DEN91LA095

NTSB accident investigation · Bell 412 · Grand Junction, CO · July 1, 1991

Accident · No injuriesLimited investigationFinal report
Date
July 1, 1991, 15:00 local (21:00 UTC)
Place
Grand Junction, CO
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N20703Bell 412
Weather
Visual (VMC) · Day
Status
Completed · report February 8, 1993
Report
Approved by Office Director
FAA report
19910701025659A
Case key
18109

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 pilot's failure to maintain adequate main rotor RPM prior to touchdown. Factors were: the disconnected engine to transmission drive shaft and the inadequate inspection by company maintenance personnel.

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
Rotor drive system,engine to transmission drive - disconnectedFactor
Maintenance,inspection - inadequateCompany maintenance personnelFactor
Forced landingDescent - emergency
Autorotation - performedPilot in command
Hard landingLanding - flare/touchdown
Rotor rpm - not maintainedPilot in commandCause

Analysis

During cruise flight, the engine to transmission drive shaft forward coupling overheated and failed. The pilot execute an autoratation. During the landing flare, the pilot did not maintain adequate rotor RPM and the helicopter landed hard resulting in skid collapse. Company maintenance personnel dispatched the helicopter with a known drive shaft coupling grease leak which they had attempted to stop by using an unapproved silicon sealant. They had repacked the 500 plus hour coupling two times prior to the accident. The normal repack interval was once every 600 hours. Examination of the failed drive shaft did not reveal any misalignment, but did isolate heat related failure areas of the forward coupling end.

Aircraft

Registration
N20703
Reported as
Bell 412
Category
Helicopter
Serial number
33017
Engine
P&W PT6T-3B, 1,350 horsepower, turbo shaft
Damage
Substantial damage
Flight
Positioning · Part 91
Operator
Air Methods Corporation
Registered owner
Air Methods Corporation
Departed
GJT · Grand Junction, CO
Destination
U43 · Monticello, UT

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
42
Certificate
Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Helicopter
Medical
Class 1, Valid Medical--no waivers/lim.
Flight hours
4,010 total · 300 in this make and model · 2,500 as pilot in command · 40 in the last 90 days · 12 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
180° at 7 knots
Visibility
70 statute miles
Lowest ceiling
None
Temperature
-0 °F, dew point -0 °F

FAA reports on this event · 1

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