/Incident Report
Dexter, Oregon 9734
Sunday, March 12, 2006 11:00 PST
NTSB Narrative Summary Released at Completion of Accident
While approaching the collection point with a load of logs, the helicopter's power turbine and rotor system experienced a steady-state overspeed due to the failure of the splines on the shaft that provides turbine speed input to the turbine governor. Without this input, the governor erroneously sensed a turbine underspeed, and therefore provided fuel in excess of that required to maintain the correct speed. The splines failed due to a significant reduction in the flow of lubricating oil resulting from the partial blockage of an oil filter outflow orifice. The outflow orifice became partially blocked because the oil filter screen was aligned in its housing in a manner that allowed some contaminants to bypass it. Although the Kaman K-1200 Flight Manual contains an emergency procedure that allows for the pilot to take manual (non-governed) control of the fuel input to the engine in the event of a governor failure, the pilot did not perform the procedure because he was not able to correctly identify the cause of the sequence of events.
NTSB Probable Cause Narrative
The pilot's failure to identify the overspeed of the helicopter's main rotors due to a turbine governor malfunction, and his failure to take the appropriate actions described in the Flight Manual's emergency procedures section. Factors include the malfunction (partial bypass) of a lubricating system filter screen, which led to the partial blockage of an oil supply orifice, resulting in the failure of the splines on the power turbine governor speed input shaft, and ultimately to the loss of the governor's ability to correctly control fuel input to the engine. Additional factors include no suitable landing terrain and tree stumps in the area the pilot elected to land in.
Event Information
| Type of Event | Accident |
| Event Date | 3/12/2006 |
| Event Day of the Week | Sunday |
| Time of Event | 1100 |
| Event Time Zone | Pacific Standard Time |
| Event City | Dexter |
| Event State | OREGON |
| Event Country | -- |
| Zipcode of the event site | 9734 |
| Event Date Year | 2006 |
| Event Date Month | 3 |
| MidAir Collision Indicator | No |
| On Ground Collision occurred ? | No |
| Event Location Latitude | 434746N |
| Event Location Longitude | 1224651W |
| 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) | 2 |
| Dew Point at event time (in degress fahrenheit) | -- |
| Wind Direction (degrees magnetic) | -- |
| Variable Wind Indicator | -- |
| Wind Speed (knots) | -- |
| Wind Velocity Indicator | Calm |
| Wind Gust Indicator | Not Gusting |
| Wind Gust (knots) | -- |
| Altimeter Setting at event time (in. Hg) | 30.04 |
| Density Altitude (feet) | -- |
| Intensity of Precipitation | -- |
| METAR weather report | -- |
| Event Highest Injury | Minor |
| On Ground, Fatal Injuries | -- |
| On Ground, Minor Injuries | -- |
| On Ground, Serious Injuries | -- |
| Injury Total Fatal | -- |
| Injury Total Minor | 1 |
| Injury Total None | -- |
| Injury Total Serious | -- |
| Injury Total All | 1 |
| Investigating Agency | NTSB |
| NTSB Docket Number (internal use) | 21122 |
| NTSB Notification Source | FAA Operations Center |
| NTSB Notification Date | Mar 12 2006 12:00AM |
| NTSB Notification Time | -- |
| Fiche Number and/or location -used to find docket information | DMS |
| Date of most recent change to record | Mar 26 2007 9:33AM |
| User who most recently changed record | NTSB\lema |
| Basic weather conditions | Visual Meteorological Cond |
| FAA District Office | Portland FSDO |
Aircraft Involved |
|
|---|---|
Aircraft #1 |
|
| Aircraft Registration Number | N133KA |
| NTSB Number | SEA06LA065 |
| Missing Aircraft Indicator | -- |
| Federal Aviation Reg. Part | Part 133: Rotorcraft Ext. Load |
| Type of Flight Plan filed | None |
| Flight plan Was Activated? | No |
| Damage | Substantial |
| Aircraft Fire | None |
| Aircraft Explosion | None |
| Aircraft Manufacturer's Full Name | Kaman |
| Aircraft Model | K-1200 |
| Aircraft Series Identifier | -- |
| Aircraft Serial Number | 0005 |
| Certified Max Gross Weight | 12000 |
| 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 | 1 |
| Number of Engines | 1 |
| Fixed gear or retractable gear | Fixed |
| Aircraft, Type of Last Inspection | AAIP |
| Date of Last Inspection | Mar 1 2006 12:00AM |
| Airframe hours since last inspection | 13 |
| Airframe Hours | 12675 |
| ELT Installed | No |
| ELT Activated | -- |
| ELT Aided Location of Event Site | -- |
| ELT Type | -- |
| Aircraft Owner Name | Grizzly Mt. Aviation |
| Aircraft Owner Street Address | 4411 NW Elliott Lane |
| Aircraft Owner City | Prineville |
| Aircraft Owner State | OR |
| Aircraft Owner Country | USA |
| Aircraft Owner Zipcode | 97754 |
| 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 | -- |
| 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) | External Load |
| Second Pilot on Board | No |
| Departure Point Same as Event | No |
| Departure Airport Code | -- |
| Departure City | Dexter |
| Departure State | OR |
| Departure Country | USA |
| Departure Time | 1040 |
| Departure Time Zone | PST |
| 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 | -- |
| Date of most recent change to record | Dec 31 2006 9:35PM |
| User who most recently changed record | STAM |
| Since inspection or accident | -- |
| Event Location Runway Number and Location | -- |
| Runway Length | -- |
| Runway Width | -- |
| Sight Seeing flight | No |
| Air Medical Flight | No |
| Medical Flight | -- |