ERA13LA314

NTSB accident investigation · Sikorsky 269C · Burnham, ME · July 3, 2013

Accident · Serious injuriesLimited investigationFinal report
Date
July 3, 2013, 16:48 local (20:48 UTC)
Place
Burnham, ME
Injuries
1 serious, 1 minor
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N888ZWSikorsky 269C
Defining event
Maneuvering-low-alt flying: Loss of tail rotor effectiveness
Weather
Visual (VMC) · Day
Status
Completed · report August 7, 2014
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO, Lycoming Engines, Sikorsky Aircraft Corporation
FAA report
20130703017269A
Case key
87387

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

On this page

Probable cause

The pilot's failure to maintain yaw control while operating out of ground effect at a low airspeed, which resulted in the loss of tail rotor effectiveness, an uncontrolled descent, and an in-flight collision with trees and terrain. Contributing to the accident was the pilot's failure to recognize that the low-altitude maneuvering during the aerial observation flight could lead to a loss of tail rotor effectiveness.

Findings · 3

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Performance/control parameters: directional controlAircraft › Aircraft oper/perf/capability · Not attained/maintainedSchweizer 269C: 2 casesAll aircraft: 3,958 casesProbable cause
Performance/control parameters: altitudeAircraft › Aircraft oper/perf/capability · Not specifiedSchweizer 269C: 3 casesAll aircraft: 1,310 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

**This report was modified on February 23, 2015. Please see the public docket for this accident to view the original report.** The pilot reported that, during a black bear-tracking flight while flying the helicopter about 50 feet above tree tops at an airspeed of between 10 and 20 knots with a "fairly calm" wind and the engine instruments reading normal, he began a "fading right turn" (that is, a right turn with a sideways component of flight leading into it.) During the turn, the pilot input a "modicum" of left antitorque pedal while slowing. About 2 seconds after initiating the right turn and while the helicopter was about 30 to 40 feet above the trees, the turn escalated into a right (or clockwise) spin about the main rotor axis despite the pilot's left pedal inputs, which is consistent with a sudden loss of tail rotor authority. The helicopter subsequently impacted trees and terrain. The passenger, who had only been flown once previously in a helicopter, reported that the helicopter spun counterclockwise. Postaccident examinations of the airframe, flight controls, main and tail rotor drive system components, engine, and engine accessories revealed no evidence of preimpact failure or malfunction. Although the pilot and passenger descriptions of the direction of the spin were inconsistent, the lack of any mechanical issue with the helicopter or its engine, the pilot's comment that the engine readings were normal at the start of the turn, and the helicopter's flight condition when the loss of control occurred (operating out of ground effect and turning right at a low airspeed) were consistent with a loss of tail rotor effectiveness during the right turn, resulting in a right (clockwise) spin.

Factual narrative

On July 3, 2013, about 1648 eastern daylight time, a Schweizer 269C, N888ZW, registered to and operated by Point of View Helicopter Services, LLC, collided with terrain near Burnham, Maine. Visual meteorological conditions prevailed at the time and no flight plan was filed for the 14 Code of Federal Regulation (CFR) Part 91 aerial observation bear spotting flight that originated about 1544 from the Waterville Robert LaFleur Airport (WVL), Waterville, Maine. The helicopter sustained substantial damage and the commercial pilot sustained serious injuries while the passenger sustained minor injuries.The pilot reported that earlier that day he flew the helicopter uneventfully from Auburn/Lewiston Municipal Airport (LEW), Auburn/Lewiston, Maine, to WVL. After landing at KWVL, he disengaged the main rotor but with the engine running fueled the helicopter filling both fuel tanks; he added 13.5 gallons. He did not check the fuel tanks or fuel strainer for contamination, reporting that there was not adequate time for possible contaminants to settle and that he had drained the fuel prior to take off from KLEW. He further reported that he had previously fueled at KWVL and had not had a problem with the fuel from that airport. Before takeoff from KWVL, the pilot set up the passenger's gear, gave her a safety briefing, and informed her of the operational aspects of the helicopter which included explaining engine instruments and controls. He recalled showing her the needle split, but does not recall doing a check of the magnetos since the engine had been continuously running. The weather in the area included calm wind and high overcast clouds. He departed for a black bear tracking flight, and proceeded to the study area northeast of KWVL. While en-route to the study area, and flying up the Sebasticook River as far as Benton Falls Dam, he showed the passenger a number of bald eagles and eagle nests he regularly monitors in conjunction with the Maine Dept. of Inland Fisheries and Wildlife, and then began tracking the bears. They first started high between 1,000 and 2,000 feet performing a grid search until receiving radio collar signals, then when homing in on bears, began descending (they were using 2 different antennas). While flying about 50 feet above the tops of trees at an airspeed between 10 and 20 knots, with a wind "fairly calm", or no more than1 to 3 knots, with the engine instruments reading normal, he began a "fading right turn" (a right turn with a sideways component of flight leading into it) with a "modicum" of left anti-torque pedal input while slowing. He reported that perhaps 2 seconds from initiation of the right turn (with the helicopter approximately 30-40 feet above the trees), the turn escalated in the same direction into a spin (despite left pedal) about the main rotor axis consistent with sudden loss of tail rotor authority. As the out of control spin began and helicopter descended, his passenger asked "what's going on?" to which hereplied "I don't know" before pulling up on the collective to ease their imminent contact with the trees (approximately 40 feet in height). Because the flight was so low he could not lower collective (increasing his rate of descent), apply forward cyclic and accelerate out of any possible disturbed air. He does not know how many turns were completed but the helicopter was in the trees within about 2 seconds of the time from spin initiation, or the time it took for his passenger to ask her question and for his response. He blacked out upon entering the trees, and believes he was unconscious for 40 minutes; the passenger helped him from the helicopter then helped stabilize him. Their phone/radio communications were inoperative, and at his instruction the passenger got the survival bag out of the helicopter. The next time reference he had by his watch was the passenger leaving to get help about 1800. She walked to get help flagging down a passing motorist. He estimated it was 45 minutes to 1 hour before 1st responders arrived. He was placed on a litter and walked out of the site, and was transported to a hospital for treatment of his injuries. The passenger reported that while flying straight but descending over trees using audio equipment to track a bear equipped with a radio transmitter, she heard a sound from the helicopter unlike she had heard since takeoff. The helicopter began turning counterclockwise (contrary to the pilot statement of turning clockwise), and she asked the pilot what had occurred and he said he did not know. The helicopter descended through trees and impacted the ground. After a period of time she came to and was aware of her location. She noticed fuel leaking and heard a buzzing sound and helped the pilot out and away from the helicopter. She then walked to a road and summoned the assistance of a passing motorist. Following recovery of the helicopter, inspection of the airframe and engine by representatives of the airframe and engine manufacturer was performed with oversight from a Federal Aviation Administration (FAA) Aviation Safety Inspector (ASI). The examination of the airframe, flight controls, and drive system components revealed no evidence of preimpact failure or malfunction. Inspection of the fuel strainer which contained fuel revealed no evidence of contamination. The on-board Electronics International MUX-8A was retained and sent to the NTSB Vehicle Recorders Laboratory for read-out. A copy of the report from the airframe manufacturer representative and FAA concurring statement are contained in the NTSB public docket. Inspection of the engine revealed no evidence of preimpact failure or malfunction. The magnetos, servo fuel injector, fuel injector nozzles and lines were removed and operationally tested at a FAA certified repair stations with no evidence of preimpact failure or malfunction. A copy of the statement from the FAA inspector-in-charge concerning the engine examination, and the NTSB engine accessoriesreport are contained in the NTSB public docket. According to the NTSB Recording Device Specialist's Factual Report, the MUX-8A was downloaded and found to have recorded and retained data in 1 minute increments consisting of 157 data points associated with the accident flight. The recorded data points included date, time (device calculated), cylinder head temperature (CHT), and exhaust gas temperature (EGT). The downloaded data indicates that after the estimated takeoff time, the EGT's remained above 1,350 for the remainder of the recording, and the CHT values fluctuate between about 290 and 330 degrees Fahrenheit until about 1632, then begin to increase until the end of the recording. A copy of the NTSB Recording Device Report and downloaded data is contained in the NTSB public docket. FAA Advisory Circular (AC) 90-95 titled Unanticipated Right Yaw in Helicopters, indicates in part that unanticipated right yaw, or loss of tail rotor effectiveness (LTE) is a critical, low speed aerodynamic flight characteristic which can result in an uncommanded rapid yaw rate which does not subside of its own accord and, if not corrected, can result in loss of aircraft control. The AC also indicates that there is greater susceptibility for LTE in right turns, which is especially true during flight at low airspeed since the pilot may not be able to stop the rotation, which will be a yaw to the right. The AC indicates that the recommended recovery technique is to apply full left pedal and simultaneously move the cyclic full forward to increase speed, and if altitude permits, reduce power.

Aircraft

Registration
N888ZW
Reported as
Sikorsky 269C
Category
Helicopter
Serial number
S1497
Airframe hours
2,233
Engine
Lycoming HIO-360-D1A, 190 horsepower, reciprocating
Damage
Substantial damage
Flight
Aerial observation · Part 91
Operator
Point Of View Helicopter Services LLC
Registered owner
Point Of View Helicopter Services LLC
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 30, 2013
Departed
WVL · Waterville, ME
Destination
WVL · Waterville, ME
Equipment
Data recorder

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
58
Injuries
Serious
Certificates
Commercial, Private
Airplane ratings
Multi-engine land, Single-engine sea, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
March 15, 2012
Seat
Left
Restraint
4-point
Flight hours
1,165 total · 419 in this make and model · 1,024 as pilot in command · 27 in the last 90 days · 6 in the last 30 days · 1.5 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
79 °F, dew point 72 °F
Altimeter
30.07 inHg
Observed at
WVL, 14 nm away

Docket · 20

The files NTSB released with the investigation on July 7, 2014, on NTSB’s docket system: statements, records, photos and specialists’ reports. 14.2 MB in all.

FAA reports on this event · 1

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