CEN18LA115

NTSB accident investigation · Messerschmitt-Bolkow-Blohm BK 117 B-2 · Sheboygan, WI · March 5, 2018

Accident · No injuriesLimited investigationFinal report
Date
March 4, 2018, 23:24 local (Mar 5, 2018, 05:24 UTC)
Place
Sheboygan, WI
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N1174UMesserschmitt-Bolkow-Blohm BK 117 B-2
Defining event
Approach: Sys/Comp malf/fail (non-power)
Weather
Visual (VMC) · Night
Status
Completed · report May 29, 2019
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA, Air Methods Corporation
FAA report
20180304001429A
Case key
96824

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 restricted cyclic control movement for reasons that could not be determined because postaccident examination and testing of the cyclic control system did not reveal any evidence of mechanical malfunctions or failures that would have precluded normal operation.

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.

Not determinedNot determined › Not determined · Unknown/Not determinedMesserschmitt-Bolkow-Blohm BK 117 B-2: 1 caseAll aircraft: 2,247 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

Before departure on the air ambulance flight, standard flight control and hydraulic transfer checks were performed with no anomalies noted with the flight controls. The helicopter’s hover, departure, and cruise were normal. During his approach to the hospital, the pilot started a slow descent using the collective and performed the before landing checks; all systems were normal. However, when attempting to decelerate from cruise speed, the pilot noticed restricted cyclic control movement, about 1 inch in any direction, with normal collective and yaw control movement. He then chose to abort the descent and execute a precautionary landing at a nearby airport. During the short flight to the airport, the pilot cycled the hydraulic test switch twice with no change noted to his flight controls. During the approach to land, the pilot held the cyclic trim switch aft in an attempt to gain additional aft cyclic authority. With continuous cyclic pressure against the aft stop, the pilot was able to slow the helicopter to 80 knots on final approach. The helicopter touched down near the runway centerline, skidded about 500 ft, exited the runway surface, and came to rest upright. The helicopter sustained substantial damage to the main rotor blades and fuselage structure. Postaccident examination of the helicopter’s flight control system, including the trim system, did not reveal any evidence of malfunctions or failures that would have precluded normal operations. The cyclic trim was found in the full forward and left position. The flight control dual hydraulic pack was functionally tested on the helicopter and at a repair facility with no anomalies noted. Thus, the reason for the restricted cyclic control movement could not be determined.

Factual narrative

On March 4, 2018, about 2324 central standard time, a Messerschmitt-Bolkow-Blohm BK 117 B-2 helicopter, N1174U, operated by Air Methods Corporation, Englewood, Colorado, sustained substantial damage during a hard landing at Sheboygan County Memorial Airport (SBM), Sheboygan, Wisconsin. The commercial pilot, flight nurse, and flight paramedic were not injured. The flight was operated under the provisions of Title 14 Code of Federal Regulations Part 135 as a helicopter air ambulance flight. Night visual meteorological conditions prevailed at the time of the accident, and a flight plan was not filed for the flight that departed about 2257, from Fond du Lac, Wisconsin. The flight was destined for the HSHS St. Nicholas Hospital, Sheboygan, Wisconsin. According to the pilot, prior to departure from Fond du Lac, standard flight control and hydraulic transfer checks were performed, and no anomalies noted with the flight controls; the hover and departure were normal. The pilot, who was wearing night vision goggles, climbed the helicopter to 2,500 ft above ground level (agl) and accelerated to 125 knots indicated airspeed. Approaching the hospital, the pilot started a slow descent utilizing the collective and performed the before landing checks; all systems were normal. When attempting to decelerate from cruise speed, the pilot noticed restricted cyclic control movement, about 1 inch in any direction, with normal collective and yaw control. He then elected to abort the descent and execute a precautionary landing at SBM, located about 6 miles west of the hospital. During the short flight to SBM, the pilot cycled the hydraulic test switch twice, which was located on the cockpit overhead panel, with no change noted to his flight controls. In addition, he asked the flight paramedic, who was seated in the left seat, to check if any circuit breakers were popped, verify systems were in normal operational ranges, and no cautions or advisory lights were illuminated. All circuit breakers and systems were normal with no anomalies noted. The pilot initially flew an approach to runway 22; however, due to being too high and fast, he elected to circle to land on runway 13, which provided a more favorable quartering headwind. During the runway 22 approach and circle to land to on runway 13, the pilot held the cyclic trim switch aft in an attempt to gain additional aft cyclic authority. With continuous cyclic pressure against the aft stop, the pilot was able to slow the helicopter to 80 kts on final approach. The helicopter touched down near runway centerline, skidded about 500 ft, exited the runway surface, and came to rest upright. During the landing, the helicopter's top wire strike protection system was separated due to contact by the main rotor blades, and the landing gear skids were partially collapsed. One main rotor blade had a portion of the blade skin and core separated, and all the blades sustained leading edge damage. Postaccident examination of thehelicopter's showed the cyclic trim position was found in the full forward and left position. Examination of the flight control system, to include the trim system, revealed no anomalies that would have precluded normal operations. The flight control dual hydraulic pack was functionally tested on the helicopter with no anomalies noted. The pack was removed from the helicopter for further examination and testing. On April 5, 2018, under the supervision of a Federal Aviation Administration (FAA) inspector, the helicopter cyclic control trim system switch and motors were tested about 50 times in each direction of full travel and from the neutral positions. No anomalies were noted during the tests. On April 16, 2018, under the supervision of FAA inspectors at Air Methods Corporation, which was an approved component overhaul facility, the dual hydraulic pack was tested in accordance with repair manual REM 401-04-22 Dual Hyd-Pack Final Work/Test procedure. No anomalies were noted during the examination or test procedures. A review of the aircraft maintenance logbook revealed no reports of control problems or recent maintenance to the flight control system. According to the helicopter flight manual should a hydraulic system caution light illuminate, the hydraulic test switch should not be operated in-flight, but remain in the [normal] position.

Aircraft

Registration
N1174U
Reported as
Messerschmitt-Bolkow-Blohm BK 117 B-2
Category
Helicopter
Serial number
7146
Built
1988
Airframe hours
8,613
Engines
Honeywell LTS-101, 675 horsepower, turbo shaftHoneywell LTS-101, 675 horsepower, turbo shaft
Damage
Substantial damage
Flight
Part 135
Operator
Air Methods Corporation
Registered owner
Milwaukee Regional Medical Center Inc
Airworthiness certificate
Standard, Transport
Last inspection
AAIP · February 15, 2018
Departed
FLD · Fond du Lac, WI
Destination
SBM · Sheboygan, WI
Airport
SBM · Sheboygan County Memorial, runway 13, 5,002 × 75 ft, asphalt
Equipment
Electronic flight bag or handheld device, Electronic multifunction display, Satellite tracking device

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
57
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Helicopter
Medical
Class 2, With waivers/limitations
Last flight review
June 5, 2017
Seat
Right
Restraint
4-point
Flight hours
5,684 total · 84 in this make and model · 3,746 as pilot in command · 18 in the last 90 days · 8 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night
Wind
110° at 9 knots, gusting 18
Visibility
10 statute miles
Lowest ceiling
None
Temperature
36 °F, dew point 25 °F
Altimeter
30.34 inHg
Observed at
SBM

Docket · 9

The files NTSB released with the investigation on November 6, 2018, on NTSB’s docket system: statements, records, photos and specialists’ reports. 9.5 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.