CEN14LA222

NTSB accident investigation · Hughes 269A · Cleburne, TX · April 25, 2014

Accident · Minor injuriesLimited investigationFinal report
Date
April 25, 2014, 14:30 local (19:30 UTC)
Place
Cleburne, TX
Injuries
2 minor
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N90636Hughes 269A
Defining event
Maneuvering-hover: Low altitude operation/event
Weather
Visual (VMC) · Day
Status
Completed · report October 27, 2014
Report
Approved by Office Director
NTSB office
Central Region
Parties
Federal Aviation Administration, Sikorsky Aircraft Corp.
FAA report
20140425017819A
Case key
89129

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 student pilot's failure to maintain tail rotor clearance from terrain while transitioning to a hover taxi and the instructor pilot's inadequate remedial action to prevent the impending tail rotor contact.

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.

Use of equip/info: use of equip/systemPersonnel issues › Task performance · Student/instructed pilotHughes 269A: 2 casesAll aircraft: 1,391 casesProbable cause
Action: lack of actionPersonnel issues › Action/decision · Instructor/check pilotHughes 269A: 1 caseAll aircraft: 792 casesProbable cause
Performance/control parameters: altitudeAircraft › Aircraft oper/perf/capability · Not attained/maintainedHughes 269A: 2 casesAll aircraft: 1,310 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 student pilot was air taxiing the helicopter with an instructor pilot on board. When the student pilot slowed to a hover taxi, the helicopter began bucking violently fore and aft. The helicopter descended and came to rest on its side. A postaccident examination of the wreckage and accident site revealed ground scars consistent with main and tail rotor blade strikes, which were consistent with the aft left skid and tail rotor contacting the ground while the helicopter was moving aft. A helicopter is customarily pitched with its tail low when the pilot performs a quick stop from an air taxi. Tail rotor drive shaft deformation was consistent with the tail rotor blade contacting the ground while being driven. No preimpact anomalies were detected that would have precluded normal operation of the helicopter. The evidence indicates that the student pilot allowed the tail rotor and aft skid to contact the ground as the helicopter slowed during the transition to hover taxi. The instructor did not anticipate the situation or intervene in a timely manner, which resulted in an uncontrolled descent and rollover.

Factual narrative

On April 25, 2014, about 1430 central daylight time, a Hughes 269A helicopter, N90636, impacted terrain following a descent from a hover taxi at the Cleburne Regional Airport (CPT), near Cleburne, Texas. The flight instructor and student pilot sustained minor injuries. The helicopter sustained substantial fuselage and main rotor damage. The helicopter was registered to and operated by a private individual under the provisions of 14 Code of Federal Regulations Part 91 as an instructional flight. Day visual flight rules conditions prevailed for the flight, which did not operate on a flight plan. The local flight originated from CPT about 1230. According to the student pilot's accident report, he was flying the helicopter in an "air taxi" and slowed to a "hovering taxi." The helicopter began bucking violently fore and aft. He indicated that the helicopter descended and came to rest on its side on the ground. A statement from the flight instructor, in part, said: I have read [the student pilot's] statement and agree with it. I have no recollection of the beginning but, I remember seeing and feeling being shaken and stirred, violently, then being helped out of the aircraft. At 1435, the recorded weather at CPT was: Wind 120 degrees at 11 knots; visibility 10 statute miles; sky condition clear; temperature 28 degrees C; dew point 6 degrees C; altimeter 30.00 inches of mercury. A Federal Aviation Administration inspector examined the wreckage and took pictures of the accident site. According to the orientation of ground scars, the direction the helicopter was heading was about 145 degrees. The ground scars were on a ramp where there were buildings to the east and southeast of the accident site. The observed ground scars were consistent with main rotor blade and tail rotor blade strikes. A safety investigator from the helicopter manufacturer examined the photographs. According to the manufacturer's investigator, the ground scars from the main rotor and tail rotor blades and the helicopter damage are consistent with the aft left skid contacting the ground while the aircraft was moving aft. A helicopter is customarily pitched tail low when a quick stop from an air taxi is performed. Main rotor blade ground scars were to the left and aft of the fuselage. A torsional deformation of the tail rotor drive shaft is visible at the forward end of the tail boom consistent with the tail rotor blade contact the ground while being driven. The on-scene examination and review of photographs did not reveal any pre-impact anomalies that would have precluded normal operation of the helicopter.

Aircraft

Registration
N90636
Reported as
Hughes 269A
Category
Helicopter
Serial number
570708
Built
1967
Airframe hours
3,733
Engine
Lycoming HIO-360-A1A, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 24, 2014
Departed
CPT · Cleburne, TX
Destination
CPT · Cleburne, TX
Airport
CPT · Cleburne Rgnl

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
84
Injuries
Minor
Certificate
Flight instructor
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 2, With waivers/limitations
Seat
Left
Restraint
3-point
Flight hours
17,180 total · 16,475 as pilot in command
Role
Student pilot
Age
32
Injuries
Minor
Certificate
Student
Medical
Class 3, Without waivers/limitations
Seat
Right
Restraint
3-point
Flight hours
90 total · 14 in this make and model · 18 as pilot in command · 30 in the last 90 days · 8 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
120° at 11 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
82 °F, dew point 43 °F
Altimeter
30.00 inHg
Observed at
KCPT

Docket · 9

The files NTSB released with the investigation on August 20, 2014, on NTSB’s docket system: statements, records, photos and specialists’ reports. 12.5 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.