CEN20CA395

NTSB accident investigation · Bell 407 · Fort Worth, TX · September 15, 2020

Accident · No injuriesClass 4 · Data collectionFinal report
Date
September 15, 2020, 16:53 local (21:53 UTC)
Place
Fort Worth, TX
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N489DMBell 407
Defining event
Landing-flare/touchdown: Hard landing
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 4 - Basic report with no Prelim publish
NTSB office
Central Region
Parties
FAA FSDO
FAA report
20200915021479A
Case key
101980

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 flight instructor’s delay in rolling the throttle to the fly position during a practice autorotation maneuver that resulted in a hard landing.

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.

Personnel issuesPersonnel issues › Task performance · Instructor/check pilotBell 407: 1 caseAll aircraft: 137 casesProbable cause
Performance/control parameters: prop/rotor parametersAircraft › Aircraft oper/perf/capability · Related operating infoBell 407: 3 casesAll aircraft: 182 casesProbable cause
Performance/control parameters: descent rateAircraft › Aircraft oper/perf/capability · Not attained/maintainedBell 407: 2 casesAll aircraft: 242 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.

Hard landingLanding-flare/touchdownBell 407: 13 casesAll aircraft: 2,102 casesDefining event

Analysis

During a routine training flight, the helicopter was in the traffic pattern practicing power recovery auto-rotations, with the pilot under training at the flight controls. During the 5th practice auto-rotation, the flight instructor reduced the throttle, and the helicopter began a normal descent. During the deceleration flare, about 75 ft above ground level, the flight instructor heard the low rotor RPM audio tone. Using a positive transfer of control, the flight instructor quickly took the flight controls. He increased the throttle to what he believed to be the “FLY” position. The helicopter settled onto a taxiway. The main rotor blades severed the vertical fins on the horizontal stabilizer, and the tail rotor driveshaft was severed. The operator reported that the pilot did not rapidly roll the throttle to the “FLY” position during the deceleration/flare, and the helicopter contacted the ground at less than 100% rotor RPM. The operator stated that there were no mechanical anomalies with the helicopter that would have precluded normal operations.

Aircraft

Registration
N489DM
Reported as
Bell 407 (No Series)
Category
Helicopter
Serial number
53619
Built
2004
Airframe hours
4,775
Engine
Rolls-Royc 250-C47B, 650 horsepower, turbo shaft
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Dea
Registered owner
Dea
Airworthiness certificate
Standard, Normal
Last inspection
Annual · September 1, 2020 · 36 hours before
Departed
AFW · Fort Worth, TX
Flight plan
Company VFR
Airport
AFW · Fort Worth
Equipment
ADS-B, Data recorder, Electronic flight bag or handheld device, 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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Flight instructor
Age
57
Injuries
None
Certificates
Airline transport, Flight instructor, Commercial
Airplane ratings
Multi-engine sea, Single-engine land
Instrument ratings
Helicopter
Medical
Class 1, With waivers/limitations
Last flight review
July 28, 2020
Seat
Left
Restraint
4-point
Flight hours
10,300 total · 912 in this make and model · 9,290 as pilot in command · 145 in the last 90 days · 85 in the last 30 days · 1 in the last 24 hours
Role
Pilot
Age
41
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine sea
Instrument ratings
Airplane, Helicopter
Medical
Class 2, Without waivers/limitations
Last flight review
May 14, 2020
Seat
Right
Restraint
4-point
Flight hours
1,017 total · 135 in this make and model · 878 as pilot in command · 129 in the last 90 days · 37 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
340° at 10 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
72 °F, dew point 61 °F
Altimeter
29.94 inHg
Observed at
AFW, 1 nm away

Docket · 2

The files NTSB released with the investigation on August 12, 2021, on NTSB’s docket system: statements, records, photos and specialists’ reports. 6.6 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.