CEN10LA560

NTSB accident investigation · Schweizer 269C · Schaumburg, IL · September 20, 2010

Accident · No injuriesLimited investigationFinal report
Date
September 20, 2010, 17:20 local (22:20 UTC)
Place
Schaumburg, IL
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N34LBSchweizer 269C
Defining event
Maneuvering-hover: Aircraft structural failure
Weather
Visual (VMC) · Day
Status
Completed · report May 16, 2011
Report
Approved by Office Director
NTSB office
Central Region
Parties
Schweizer Aircraft Corporation, Federal Aviation Administration
FAA report
20100920047219A
Case key
77406

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

The in-flight separation of the left aft cluster fitting assembly following the loss of torque on the lock nut due to a manufacturing defect.

Findings · 3

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.

Fuselage: fuselage attach fittings sysAircraft › Aircraft structures · FailureHughes 269C: 1 caseAll aircraft: 5 casesProbable cause
Performance/control parametersAircraft › Aircraft oper/perf/capability · Attain/maintain not possibleHughes 269C: 3 casesAll aircraft: 1,269 cases
Manufacture/productionOrganizational issues › Development · ManufacturerHughes 269C: 1 caseAll aircraft: 17 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

While the helicopter was hovering prior to departure for a routine training flight, a bolt and its associated hardware for the left aft cluster fitting of the tail boom assembly departed the helicopter. Subsequently, the instructor initiated a forced landing and the helicopter came to rest upright. Examination of the bolt and lock nut revealed incomplete threads at the pinch point of the locking stake due to a manufacturing defect. The bolt and lock nut assembly were installed as part of an aft cluster fitting modification that was performed about 4 months and 216 operational hours prior to the accident. As a result of the accident, the Federal Aviation Administration issued an Emergency Airworthiness Directive for owners to check the lock nuts.

Factual narrative

On September 20, 2010, at 1720 central daylight time, a Schweizer 269C single-engine helicopter, N34LB, sustained substantial damage during a forced landing after experiencing a mechanical malfunction while hovering prior to takeoff at the Schaumburg Regional Airport, Schaumburg, Illinois. The helicopter was owned and operated by Bachman Aero, Skokie, Illinois. The certificated flight instructor and pilot receiving instruction were not injured. Visual meteorological conditions prevailed, and no flight plan was filed for the 14 Code of Federal Regulations Part 91 instructional flight. The local flight was originating at the time of the accident. According to the pilot and registered owner, while hovering prior to departure for a routine training flight, a bolt and its associated hardware for the left aft cluster fitting of the tail boom assembly departed the helicopter. The helicopter experienced a vibration and subsequently yawed to the right when the instructor initiated a forced landing. The skids contacted the ground, the helicopter rotated 180 degrees and came to rest upright. Examination of the helicopter revealed the tail boom was partially separated and the tail rotor driveshaft had separated. The bolt and its associated hardware were located on the ramp near the helicopter and were retained for further examination. In addition, the right aft cluster fitting bolt with its associated hardware, which remained attached, were removed and retained for examination. A review of the maintenance records revealed the aft cluster fitting modification kit (Schweizer P/N: SA-269K-0106-1) was installed on the helicopter on June 1, 2010, at a total aircraft time of 1,512.8 hours. On September 10, 2010, 25/50/100/300/400-hour/Annual inspections were performed with no anomalies noted with the aft cluster assembly at a total aircraft time of 1,693.9 hours. The owner stated that since the installation of the aft cluster, the cluster and its components had not been removed or replaced. The airframe had accumulated 1,729.1 total hours at the time of the accident. According to Schweizer Service Letter L-177, AFT CLUSTER FITTING MODIFICATION KIT, dated September 13, 2002, the company developed and approved the cluster modification kit as an alternate means of compliance (AMOC) for the repetitive inspections mandated by the Federal Aviation Administration (FAA) Airworthiness Directive (AD) 2001-25-52. AD 2001-25-52 mandated a repetitive dye penetrant inspection of the aft cluster fittings used on certain Schweizer helicopters. The letter states, "The installation of this kit is recommended at owner's/operator's convenience to provide enhanced aft cluster fitting durability." On December 9, 2010, at the facilities of IMR Test Labs, Lansing, New York, under the supervision of a NTSB senior air safety investigator, the accident nut and bolt assemblies were examined. In addition, two new bolt and nut assemblies that were supplied by Schweizer were examined forcomparison. It was noted that the bolts were Avibank-5 adjustable diameter bolts that were secured with a MS-21043 lock nut torqued to 23-inch pounds (lbs). According to the IMR report, examination of the bolts removed from the accident helicopter showed no anomalies to suggest that they contributed to the loosening. Examination of the lock nut from the loosened left side fastener revealed incomplete threads at the pinch point of the locking stake. Torque testing showed the loosened left side lock nut had no prevailing torque. The prevailing torque should have been between 2 to 18 in-lbs. On December 20, 2010, the FAA issued Emergency AD 2011-01-52, which required before further flight, unless previously accomplished, the removal of the lock nut. The lock nut should then be reinstalled while determining the lock nut drag torque. If the drag torque is a minimum of 2 in-lbs, retorquing the locknut to 23 in-lbs is required. If the drag torque is not at least 2 in-lbs, the replacement of the lock nut with an airworthy lock nut is required.

Aircraft

Registration
N34LB
Reported as
Schweizer 269C
Category
Helicopter
Serial number
780714
Airframe hours
1,759
Engine
Lycoming HIO-360, 190 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Bachman Aero
Registered owner
Bachman Aero
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · September 10, 2010 · 65 hours before
Departed
06C · Schaumburg, IL
Destination
06C · Schaumburg, IL
Airport
06C · Schaumburg Regional Airport

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Flight instructor
Age
23
Injuries
None
Certificates
Flight instructor, Private, Commercial
Airplane ratings
Single-engine land, Multi-engine land, Single-engine sea
Instrument ratings
Helicopter
Medical
Class 2, With waivers/limitations
Last flight review
June 22, 2010
Seat
Right
Flight hours
409 total · 240 in this make and model · 275 as pilot in command · 119 in the last 90 days · 53 in the last 30 days · 5 in the last 24 hours
Role
Student pilot
Age
29
Injuries
None
Certificates
Commercial, Foreign
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Seat
Left
Flight hours
16 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
120° at 5 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
75 °F
Observed at
DPA, 8 nm away

Docket · 7

The files NTSB released with the investigation on February 1, 2011, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.4 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.