CHI04LA032

NTSB accident investigation · Hughes TH-55A · West Lafayette, IN · November 18, 2003

Accident · Serious injuriesLimited investigationFinal report
Date
November 17, 2003, 21:05 local (Nov 18, 2003, 02:05 UTC)
Place
West Lafayette, IN
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N9240DHughes TH-55A
Weather
Visual (VMC) · Night/dark
Status
Completed · report June 8, 2005
Report
Approved by Office Director
Parties
Federal Aviation Administration, Schweizer Aircraft
FAA report
20031117035459A
Case key
58441

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 fractured cluster fitting resulting in a loss of directional control during initial climb and the improper repair of cluster fitting by unknown personnel. The night conditions were a contributing factor.

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.

Airframe/component/system failure/malfunctionTakeoff - initial climb
Maintenance,major repair - improperUnknownCause
Misc rotorcraft,tail pylon - fracturedCause
Forced landingEmergency landing after takeoff
Autorotation
In flight collision with terrain/waterEmergency landing after takeoff
Light condition - dark nightFactor
Terrain condition - ground

Analysis

The helicopter received substantial damage on impact with terrain. The pilot reported he lost directional control and heard a "pop" during climb after takeoff. He then regained directional control and executed an autorotation in night meteorological conditions. Examination of the tail boom right cluster fitting by National Transportation Safety Board metallurgists revealed features consistent with an overload fracture in addition to a preexisting crack. The fracture area contained weld material in the heat treated structure. According to the manufacturer, weld repairs were not allowed in this area. A review of maintenance logs did not reveal any entries pertaining to the welding of the cluster fitting.

Factual narrative

On November 17, 2003, at 2105 eastern standard time, a Hughes TH-55A, N9240D, piloted by a private pilot, was substantially damaged during an emergency landing after takeoff from a private helipad located about 3.8 nautical miles northwest of Purdue University Airport (LAF), Lafayette, Indiana. The pilot reported a loss of directional control while climbing through 400 feet above ground level (AGL) at 45 knots. Night visual meteorological conditions prevailed at the time of the accident. The 14 CFR Part 91 personal flight was not operating on a flight plan. The pilot received serious injuries. The flight was originating at the time of the accident and was en route to LAF.

The pilot stated that he departed for LAF to perform night take-off and landings for "night qualifications." About 400 feet AGL and 45 knots, "it felt as if someone had grabbed the tail and pulled it to the right, then pushed it to the left." He then heard a "pop" as though the cabin was struck with an open hand. This sound was followed by sound comparable to "numerically controlled milling machines... Instantly, I was in a very rapid rotation to the right." Everything was black except a few lights along 475 west, which flashed like strobe lights with each rotation. He stated that the lighted panel helped him focus on the rotor rpms. There were no warning lights.

He stated that he dropped collective and rolled the throttle into the override position in order to stop spinning. He stated that letting the throttle off of the override immediately sent him into a right spin. He then rolled the throttle back into the override position, which immediately arrested the rotation. During the descent, he let the engine out of override and pulled full collective after the landing light began to illuminate the ground,

The 1988 Hughes TH-55A, serial number 67-15414, helicopter was purchased from the military through the Defense Reutilization and Marketing Service on January 22, 1996. According to the Federal Aviation Administration (FAA) inspector, there were at least two civilian owners since the helicopter's conversion to civilian use.

Inspection of the helicopter by a FAA inspector revealed the tail boom right cluster fitting was fractured. A piece of the right tail boom attachment fitting and two pieces of the right rear cluster fitting clevis were sent to the National Transportation Safety Board (NTSB) Materials Laboratory for examination.

According to the NTSB Materials Laboratory Factual Report, which is available in the docket of this report, the tail boom attachment fitting was bent in the inboard direction of the helicopter. The fracture face displayed a rough grainy surface, features consistent with a bending overload event, and an angular change of the surface, consistent with a shear lip, along the upper inboard edge.

The pieces of the right rear cluster fitting were portions of the lugs from the tail boom support strut clevis. The fracture face on the upper lug of the clevis revealed a rough textured surface consistent with an overload event and no indications of any deformation at the edges. Much of the perimeter of the fracture face was darker than the interior of the fracture. Scanning electron microscope examination of the fracture face revealed the surface features consisted of a mixture of ductile dimples and cleavage. (Ductile dimples are an indication of overstress fracture and are cuplike depressions created as a result of microvoid coalescence; cleavage is a brittle fracture mode that progresses on preferred planes within individual crystals in the microstructure). Measurements revealed the upper piece of the clevis had a thickness of 0.080 inches and is identified as 'thin lug' or 'BSC' fittings that range in thickness between 0.070 - 0.110 inches. Later versions or the cluster fittings are identified as 'thick lug' fittings and range in thickness between 0.115 - 0.155 inches.

The lower lug consisted of a flat lug portion, similar to the upper piece, with a small portion of the vertical web, located on the inboard side of the cluster fitting. The fracture progressed through both the lug portion and the vertical web portion. The lug portion was severely bent in the upward direction adjacent to the lug fracture. In this area, two small portions were partially separated from the parent piece and also bent upwards. Examination of the fracture face revealed a darker perimeter region similar to what was observed on the upper lug.

The vertical web had been weld repaired in the fracture area, and fracture features were found only in two zones that covered less than half of the cross section of the vertical web piece. The remainder of the web surface had a smooth weld surface that did not contain any fracture features. The upper fracture zone displayed blue coloration and the lower displayed brown coloration. A sphere of weld material was found on the fracture surface between the two fracture zones. Hardness measurements were taken and found to have an average Hardness, Rockwell "B" scale of 57 (equivalent to a tensile strength of 291,000 psi).

Examination of the lug portion of the lower clevis lug revealed evidence of a welding arc strike on the underside that displayed an annular shape with a depressed porous center that could be produced by a welding rod using the shielded metal arc welding (SMAW) process.

According to the manufacturer, the cluster fitting, fitting fuse, and frame joint is specified in design as a 4130 steel casting. The fitting is to be heat treated. The fitting is to be heat treated to HRB 88 to Rockwell "C" scale of 27 (equivalent to a tensile strength of 85,000 - 126,000 psi). Specified weld repairs are allowed on the tube sockets only.

According to the FAA inspector, a review of the helicopter's maintenance logs revealed no entries pertaining to welding of the cluster fitting.

Aircraft

Registration
N9240D
Reported as
Hughes TH-55A
Category
Helicopter
Serial number
67-15414
Airframe hours
3,305.1
Engine
Lycoming HIO360-BIA, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Dennis G. Lockrey
Registered owner
Adxastra Capital Assets, LLC
Airworthiness certificate
Standard, Normal
Last inspection
Annual · January 27, 2003 · 47.3 hours before
Departed
PVT · West Lafayette, IN
Destination
LAF · Purdue Airport, IN

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
52
Injuries
Serious
Certificates
Flight instructor, Commercial, Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Last flight review
January 31, 2002
Seat
Left
Flight hours
1,560 total · 132 in this make and model · 1,460 as pilot in command · 43 in the last 90 days · 16 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night/dark
Wind
150° at 9 knots
Visibility
6 statute miles
Lowest ceiling
3,700 ft broken
Temperature
55 °F, dew point 50 °F
Altimeter
29.93 inHg
Observed at
LAF, 4 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.