CEN23LA199

NTSB accident investigation · Bell Helicopter Textron Canada 407 · Abbeville, LA · May 23, 2023

Accident · No injuriesClass 4 · LimitedFinal report
Date
May 23, 2023, 10:15 local (15:15 UTC)
Place
Abbeville, LA
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Emergency descent
Aircraft
N451PHBell Helicopter Textron Canada 407
Defining event
Autorotation: 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
Transportation Safety Board of Canada, Bell Flight, Transport Canada, FAA Baton Rouge FSDO
FAA report
20230523004289A
Case key
192228

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 pilot’s failure to maintain proper helicopter control during autorotation that resulted in an abnormal ground contact which caused the subsequent main rotor strike on the tail boom that severed the tail rotor driveshaft. Contributing to the accident was the main rotor blowback condition, due to the aft tilting of the main rotor disk.

Findings · 5

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.

Rotorcraft flight control: main rotor controlAircraft › Aircraft propeller/rotor · Incorrect use/operationAll aircraft: 28 casesProbable cause
Main rotor system: main rotor blade systemAircraft › Aircraft propeller/rotor · Incorrect use/operationAll aircraft: 60 casesProbable cause
Performance/control parameters: prop/rotor parametersAircraft › Aircraft oper/perf/capability · Not attained/maintainedAll aircraft: 182 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotAll aircraft: 9,295 casesProbable cause
Attention/monitoring: monitoring other personPersonnel issues › Psychological · Instructor/check pilotAll aircraft: 200 cases

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 check pilot and the pilot receiving instruction were performing initial new hire training for the commercial operator. The pilot previously performed three practice 180° autorotations, terminating with a power recovery. The pilot then performed a practice, straight-in, full down autorotation to touchdown on the sod area parallel to the runway. During the touchdown, the two pilots heard a “loud bang.” The helicopter came to rest upright on the sod area and both pilots were able to egress from the helicopter without further incident. A postflight inspection revealed that the main rotor blades struck the tail boom, severing the tail rotor driveshaft. The main rotor blades, the tail boom, and the tail rotor system sustained substantial damage. The operator reported there were no preimpact mechanical malfunctions or failures with the airframe or the engine that would have precluded normal operation. According to another helicopter manufacturer, main rotor blowback occurs when the forward portion of the helicopter’s main rotor disk is displaced upward, while the rear portion of the main rotor disk is displaced downward. If the resulting blowback is excessive, the main rotor blades may impact the tail boom. A review of the accident helicopter rotorcraft flight manual (RFM) found no information listed to provide awareness to pilots about the main rotor blowback condition.

Aircraft

Registration
N451PH
Reported as
Bell Helicopter Textron Canada 407 (NO SERIES)
Category
Helicopter
Serial number
54127
Built
2012
Airframe hours
9,305.86
Engine
Rolls-Royce 250-C47B, 675 horsepower, turbo shaft
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Phi Aviation LLC, doing business as PHI, Inc.
Registered owner
Phi Aviation LLC
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · May 20, 2023
Departed
LFT · Lafayette, LA
Destination
Same as departure
Flight plan
Company VFR
Airport
IYA · Abbeville Chris Crusta Meml, runway 34, 5,000 × 75 ft, grass/turf
Equipment
Data recorder, Auto-pilot, ADS-B, Satellite tracking device, Video recording device

Flight crew · 2

As NTSB recorded them. NTSB leaves out names.

Role
Check pilot
Age
31
Injuries
None
Certificates
Commercial, Flight instructor
Instrument ratings
Helicopter
Medical
Class 1, Without waivers/limitations
Last flight review
December 4, 2022
Seat
Left
Restraint
4-point
Flight hours
1,689 total · 714 in this make and model · 1,602 as pilot in command · 35 in the last 90 days · 20 in the last 30 days · 1 in the last 24 hours
Role
Pilot
Age
41
Injuries
None
Certificates
Commercial, Flight instructor
Instrument ratings
Helicopter
Medical
Class 1, Without waivers/limitations
Last flight review
May 23, 2023
Seat
Right
Restraint
4-point
Flight hours
1,800 total · 8 in this make and model · 1,500 as pilot in command · 8 in the last 90 days · 8 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
81 °F, dew point 59 °F
Altimeter
29.96 inHg
Observed at
KIYA
METAR
KIYA 231515Z AUTO 00000KT 10SM CLR 27/15 A2996 RMK AO2 T02720148

Docket · 4

The files NTSB released with the investigation on July 27, 2023, on NTSB’s docket system: statements, records, photos and specialists’ reports. 8.1 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.