DFW05LA019

NTSB accident investigation · Bell 206L1 · Sapulpa, OK · November 9, 2004

Accident · Minor injuriesLimited investigationFinal report
Date
November 9, 2004, 17:31 local (23:31 UTC)
Place
Sapulpa, OK
Injuries
2 minor, 1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N1075PBell 206L1
Weather
Visual (VMC) · Dusk
Status
Completed · report February 24, 2005
Report
Approved by Office Director
Parties
Oklahoma City FSDO
FAA report
20041109027569A
Case key
60538

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 loss of tail rotor drive as a result of a blanket coming in contact with the tail rotor blades, after the baggage compartment door unlatched during flight. A contributing factor was the "dusk" light condition that prevailed at the time of the accident.

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
Door,cargo/baggage - unlatchedCause
Rotor failure/malfunctionCruise
Rotor system,tail rotor blade - blade strikeCause
Rotor drive system,tail rotor drive shaft - foreign object damageCause
Forced landingDescent - emergency
Autorotation - performedPilot in command
Hard landingLanding - flare/touchdown
Light condition - duskFactor

Analysis

The 2,000-hour helicopter pilot reported that after an uneventful departure, and while at an altitude of approximately 500-800 feet and an airspeed of 90 knots, he heard a loud "bang." Following this "bang," tail rotor effectiveness was lost, and the helicopter was forced into a sideways, nose-down attitude The pilot performed an autorotation and made a hard landing into a field. A "dusk" light condition prevailed, and the helicopter came to rest on its left side. Examination of the wreckage by the FAA inspector, who responded to the accident site, revealed that some of the fly-away items and some medical supplies, normally stored in the baggage compartment, were found scattered along the route of flight short of the main wreckage. Examination of the baggage compartment door revealed that both door latches were unlatched, and the door was partially open. Further examination of the tail rotor drive shaft revealed a torsional fracture of the tail rotor drive shaft. Frayed fibers and material consistent with clothing or a blanket were found throughout the tail rotor assembly and tail rotor hub. The pilot reported that there were two oxygen containers in the cargo compartment that were stacked on one another and reached approximately the same height as the latch release button on the interior side of the baggage compartment door.

Factual narrative

On November 9, 2004, at 1731 central standard time, a Bell 206L1 helicopter, N1075P, was substantially damaged when it impacted terrain following a loss of control while in cruise flight near Sapulpa, Oklahoma. The commercial pilot, a paramedic, and a flight nurse sustained minor injuries. The helicopter was owned and operated by Air Evac Life Team, Inc., of West Plains, Missouri, a Part 135 on-demand air ambulance operator. Visual meteorological conditions prevailed throughout the area for the 14 Code of Federal Regulations Part 91 positioning flight for which a company visual flight rules (VFR) flight plan was filed. The flight refueled at and departed from the Richard Lloyd Jones Jr. Airport (RVS), near Tulsa, Oklahoma, approximately 1720, with the Cushing Regional Hospital Heliport (OK65), near Cushing, Oklahoma, as its intended destination.

In a written statement, the 2,000-hour pilot reported that after an uneventful departure from RVS, he switched to the company dispatch frequency to open his company flight plan. Shortly after, while at an altitude of approximately 500-800 feet and an airspeed of 90 knots, the pilot heard a loud "bang." Following this "bang," the "engine noise increased and the flight controls were stiff." The pilot also stated that "he had no pedal control, and there were no warning or caution lights." The helicopter then made an extremely fast, uncommanded left yaw, and tail rotor effectiveness was lost. The helicopter was then in a nose-down attitude, such that the pilot was looking at the ground through the top portion of the co-pilot's window. Subsequently, the pilot lowered the collective and manipulated the flight controls to level the helicopter and maintain controlled flight.

The pilot reported that as the helicopter was descending rapidly, he spotted a field and guided the helicopter toward it. He added that it was dusk, and as he descended behind a tree line, it was difficult to determine his altitude for deceleration and cushion. The pilot reported that the helicopter did not yaw until just prior to the hard landing.

Following touchdown, the pilot shut-off the fuel and battery and told the passengers to exit the aircraft. The helicopter came to rest on its left side, and there was no post-impact fire.

Examination of the wreckage by the FAA inspector, who responded to the accident site, revealed that some of the fly-away items and some medical supplies, normally stored in the baggage compartment, were found scattered along the route of flight short of the main wreckage. Examination of the baggage compartment door revealed that both door latches were unlatched, and the door was partially open.

Further examination of the tail rotor drive shaft revealed a torsional fracture of the tail rotor drive shaft. Frayed fibers and material consistent with clothing or a blanket were found throughout the tail rotor assembly and tail rotor hub. The baggage compartment door latches were examined and appeared to be undamaged and fully functional. The helicopter was released to the operator for recovery to a secure location.

The pilot reported that prior to the flight's refueling stop at RVS, the helicopter had been at Tulsa Regional Medical Center, which was the last time that the baggage compartment door had been opened. The pilot recalled that when leaving Tulsa Regional Medical Center, all three crewmembers approached the helicopter on its left side and recalled that the baggage compartment door was closed at that time. The pilot added that there were two oxygen containers in the cargo compartment that were stacked on one another and reached approximately the same height as the latch release button on the interior side of the baggage compartment door.

Aircraft

Registration
N1075P
Reported as
Bell 206L1
Category
Helicopter
Serial number
45348
Airframe hours
14,033
Engine
Allison 250, 500 horsepower, turbo shaft
Damage
Substantial damage
Flight
Positioning · Part 91
Registered owner
Air Evac Life Team
Airworthiness certificate
Standard, Transport
Departed
RVS · Sapulpa, OK
Destination
CUH · Cushing, OK
Flight plan
Company VFR
Airport
RVS · Richard Lloyd Jones Jr.

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
36
Injuries
Minor
Certificate
Commercial
Instrument ratings
Helicopter
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Right
Flight hours
2,000 total · 1,400 in this make and model · 25 in the last 90 days · 9 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Dusk
Wind
170° at 5 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
54 °F, dew point 37 °F
Altimeter
30.12 inHg
Observed at
RVS, 3 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.