CHI03LA217

NTSB accident investigation · Enstrom F-28C · Waverly, IA · July 20, 2003

Accident · No injuriesLimited investigationFinal report
Date
July 20, 2003, 08:30 local (13:30 UTC)
Place
Waverly, IA
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N51699Enstrom F-28C
Weather
Visual (VMC) · Day
Status
Completed · report June 30, 2004
Report
Approved by Office Director
Parties
Federal Aviation Administration, Enstrom Helicopter Corporation
FAA report
20030720036789A
Case key
57556

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 main rotor blade push-pull rods being corroded, sustaining fatigue, and separating in cruise and the main rotor blade contacting the tail boom during the emergency landing. Factors were the diminished aircraft control and the vibrations encountered during flight after the rod separation.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Rotor failure/malfunctionCruise
Condition(s)/step(s) not listedManufacturer
Rotor system,main rotor tension torsion bar - corrodedCause
Aircraft control - diminishedFactor
Rotor system,main rotor tension torsion bar - fatigueCause
Rotor system,main rotor tension torsion bar - separationCause
Rotor system,main rotor blade - vibrationFactor
Forced landingEmergency landing
Rotor system,main rotor - otherCause

Analysis

The helicopter sustained substantial damage when the main rotor blade impacted the tail boom during a forced landing. The helicopter experienced in-flight vibrations prior to the forced landing. The pilot stated that the helicopter experienced extreme vibration in-flight at 200 feet above ground level. He said that helicopter control was "10% to nil." An examination revealed that one of three Push-Pull Rod Assemblies, part number 28-16253-1, was found corroded and separated. The operator's fleet of aircraft was examined and four other control rods were found with corrosion. Examination of the rod with the separation from the accident helicopter at the National Transportation Safety Board's Materials Laboratory revealed that "most of the fracture areas were on a plane that was nearly perpendicular to the longitudinal axis of the rod, indicative of a brittle fracture mechanism such as fatigue cracking." The pilot stated, "Pitch control rod has no inspection procedure at this time. It rusted from inside and not visible from outside." Subsequent to the accident, Enstrom issued Service Directive Bulletin (SDB) No. 0096. The bulletin directs visual inspection of control rods with part number 28-16253-1 and 28-16253-101 according to their time in service on F-28A, F-28C, F-28F, 280, 280C, 280F, and 280FX helicopters.

Factual narrative

On July 20, 2003, about 0830 central daylight time, an Enstrom F-28C helicopter, N51699, piloted by a commercial pilot, sustained substantial damage when the main rotor blade impacted the tail boom during a forced landing near Waverly, Iowa. The helicopter experienced in-flight vibrations prior to the forced landing. The sightseeing flight was operating under 14 CFR Part 91. Visual meteorological conditions prevailed at the time of the accident. No flight plan was on file. The pilot and two passengers were uninjured. The local flight originated from Waverly Municipal Airport, near Waverly, Iowa.

The pilot stated:

Flying with two passengers. Notice small [vibration] and about one

minute later, extreme vibration 200 ft [above ground level] over

trees and houses. [Initiated] emergency landing to parking lot.

Vibration very extreme, if seat belts were not on it would have

thrown occupants from aircraft. Control 10% to nil. Vibration was

so bad that visibility was poor to none. Touchdown was not hard

but #1 blade was flopping about and struck tail, damage to blade and

tail cone. If we would have been over 200 [feet above ground level] this

would have certainly been more serious.

The Federal Aviation Administration and helicopter manufacturer performed an examination of the accident helicopter. The examination revealed that one of three Push-Pull Rod Assemblies, part number 28-16253-1, was found with a separation. The internal surface of that rod assembly was found corroded. Another rod assembly was disassembled and was found to contain a liquid. The helicopter's third rod assembly was disassembled. No anomalies were found with that third rod assembly. The operator's fleet of aircraft was examined and four other control rods were found with corrosion.

The two rods from the accident helicopter were sent to the National Transportation Safety Board's Materials Laboratory for examination. The laboratory produced Materials Laboratory Factual Report number 03-085. Excerpts from the report stated:

Visual examination of the fractured rod portion showed the

presence of substantial rust-colored corrosion deposits on the inside

of the rod adjacent to the fracture. These deposits extended over a

distance of about 2 inches above the fracture location. The corrosion

damage had thinned the wall of the rod adjacent to the fracture, and

in some areas the corrosion appeared to penetrate nearly through the

wall thickness to the exterior surface of the rod. ... Examination of the

fracture areas on the larger portion of the broken rod after ultrasonic

cleaning in acetone revealed that most of the fracture areas were on a

plane that was nearly perpendicular to the longitudinal axis of the rod,

indicative of a brittle fracture mechanism such as fatigue cracking.

Concerning the pitch control push-pull rod assemblies, the pilot stated:

Pitch control rod has no inspection procedure at this time. It rusted

from inside and not visible from outside. Must remove both pitch

control ends and visually check inside tube.

Subsequent to the accident, Enstrom issued Service Directive Bulletin (SDB) No. 0096. The bulletin directs visual inspection of control rods with part number 28-16253-1 and 28-16253-101 according to their time in service on F-28A, F-28C, F-28F, 280, 280C, 280F, and 280FX helicopters. Excerpts from the bulletin compliance section stated:

Within ten (10) hours time in service or at the next annual inspection,

which ever occurs first, review the aircraft maintenance records to

determine the date "new" main rotor push-pull rods were installed

in the aircraft. If the installation date for "new" main rotor push-pull

rods can not be determined from the maintenance records, use

the aircraft "DATE MFD." found on the aircraft data plate.

For main rotor push-pull rods (P/N 28-16253-1 or -101) in service for

more than twenty (20) years, inspect the push-pull rods in

accordance with (IAW) paragraph 5.1 of this SDB within ten (10)

hours time in service or at the next annual inspection, which ever

occurs first.

For main rotor push-pull rods (P/N 28-16253-1 or -101) in service

between ten (10) years and twenty (20) years, inspect the push-pull

rods IAW with paragraph 5.1 of this SDB within fifty (50) hours time

in service or at the next annual inspection, which ever occurs first.

For main rotor push-pull rods (28-16253-1 or -101) in service less

than ten (10) years, inspect the push-pull rods IAW paragraph 5.1 of

this SDB before the push-pull rods reach ten (10) years time in service.

Aircraft

Registration
N51699
Reported as
Enstrom F-28C
Category
Helicopter
Serial number
416
Airframe hours
3,100
Engine
Lycoming HIO360E1AD, 205 horsepower, reciprocating
Damage
Substantial damage
Flight
Aerial observation · Part 91
Registered owner
P and N Corp
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 6, 2003 · 20 hours before
Departed
C25 · Waverly, IA
Destination
C25

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
60
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Last flight review
March 2, 2003
Seat
Left
Flight hours
45,000 total · 8,000 in this make and model · 45,000 as pilot in command · 200 in the last 90 days · 8 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
290° at 7 knots
Visibility
5 statute miles
Temperature
75 °F, dew point 70 °F
Altimeter
29.93 inHg
Observed at
ALO, 12 nm away

FAA reports on this event · 1

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

Other investigations on N51699 · 1

Matched to the same aircraft by N-number and date.