Aviation Accident Summaries

Aviation Accident Summary CHI95LA187

ELKHORN, WI, USA

Aircraft #1

N470RA

BELL 47J2A

Analysis

THE PILOT REPORTED THAT HE WAS CRUISING AT ABOUT 1,000 FEET WHEN THE ENGINE LOST POWER. AN AUTOROTATION WAS INITIATED. DURING THE LANDING PHASE (CYCLIC FLARE), THE MAIN ROTOR STRUCK THE TAILROTOR DRIVE SHAFT. AN EXAMINATION OF THE ENGINE REVEALED THAT THE NUMBER TWO CYLINDER INTAKE VALVE HAD FAILED IN THE TOP RADIUS (NECK AREA) OF THE VALVE KEEPER RECESS, CAUSING DAMAGE TO THE CYLINDER COMBUSTION CHAMBER AND PISTON. AN INSPECTION OF THE ENGINE LOGBOOKS INDICATED THAT AN IDENTICAL FAILURE HAD OCCURRED EIGHT HOURS PREVIOUSLY. FURTHER INSPECTION REVEALED THAT THE MAJOR ENGINE OVERHAUL, WHICH HAD BEEN CONDUCTED 27 HOURS PRIOR TO THE ACCIDENT, HAD NOT BEEN PERFORMED IN ACCORDANCE WITH THE MANUFACTURER'S PROCEDURES AND SPECIFICATIONS.

Factual Information

On June 19, 1995, at 1440 central daylight time, a Bell 47J2A helicopter, N470RA, sustained substantial damage as a result of an engine failure and subsequent autorotation. The accident took place near Elkhorn, Wisconsin. The airline transport pilot and the passenger reported no injury. The 14 CFR Part 91 flight departed East Troy Airport, East Troy, Wisconsin, on a local flight. Visual meteorological conditions prevailed and no flight plan was filed. The pilot reported that he was cruising at about 1,000 feet above ground level when the engine failed. An autorotation was initiated. During the landing phase (cyclic flare), the main rotor struck the tailrotor drive shaft. An examination of the engine revealed that the number two cylinder intake valve had failed in the top radius (necked area) of the valve keeper recess, causing damage to the cylinder combustion chamber and piston. An inspection of the engine logbooks indicated that an identical failure had occurred eight hours previously. The first failure occurred on a factory new cylinder assembly, and the second on a "used" cylinder of undetermined time in service. Further inspection revealed that the major engine overhaul, which had been conducted 27 hours prior to the accident, had not been performed in accordance with the manufacturer's procedures and specifications. (See attachments)

Probable Cause and Findings

loss of power as a result of an intake valve failure due to improper maintenance performed during the major engine overhaul, and pilot misjudgment of the flare during autorotation.

 

Source: NTSB Aviation Accident Database

Get all the details on your iPhone or iPad with:

Aviation Accidents App

In-Depth Access to Aviation Accident Reports