Virginia Highlands Airport
Aircraft Accident/Incident Report

Abingdon, Virginia 24212
Tuesady, May 11, 2010 13:35 EDT

NTSB Narrative Summary Released at Completion of Accident

The certified flight instructor (CFI) was providing aircraft orientation training for the commercially rated pilot. Visual meteorological conditions prevailed and no flight plan was filed for the public aircraft flight. About 7 minutes into the flight, while enroute to practice confined area operations at a field about 3 miles from the helicopter base, the crew heard an unusual noise from the engine compartment. About 250 feet above the targeted field, the crew heard a louder noise, and the engine surged twice before ceasing to develop power. The CFI then conducted an autorotation to the sloping terrain below. The helicopter sustained substantial damage, which included fuselage crushing and the partial loss of one vertical stabilizer. Data downloaded from the engine control unit revealed an overtemperature fault indication; the engine was then removed and shipped to the engine manufacturer's facility for a detailed examination. A circular metal deflector plate, which was normally affixed to the aft end of the combustion chamber liner, was found fragmented in the turbine section. The turbine blades and vanes exhibited significant damage, which resulted from the deflector plate's release into the gas path. Metallurgical analysis of the combustion chamber liner revealed that the required circumferential fillet weld between the liner and the deflector plate had not been performed; only the preliminary positioning welds attached the deflector plate to the liner, and those welds failed during normal engine operation. Maintenance records indicated that the liner had accumulated about 158 hours in service since its overhaul and reinstallation. The liner overhaul included replacement of the deflector plate; the replacement was accomplished by a repair facility that was not authorized to conduct that procedure and that also did not possess the applicable guidance. The investigation was unable to determine the specifics of why the repair facility replaced, inspected, and approved the deflector plate. Although 19 months had transpired between the improper repair and the liner's failure, the investigation did not locate any information that indicated that either the repair facility or the Federal Aviation Administration principal maintenance inspector for the repair facility was aware that maintenance personnel at the repair facility had accomplished a procedure that it was not authorized to conduct. The repair facility identified 19 other assemblies that had a known or suspected improper repair, recalled those assemblies, and no additional in-service failures occurred. The engine manufacturer subsequently modified its overhaul manual to clarify the relevant repair and replacement procedures.

NTSB Probable Cause Narrative

The improper repair of an engine component by a repair facility, which resulted in a complete loss of engine power. Contributing to the accident was the failure of the repair facility to recognize that an improper repair had been accomplished, which allowed the component to be placed into service.

Event Information

Type of Event Accident
Event Date 5/11/2010
Event Day of the Week Tuesday
Time of Event 1335
Event Time Zone Eastern Daylight Time
Event City Abingdon
Event State VIRGINIA
Event Country --
Zipcode of the event site 24212
Event Date Year 2010
Event Date Month 5
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 364114N
Event Location Longitude 0820159W
Event Location Airport Virginia Highlands
Event Location Nearest Airport ID VJI
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 3
Degrees magnetic from airport --
Airport Elevation 2087
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 1343 Eastern Daylight Time
Direction of event from weather observation facility (degrees) 135
Weather Observation Facility ID VJI
Elevation of weather observation facility 2087
Distance of event from weather observation facility (units?) 3
Time Zone of the weather observation EDT
Lighting Conditions Day
Lowest Ceiling Height 4200
Lowest Non-Ceiling Height 3700
Sky/Lowest/Cloud Conditions Scattered
Sky Condition for Lowest Ceiling Broken
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 21
Dew Point at event time (in degress fahrenheit) 12
Wind Direction (degrees magnetic) 200
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 10
Wind Velocity Indicator --
Wind Gust Indicator Gusting
Wind Gust (knots) 18
Altimeter Setting at event time (in. Hg) 30.2
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) 29502
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 Dec 15 2011 10:44AM
User who most recently changed record kenj
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N31VA
NTSB Number ERA10TA261
Missing Aircraft Indicator --
Federal Aviation Reg. Part Public Use
Type of Flight Plan filed None
Flight plan Was Activated? No
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name BELL
Aircraft Model 407
Aircraft Series Identifier --
Aircraft Serial Number 53465
Certified Max Gross Weight 5000
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 Apr 21 2010 12:00AM
Airframe hours since last inspection 15
Airframe Hours 3887
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type C126
Aircraft Owner Name COMMONWEALTH OF VIRGINIA
Aircraft Owner Street Address 7411 AIRFIELD DR
Aircraft Owner City RICHMOND
Aircraft Owner State VA
Aircraft Owner Country USA
Aircraft Owner Zipcode 23237-2250
Operator is an individual? No
Operator Name COMMONWEALTH OF VIRGINIA
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address 7411 AIRFIELD DR
Operator City RICHMOND
Operator State VA
Operator Country USA
Operator Zip code 23237-2250
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) Instructional
Second Pilot on Board Yes
Departure Point Same as Event No
Departure Airport Code VJI
Departure City Abingdon
Departure State VA
Departure Country USA
Departure Time 1328
Departure Time Zone EDT
Destination Same as Local Flt dest & departure same, accident can occur anywhere
Destination Airport Code VJI
Destination City Abingdon
Destination State VA
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Dec 15 2011 10:44AM
User who most recently changed record kenj
Since inspection or accident Last Inspection
Event Location Runway Number and Location N/A
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --