NTSB Factual Report

On January 1, 2014, about 1507 Pacific standard time, a Eurocopter EC-130 B4, N133GC, landed hard during an autorotation, while on short final at the Boulder City Municipal Airport (BVU), Boulder City, Nevada. The commercial pilot was the sole person on board and was not injured. The helicopter came to rest on its right side and sustained substantial damage to the fuselage and tail boom. The helicopter was registered to Zuni LLC, and operated by Papillon Airways, Inc. (PAI), under the provisions of 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed for the post-maintenance operational check flight. A company flight plan was filed for the local flight that departed about 1457.

In a written statement, the pilot reported that she completed the post-maintenance operational check portion of the flight and was on short final to BVU, about 200 feet above the ground, with an airspeed of 40 to 50 knots. Shortly thereafter, the fuel pressure indicator light illuminated and the engine "flamed out". The pilot stated that she lowered the collective to initiate an autorotation, but did not have sufficient airspeed to successfully complete it. The helicopter's tailboom impacted the ground first during the accident sequence, followed by a hard landing. During the landing, the helicopter's skids separated and the fuselage sustained substantial damage.

A postaccident examination of the wreckage by a Federal Aviation Administration (FAA) inspector, revealed that safety wire was removed from a B-nut fitting that connects the main fuel supply to the aft side of the engine firewall, which delivers fuel to the engine Hydro Mechanical Unit. The B-nut fitting was loose when rotated by hand. The safety wire that was removed from the B-nut fitting remained attached to hardware [intermediate fitting] near the engine firewall.

Maintenance records revealed that the replacement of the bi-directional suspension cross-bar assembly was due and that the accident flight was the first flight since the task was performed.

According to the FAA, several maintenance technicians at PAI, stated that the selected method to gain access for the replacement of the bi-directional suspension cross-bar assembly, is contrary to the manufacturer's maintenance manual, by choosing to defuel and remove the fuel tank. They further stated that they defuel the tank by disconnecting the main fuel supply line that delivers fuel to the engine Hydro Mechanical Unit. This line is then attached to a tank on the ground, and the fuel is then pumped out from the tank with the use of the helicopter's fuel boost pump. This task was performed by a non-certificated technician. Several maintenance technicians were aware of the tasks performed to gain access to the bi-directional suspension cross-bar assembly, yet none of them made a statement reflecting they had followed the helicopter manufacturer's maintenance manual. The maintenance records showed no entry regarding the removal or disconnection of the main fuel supply line.

The manufacturer's maintenance manual [Section 63-31-00, 4-1] recommends that the bi-directional suspension cross bar assembly will be accessed by removing the main gear box and not by removing the fuel tank.

Following the accident, PAI implemented a 16-step independent control check to their Safety Control System which will be conducted by only experienced maintenance inspectors. This system is complemented by the addition of the inclusion of exclusively assigned Maintenance Ops Check Pilots who provide an additional level of oversight. An internal maintenance training system was created with heavy focus on FAA CFR 39, 43, 91, to include onsite manufacturer's training programs that encompass airframe and engine systems.

NTSB Probable Cause

A loss of engine power due to fuel starvation as a result of the noncertificated maintenance technician’s failure to properly tighten and safety wire a B-nut fitting. Contributing to the accident was the maintenance technician’s failure to follow the manufacturer’s maintenance manual instructions.