CEN11IA156

NTSB incident investigation · Sikorsky 92 · Galliano, LA · January 19, 2011

Incident · No injuriesIncident investigationFinal report
Date
January 19, 2011, 11:34 local (17:34 UTC)
Place
Galliano, LA
Injuries
18 uninjured
Damage
Minor damage
Phase of flight
Approach
Aircraft
N920ALSikorsky 92
Defining event
Approach: Flight control sys malf/fail
Weather
Visual (VMC) · Day
Status
Completed · report February 12, 2013
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA Baton Rouge FSDO, Sikorsky Aircraft Corporation, FAA AVP-100, Bristow US LLC, National Transportation Safety Board
FAA report
20110119002029I
Case key
78197

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

On this page

Probable cause

The misalignment of the retaining washer during routine maintenance, resulting in the subsequent separation of the washer and nut.

Findings · 1

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.

Tail rotor drive system: tail rotor drive shaftAircraft › Aircraft propeller/rotor · Incorrect service/maintenanceSikorsky S-92A: 1 caseAll aircraft: 25 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

During the initial approach, as the airspeed decreased through about 70 knots, the helicopter began an uncommanded right yaw of more than 100 degrees, and the yaw could not be stopped by the application of left pedal. The crew diverted to a nearby airport and performed a successful roll-on landing, touching down at 72 knots using differential braking to maintain the runway heading. An after-landing inspection showed that the tail rotor pitch change beam retaining nut, pitch beam retaining washer, and associated screws and washers were missing. The remainder of the tail rotor assembly remained attached and did not depart the helicopter. Recent maintenance had been performed to replace the pitch change beam retaining nut and pitch beam retaining washer. According to maintenance personnel, the maintenance had been performed per the existing maintenance procedures, and the mechanics did not notice anything odd or out of place. Evidence of witness marks along with plastic deformation on the end faces of the pitch change shaft splines is consistent with the retaining washer installed with its indexing spline slightly off, resulting in a cocking condition and incomplete engagement of the spline teeth. Accordingly, there was likely an improper alignment of the components during reassembly, which would have prevented the nut from locking in place. Subsequent tests on an exemplar assembly showed that it was possible for the pitch beam retaining washer to be misaligned with the teeth on the shaft splines, which then showed barely visible evidence of the misalignment.

Factual narrative

On January 19, 2011, at 1134 central daylight time, a Sikorsky 92A helicopter, N920AL, experienced a flight control malfunction and sustained minor damage during initial descent for landing to Air Logistics Galliano Heliport (2LS0), Galliano, Louisiana. Visual meteorological conditions prevailed and a company flight plan was filed for the 14 Code of Federal Regulations Part 135 non-scheduled passenger flight. The three crewmembers and 15 passengers were not injured. The flight originated from an off-shore helipad at Green Canyon 858 in the Gulf of Mexico, with 2LS0 as its intended destination. During the initial approach into 2LS0, as airspeed reduced through 70 knots, the helicopter began an uncommanded right yaw of more than 100 degrees that could not be stopped by application of left anti-torque pedal. The crew immediately lowered the nose to regain airspeed and streamline the aircraft. They diverted to South Lafourche Airport (GAO), Galliano, Louisiana, and performed a successful roll on landing, touching down at 72 knots, utilizing differential braking to maintain runway heading. An after landing inspection showed that the tail rotor pitch change beam retaining nut, pitch beam retaining washer, and associated screws and washers were missing. The tail rotor hub and paddles remained attached to the pitch change links and the pitch beam assembly and did not depart the helicopter. Recent maintenance had been performed to remove and replace the pitch change shaft. Following that maintenance the tail rotor pitch change beam retaining nut and pitch beam retaining washer had been reinstalled and the retaining nut had been torqued to the required value. All of the operator’s mechanics said they thought that all the maintenance items had been performed correctly and they did not notice anything odd or out of place. Following this incident the manufacturer conducted tests on an exemplar assembly that showed it was possible for the pitch beam retaining washer to be misaligned on the spline and have it partially engage the shaft teeth as the retention nut was rotated and tightened. With the locking washer misaligned, it turned approximately 90 degrees clockwise as the retention nut was being preloaded. At that point the locking washer partially engaged the spline teeth and remained in the cocked condition until the full amount of torque was achieved. The gaps created by the cocked condition and the thread protrusion of the pitch beam retaining nut were visible and measureable. The post-test condition of the teeth on the locking washer included barely visible evidence of the misalignment against the shaft splines. The manufacturer subsequently issued a change to the aircraft maintenance manual which included additional confirmation of proper alignment of the pitch beam retaining washer and a check for thread protrusion of the pitch change shaft above the tail rotor pitch beam retaining nut.

Aircraft

Registration
N920AL
Reported as
Sikorsky 92 (A)
Category
Helicopter
Serial number
920088
Airframe hours
1,248
Engines
GE CT7-8A, 2,520 horsepower, turbo shaftGE CT7-8A, 2,520 horsepower, turbo shaft
Damage
Minor damage
Flight
Part 135
Operator
Bristow US LLC
Registered owner
Bristow US LLC
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · January 17, 2011 · 4 hours before
Departed
Gulf of Mexico, LA
Destination
2LS0 · Galliano, LA
Flight plan
Company VFR
Airport
GAO · South Lafourche Airport, runway 36, 6,502 × 100 ft, asphalt

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
Pilot
Age
63
Injuries
None
Certificates
Airline transport, Commercial
Airplane ratings
Single-engine land
Instrument ratings
Helicopter
Medical
Class 2, With waivers/limitations
Last flight review
July 10, 2010
Seat
Right
Flight hours
33,647 total · 624 in this make and model · 23,485 as pilot in command · 70 in the last 90 days · 18 in the last 30 days · 4 in the last 24 hours
Role
Co-pilot
Age
64
Injuries
None
Certificates
Commercial, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Helicopter
Medical
Class 1, Without waivers/limitations
Last flight review
July 10, 2010
Seat
Left
Flight hours
21,677 total · 799 in this make and model · 14,040 as pilot in command · 55 in the last 90 days · 14 in the last 30 days · 4 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
10° at 11 knots, gusting 15
Visibility
10 statute miles
Temperature
59 °F, dew point 46 °F
Altimeter
30.07 inHg
Observed at
KGAO

Docket · 7

The files NTSB released with the investigation on December 11, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.6 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.