N/A Airport
Aircraft Accident/Incident Report

Casa Grande, Arizona 85222
Tuesady, June 25, 2013 6:50 MST

NTSB Narrative Summary Released at Completion of Accident

Before the accident flight, maintenance personnel exchanged the helicopter's air inlet barrier filter system, during which the engine was removed from the helicopter. A preflight inspection was completed before departure of the postmaintenance check flight, and no discrepancies were noted. The engine start and pretakeoff checks were normal, and, after departure, the flight appeared to progress normally. About 1 to 2 minutes after completing an in-flight power check, the pilot heard a "distinct loud pop." Subsequently, the engine lost total power, and the pilot entered an autorotation. The helicopter landed hard, its right skid collapsed, and it rolled on its right side. A postaccident examination of the helicopter's engine air inlet found that cloth material had been ingested into the engine air intake. During further examinations, more cloth material was found in the engine in a sufficient quantity and location to block the airflow through the engine and cause it to flame out. The cloth material found in the engine was consistent with maintenance rags found in a box at the operator's hangar facility. It is likely that, during the maintenance of the helicopter's engine, maintenance personnel covered vulnerable areas of the engine with shop rags to prevent contamination, and, during the reinstallation of the engine, they did not remove all of the shop rags. The engine then ingested the rags during the postmaintenance test flight. Due to the installation of the engine air inlet barrier system, the shop rags would not have been visible during the preflight inspection nor could they have made it into the engine from the outside of the helicopter with the system in place.

NTSB Probable Cause Narrative

The total loss of engine power due to the ingestion of a foreign object and maintenance personnel's failure to remove shop rags before completing the installation of the air inlet barrier system.

Event Information

Type of Event Accident
Event Date 6/25/2013
Event Day of the Week Tuesday
Time of Event 650
Event Time Zone Mountain Standard Time
Event City Casa Grande
Event State ARIZONA
Event Country --
Zipcode of the event site 85222
Event Date Year 2013
Event Date Month 6
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 325017N
Event Location Longitude 1114329W
Event Location Airport N/A
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 640 Mountain Standard Time
Direction of event from weather observation facility (degrees) 7
Weather Observation Facility ID KCGZ
Elevation of weather observation facility --
Distance of event from weather observation facility (units?) 170
Time Zone of the weather observation MST
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) 27
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 --
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 29.93
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 3
Injury Total None --
Injury Total Serious --
Injury Total All 3
Investigating Agency NTSB
NTSB Docket Number (internal use) 32229
NTSB Notification Source FAA ROC
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Nov 20 2013 1:36PM
User who most recently changed record stam
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N34CT
NTSB Number WPR13LA290
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed Company VFR
Flight plan Was Activated? --
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 0392E
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 May 8 2013 12:00AM
Airframe hours since last inspection --
Airframe Hours 4785
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site No
ELT Type Unknown
Aircraft Owner Name Pinal County Sheriff's Office
Aircraft Owner Street Address --
Aircraft Owner City Florence
Aircraft Owner State AZ
Aircraft Owner Country USA
Aircraft Owner Zipcode 85132
Operator is an individual? No
Operator Name Pinal County Sheriff's Office
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address --
Operator City Florence
Operator State AZ
Operator Country USA
Operator Zip code 85132
Operator Code --
Owner has at least one certificate None
Other Operator of large aircraft? --
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) Flight Test
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code KCGZ
Departure City Casa Grande
Departure State AZ
Departure Country USA
Departure Time 645
Departure Time Zone MST
Destination Same as Local Flt dest & departure same, accident can occur anywhere
Destination Airport Code KCGZ
Destination City Casa Grande
Destination State AZ
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Nov 20 2013 1:36PM
User who most recently changed record stam
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 --