ATL89FA130

NTSB accident investigation · Bell UH-1E · Aiken, SC · April 17, 1989

Accident · Serious injuriesField investigationFinal report
Date
April 17, 1989, 12:05 local (16:05 UTC)
Place
Aiken, SC
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N118HSBell UH-1E
Weather
Visual (VMC) · Day
Status
Completed · report September 5, 1990
Report
Approved by Office Director
FAA report
19890417008259A
Case key
7887

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

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Probable cause

Improper installation of a tail rotor pitch change crosshead retention bolt by the company mechanic, which resulted in loosening of the bolt and eventual failure of the tail rotor assembly/blade and subsequent loss of control. Trees at the crash site contributed to helicopter damage.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Airframe/component/system failure/malfunctionCruise
Rotor system,tail rotor hub pitch change mechanism - not safetiedCause
Maintenance,installation - improperCompany maintenance personnelCause
Rotor system,tail rotor hub pitch change mechanism - looseCause
Rotor system,tail rotor hub - failure,totalCause
Rotor system,tail rotor blade - separation
Loss of control - in flightCruise
Directional control - not possible
Forced landingDescent - uncontrolled
Autorotation - attempted
In flight collision with objectDescent - uncontrolled
Object - tree(s)Factor

Analysis

The helicopter was being operd at aprx 100 ft AGL with a hopper extdd from a cable. Witnesses heard a loud popping sound. As they looked in the drctn of the helicopter, they noted the tail rotor was not turning & one blade appeared to be hanging. The plt rprtd there was no warning of an impending anti-torque control problem when he lost control of the helicopter. The helicopter then collided with trees & crashed. Inv revealed the plt had rprtd an oil leak fm the 90 deg gearbox on 4/11/89. The company mechanic subsequently replaced the gearbox & a functional test flt was completed. The acdnt occurred after aprx another 6 hrs of opn. An exam of the tail rotor assembly revealed that 1 of the 2 retention bolts were missing fm the tail rotor pitch change crosshead. Threaded imprints were fnd inside the respective crosshead retention thru-bolt hole. The retention bolt, nut, washer & cotter pin were not recovered. Both tail rotor blades contained chordwise marks which corresponded to marks on the vertical fin (opposite of the tail rotor tip path plane).

Aircraft

Registration
N118HS
Reported as
Bell UH-1E
Category
Helicopter
Serial number
155341
Airframe hours
5,414
Engine
Lycoming T-53-L-11D, 1,100 horsepower, turbo shaft
Damage
Substantial damage
Flight
Other work use · Part 133
Registered owner
Helicopter Systems
Airworthiness certificate
Special, Restricted (Special)
Last inspection
100 hour · March 7, 1989 · 100 hours before

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
42
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Helicopter
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Right
Flight hours
4,000 in this make and model · 39 in the last 90 days · 30 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
81 °F, dew point -0 °F

FAA reports on this event · 1

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