Pilot Debrief

BELL 206L 3 near Venice, LA — 2013-10-09

Final reportCEN14FA004
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Date
2013-10-09
Location
Venice, LA, USA
Aircraft
BELL 206L 3
Registration
N54LP
Category
Helicopter
Highest injury
Fatal
Fatalities
1
Phase of flight
Takeoff roll

Probable cause

A total loss of engine power due to the liberation of a second stage turbine blade near the blade root due to a high-cycle fatigue crack and subsequent overload. Although extensive testing and materials analysis was performed, the reason for crack initiation could not be determined.

NTSB narrative

As the helicopter departed from the oil platform's helipad, witnesses heard a "pop" followed by a high-pitch screeching noise coming from the back of the engine. The helicopter nosed-over and dove into the water with the emergency floats extended. Examination of the engine revealed that one of the second-stage turbine disk blades had liberated due to a high-cycle fatigue (HCF) crack. The crack propagated until the blade separated due to material overload, which resulted in extensive damage to all of the third-stage turbine disk blades and most of the fourth-stage turbine disk blades. Metallurgical analysis of the liberated blade revealed no material anomalies. According to the engine manufacturer, there was no history of second-stage turbine blade failure due to HCF at the same spanwise position as the accident blade. A dynamics analysis of the second-stage turbine wheel revealed no mode crossing within or above the normal engine operating range that would be consistent with HCF initiation at the point where the blade failed. Several potential failure scenarios were also evaluated; however, none yielded any evidence to support the blade failing as it did. The engine was not equipped with an engine-monitoring system that could have identified any anomalies that may have initiated the HCF crack or contributed to the failure of the second-stage turbine blade. Although the surviving passengers stated that the platform was not venting methane at the time of the accident and an eyewitness said he did not see methane being vented, platform operating records revealed that methane was being vented continuously on the day of the accident. However, the actual volume of methane released at the time of the accident and whether it was ingested into the engine on takeoff could not be determined. The HCF crack was a pre-existing condition and was not the result of a sudden ingestion of methane on the day of the accident. A low-level of diphenhydramine, a sedating antihistamine, was detected in the pilot's blood and urine, but it could not be determined if it impaired the pilot's ability to operate the helicopter.

Analysis

Primary failure mode
Engine power loss
First missed decision gate
Pilot could have conducted a proper pre-takeoff check before departure.

NTSB coding

Evidence available

  • Photos
  • 20 docket documents
View NTSB final reportView NTSB docket

Docket documents20

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