ERA15LA296

NTSB accident investigation · Bell 47G 3B 1 · Camden, AL · August 3, 2015

Accident · No injuriesLimited investigationFinal report
Date
August 3, 2015, 16:00 local (21:00 UTC)
Place
Camden, AL
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N4002GBell 47G 3B 1
Defining event
Approach: Sys/Comp malf/fail (non-power)
Weather
Visual (VMC) · Day
Status
Completed · report August 28, 2017
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20150803016289A
Case key
91707

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

A failure of the helicopter's hydraulic flight control systems for reasons that could not be determined due to the fire damage, and the pilot's inability to turn off the hydraulic system to relieve control pressure.

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.

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

The airline transport pilot was repositioning the helicopter in preparation for spraying operations the next day. He reported that, about 1/2 mile from the intended off-airport landing area, while at an altitude of 300 ft above ground level, the helicopter's cyclic control became very stiff, consistent with a hydraulic system failure. He continued the approach to the landing zone, which was a cleared area of forest that contained brush, fallen trees, and dirt mounds. During the approach, he unsuccessfully attempted to follow the procedure to relieve hydraulic system control pressure, which included turning off the hydraulic system switch, but was unable to remove his hands from the controls and also maintain control of the helicopter. He ultimately elected to land without turning off the hydraulic system switch. During the landing, a portion of the helicopter's agricultural spray boom contacted the trees and brush, and the helicopter yawed to the left. The helicopter then began to oscillate as its skids contacted the uneven ground and obstructions before it ultimately rolled over, impacted the ground and caught fire. Fire damage to the engine and hydraulic system components precluded a postaccident examination, and its mode of failure could not be determined.

Factual narrative

On August 3, 2015, about 1600 central daylight time, a Bell 47G-3B-1, N4002G, operated by Ewing Flying Services LLC, was substantially damaged during a loss of control on landing near Camden, Alabama. Visual meteorological conditions prevailed, and no flight plan was filed for the flight which originated in Thomaston, Alabama and was destined for Oak Hill, Alabama. The helicopter was operated under the provisions of 14 Code of Federal Regulations Part 91 as a positioning flight. The pilot was repositioning the helicopter for spraying operations scheduled to take place the following day. He has been airborne for approximately 20 minutes, and had used 10 gallons of fuel out of the 42 gallons he reported carrying. When he was at 300 feet altitude and about a half a mile out on approach to the off-airport landing zone, the hydraulic system augmenting the controls failed and the cyclic controls became stiff. He braced his left leg under the collective pitch control and grabbed the cyclic with his left hand, but he was unable to cycle the hydraulic system switch with his right hand because the collective control had drifted down, increasing his descent rate. The pilot responded by grabbing the collective and cyclic controls and left the hydraulic switch in the on position. He continued the approach into the landing zone, which was a large clearing in a forest. Just prior to touchdown, the agricultural spray boom made contact with trees and brush, and yawed the helicopter to the left. During the touchdown, the heel of the left skid struck a dirt mound, rocking the helicopter forward. Subsequently the toe of the right skid struck the ground, the helicopter began to oscillate, and rolled to the left. The pilot attempted to correct, but the helicopter continued to rollover until it impacted the ground, coming to rest on the left side. After the impact, the pilot evacuated as fuel poured out of the right tank directly into the engine and cockpit area. The fuel ignited and the fire consumed the fuselage and caused significant damage to the transmission, engine and components. The hydraulic pump was extensively damaged by the fire and unable to be inspected. According to the Federal Aviation Administration (FAA) airworthiness and maintenance records, the helicopter was equipped with a supplemental type certificate for the Soloy Allison 250-CID turbine engine conversion. In addition, the helicopter was equipped with an agricultural spray boom that was mounted under the forward fuselage above the skid and aft of the skid toe. It was approximately 30 feet in length and extended about 12 feet from both sides of the cockpit. The helicopter's most recent 100 hour inspection was performed on February 19, 2015. At the time of the inspection, the airframe had accumulated 13,719.2 hours total time and the engine total time was 2,906.7hours. Additionally, mast, bearing, hub and swashplate maintenance was performed on July 9, 2015 at 13,764.2 hours total time and enginetotal time of 2951.7. According to FAA records, the pilot held commercial and airline transport pilot certificates, with ratings for airplane single engine land, airplane multi engine land, and rotorcraft helicopter. His last flight review was conducted on July 5, 2015 in the same make and model as the accident helicopter, and his most recent second-class medial was issued on May 14, 2015. He reported over 20,000 hours of total flight time, of which, 15,000 hours were in helicopters, and 1,080 in the same make and model as the accident helicopter. An FAA inspector examined the helicopter at the accident site. According to the inspector, the fuselage, main rotor blades, and tail boom were substantially damaged during the accident sequence and fire consumed the fuselage and damaged the engine and components. The accident site was a forested clearing. The ground in the immediate vicinity was burned, but remnants under the helicopter and in the area around the accident site contained brush, 1-inch diameter branches and immature saplings. In addition, several larger diameter fallen pine trees were near the helicopter. A dirt mound approximately 14 to 18 inches tall and several feet long was 3 feet to the left of the helicopter near the main rotor head. According to the Bell Helicopter Flight Manual Model 47, Section 2 Operating Procedures, "Hydraulic boost failure will be evident by feedback forces being transmitted to the cyclic stick when a control motion is made. Feedback forces may not be present or are negligible when the cyclic stick is held fixed or during autorotation. Feed-back forces encountered when moving the cyclic stick will be proportionate in intensity to an envelope of factors directly affected by airspeed, gross weight and climatic turbulence. When hydraulic boost power loss is detected, reduce cyclic control motions to the minimum required to complete the flight…" It also stated, "If jamming of the controls or a condition of the controls tending to override the pilot is experienced, the HYD (hydraulic) SYSTEM switch, located on the instrument panel, should be immediately moved to OFF to relieve hydraulic pressure…" According to the FAA Helicopter Flying Handbook; FAA-H-8083-21A, under System Malfunctions & Hydraulic Failure, it states "If hydraulic power is not restored, make a shallow approach to a running or roll-on landing. This technique is used because it requires less control force and pilot workload."

Aircraft

Registration
N4002G
Reported as
Bell 47G 3B 1
Category
Helicopter
Serial number
6529
Built
1966
Airframe hours
13,719.2
Engine
Allison 250-CID, turbo shaft
Damage
Substantial damage
Fire
On-Ground
Flight
Positioning · Part 91
Operator
Ewing Flying Service LLC
Registered owner
Ewing Flying Service LLC
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · February 19, 2015
Departed
NONE · Thomaston, AL
Destination
NONE · Oak Hill, AL
Airport
NONE · Forrested Clearing

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
70
Injuries
None
Certificates
Commercial, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
July 5, 2015
Seat
Left
Restraint
4-point
Flight hours
20,000 total · 1,080 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
330° at 7 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
97 °F, dew point 52 °F
Altimeter
29.88 inHg
Observed at
KSEM, 20 nm away

Docket · 6

The files NTSB released with the investigation on June 16, 2017, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.3 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.

Other investigations on N4002G · 4

Matched to the same aircraft by N-number and date.