CHI97FA149

NTSB accident investigation · Bell 206L3 · Boise, ID · May 27, 1997

Accident · No injuriesField investigationFinal report
Date
May 27, 1997, 11:10 local (18:10 UTC)
Place
Boise, ID
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N35CHBell 206L3
Weather
Visual (VMC) · Day
Status
Completed · report April 10, 1998
Report
Approved by Office Director
FAA report
19970527012009A
Case key
10427

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 improper torque meter installation by maintenance personnel, attempting flight with known discrepancies by the pilot-in-command and the check airman, and an improper autorotation by the pilot-in-command with improper oversight of the autorotation maneuver by the check airman.

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/malfunctionManeuvering
Throttle/power lever,push/pull rod - binding(mechanical)
Maintenance,modification - inadequateOther maintenance personnelCause
Operation with known deficiencies in equipment - attemptedPilot in commandCause
Operation with known deficiencies in equipment - attemptedFaa inspectorCause
Hard landingManeuvering
Autorotation - inadequatePilot in commandCause
Supervision - inadequateFaa inspectorCause

Analysis

The pilot was executing an autorotation maneuver for a FAR Part 135 flight check. This autorotation maneuver was to be a 180-degree reversal autorotation to a predetermined spot landing with a power termination. The pilot executed the maneuver, but during the level-off received a low RPM warning horn, and attempted to recover using power. During the attempt to increase power the helicopter's throttle interfered with a nut which had been installed for an external torque meter approximately one week before the accident. The nut on the torque meter installation interfered with the throttle controls in certain positions only. A discrepancy with the helicopter's throttle was noticed by the pilot-in-command, and reported to the FAA examiner before the beginning of the flight check.

Factual narrative

History of flight

On May 27, 1997 at 1110 mountain standard time (mst), a Bell 206L3, N35CH, was substantially damaged during an autorotation maneuver. The pilot was executing the maneuver during a Federal Aviation Administration (FAA) FAR Part 135 flight check when the accident occurred. The pilot had just completed two autorotation maneuvers, and this autorotation maneuver was to be a 180 degree reversal autorotation to a predetermined spot landing with a power termination. The pilot executed the maneuver, but during the level off received a low RPM warning horn. The pilot attempted to increase engine power using the throttle on the collective, but was not able to attain maximum engine RPM. The helicopter impacted hard with the taxiway, causing structural skin damage to the tail boom. The airline transport pilot and two FAA inspectors were uninjured in the accident. The 14 CFR Part 91 flight was operating in visual meteorological conditions, and no flight plan had been filed.

Tests and research

The investigator in charge (IIC) examined the helicopter on May 29, 1997. Prior to the IIC arriving, the helicopter's tail boom and interior had been removed from the helicopter. With the interior removed from the helicopter the collective and throttle controls were moved throughout their full range of travel. With the collective control near its maximum rotor blade angle position the throttle linkage would bind with a nut when it reached the mid throttle position. If the collective was cycled with the throttle in the idle position no binding would occur.

The helicopter had been modified to incorporate an external torque meter which was placed on the helicopter in view of the pilot. This torque meter was installed to aid the pilot while conducting external lifting operations. The major repair and alteration paper work (FAA Form 337), indicated an installation date of May 23, 1997. It was a nut from the installation of this torque meter which interfered with the throttle controls when the controls were cycled following the accident.

Additional information

The pilot in command of the helicopter in a written statement wrote that during the preflight cockpit check she noticed a "... slight lump in the throttle...", and reported that she pointed this out to the FAA examiner. She wrote that both pilots believed it to have been caused by the installation of the dual controls for this flight. The IIC asked the FAA examiner on June 4, 1997 if he remembered the pilot making this comment, and he remembered the pilot making some comment to him about the throttle before the flight, but could not remember the pilot's exact words.

Two helicopter instructor pilots were interviewed by the IIC following the accident. Both pilots reported that any time an autorotation was executed they always assume that no engine power will be available during the recovery portion of the maneuver.

Federal Aviation Regulation FAR 61.47 states that unless previously agreed upon the FAA examiner is not the pilot in command during a flight check.

Aircraft

Registration
N35CH
Reported as
Bell 206L3
Category
Helicopter
Serial number
51335
Airframe hours
3,202
Engine
Allison 250-C30P, 650 horsepower, turbo shaft
Damage
Substantial damage
Flight
Part 91
Registered owner
Jeflyn Aviation Inc.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · February 2, 1997
Departed
BOI · ID
Destination
BOI
Airport
BOI · Gowen Field

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
49
Certificates
Commercial, Airline transport
Airplane ratings
Single-engine land
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Right
Flight hours
7,860 total · 625 in this make and model · 7,050 as pilot in command · 10 in the last 90 days · 3 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Visibility
40 statute miles
Lowest ceiling
None
Temperature
70 °F

FAA reports on this event · 1

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