CEN22LA258

NTSB accident investigation · Eurocopter Deutschland EC 135 P2+ · Waukesha, WI · June 18, 2022

Accident · No injuriesClass 3 · LimitedFinal report
Date
June 18, 2022, 17:10 local (22:10 UTC)
Place
Waukesha, WI
Injuries
4 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N226SAEurocopter Deutschland EC 135 P2+
Defining event
Initial climb: Part(s) separation from AC
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
Airbus Tech Advisor to BFU, Metro Aviation, BFU Accredited Representative, FAA FSDO
FAA report
20220618021819A
Case key
105286

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 separation and subsequent ingestion of the fenestron fairing cover into the fenestron blades for undetermined reasons.

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.

Tail rotorAircraft › Aircraft propeller/rotor · Unknown/Not determinedEurocopter Deutschland EC 135 P2+: 3 casesAll aircraft: 23 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

After takeoff during an air medical flight, about 150 ft above ground level (agl), the pilot heard a "thump,” and the helicopter pitched up. The pilot immediately executed an emergency landing, and all occupants exited the helicopter uninjured. The helicopter sustained substantial damage to the fenestron blades. Examination of the helicopter at the accident site revealed that the fairing cover was missing from fenestron assembly and was found fragmented about 600 ft in all directions. There was no evidence of a bird strike. The fairing cover fragments that were found showed damage consistent with ingestion into the rotating blades of the fenestron. All attachment hardware for the cover were accounted for and showed no evidence of preaccident failure. The damage to the fenestron housing was consistent with object ingestion. No preaccident failures or malfunctions were found with the fenestron body, fenestron blades, gearbox, or fenestron drive. The helicopter flew about 5.8 hours without incident after the most recent maintenance of the fenestron and no uncorrected maintenance anomalies were found in the maintenance logbooks. The reason for the separation and subsequent ingestion of the fenestron fairing cover into the fenestron blades could not be determined.

Factual narrative

On June 18, 2022, about 1710 central daylight time, a Eurocopter Deutschland Gmbh EC-135 P2+ helicopter, N226SA, sustained substantial damage when it was involved in an accident near Waukesha, Wisconsin. The pilot and 3 passengers were not injured. The helicopter was operated as a Title 14 Code of Federal Regulations Part 135 air medical flight. According to the operator, the pilot received a flight request for an inter-facility transfer flight. The intended route of flight was from the aircraft's primary base at Waukesha County Airport (UES) to pick up a patient at Aurora Lakeland Medical Center, Elkhorn, Wisconsin, and transport them to Children's Hospital of Wisconsin, Milwaukee, Wisconsin. After departing from UES when the helicopter about 150 ft agl, the pilot heard a thump, and the helicopter pitched up. The pilot immediately executed an emergency landing, and all occupants exited the helicopter uninjured. The pilot had full control of the helicopter during the emergency landing. The helicopter sustained substantial damage to the fenestron blades. The accident site was situated over a large area adjacent to a concrete ramp and taxiway. The fairing cover was missing from fenestron assembly. Debris was found about 600 ft in all directions. The debris consisted of fenestron fairing (hub cover) fragments, composite fragments from the fenestron body, attachment bolts, and brackets. Some debris was found on top of a one-story hangar rooftop. Small fragments of the fairing cover were found scattered on the ramp and the top of the one-story hangar. Larger fragments of the fairing cover were found wedged between the fenestron housing and the fenestron blades. The fairing fragments that were found showed damage consistent with ingestion into the rotating blades of the fenestron. There was no evidence of a bird strike present. After an extensive search of the accident area, investigators were unable to identify any foreign debris that might have come into contact with the cover before its separation. Other than the fenestron fairing cover and fenestron housing, the entire helicopter (airframe and engine) had no other damage or missing hardware/components. The fenestron blades within the fenestron housing were found attached with no evidence of malfunction. The fenestron blades and the inside of fenestron housing were impact damaged, consistent with ingestion of the fragments from the fenestron fairing cover. No evidence of preaccident malfunctions of the fenestron housing, blades, gearbox, or drive were found. No improper maintenance anomalies were found with the fenestron assembly. Along with multiple fragments of the fenestron fairing cover, five of the fenestron fairing cover attachment bolts were found attached to their respective brackets, and all were torqued. A sixth bolt was not found; however, a portion of the sixth bolt’s bracket was found embedded in a faring cover fragment, consistent with the bolt being attached before the accident. Allfaring cover attachment hardware was accounted for and showed no evidence of preaccident material failure. On an exemplar fenestron assembly, a security test of the fenestron fairing cover was conducted with various combinations of retaining bolts and clips. The fairing cover was attached to the exemplar fenestron assembly with six attachment bolts, brackets, and anchors. The hub cover was secure. Two of the bolts were removed, and the fairing cover remained secure. Two more bolts were removed, and with only two bolts remaining, and the fairing cover remained secure. The helicopter flew about 5.8 hours without incident after the most recent maintenance of the fenestron. Since the fenestron maintenance, numerous daily maintenance checks and pilot prefights were conducted, with no unresolved items or anomalies. No uncorrected maintenance anomalies were found in the maintenance logbooks. There were six historical events involving the fenestron faring cover separating from the same model helicopter. All six events were related to FOD ingestions that caused the fenestron fairing cover to separate.

Aircraft

Registration
N226SA
Reported as
Eurocopter Deutschland EC 135 P2+
Category
Helicopter
Serial number
0559
Built
2007
Airframe hours
5,538
Engines
P&W Canada PW206B2, 431 horsepower, turbo shaftP&W Canada PW206B2, 431 horsepower, turbo shaft
Damage
Substantial damage
Flight
Other work use · Part 135
Operator
Metro Aviation INC
Registered owner
Bennett Aviation LLC
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · June 17, 2022 · 5.8 hours before
Departed
Wauksha, WI
Destination
0W13 · Elkhorn, WI
Flight plan
Company VFR
Airport
UES · Waukeska County Airport
Equipment
Video recording device, Satellite tracking device, Onboard weather, Electronic multifunction display, Electronic flight bag or handheld device, Auto-pilot, ADS-B

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
Certificates
Commercial, Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 2, With waivers/limitations
Last flight review
March 23, 2022
Seat
Right
Restraint
4-point
Flight hours
6,390 total · 663 in this make and model · 12 in the last 90 days · 3 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
80° at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
66 °F, dew point 36 °F
Altimeter
30.28 inHg
Observed at
UES

FAA reports on this event · 1

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