Aircraft Accident/Incident Report

Columbus, Ohio 43215
Monday, October 29, 2007 17:36 EDT

NTSB Narrative Summary Released at Completion of Accident

The public-use helicopter was on a routine patrol flight when it experienced a sudden loss of engine power. The pilot performed an autorotation to an island peninsula located on a nearby river. The landing flare eliminated the helicopter's forward movement and touchdown was made on both skids. The helicopter remained upright momentarily before the right skid sank down into the muddy terrain. The helicopter subsequently rolled over onto its right side. The vertical stabilizer, tail boom, and all five main rotor blades were substantially damaged. Postaccident engine inspection revealed that one airfoil (blade) had separated near the rim of the fourth-stage turbine wheel. The fracture initiated at the airfoil trailing edge root fillet and propagated in high-cycle fatigue until finally separating in mechanical overload. No machining anomalies were noted at the fracture origin area. Scanning electron microscopy analysis of all the observed fractures revealed no metallurgical or geometric anomalies at the fracture origin. Material properties near the fracture origin were consistent with the engine manufacturer's specifications. All additional damage throughout the engine was secondary to the airfoil separation from the fourth-stage turbine wheel. The fourth-stage turbine wheel had accumulated 2,918.7 hours and 1,718 cycles since new. The turbine wheel was the current design used in the Series II "Enhanced" Power Turbine assembly. The enhanced power turbine design was used in a variety of fixed-wing and rotorcraft aircraft. There have been five known airfoil separations with the enhanced power turbine design, four of which occurred the same model aircraft. A root cause investigation revealed the possibility of a higher stress state in the turbine wheel airfoil trailing edge root fillet than was originally modeled when the turbine wheel was released in 1999. This elevated stress state, which was modeled to occur during engine startup, was the result of a thermal gradient in the turbine airfoil geometry. This thermal gradient could result in a residual stress condition in the airfoil hub trailing edge, and potentially lead to the initiation of fatigue crack. If a crack was initiated, operation of the engine in a wheel resonance mode may propagate the existing crack in high-cycle fatigue and ultimately result in an airfoil separation. The wheel resonance mode occurred during sustained engine operations between 75 and 88 percent N2. This engine speed avoidance range had been previously communicated to operators in the form of an alert bulletin that was originally issued in December 2006, approximately 10 months before the accident. According to the helicopter operator, upon the bulletin's release, they had adhered to the specified speed avoidance range during all flight and maintenance operations. In response to this accident and other similar wheel failures, the engine manufacturer issued an alert maintenance bulletin that required the one-time inspection of the third and fourth stage turbine wheels for possible airfoil cracks. The bulletin was applicable to McDonnell Douglas Helicopter models equipped with a Series II "Enhanced" Power Turbine Design. The bulletin stated that prolonged engine operation in the 75-88 percent N2 speed avoidance range could result in airfoil fracture and possible separation. The inspection was to be completed at the next 1,750 hour overhaul and required the removal of the applicable turbine wheels for fluorescent-penetrant and visual inspections. The bulletin called for the replacement of any wheel that contained a fracture of an airfoil trailing edge near the rim where the fillet engages the trailing edge. To mitigate future turbine wheel airfoil fractures, the engine manufacturer has redesigned the turbine wheel to adequately accommodate the higher thermal gradient encountered during engine startup. As of January 2011, the required design changes have been approved and the new wheel design will be deployed during the fourth quarter of 2011.

NTSB Probable Cause Narrative

The inadequate turbine wheel design that led to a turbine airfoil (blade) failure/separation, resulting in the loss of engine power.

Event Information

Type of Event Accident
Event Date 10/29/2007
Event Day of the Week Monday
Time of Event 1736
Event Time Zone Eastern Daylight Time
Event City Columbus
Event State OHIO
Event Country --
Zipcode of the event site 43215
Event Date Year 2007
Event Date Month 10
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 395625N
Event Location Longitude 0830018W
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 1751 Eastern Daylight Time
Direction of event from weather observation facility (degrees) 45
Weather Observation Facility ID CMH
Elevation of weather observation facility 815
Distance of event from weather observation facility (units?) 6
Time Zone of the weather observation EDT
Lighting Conditions Day
Lowest Ceiling Height --
Lowest Non-Ceiling Height 20000
Sky/Lowest/Cloud Conditions Scattered
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) 13
Dew Point at event time (in degress fahrenheit) -1
Wind Direction (degrees magnetic) 200
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 9
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.4
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 2
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 28300
NTSB Notification Source FAA - Great Lakes ROC
NTSB Notification Date Oct 29 2007 12:00AM
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record May 3 2011 10:49AM
User who most recently changed record bowl
Basic weather conditions Visual Meteorological Cond
FAA District Office Federal Aviation Administration - Columbus FSDO

Aircraft Involved

Aircraft #1

Aircraft Registration Number N556CP
NTSB Number CHI08GA028
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? No
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name McDonnell Douglas Helicopter
Aircraft Model 369E
Aircraft Series Identifier --
Aircraft Serial Number 0567E
Certified Max Gross Weight 3000
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 4
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection 100 Hour
Date of Last Inspection Oct 4 2007 12:00AM
Airframe hours since last inspection 99
Airframe Hours 3094
ELT Installed No
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name City of Columbus Police Department
Aircraft Owner Street Address 120 Marconi Blvd.
Aircraft Owner City Columbus
Aircraft Owner State OH
Aircraft Owner Country USA
Aircraft Owner Zipcode 43215
Operator is an individual? No
Operator Name City of Columbus Police Department
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address 120 Marconi Blvd.
Operator City Columbus
Operator State OH
Operator Country USA
Operator Zip code 43215
Operator Code --
Owner has at least one certificate None
Other Operator of large aircraft? No
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) --
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code OH52
Departure City Columbus
Departure State OH
Departure Country USA
Departure Time 1556
Departure Time Zone EDT
Destination Same as Local Flt dest & departure same, accident can occur anywhere
Destination Airport Code --
Destination City --
Destination State --
Destination Country USA
Specific Phase of Flight Emergency descent/landing
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Apr 21 2011 1:10PM
User who most recently changed record scoa
Since inspection or accident Time of Accident
Event Location Runway Number and Location N/A
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --