ANC22FA047

NTSB accident investigation · Bell UH1B · Clear, AK · June 27, 2022

Accident · FatalClass 3 · FieldFinal report
Date
June 26, 2022, 19:38 local (Jun 27, 2022, 03:38 UTC)
Place
Clear, AK
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Takeoff
Aircraft
N9970FBell UH1B
Defining event
Takeoff: Unknown or undetermined
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Alaska Regional Office
Parties
Kamatics Corporation, Northern Pioneer Helicopters, Federal Aviation Administration
FAA report
20220626008299A
Case key
105359

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

A loss of control for reasons that could not be determined based on the available information.

Findings · 2

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Not determinedNot determined › Not determined · Unknown/Not determinedBell UH-1B: 2 casesAll aircraft: 2,247 casesProbable cause
Performance/control parameters: directional controlAircraft › Aircraft oper/perf/capability · Unknown/Not determinedBell UH-1B: 2 casesAll aircraft: 3,958 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The purpose of the flight was to longline equipment to firefighters working on the ground. After a normal liftoff, the helicopter was hovering with the longline fully extended as it maneuvered to hook up to the external load. A loud “snap” or “bang” was heard, and one witness described that the helicopter “bucked.” The helicopter subsequently rolled to the right, entered a nose-low descent, and impacted the ground before bursting into flames. A video camera captured the helicopter’s final seconds before impact with the ground. In the video recording, the helicopter is seen hovering about 140 ft above the ground as the pilot maneuvered the helicopter to hook up to the external load. During the maneuver, a loud mechanical noise occurred, and a shudder could be seen radiating through the helicopter’s fuselage, followed by an extreme roll to the right past 90°, and a nose-low descent. As the helicopter continued its descent, the transmission, with the rotor head and blades attached, and the tail boom separated from the helicopter before ground impact. The loud noise and shuddering of the helicopter suggest that a mechanical problem likely preceded the loss of control. The sudden drop in altitude, combined with the forward pitch and right roll, enabled a mast bump condition that bent the rotor mast and caused an imbalance in the rotor system. This imbalance likely overloaded the transmission pylon structure, separating the transmission and main rotor from the rest of the airframe. The following out-of-plane divergence of the main rotor precipitated the tail boom separation. The circumstances of the accident and motion of the helicopter during its descent are similar to the findings of a flight test in which a similar helicopter was subjected to a loss of hydraulic pressure to the main rotor flight control system. Because the factual information available was limited, in part due to the post-crash fire and a lack of available recorded data, it could not be determined whether a loss of hydraulic pressure occurred during the accident sequence. In addition, there was no evidence of a malfunction in the hydraulic flight control servos or hydraulic pump; therefore, the reason for the loss of control could not be determined. The pilot’s medical records showed a history of cardiovascular conditions that placed him at an increased risk for a sudden cardiac event, including a heart attack or arrhythmia that could cause acute symptoms such as chest pain, shortness of breath, palpitations, or fainting; however, there were no autopsy findings to suggest that any of those occurred, and his most recent cardiologist follow-up showed him to be doing very well, asymptomatic, and tolerating his medications. His recent exercise stress test showed he had above average exercise tolerance for someone his age. Further, a witness reported that the pilot was alert and attempting to retain control of the helicopter as it descended. Therefore, it is unlikely that the pilot’scardiovascular conditions were a factor in this accident.

Factual narrative

A review of the National Transportation Safety Board (NTSB) accident database found a similar accident that involved pilot-induced oscillations caused by the loss of hydraulic assist of the flight controls due to an excessive loss of hydraulic fluid during a critical phase of flight on a Bell UH-1H helicopter (NTSB accident number CEN13FA415). The NTSB Final Report stated in part: Following the accident, without FAA or NTSB awareness, two pilots from Billings Flying Service conducted an informal UH-1H flight test at high altitude. The flying pilot notified the NTSB of his findings during an interview. During a simulated long line profile with the hydraulics system turned off, the flying pilot observed a high amount of force was required to apply collective. While making his "hard pull" of the collective with his left arm, the pilot observed that he had a tendency to "brace" himself and push the cyclic to the right, causing a right bank. This tendency to bank right was not immediately recognized, since he was leaning left to simulate sighting for a long line operation. As he attempted to return to a level attitude (with the hydraulics system turned off) he overcorrected and entered into nearly 90 degrees of left bank. The pilot was very startled by the dramatic left bank and immediately directed the other pilot in the right seat to restore hydraulics system pressure to assist with recovery of the helicopter. The accident engine was a LycomingT53L-13B, serial number LE-18935, capable of 1,400 horsepower (hp). The engine was equipped with a five-stage axial and single stage centrifugal compressor, with an external annular combustion chamber, two-stage gas producer turbine, and two-stage power turbine. The power shaft drives the reduction gearbox through the output shaft. On June 26, 2022, about 1938 Alaska daylight time, a Bell UH-1B helicopter, N9970F, was destroyed when it was involved in an accident near Clear, Alaska. The pilot was fatally injured. The helicopter was operated by Northern Pioneer Helicopters LLC as a Title 14 Code of Federal Regulations Part 133 external load flight. The operator reported that the helicopter was stationed at Clear Airport (Z84), Clear, Alaska, to support wildland firefighting operations. The purpose of the flight was to longline equipment to firefighters working on the ground. Numerous witnesses reported that, after a normal liftoff, the helicopter was hovering with the longline fully extended as it maneuvered to hook up to the external load when a loud “snap” or “bang” was heard. One witness stated that the helicopter “bucked” and that he observed the pilot attempting to regain control of the helicopter as it descended. The helicopter subsequently rolled to the right, entered a nose-low descent, and impacted the ground before bursting into flames. A witness video camera captured the helicopter’s final seconds before impact with the ground. A review of the recording revealed that that the helicopter was hoveringwith the 125-ft longline fully extended below the helicopter, and the hook at the end of the line was about 15 ft above the ground. As the pilot maneuvered the helicopter to hook up to the external load, a loud mechanical noise could be heard, after which a shudder is seen radiating through the helicopter’s airframe, followed by an extreme roll to the right past 90°, and a nose-low descent. As the descent continued, the transmission (with the rotor head and blades attached) along with the tail boom separated from the fuselage before ground impact. (See figure 1.) Figure 1 - Screen capture of the end of the video showing the separation of the main rotor and transmission from the airframe before ground impact. According to the autopsy report from the State of Alaska, State Medical Examiner’s Office, Anchorage, Alaska, the pilot’s cause of death was blunt force injuries of head, torso, and extremities due to helicopter crash, and the manner of death was accident. The medical examiner reported a gray-white area of the heart consistent with a remote posterior myocardial infarct, the presence of two venous grafts, and 75% stenosis of sections of his coronary arteries. Toxicology testing performed by the FAA Forensic Sciences Laboratory detected the non-impairing medications rosuvastatin and metoprolol in the pilot’s cavity blood and urine. Rosuvastatin is a member of the drug class of statins, used to treat high cholesterol and related conditions and to prevent cardiovascular disease. Metoprolol is a beta-blocker used in the treatment of hypertension and certain arrhythmias. At his most recent Federal Aviation Administration (FAA) medical certification examination, he reported taking rosuvastatin, metoprolol, lisinopril, clopidogrel, and aspirin. He reported a 2017 heart attack with coronary artery bypass surgery of five vessels and coronary artery stenting. He was reported to have had above average exercise tolerance for his age and experienced no chest pain at his most recent stress test. The helicopter impacted the asphalt on the north ramp area of Z84 on its left side in a nose-low attitude and was largely consumed by postcrash fire. The engine’s transmission, with the rotor head and blades still attached, was found about 30 ft from the main wreckage. (See figure 2.) Figure 2 - Main wreckage The left seat collective control was present and attached to the torque tube. Neither cyclic control was located. Both of the right seat/side anti-torque pedals had been liberated from their supports. Both left seat/side anti-torque pedals remained attached to their supports and connected to their bell crank. The tail rotor drive system continuity was established through all of its 5 sections by accounting for the driveshaft connections, hanger bearings, and recovered drive shaft segments. The drive shafts had separated from both ends of the intermediate 42° gear box. The gear box rotated smoothly. The magnetic drain plug was removed and was free of debris. Apostaccident examination of the airframe that included, but was not limited to, the helicopter’s annunciator panel, the left and right lateral servos and collective servo, the hydraulic pump, the tail rotor, and the KAFlex drive shaft revealed no pre-accident mechanical malfunctions or anomalies that would have precluded normal operation. The NTSB Materials Laboratory examination revealed that the transmission case was fractured on the right side near the aft support. The forward pylon support legs were fractured through the rivets attaching the isolation mount pad to the vertical faces of the legs. The aft left support leg was fractured at the lower attachment bracket for the friction damper, and the aft right support leg was fractured at its lower end. The main transmission and pylon structure likely separated due to overstress fracture. The aft isolation mounts and friction dampers showed evidence of substantial overtravel in the upward direction. The engine came to rest on its left side and exhibited significant thermal damage. A visual examination of the compressor inlet and power turbine blades did not reveal any blade damage. The postaccident examination of the engine revealed no pre-accident mechanical malfunctions or anomalies that would have precluded normal engine operation.

Aircraft

Registration
N9970F
Reported as
Bell UH1B
Category
Helicopter
Serial number
60-3568
Engine
Lycoming T-53-L-13B, 1,400 horsepower, turbo shaft
Damage
Destroyed
Fire
On-Ground
Flight
Firefighting · Part 133
Operator
Northern Pioneer Helicopters LLC
Registered owner
Northern Pioneer Helicopters LLC
Airworthiness certificate
Special, Restricted (Special)
Destination
Same as departure
Flight plan
Company VFR
Airport
Z84 · Clear
Equipment
Satellite tracking device, Handheld GPS

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
56
Injuries
Fatal
Certificates
Private, Commercial
Airplane ratings
Single-engine sea
Medical
Class 2, With waivers/limitations
Last flight review
July 20, 2021
Seat
Left
Restraint
Lap only
Toxicology
Performed

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
3,700 ft overcast
Temperature
61 °F, dew point 50 °F
Altimeter
30.12 inHg
Observed at
PANN, 15 nm away
METAR
PANN 261553Z AUTO 00000KT 10SM OVC037 16/10 A3012 RMK AO2 SLP204 T01610100 TSNO

Docket · 12

The files NTSB released with the investigation on July 5, 2024, on NTSB’s docket system: statements, records, photos and specialists’ reports. 51.2 MB in all.

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.