ASN Wikibase Occurrence # 150448
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| Date: | Thursday 12 January 2006 |
| Time: | 03:43 |
| Type: |  MBB Bo 105CBS-2 |
| Owner/operator: | Aviane Air Ambulance |
| Registration: | N495LF |
| MSN: | S-645 |
| Year of manufacture: | 1983 |
| Total airframe hrs: | 7566 hours |
| Engine model: | Allison 250-C20B |
| Fatalities: | Fatalities: 0 / Occupants: 4 |
| Aircraft damage: | Destroyed |
| Category: | Accident |
| Location: | Ponce -
 Puerto Rico
|
| Phase: | Take off |
| Nature: | Ambulance |
| Departure airport: | Ponce, PR |
| San Juan, PR | |
| Investigating agency: | NTSB |
| Confidence Rating: |  Information verified through data from accident investigation authorities |
After the patient was placed aboard the helicopter, the pilot started the engines and performed a hover check. He then moved the helicopter forward to gain airspeed and initiated a climb to cruise altitude. After reaching an altitude of about 100 feet, the main rotor rpm light and audio warning system activated, and the number 2 engine N1 rpm and torque began to decay. The pilot attempted to regain normal engine parameters, but was unable to regain engine rpm. The pilot maneuvered to avoid several light poles as he attempted to land in a parking lot. By this time, main rotor rpm had bled off sufficiently to prevent the hydraulic pumps from pressurizing the hydraulic system, and all flight controls locked is a slight right banked attitude. This prevented the helicopter from reaching the parking lot. The helicopter impacted a construction area in a right bank, nose down attitude. An on-site and later follow-up investigation by FAA and Rolls-Royce investigators revealed a B-nut on the Pc line connecting the power turbine governor (PTGOV) to the fuel control unit (FCU) had become loose at the T-fitting end. It was partially torqued and could be moved with the fingers. The female end was threaded onto the male end three-quarters of a turn. There was no cross-threading. The torque stripe was broken. According to Rolls-Royce Allison, "This line serves a critical function to the engine control system and when leakage occurs will cause the engine to roll back to an idle or near idle condition."
Probable Cause: A loose B-nut on the PC line connecting the power turbine governor (PTGOV) to the fuel control unit (FCU) that created a leak and caused the engine to roll back to an idle condition, causing a low hydraulic system pressure and subsequent control lock. A contributing factor was the unsuitable terrain (construction area) on which to make a forced landing.
Accident investigation:
 |
|
Sources:
NTSB: https://www.ntsb.gov/_layouts/ntsb.aviation/brief.aspx?ev_id=20060118X00085&key=1
Revision history:
| Date/time | Contributor | Updates |
|---|---|---|
| 30-Oct-2012 04:32 | TB | Added |
| 30-Oct-2012 04:38 | TB | Updated [Time, Total occupants, Location, Phase, Departure airport, Source, Narrative] |
| 10-Oct-2016 17:29 | TB | Updated [Source] |
| 21-Dec-2016 19:28 | ASN Update Bot | Updated [Time, Damage, Category, Investigating agency] |
| 05-Dec-2017 09:01 | ASN Update Bot | Updated [Cn, Other fatalities, Departure airport, Destination airport, Source, Narrative] |
| 10-Dec-2018 18:45 | TB | Updated [Cn, Other fatalities, Damage] |
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