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LAX99GA083 · McDonnell Douglas 369E

30 Jan 1999 · Lake Elsinore, CA, United States

McDonnell Douglas 369E · Accident: total loss of engine power (mechanical failure) while maneuvering

From Hemet Ryan Airport (HMT) to an unrecorded destination

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Event

NTSB case
LAX99GA083
Event typeAccident: someone killed or seriously injured, or the aircraft substantially damaged (NTSB definition). Incident: an occurrence that affected or could have affected safety, short of that. Glossary
Accident
InvestigationHow far the investigation had got when the record was published: preliminary, ongoing, final or completed. Unknown where the source does not say. Glossary
Completed
API-reported fatalities
0 · all aircraft and ground
Ground fatalities
0
OperationWhat kind of flying it was, grouped by the rules it flew under: airline (US Part 121), air taxi and commuter (Part 135), general aviation (Part 91 and similar), military or government. Glossary
General aviation
WeatherVisual meteorological conditions (VMC): good enough to fly by looking outside. Instrument conditions (IMC): cloud or low visibility, flying by instruments. Glossary
Visual Meteorological Cond

McDonnell Douglas 369E

Category
Helicopter
RegistrationThe aircraft's tail number, such as N12345 or G-ABCD. Registrations are reissued, so the same one years apart can be a different aircraft. Glossary
N992SD
Operator
Unknown
Onboard fatalities
Unknown
Route
From Hemet Ryan Airport (HMT), Hemet, CATo not recorded
Aircraft age
Not recorded
Flight rulesThe regulations the flight operated under: in the US, Part 91 (general aviation), Part 121 (airlines), Part 135 (air taxi and commuter) and others; for flights abroad, the NTSB's coarser commercial or non-commercial code. Glossary
Part 91: General Aviation
Phase of flightThe stage of the flight when things started to go wrong: standing, taxi, takeoff, initial climb, en route, maneuvering, approach or landing. Glossary
Maneuvering
First occurrenceThe single coded event the NTSB judges best describes what happened (records from 2008 on). Older records name the first occurrence in the sequence instead. Glossary
Total loss of engine power (mechanical failure)
DamageDestroyed: beyond practical repair. Substantial: damage that affects the structure, performance or handling and normally needs major repair. Minor: less than that. Glossary
Destroyed

Cause areas

  • Company maintenance personnel › Maintenance, inspection, improper
  • Company maintenance personnel › Procedures/directives, not followed
  • Pilot in command › Flare, misjudged
  • Pilot in command › Rotor RPM, not maintained

Approximate · Estimated position: the centre of Lake Elsinore, CA, the place the record names. Not the accident site.

NTSB narrative

While the pilot was maneuvering about 550 to 650 feet agl, the engine chip light illuminated followed by a complete loss of engine power. She performed an autorotation to a large, open field, flared high about 100 feet agl, then collided with the ground. The skids were found spread outward with the belly touching the ground. Two of the main rotor blades displayed evidence of coning. Post-accident investigation revealed that all components of the lubrication system were intact and functional. When the turbine was disassembled, bearings 6 through 8 were found destroyed and displayed evidence of heat distress and oil starvation. The number 5 bearing evidenced heat distress. The nos. 1 through 5 bearings and the gearbox were lubricated, but there was no visual evidence of oil present downstream from the number 5 bearing. There was scoring and debris present in the oil pump scavenge chamber. Over a period of about 72 flight hours and 1 1/2 months, there were 10 reported engine chip light activations. After three chip lights were reported, the turbine, gear box, and compressor assembly were replaced. Engine chip lights were reported six more times. The number 5 bearing and snap ring were found spinning; a new number 5 bearing was installed. The day of the accident, the chip light came on during a maintenance ground run, then came on again before the engine quit. According to the Allison Engine Operation and Maintenance Manual, 'a maximum of four occurrences of magnetic chip warning lights encountered within any 50 hours of engine operation requires removal of the engine for shipment to an Allison Authorized Maintenance Center (AMC).'

Probable cause

The pilot's failure to maintain main rotor rpm and her misjudged flare. Also causal was the failure of the company maintenance personnel to follow the procedures/directives in the engine manufacturer's operation and maintenance manual and their improper inspection of the engine. A factor was the oil starvation of the nos. 6, 7, and 8 bearings that resulted in a total loss of engine power.

Verbatim NTSB analysis and probable cause from the NTSB dataset

Sources

NTSB record LAX99GA083
Event ID
20001204X00071
Case number
LAX99GA083
Dataset
historical-pre2008
Source SHA-256
89e2df6d848e7ab3b42e7d7c7a03ff403303057a26ca04c95b3ea67201c3ce74
Source notes (4)
  • Unreviewed is an editorial label, not an investigation status. API-sourced is not report-checked or human-reviewed. Explicit event totals are used without summing aircraft injury tables; onboard allocation is withheld. Unknown values remain unknown. The operation category is mapped from the NTSB-reported FAR part and has not been reviewed.
  • Filled from the NTSB case API where the bulk record had no value: investigation status. Values present in the bulk record are kept.
  • The date is the local date, which is the same as the UTC date the NTSB stores.
  • API snapshot SHA-256: d07c52322800fd36f0799c240f43e7be5bce0b101dc36f0d7c1302c392d1a830; retrieved 2026-09-21T11:13:06.199Z.