CHI98IA136

NTSB incident investigation · Robinson R22 Beta · Franklin, WI · April 27, 1998

Incident · No injuriesIncident investigationFinal report
Date
April 27, 1998, 15:00 local (20:00 UTC)
Place
Franklin, WI
Injuries
2 uninjured
Damage
Minor damage
Phase of flight
Enroute
Aircraft
N8331FRobinson R22 Beta
Weather
Visual (VMC) · Dawn
Status
Completed · report February 22, 2001
Report
Approved by Office Director
FAA report
19980427014769I
Case key
10749

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the incident.

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Probable cause

The mechanic's failure to follow the manufacturer's maintenance rebuilding instructions.

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/malfunctionCruise - normal
Rotor system,tail rotor hub - failure,total
Maintenance,rebuild/remanufacture - not complied withOther maintenance personnelCause
Forced landingEmergency landing
Terrain condition - grass

Analysis

The pilot said he felt an abnormal vibration in his helicopter during cruise flight. He said he reduced power and made a partial power auto-rotation to a normal landing in an open field. The on-scene investigation revealed that the tail rotor's hub bolt had fractured completely. The hub bolt attaches the tail rotor assembly to its drive shaft. Examination of the bolt revealed it had failed due to fatigue. Maintenance records showed the bolt had 168.3-hours on it since had been examined. It had been removed from the hub assembly so that new teeter bearings could be installed in the hub. The mechanic said he visually examined the bolt and believed it could be returned to service. The mechanic said he did not use the required teeter bearing alignment tool to reinstall the new bearings because the fit was not tight. He said he did not re-balance the tail rotor assembly afer the work had been done. Re-balancing is a required process according to the manufacturer's maintenance procedures. The mechanic said he told the customer to have it checked if he felt any vibration.

Factual narrative

On April 27, 1998, at 1500 central daylight time, a Robinson R22 Beta, N8331F, piloted by a commercial pilot, received minor damage during a forced landing in an open field following a tail rotor hub bolt failure while in cruise flight. Visual meteorological conditions prevailed at the time of the incident. The 14 CFR Part 91 photographic flight was not operating on a flight plan. The pilot and passenger reported no injuries. The flight departed Milwaukee, Wisconsin, exact time unknown.

The pilot said the helicopter developed an abnormal vibration during flight. He said he reduced power and the helicopter yawed to the right a few degrees. He said he auto-rotated the helicopter with the engine producing partial power. He said he made a normal landing by adding power just before touch down.

The on-scene investigation revealed that the tail rotor's hub bolt, part number NAS1304-38, had fully fractured at the point it passed through the tail rotor drive shaft. The hub assembly was attached to the tail rotor drive shaft by the fractured bolt. The self-locking nut was on the end of the fractured bolt. The manufacturer required secondary locking mechanism known as a palnut was not found. The torque stripe paint was cracked. According to the maintenance manual, "Any subsequent rotation of the nut on the bolt can be detected by visual inspection for cracked... torque stripes." A drawing of this assembly is appended to this report.

The NTSB's Office of Research and Engineering Materials Laboratory examined the damaged bolt. According to the metallurgist's factual report, "...the fracture surface... from the separated hub bolt revealed that fatigue cracks emanated from multiple origins at the diameter surface... . These fatigue origins were located in the 12:00 and 5:00 o'clock positions, nearly on diametrically opposite sides of the fracture. One of the fatigue cracks propagated through approximately 60-percent of the bolt cross section and the other through approximately 20- percent of the bolt cross-section. The fracture outside the fatigue region exhibited features typical of overstress separation."

The tail rotor hub bolt failed when N8331F had 889.2-hours on its airframe. N8331F had a 100-hour inspection on April 19, 1998, when the airframe had 865.3-hours on it. A review of N8331F's maintenance records showed that the tail rotor teeter bearings (bearings), part number B115-1, were replaced on February 21, 1998, when the airframe had 720.9-hours on it. The hub bolt passes through both bearings. The mechanic said he visually examined the bolt and believed it could be returned to service when he had installed the new bearings. He said he had torqued the bolt to manufacturer required 150-inch pounds when he replaced it.

According to the R22 Beta's maintenance manual, the hub bolt is to be inspected anytime the hub assembly is taken apart. The maintenance manual's guidance for annual or 100-hour inspections instructs the mechanic to inspect the hub plate and hub. It does not provide any guidance to disassemble the hub and inspect the bolt. A copy of the manual's guidance is appended to this report.

The maintenance manual requires that the tail rotor be re- balanced after parts have been replaced or work has been done on the assembly. The mechanic said he had not balanced the rotor blade assembly after installing the new bearings. He said he advised the owner to have it checked if they noticed a vibration. Excerpts from the helicopter's maintenance manual that address the alignment tool and balancing are appended to this report.

The mechanic who had performed the last 100-hour inspection on N8331F and teeter bearing replacement was interviewed by a Federal Aviation Administration (FAA) Principal Maintenance Inspector. The mechanic said he did not use the helicopter manufacturer's required teeter bearing alignment tool when he had installed the new bearings on February 21, 1998. He said he did not have the alignment tool. The mechanic said he did not believe the tool was necessary because the bearing fit was not tight.

A review of the FAA's Service Difficulty Reports showed no reports of tail rotor hub bolt failures for this model helicopter.

Aircraft

Registration
N8331F
Reported as
Robinson R22 Beta
Category
Helicopter
Serial number
2578
Airframe hours
889
Engine
Lycoming O-360, reciprocating
Damage
Minor damage
Flight
Part 91
Registered owner
W.W. Helicopter
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · April 19, 1998 · 34 hours before
Departed
MKE · Milwaukee, WI
Flight plan
Unknown

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
38
Certificate
Commercial
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Right
Flight hours
945 total · 945 in this make and model · 880 as pilot in command · 220 in the last 90 days · 75 in the last 30 days · 5 in the last 24 hours

Weather

Conditions
Visual (VMC) · Dawn
Wind
30° at 12 knots
Visibility
10 statute miles
Lowest ceiling
25,000 ft broken
Temperature
45 °F, dew point 36 °F
Observed at
MKE, 10 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.