CEN12LA557

NTSB accident investigation · Bell 47G-2 · Flandreau, SD · August 14, 2012

Accident · No injuriesLimited investigationFinal report
Date
August 14, 2012, 09:10 local (14:10 UTC)
Place
Flandreau, SD
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N444EHBell 47G-2
Defining event
Enroute-cruise: Sys/Comp malf/fail (non-power)
Weather
Visual (VMC) · Day
Status
Completed · report January 22, 2013
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA -- Rapid City Flight Standards
FAA report
20120814019469A
Case key
84732

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

A malfunction of the helicopter’s throttle system, which resulted in a loss of engine power during cruise flight.

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 controlsAircraft › Aircraft power plant · MalfunctionBell 47G-2: 1 caseAll aircraft: 51 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 the helicopter lost engine power during cruise flight. He initiated an autorotation; however, the only available landing area was a pasture that resulted in a tailwind approach and landing. The landing from the autorotation was reportedly a “little rough,” and the helicopter bounced and rolled onto its left side. A postaccident examination revealed that the throttle system did not operate properly. Specifically, the hand grip on the collective throttle control was loose and the throttle cable was not free to move within the conduit. The conduit did not appear to be deformed or damaged in a manner that would have prevented movement of the cable. The throttle conduit was replaced about 3 months before the accident; however, the existing throttle cable was reinstalled with the new conduit. A brief operational test of the throttle system was successfully conducted after that maintenance and the helicopter was subsequently operated for more than 25 hours without incident before the accident occurred.

Factual narrative

On August 14, 2012, about 0910 central daylight time, a Bell model 47G-2 helicopter, N444EH, was substantially damaged during an autorotation following a loss of engine power near Flandreau, South Dakota. The pilot and passenger were not injured. The aircraft was registered to and operated by private individuals under the provisions of 14 Code of Federal Regulations Part 91 as a personal flight. Visual meteorological conditions prevailed for the flight, which was not operated on a flight plan. The flight originated from Flandreau Municipal Airport (4P3) about 0815. The intended destination was the pilot's farm located near Colman, South Dakota. The pilot reported that after conducting three approaches to the runway at 4P3, he departed for his farm. He stated that during cruise flight, about 4 miles from the farm, the helicopter lost engine power. He initiated an autorotation; however, the only available landing area was a pasture that resulted in a tailwind approach and landing. The landing from the autorotation was reportedly a “little rough,” causing the helicopter to bounce and roll onto its left side. The tail boom, main rotor blades, tail rotor blades, and fuselage were damaged during the autorotation landing. A postaccident examination conducted by a Federal Aviation Administration (FAA) inspector revealed that the throttle system did not operate properly. At the time of the examination, the hand grip on the collective throttle control was loose. Movement of the hand grip did not fully translate into movement of the throttle linkage. The throttle cable was subsequently disconnected at both ends and further examination revealed that the cable was not free to move within the conduit. The conduit did not appear to be deformed or damaged in a manner that would have prevented movement of the cable. A review of maintenance records revealed that the most recent annual inspection was completed on March 12, 2012, at a total airframe time of 15,659.1 hours. At the time of that inspection, the engine had accumulated 549.0 hours since overhaul. The records included an entry dated May 8, 2012, which stated, “New throttle conduit and cable installed. Needs Test.” The mechanic that performed the maintenance on the throttle system stated that he had replaced the conduit but had used the same cable assembly. He noted that the conduit was in new packaging from the manufacturer, but that there was no serviceable tag for the component. Regarding the “Needs Test” notation in the log book, the mechanic stated that the owner had hover taxied the helicopter onto a trailer prior to it being transported from Kansas to South Dakota. The pilot informed the mechanic that the throttle system performed normally at that time.

Aircraft

Registration
N444EH
Reported as
Bell 47G-2
Category
Helicopter
Serial number
2421
Airframe hours
15,659.1
Engine
Lycoming VO-435, 260 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · March 12, 2012
Departed
4P3 · Flandreau, SD
Destination
PVT · Colman, SD
Airport
4P3 · Flandreau Municipal

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
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Helicopter
Medical
Class 2, With waivers/limitations
Last flight review
May 30, 2012
Seat
Left
Flight hours
4,048 total · 1,805 in this make and model · 3,591 as pilot in command · 75 in the last 90 days · 62 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
140° at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
64 °F, dew point 54 °F
Altimeter
29.97 inHg
Observed at
PQN, 13 nm away

FAA reports on this event · 1

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