Aircraft Accident/Incident Report

Greenville, Virginia 24440
Tuesady, June 2, 2009 11:10 EDT

NTSB Narrative Summary Released at Completion of Accident

Following completion of aerial tree cutting near power lines, the pilot returned to the designated landing zone and, while maneuvering for landing after placing the saw on the ground, the engine experienced a loss of power. The pilot attempted to perform an autorotative landing but landed hard, causing substantial damage to the helicopter. Postaccident inspection of the engine revealed one airfoil of the fourth-stage power turbine wheel fractured near the hub due to high-cycle fatigue that initiated on the pressure side of the airfoil at the trailing edge. No surface defects were noted along the root filet radius adjacent to the fracture initiation region. The enhanced fourth-stage power turbine wheel was manufactured in October 2006, installed into the turbine assembly, operated for 1,769 hours, then removed for a 1,750-hour inspection. The fourth-stage power turbine wheel remained installed in the turbine assembly at the completion of the inspection, and the turbine assembly was reinstalled onto the engine. At the time of failure, the wheel had accumulated approximately 2,690 hours since new and approximately 921 hours since the last 1,750-hour inspection was performed. Since 2005, there have been four other fatigue failures of an airfoil of an enhanced fourth-stage turbine wheel. All other failures initiated at the trailing edge near the hub. In December 2006, Rolls-Royce developed an engine alert bulletin (CEB-A-1400) alerting owners and operators of the accident make and model engine to avoid steady state N2 speed between 75 to 88 percent above 85 shaft horsepower (shp). Additionally, Rolls-Royce reported that their research of failures of airfoils of the fourth stage power turbine revealed the possibility of a higher stress state in the airfoil at the trailing edge root than originally modeled. The stress, which occurs during engine start, results from thermal differentials in the airfoil geometry that produce a residual stress at the trailing edge root that can lead to a fatigue crack. Once a crack occurs, it can propagate in high-cycle fatigue followed by overload failure if the engine is operated in a steady state in the N2 speed avoidance range (75 to 88 percent N2) above 85 shp, as specified in CEB-A-1400.

NTSB Probable Cause Narrative

The inadequate design of the fourth-stage turbine wheel, resulting in the fatigue failure of one airfoil and a subsequent loss of engine power.

Event Information

Type of Event Accident
Event Date 6/2/2009
Event Day of the Week Tuesday
Time of Event 1110
Event Time Zone Eastern Daylight Time
Event City Greenville
Event State VIRGINIA
Event Country --
Zipcode of the event site 24440
Event Date Year 2009
Event Date Month 6
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 375939N
Event Location Longitude 0790751W
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 1120 Eastern Daylight Time
Direction of event from weather observation facility (degrees) --
Weather Observation Facility ID SHD
Elevation of weather observation facility 1201
Distance of event from weather observation facility (units?) --
Time Zone of the weather observation EDT
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) 29
Dew Point at event time (in degress fahrenheit) 21
Wind Direction (degrees magnetic) 190
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 7
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.08
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Serious
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor --
Injury Total None --
Injury Total Serious 1
Injury Total All 1
Investigating Agency NTSB
NTSB Docket Number (internal use) 28454
NTSB Notification Source FAA Eastern ROC
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Jun 8 2011 1:09PM
User who most recently changed record kenj
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N8356F
NTSB Number ERA09LA317
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 HUGHES
Aircraft Model 369D
Aircraft Series Identifier --
Aircraft Serial Number 1260063D
Certified Max Gross Weight 3550
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 2
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection 100 Hour
Date of Last Inspection May 12 2009 12:00AM
Airframe hours since last inspection --
Airframe Hours 10518
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type Unknown
Aircraft Owner Name AVIATION ADVANTAGE LLC
Aircraft Owner Street Address 7074 RAMSEY FORD RD
Aircraft Owner City TABOR CITY
Aircraft Owner State NC
Aircraft Owner Country USA
Aircraft Owner Zipcode 28463-9130
Operator is an individual? No
Operator Name Aerial Solutions, Inc.
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address 7074 RAMSEY FORD RD
Operator City TABOR CITY
Operator State NC
Operator Country USA
Operator Zip code 28463-9130
Operator Code --
Owner has at least one certificate Yes - certificate holder
Other Operator of large aircraft? No
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 Yes
Departure Airport Code --
Departure City Greenville
Departure State VA
Departure Country USA
Departure Time 1015
Departure Time Zone EDT
Destination Same as Local Flt dest & departure same, accident can occur anywhere
Destination Airport Code --
Destination City Greenville
Destination State VA
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jun 8 2011 1:09PM
User who most recently changed record kenj
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 --