CEN12LA242

NTSB accident investigation · Bell 407 · Aberdeen, SD · April 14, 2012

Accident · Minor injuriesLimited investigationFinal report
Date
April 14, 2012, 02:55 local (07:55 UTC)
Place
Aberdeen, SD
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N509MTBell 407
Defining event
Enroute: Powerplant sys/comp malf/fail
Weather
Visual (VMC) · Night
Status
Completed · report June 11, 2014
Report
Approved by Office Director
NTSB office
Central Region
Parties
Rolls-Royce Engines, Transportation Safety Board of Canada, Federal Aviation Administration, Med-Trans Corp
FAA report
20120414010679A
Case key
83384

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

The fatigue failure of two turbine engine blades due to vibration.

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.

Engine (turbine/turboprop): turbine sectionAircraft › Aircraft power plant · Fatigue/wear/corrosionBell 407: 3 casesAll aircraft: 74 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 pilot reported that, shortly after departure, the helicopter yawed left and that he heard a "loud howling/grinding sound" emanating from the upper area of the helicopter. He subsequently reduced power and performed a minimum power descent to an open area. During the landing, the helicopter touched down hard. A postimpact examination of the engine found that two third-stage turbine wheel blades had cracked and separated due to high-cycle fatigue at the trailing edge during operation of one or more natural frequencies of the wheel. Four additional blades displayed fatigue cracks. Metallurgy examinations revealed that the blades had no evidence of material anomalies and met the material hardness and composition specifications. The observed high-cycle fatigue initiation and propagation characteristics were consistent with operating in a condition conducive to vibration. The engine manufacturer plans to release design changes that will increase the operating speed natural frequency margin and improve the vibration margin.

Factual narrative

On April 14, 2012, approximately 0255 central daylight time, a Bell 407 helicopter, N509MT, sustained substantial damage during a forced landing near Aberdeen, South Dakota. The commercial pilot, the sole occupant, sustained minor injuries. The helicopter was registered to and operated by Med-Trans Corp, Tucson, Arizona under the provisions of 14 Code of Federal Regulations Part 91 as a positioning flight. Visual meteorological conditions prevailed for the flight. The flight originated from the Aberdeen Regional Airport (KABR), Aberdeen, South Dakota, about 0250.According to a statement provided by the pilot, shortly after departing KABR, the helicopter began a left yaw and emanated a loud howling/grinding sound from the upper area of the helicopter. Suspecting a failed or impending failure of the main drive shaft or transmission, the pilot reduced power and scanned for any caution lights. With no caution light illuminated, the pilot began a minimum power descent to an open area. During the landing, the helicopter touched down hard resulting in spread skids, a severed tailboom, and damage to the main rotor blades. The pilot egressed the helicopter and notified with communication center of the accident at 0258. An eyewitness reported that he heard a helicopter departing the airport and the engine did not sound normal. The engine made a noise similar to a back fire and he saw sparks and flames coming out of the exhaust. He could see flames from the helicopter as it descended. A postaccident examination of the helicopter found internal damage to the engine. The engine was removed and transported to Rolls-Royce for an examination. On May 16, 2012, an engine exam was conducted under the auspices of the Federal Aviation Administration. The examination revealed that two blades from the third stage turbine wheel had fatigue cracked and separated. One other blade also display signatures of fatigue cracks. Metallurgy confirmed that the blades had no evidence of material anomalies, and met the proper values for material hardness and composition. Rolls-Royce engineering has determined that the third stage turbine wheel blades fractured in high cycle fatigue at the trailing edge location due to operation on one or more natural frequencies of the wheel. The observed high cycle fatigue initiation and propagation characteristics are consistent with operating in a condition that is conducive to vibration. Rolls-Royce plans to release two design changes that will increase the operating speed natural frequency margin on the initial change and further increase the frequency margin and also improve the vibration margin on the second design change.

Aircraft

Registration
N509MT
Reported as
Bell 407
Category
Helicopter
Serial number
53281
Airframe hours
7,379
Engine
Rolls-Royce 250-C47B, 650 horsepower, turbo shaft
Damage
Substantial damage
Flight
Positioning · Part 91
Operator
Med-Trans Corp
Registered owner
Med-Trans Corp
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · March 26, 2012 · 36 hours before
Departed
KABR · Aberdeen, SD
Destination
SD54 · Aberdeen, SD
Flight plan
Company VFR

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
44
Injuries
Minor
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Helicopter, Airplane
Medical
Class 2, With waivers/limitations
Last flight review
April 12, 2012
Seat
Right
Flight hours
3,790 total · 23 in this make and model · 2,150 as pilot in command · 9 in the last 90 days · 4 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night
Wind
240° at 3 knots
Visibility
5 statute miles
Lowest ceiling
None
Temperature
37 °F, dew point 36 °F
Altimeter
29.70 inHg
Observed at
KABR, 2 nm away

Docket · 6

The files NTSB released with the investigation on November 14, 2013, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.8 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.