Aircraft Accident/Incident Report

Makakilo City, Hawaii 96707
Friday, March 2, 2012 17:40 HST

NTSB Narrative Summary Released at Completion of Accident

During external load operations, the right (No. 2) engine experienced a loss of engine power; the associated engine chip light illuminated. The pilot executed a running landing to a nearby landing zone. During the landing, the helicopter encountered rough terrain, which resulted in deformation of the tail boom skin. Postaccident examination of the No. 2 engine revealed that a turbine blade had separated from the 3rd stage turbine wheel. Metallurgical examination of the blade determined that it had failed as a result of high-cycle fatigue probably due to an intermittent vibratory state. The engine manufacturer issued a service bulletin in 2006 and a revised bulletin in 2009 that systematically removed the 3rd stage turbine wheel that was susceptible to this failure mode from the fleet of Model 250 Series II engines. The service bulletin required that the 3rd stage turbine wheel must be replaced at overhaul or if the helicopter experienced an one-engine inoperable (OEI) condition. The turbine wheel had not been replaced, and it could not be determined if the helicopter had experienced an OEI condition.

NTSB Probable Cause Narrative

A partial loss of engine power while maneuvering over rough/uneven terrain that was precipitated by the failure of a 3rd stage turbine blade as a result of high-cycle fatigue.

Event Information

Type of Event Accident
Event Date 3/2/2012
Event Day of the Week Friday
Time of Event 1740
Event Time Zone Hawaii Standard Time
Event City Makakilo City
Event State HAWAII
Event Country --
Zipcode of the event site 96707
Event Date Year 2012
Event Date Month 3
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude --
Event Location Longitude --
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 1753 Hawaii Standard Time
Direction of event from weather observation facility (degrees) 110
Weather Observation Facility ID PHNL
Elevation of weather observation facility 13
Distance of event from weather observation facility (units?) 10
Time Zone of the weather observation HST
Lighting Conditions Day
Lowest Ceiling Height --
Lowest Non-Ceiling Height 2600
Sky/Lowest/Cloud Conditions Few
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) 36
Dew Point at event time (in degress fahrenheit) 18
Wind Direction (degrees magnetic) --
Variable Wind Indicator --
Wind Speed (knots) --
Wind Velocity Indicator Calm
Wind Gust Indicator --
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.01
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 1
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 31506
NTSB Notification Source FAA Operations Center
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Aug 9 2013 1:47PM
User who most recently changed record johb
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N101MZ
NTSB Number WPR12LA125
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 AEROSPATIALE
Aircraft Model AS 355F1
Aircraft Series Identifier --
Aircraft Serial Number 5045
Certified Max Gross Weight 5291
Aircraft Category Helicopter
Aircraft Registration Class --
Aircraft is a homebuilt? No
Flight Crew Seats 1
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 7
Number of Engines 2
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection 100 Hour
Date of Last Inspection Jan 8 2012 12:00AM
Airframe hours since last inspection 92
Airframe Hours 11827
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name TGR HELICOPTERS
Aircraft Owner Street Address 2403 E BULLARD AVE
Aircraft Owner City CLOVIS
Aircraft Owner State CA
Aircraft Owner Country USA
Aircraft Owner Zipcode 93612
Operator is an individual? No
Operator Name TGR HELICOPTERS
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address 2403 E BULLARD AVE
Operator City CLOVIS
Operator State CA
Operator Country USA
Operator Zip code 93612
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) External Load
Second Pilot on Board No
Departure Point Same as Event Yes
Departure Airport Code --
Departure City Makakilo City
Departure State HI
Departure Country USA
Departure Time 1500
Departure Time Zone HST
Destination Same as Local Flt dest & departure same, accident can occur anywhere
Destination Airport Code --
Destination City Makakilo City
Destination State HI
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jun 18 2013 3:01PM
User who most recently changed record coos
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 --