DEN00LA045

NTSB accident investigation · Bell 212 · Mt Pleasant, UT · January 29, 2000

Accident · Serious injuriesLimited investigationFinal report
Date
January 29, 2000, 15:00 local (22:00 UTC)
Place
Mt Pleasant, UT
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N212HQBell 212
Weather
Visual (VMC) · Day
Status
Completed · report July 2, 2001
Report
Approved by Office Director
FAA report
20000129005699A
Case key
48553

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

Failure of the main rotor mast due to fatigue that resulted from inadequate quality assurance during the manufacturing process.

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
Rotor drive system,main rotor mast(drive shaft) - fatigueCause
Rotor drive system,main rotor mast(drive shaft) - failure,totalCause
Inadequate quality controlManufacturerCause

Analysis

While in level flight approximately 120 feet above ground level, carrying an external load of logs, the main rotor mast separated from the helicopter. The fuselage descended into a tree covered slope and broke into three sections. The pilot received serious injuries. Laboratory examination of the main rotor mast provided evidence the mast failed in fatigue at the lower ring groove of the damper splines where burrs were left during machining of the part. Retirement requirements for the mast were 15,000 flight hours or 300,000 RIN (retirement index number). The mast had 5,644.4 hours with the last overhaul being done at 3,660.8 hours. The FAA calculated the RIN number to be 291,065.

Factual narrative

On January 29, 2000, at 1500 mountain standard time, a Bell 212 helicopter, N212HQ sustained substantial damage when it impacted the ground after the main rotor system separated from the aircraft during logging operations near Mount Pleasant, Utah. The commercial pilot, who was the sole occupant, received serious injuries. The flight was operating under Title 14 CFR Part 133 and no flight plan was filed. Visual meteorological conditions prevailed for this local area flight that departed Mount Pleasant at 1410.

The helicopter was in level flight approximately 120 feet above the ground, over down sloping terrain carrying an external load of logs, when the main rotor mast failed. The fuselage descended nose down into trees with the load of logs attached. On impact with the ground, the fuselage inverted and broke into three pieces. The pilot remained in the aircraft and the seat remained attached.

Examination of the main rotor mast was conducted at the facilities of Bell Helicopter Textron, Inc., (BHTI) Hurst, Texas, under the direction of a Safety Board investigator from the Arlington, Texas, office. The examination provided evidence that the main rotor mast P/N 204-011-450-007, S/N N9-19783, failed in fatigue at the lower ring groove of the damper splines. The origin was in a burr area left after machining of the part. (See attached NTSB and BHTI reports)

According to information provided by the Federal Aviation Administration (FAA), BHTI, and the operator, the rotor mast had accumulated 5,644.4 hours since its manufacture in 1978, and had been overhauled four times, with the latest being at an accumulated time of 3,660.8 hours.

The retirement requirement for the rotor mast at the time of the accident was either 15,000 flight hours or 300,000 RIN (retirement index number). The operator calculated the RIN to be approximately 264,000; the FAA calculated it to be 291,065 and BHTI calculated it to be 463,000. The operator and FAA used recorded data to calculate RIN and BHTI used data from service bulletins and past Airworthiness Directives pertaining to RIN count. For an explanation of RIN calculation requirements see Airworthiness Directives (AD) 98-24-15 and AD 20-00-08-52.

Based on the results of the accident investigation, the FAA issued Emergency AD 20-00-08-52 on April 21, 2000. The AD reduced the allowable RIN life limit, clarified the RIN calculation method, and required a one time special inspection of main rotor masts on the BHTI models 204B, 205A, 205B, and 212. Compliance was required prior to further flight.

Aircraft

Registration
N212HQ
Reported as
Bell 212
Category
Helicopter
Serial number
30646
Airframe hours
8,118
Engine
P&W PT-6-3, 900 horsepower, turbo shaft
Damage
Substantial damage
Flight
Part 133
Registered owner
Heliqwest International, Inc.
Airworthiness certificate
Standard, Utility
Last inspection
Continuous airworthiness · January 22, 2000 · 18 hours before
Departed
43U

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
39
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
7,370 total · 90 in this make and model

Weather

Conditions
Visual (VMC) · Day
Visibility
10 statute miles
Lowest ceiling
None
Temperature
43 °F, dew point 10 °F

FAA reports on this event · 1

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