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PHI Air Medical Bell 407 accident

3 Jun 2016 · Mountain City, TN, United States

Bell 407 · Accident: loss of engine power (partial) during initial climb

From Mountain City, TN to Johnson City Medical Center Heliport (TN91)

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Event

NTSB case
ERA16LA202
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
Unknown
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
Charter & commuter
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

Bell 407

Aircraft type
Bell 407
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
N4999
Onboard fatalities
Unknown
Route
From Mountain City, TNTo Johnson City Medical Center Heliport (TN91), Johnson City, TN
Aircraft age
About 18 years (built 1998)
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 135: Air Taxi & Commuter
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
Initial climb
Defining eventThe 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
Loss of engine power (partial)
DamageDestroyed: beyond practical repair. Substantial: damage that affects the structure, performance or handling and normally needs major repair. Minor: less than that. Glossary
Substantial

Cause areas

  • Aircraft › Aircraft handling/service
  • Personnel issues › Task performance

Approximate · Coordinates as recorded by the NTSB; no uncertainty radius is established.

NTSB narrative

During the initial climb, about 125 ft above ground level, the commercial pilot of the helicopter heard a loud noise that was accompanied by a left yaw, rapidly increasing measured gas temperature, and decreasing power turbine rpm. During the subsequent forced landing, the helicopter landed hard, which spread the skids and resulted in substantial damage. Examination of the engine revealed a partial separation of the compressor diffuser, which allowed intake air to leak before combustion. Metallurgical examination of the compressor diffuser revealed that a portion of the aft plate had separated near a braze joint; however, manufacturer specifications indicated that the aft plate should have been a single component, not two components joined together by a brazing process.

The compressor diffuser had been overhauled by a repair facility and installed on the accident helicopter about 98 hours of operation before the accident. Information from the repair facility revealed that a machinist had joined a second ring to the compressor diffuser aft plate using a brazing process. There was no approval for that process and it is likely that the machinist performed the procedure to correct a mistake made during a dimensional shim repair, which was an approved procedure.

Probable cause

An incorrect and unapproved repair of the engine compressor diffuser performed by a machinist at a repair facility, which resulted in failure of the compressor diffuser aft plate and a partial loss of engine power.

Verbatim NTSB analysis and probable cause from the NTSB dataset

Sources

NTSB record ERA16LA202
Event ID
20160603X45936
Case number
ERA16LA202
Dataset
full-current
Source SHA-256
5cf380f0061817c0331a6b2d8cc7e0ee3a79bea469a1001dc5c10e56f35f5ab3
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: 8aa01b58c2dca50b01aac9fa553d27e02a80bd6da6fa7f8718970656dfe4dcc5; retrieved 2026-09-16T03:27:31.852Z.