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Atlas / NTSB / CHI95LA187

NTSB CAROL · Event

Event CHI95LA187

1995-06-19 ELKHORN, Wisconsin, United States None 1 aircraft Status: Completed

Registry · N470RA

FAA Aircraft Registry record.

Make / Model

BELL 407

Year of manufacture

2000

TCDS

H2SW · BELL HELICOPTER TEXTRON CANADA LTD

Engine

ALLISON 250-C47 (600 hp)

Seats / Engines

7 seats · 1 engine

Last airworthiness date

20000607

ADS-B equipped

Yes — Mode-S A5C292

Registrant of record

ROCKY MOUNTAIN HOLDINGS LLC

Source: FAA Aircraft Registry (releasable master file).

Aircraft involved

Probable cause & findings

loss of power as a result of an intake valve failure due to improper maintenance performed during the major engine overhaul, and pilot misjudgment of the flare during autorotation.

Factual narrative

On June 19, 1995, at 1440 central daylight time, a Bell 47J2A helicopter, N470RA, sustained substantial damage as a result of an engine failure and subsequent autorotation. The accident took place near Elkhorn, Wisconsin. The airline transport pilot and the passenger reported no injury. The 14 CFR Part 91 flight departed East Troy Airport, East Troy, Wisconsin, on a local flight. Visual meteorological conditions prevailed and no flight plan was filed. The pilot reported that he was cruising at about 1,000 feet above ground level when the engine failed. An autorotation was initiated. During the landing phase (cyclic flare), the main rotor struck the tailrotor drive shaft. An examination of the engine revealed that the number two cylinder intake valve had failed in the top radius (necked area) of the valve keeper recess, causing damage to the cylinder combustion chamber and piston. An inspection of the engine logbooks indicated that an identical failure had occurred eight hours previously. The first failure occurred on a factory new cylinder assembly, and the second on a "used" cylinder of undetermined time in service. Further inspection revealed that the major engine overhaul, which had been conducted 27 hours prior to the accident, had not been performed in accordance with the manufacturer's procedures and specifications. (See attachments) THE PILOT REPORTED THAT HE WAS CRUISING AT ABOUT 1,000 FEET WHEN THE ENGINE LOST POWER. AN AUTOROTATION WAS INITIATED. DURING THE LANDING PHASE (CYCLIC FLARE), THE MAIN ROTOR STRUCK THE TAILROTOR DRIVE SHAFT. AN EXAMINATION OF THE ENGINE REVEALED THAT THE NUMBER TWO CYLINDER INTAKE VALVE HAD FAILED IN THE TOP RADIUS (NECK AREA) OF THE VALVE KEEPER RECESS, CAUSING DAMAGE TO THE CYLINDER COMBUSTION CHAMBER AND PISTON. AN INSPECTION OF THE ENGINE LOGBOOKS INDICATED THAT AN IDENTICAL FAILURE HAD OCCURRED EIGHT HOURS PREVIOUSLY. FURTHER INSPECTION REVEALED THAT THE MAJOR ENGINE OVERHAUL, WHICH HAD BEEN CONDUCTED 27 HOURS PRIOR TO THE ACCIDENT, HAD NOT BEEN PERFORMED IN ACCORDANCE WITH THE MANUFACTURER'S PROCEDURES AND SPECIFICATIONS. Source: NTSB Aviation Accident Database (Pre-2008 Archive) Retrieved: 2026-02-12

Verbatim from NTSB's published report. Source file NTSB_1995_CHI95LA187.txt. Findings + structured fields enriched from FAA avall.mdb. Full investigation docket on data.ntsb.gov ↗.

Related research

What the literature says.

Academic papers and agency reports matching this event's aircraft type or causal vocabulary (engine failure, maintenance). Sourced from NASA NTRS, NTSB Safety Studies, FAA CAMI, AOPA Air Safety Institute, Embry-Riddle Scholarly Commons, arXiv, and the Semantic Scholar academic graph.

Browse the full corpus — academia portal ↗