CEN12LA039

NTSB accident investigation · Eurocopter AS 350 B2 · South Pass 93A · October 7, 2011

Accident · No injuriesLimited investigationFinal report
Date
October 7, 2011, 14:30 local (19:30 UTC)
Place
South Pass 93A
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Standing
Aircraft
N183EHEurocopter AS 350 B2
Defining event
Standing-engine(s) start-up: Miscellaneous/other
Weather
Visual (VMC) · Day
Status
Completed · report November 26, 2012
Report
Approved by Office Director
NTSB office
Central Region
Parties
Bureau d’Enquêtes et d’Analyses (BEA), American Eurocopter
FAA report
20111007023849I
Case key
82164

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 centering of the cyclic during a start in gusty wind conditions.

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.

Wind: updraftEnvironmental issues › Conditions/weather/phenomena · Effect on equipmentEurocopter AS 350 B2: 1 caseAll aircraft: 14 cases
Main rotor system: main rotor blade systemAircraft › Aircraft propeller/rotor · Incorrect use/operationEurocopter AS 350 B2: 2 casesAll aircraft: 60 casesProbable cause
Action: incorrect action selectionPersonnel issues › Action/decision · PilotEurocopter AS 350 B2: 1 caseAll aircraft: 397 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 an engine start on a helipad, the helicopter's main rotor blade contacted the tailboom, which resulted in substantial damage to the tailboom. The reported wind about the time of the accident was about 23 knots. The pilot reported that when the wind was from the east, as it was at the time of the accident, wind contact with a generator room west of the helipad resulted in occasional updrafts on the helipad. An examination of the helicopter did not reveal any preexisting anomalies that would have precluded normal operation. In the helicopter's flight manual checklist for the "Checks Before Starting the Engine," the helicopter's cyclic is to be in the neutral position and the cyclic stick friction lock adjusted. Note 1 of the checklist states, "In strong wind, apply a little forward cyclic and accelerate the engine, up to approx. 320 rpm, as fast as in compatible with t4 limitations, then follow normal procedure." A review of accidents involving the same make and model helicopters, revealed that in all of the recorded tail boom strikes by main rotor blades during start, two conditions needed to be present: cyclic not centered and air turbulence pushing strongly on the main rotor blades.

Factual narrative

On October 7, 2011, about 1430 central daylight time, a Eurocopter AS350 B2, sustained substantial damage to the section during an engine start on the off-shore oil platform (South Pass 93A), Gulf of Mexico. The commercial pilot and the two passengers were not injured. The helicopter was registered to and operated by ERA Helicopters under the provisions of 14 Code of Federal Regulations Part 135 as an on-demand air taxi. Visual meteorological conditions prevailed for the flight, which operated on a company visual flight rules flight plan. The flight was originating at the time of the accident. According to a statement provided by the pilot, the helicopter’s nose was facing towards the wind that was measured by a velometer to be about 23 knots. The pilot centered and locked the controls prior to engine start in accordance with the helicopter’s checklist. About 22 Ng and three full main rotor rotations, the pilot felt chatter/vibrations from the helicopter. The pilot shut down the engine and found damage consistent with a main rotor blade strike to. The helicopter's tail rotor drive shaft had been distorted and damaged. The helicopter’s helipad was elevated from the main platform with a generator room west (downwind) of the helipad. The pilot reported that when the wind was from the east, the wind contacts the generator room and can cause occasional updrafts on the helideck. In the helicopter's flight manual's checklist for the "Checks Before Starting the Engine", the helicopter's cyclic is to be in the neutral position and the cyclic stick friction lock adjusted. Note 1 of the "Starting" checklist states, "In strong wind, apply a little forward cyclic and accelerate the engine, up to approx. 320 rpm, as fast as in compatible with t4 limitations, then follow normal procedure." An examination of the helicopter did not discover any preexisting anomalies with the helicopter which would have precluded normal operation of the helicopter. It could not be determined if the controls had been locked improperly or if winds displaced the main rotor blades during the engine start. A review of accidents involving AS350 helicopters by the Bureau d'Enquêtes et d'Analyses (BEA), revealed that in all recorded tail boom strikes by main rotor blades during start two conditions needed to be present: cyclic not centered and air turbulence pushing strongly on the main rotor blades.

Aircraft

Registration
N183EH
Reported as
Eurocopter AS 350 B2
Category
Helicopter
Serial number
2752
Engine
Turbomeca SD2, 732 horsepower, turbo shaft
Damage
Substantial damage
Flight
Part 135
Operator
Era Helicopters LLC
Registered owner
Era Helicopters LLC
Airworthiness certificate
Standard, Normal
Departed
South Pass 93A, GM
Flight plan
Company VFR
Airport
South Pass 93A

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
29
Injuries
None
Certificates
Flight instructor, Commercial
Instrument ratings
Helicopter
Medical
Class 2, Without waivers/limitations
Last flight review
May 10, 2011
Seat
Right
Flight hours
4,800 total · 3,500 in this make and model · 4,600 as pilot in command · 350 in the last 90 days · 50 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
86° at 22 knots, gusting 27
Visibility
10 statute miles
Lowest ceiling
None
Temperature
81 °F

Docket · 4

The files NTSB released with the investigation on August 7, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.3 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.