Accident Bell 407 N491PH,
ASN logo
ASN Wikibase Occurrence # 217209
 
This information is added by users of ASN. Neither ASN nor the Flight Safety Foundation are responsible for the completeness or correctness of this information. If you feel this information is incomplete or incorrect, you can submit corrected information.

Date:Sunday 11 May 2003
Time:15:33
Type:Silhouette image of generic B407 model; specific model in this crash may look slightly different    
Bell 407
Owner/operator:Petroleum Helicopters (PHI)
Registration: N491PH
MSN: 53386
Year of manufacture:1999
Total airframe hrs:5230 hours
Fatalities:Fatalities: 0 / Occupants: 4
Aircraft damage: Substantial
Category:Accident
Location:Gulf Of Mexico -   United States of America
Phase: En route
Nature:Offshore
Departure airport:offshore platform, EI-380
Destination airport:Morgan City, LA (9LA7)
Investigating agency: NTSB
Confidence Rating: Accident investigation report completed and information captured
Narrative:
The helicopter, which had a FADEC controlled turboshaft engine installed, was in cruise flight (about 800 feet AGL) over open ocean water when the FADEC FAIL aural warning sounded, followed closely by sound of the LOW ROTOR RPM horn. Simultaneously, the LOW ROTOR RPM, FADEC FAIL, and FADEC FAULT cockpit caution lights illuminated. The 8,300-hour helicopter pilot attempted to regain the RPM's with no result. The FADEC AUTO/MANUAL indicator light/button showed the engine control mode to be in the "AUTO" condition. The pilot recalls that the Ng was approximately 89%. The pilot stated that about 10 seconds elapsed from the onset of the event to cross checking the Ng. The pilot then depressed the AUTO/MANUAL button and switched to the MANUAL mode. He then increased the throttle above the 90% detent to try to regain rotor RPM's. He recalled that the light displayed "MANUAL", and that the FADEC FAIL aural warning ceased after the button was depressed. While descending, on three separate occasions, the pilot attempted to increase the throttle which were accompanied by three uncommanded right yaws, approximately 1-2 seconds apart. During the third uncommanded yaw, the ENGINE OUT audio sounded and the ENGINE OUT light illuminated (these occur when Ng drops below 55%). The pilot then entered a full autorotation, deployed the skid mounted emergency float system and landed upright on the water. Metallurgical examination of the 1st thru 4th stage turbine wheels and 1st thru 3rd stage turbine nozzles, revealed that all associated damage was due to extreme over-temperature operation. The manual mode schedule of the Hydro-mechanical Unit (HMU) was found within limits, and the auto mode schedule had a flow shift of 10 to 15 PPH. Evaluation and testing of the Electronic Control Unit (ECU) and its sub-components revealed a shorted condition on the ECU -15V power supply. Disassembly of the ECU and tests of the Interface (IF) and Power (PWR) circuit boards revealed that the C321 capacitor (p/n CDR33BX104AKUR) on the IF board was found thermally distressed and was measured at .58 ohms. The C321 is a high frequency bypass capacitor from -15V to ground. The PWR board was also visually inspected and the CR423 diode was found thermally stressed. According to the manufacturer, the CR423 diode provides rectification on the -15V power supply and was likely stressed as a result of the shorted C321 capacitor. The C321 capacitor was removed from the IF board and there was no longer a short on the -15V power supply. The ECU was re-assembled, operated, and passed a functional acceptance test after removal of the C321 capacitor. The shorted condition of the C321 capacitor forced the -15V power supply to a low voltage condition and a significant current draw, resulting in the rectifying diode to overheat. According to the manufacturer, the -15V power failure of the ECU resulted in the HMU to revert to manual fuel metering. In the manual mode, the engine would have overspeed protection, but not overtemperature protection.


Probable Cause: The short circuit of the C321capacitor in the Electronic Control Unit (ECU) that resulted in a single-point failure of the ECU's -15V power supply which disengaged/reverted the Hydro-mechanical Unit (HMU) from automatic to manual fuel control. Factors contributing to the accident were the pilot's attempted remedial actions in the manual mode that resulted in the engine over temperature and loss of power, and the lack of suitable terrain for the forced landing.


Accident investigation:
cover
  
Investigating agency: NTSB
Report number: 
Status: Investigation completed
Duration:
Download report: Final report

Sources:

NTSB: https://www.ntsb.gov/_layouts/ntsb.aviation/brief.aspx?ev_id=20030519X00686&key=1

Location

Revision history:

Date/timeContributorUpdates
03-Nov-2018 20:41 ASN Update Bot Added

Corrections or additions? ... Edit this accident description

The Aviation Safety Network is an exclusive service provided by:
Quick Links:

CONNECT WITH US: FSF on social media FSF Facebook FSF Twitter FSF Youtube FSF LinkedIn FSF Instagram

©2024 Flight Safety Foundation

1920 Ballenger Av, 4th Fl.
Alexandria, Virginia 22314
www.FlightSafety.org