Mcdonnell Douglas 369E accident near Ontario, California, June 25, 2002
On June 25, 2002 at about 9:10 pm local time, a Mcdonnell Douglas 369E (helicopter), registered N40NT, was destroyed in an accident near Ontario, California (Ontario airport). It was a public-use flight under general aviation rules (Part 91). 2 people were seriously injured. The weather was visual conditions (good weather).
The NTSB's probable cause their words, unchanged
The mechanic's improper maintenance procedures (FOD prevention) during a 100-hour inspection, which resulted in foreign object damage (FOD) to the compressor section and catastrophic engine failure. Factors were the presence of vehicles and power lines partially obstructing the forced landing site that necessitated the pilot's use of rotor system energy to avoid, which resulted in a hard landing.
Source: NTSB aviation accident database, copy made October 5, 2026. Docket and reports at the NTSB.
What the record shows
- Date
- June 25, 2002 · about 9:10 pm local time
- Place
- Ontario, California · Ontario · map
- Type
- Accident
- Injuries
- 2 people were seriously injured.
- Weather
- visual conditions (good weather)
- Aircraft
- Mcdonnell Douglas 369E
- Registration
- N40NT · no longer on the register · serial 0513E
- Damage
- Destroyed
- Flight
- Public-use flight · general aviation rules (Part 91)
The NTSB's narrative final · quoted from the NTSB record
The helicopter landed hard during an autorotation following a catastrophic engine failure in the takeoff initial climb. The engine lost all power during the initial climb out on a test flight following the completion of a 100-hour inspection. The pilot initiated an autorotative descent. While he maneuvered to avoid automobile traffic and power lines, the main rotor rpm decayed. The helicopter touched down hard on a street and was destroyed by an intense fuel-fed ground fire. The accident occurred during the first flight following maintenance performed by the on-board passenger, a mechanic employed by the operator. The helicopter's airframe was examined and no evidence of preimpact anomalies were found. Upon splitting the engine's case halves, all of the compressor blades on stages 1 through 6 were found either damaged or missing. A piece of a wire tie wrap was noted adhering to one of the case halves in the 6th stage area. Additionally, metallic debris was found in the outer combustion case (OCC). The metallurgical examination of the OCC debris revealed it was composed of an aluminum-magnesium-silicon alloy, which was foreign to components used in the engine. Wire tie wraps, similar to the tie wrap found in the engine, were also found in the accident site debris field. Similar wire tie wraps were additionally observed in storage at the operator's maintenance facility. The air intake to the engine's compressor is enclosed in a plenum chamber on the top of the helicopter. Prior to the accident, the mechanic had been observed performing maintenance in this area.
The complete narrative as the NTSB published it. The NTSB's docket holds the report as a PDF and any photographs, statements and other documents from the investigation.
The factual record from the NTSB's investigation tables, in plain English
Pilot
- Certificate: flight instructor, commercial pilot
- Ratings: single-engine land; instructor: airplane single-engine; instructor: helicopter; instrument: airplane; rotorcraft: helicopter
- Flight time: 5,056 hours in all; 3,918 in this make and model; 126 in the last 90 days; 35 in the last 30 days; 4,952 as pilot in command; 657 on instruments
- Last flight review: March 6, 2002
- Medical certificate: Class 2 (with waivers/limitations)
- Seat: left
- Injury: serious injuries
The aircraft
- Airframe total time: 6,856 hours
- Last inspection: 100-hour inspection, June 25, 2002; 0 hours since
- Maximum gross weight: 3,000 lb
- Seats: 4
- Landing gear: fixed
- Engine: Allison 250-C20B (turboshaft); 0 hours total
- Fire on the ground
The flight
- Departed from: ONT Ontario CA at 9:09 pm
- Destination: ONT Ontario CA
- Flight plan: none
Weather at the time
- Light: daylight
- Wind: from 230° at 15 knots
- Visibility: 10 statute miles
- Sky: scat at 17,000 ft
- Temperature: 90°F (32°C), dew point 59°F (15°C)
- Altimeter: 29.94 inHg
- Observation at 9:09 pm from ONT, 1 miles away
Injuries
| Fatal | Serious | Minor | None | |
|---|---|---|---|---|
| Crew | 1 | |||
| Passengers | 1 |
Documents from the investigation the NTSB's docket: the evidence folder behind the report
The docket, the folder of records gathered during an investigation (maintenance records, photographs, witness statements, examinations), has not been read from the NTSB for this case yet; the list appears here once it has. Open the docket at the NTSB.
Everything on this page comes from the NTSB's public records. The narrative, probable cause and findings are the NTSB's own words; the coded tables behind the report are written out in plain English, with pilots' ages, home towns and medical details left out. The documents and photographs are the NTSB's docket, shown as the NTSB released them. This site's own text never names anyone involved. A preliminary report can change; the final report usually follows one to two years later, and the page is refreshed when it does.
