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Accidents · NTSB WPR13LA290 · Final report

Mcdonnell Douglas Helicopter 369E accident near Casa Grande, Arizona, June 25, 2013

On June 25, 2013 at about 1:50 pm local time, a Mcdonnell Douglas Helicopter 369E, registered N34CT, was substantially damaged in an accident during maneuvering near Casa Grande, Arizona. It was a flight test under general aviation rules (Part 91). 3 people had minor injuries. The weather was visual conditions (good weather).

The NTSB's probable cause their words, unchanged

The total loss of engine power due to the ingestion of a foreign object and maintenance personnel's failure to remove shop rags before completing the installation of the air inlet barrier system.

Source: NTSB aviation accident database, copy made October 5, 2026. Docket and reports at the NTSB.

What the record shows

Date
June 25, 2013 · about 1:50 pm local time
Place
Casa Grande, Arizona · map
Type
Accident
Injuries
3 people had minor injuries.
Weather
visual conditions (good weather)
Aircraft
Mcdonnell Douglas Helicopter 369E · all 369Es on the register
Registration
N34CT · registry record · serial 0392E
Damage
Substantial damage
Flight
Flight test · general aviation rules (Part 91)

The NTSB's narrative final · quoted from the NTSB record

Before the accident flight, maintenance personnel exchanged the helicopter's air inlet barrier filter system, during which the engine was removed from the helicopter. A preflight inspection was completed before departure of the postmaintenance check flight, and no discrepancies were noted. The engine start and pretakeoff checks were normal, and, after departure, the flight appeared to progress normally. About 1 to 2 minutes after completing an in-flight power check, the pilot heard a "distinct loud pop." Subsequently, the engine lost total power, and the pilot entered an autorotation. The helicopter landed hard, its right skid collapsed, and it rolled on its right side. A postaccident examination of the helicopter's engine air inlet found that cloth material had been ingested into the engine air intake. During further examinations, more cloth material was found in the engine in a sufficient quantity and location to block the airflow through the engine and cause it to flame out. The cloth material found in the engine was consistent with maintenance rags found in a box at the operator's hangar facility. It is likely that, during the maintenance of the helicopter's engine, maintenance personnel covered vulnerable areas of the engine with shop rags to prevent contamination, and, during the reinstallation of the engine, they did not remove all of the shop rags. The engine then ingested the rags during the postmaintenance test flight. Due to the installation of the engine air inlet barrier system, the shop rags would not have been visible during the preflight inspection nor could they have made it into the engine from the outside of the helicopter with the system in place.

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

What happened, in order

  1. Loss of engine power (total) during maneuvering defining event
  2. Autorotation Hard landing
  3. Landing gear collapse during landing (flare/touchdown)

The NTSB's findings

  • cause Aircraft › Aircraft power plant › Engine (turbine/turboprop) › Air inlet section (core eng) › Inadequate inspection
  • cause Personnel issues › Task performance › Maintenance › Modification/alteration › Maintenance personnel
  • Aircraft › Aircraft oper/perf/capability › Performance/control parameters › Engine out control › Not attained/maintained
  • Aircraft › Aircraft oper/perf/capability › Performance/control parameters › Landing flare › Incorrect use/operation
  • Personnel issues › Task performance › Use of equip/info › Aircraft control › Pilot

Pilot

  • Certificate: flight instructor, commercial pilot
  • Ratings: single-engine land; instructor: helicopter; instrument: helicopter; rotorcraft: helicopter
  • Flight time: 1,208 hours in all; 498 in this make and model; 88 in the last 90 days; 29 in the last 30 days; 1,074 as pilot in command
  • Last flight review: August 2, 2012
  • Medical certificate: Class 2 (with waivers/limitations)
  • Seat: left
  • Injury: minor injuries

The aircraft

  • Airframe total time: 4,785 hours
  • Last inspection: 100-hour inspection, May 8, 2013
  • Maximum gross weight: 3,000 lb
  • Seats: 4
  • Landing gear: fixed
  • Engine: Rolls Royce M250-C20R2 (turboshaft); 4,557 hours total
  • Operator: Pinal County Sheriff'S Office

The flight

  • Departed from: KCGZ Casa Grande AZ at 1:45 pm
  • Destination: KCGZ Casa Grande AZ

Weather at the time

  • Light: daylight
  • Visibility: 10 statute miles
  • Sky: clear
  • Temperature: 81°F (27°C), dew point 0°F (-18°C)
  • Altimeter: 29.93 inHg
  • Observation at 1:40 pm from KCGZ, 170 miles away

Injuries

FatalSeriousMinorNone
Flight crew1
Passengers2

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.