ERA16LA054

NTSB accident investigation · Robinson Helicopter R44 II · Destin, FL · November 26, 2015

Accident · No injuriesLimited investigationFinal report
Date
November 26, 2015, 11:45 local (17:45 UTC)
Place
Destin, FL
Injuries
4 uninjured
Damage
Substantial damage
Phase of flight
Other
Aircraft
N7512NRobinson Helicopter R44 II
Defining event
Other: Sys/Comp malf/fail (non-power)
Weather
Visual (VMC) · Day
Status
Completed · report June 25, 2019
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20151126020249A
Case key
92384

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 overstress fracture between the tail rotor driveshaft and intermediate flex plate for reasons that could not be determined based on the available evidence.

Findings · 1

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.

Not determinedNot determined › Not determined · Unknown/Not determinedRobinson Helicopter R44 II: 24 casesAll aircraft: 2,247 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

The commercial pilot was performing a power check before an air tour flight with three passengers onboard. While raising the collective, he heard a loud "pop." He then immediately lowered the collective and secured the helicopter. Postaccident examination of the helicopter revealed that an overstress fracture existed between the tail rotor driveshaft and intermediate flex plate. Examination revealed that all the hardware was in place except for a washer, which is required at each connection between the clutch shaft yoke and flex plate per a caution in the helicopter's maintenance manual. The maintenance manual also contained measurements to determine proper shimming required at the intermediate flex plate. A review of maintenance records revealed that, about 11 flight hours before the accident, the sprag clutch had been removed and replaced. The mechanic who performed the clutch removal and installation stated that the measurements he took at the intermediate flex plate during and after his repairs were the same. He also indicated that, when they installed new hardware, he obtained the same dimensions. Although a misalignment of the intermediate flex coupling would place significant tension along the entire length of the driveshaft between the main rotor gearbox and tail rotor gearbox and a missing washer both could have caused a fatigue-type failure of the tail rotor drive line, the parts fractured due to overstress, not fatigue; therefore, it is unlikely that the missing hardware contributed to the failure. The reason for the overstress fracture between the tail rotor driveshaft and intermediate flex plate could not be determined based on the available evidence.

Factual narrative

On November 26, 2015, about 1145 central standard time, a Robinson R44II, N7512N, was substantially damaged during a separation of the tail rotor drive shaft during a power check at the Destin Executive Airport, Destin, Florida. The commercial pilot and 3 passengers were not injured. The helicopter was being operated under the provisions of 14 Code of Federal Regulations Part 91, as a local air tour flight. Visual meteorological conditions prevailed in the area at the time of the accident, and no flight plan was filed for the local flight. The flight was originating at the time of the accident.The pilot stated that he performed a preflight inspection of the helicopter and the passengers then boarded the helicopter. The engine was started and ground run-up checks of the engine were satisfactory. While doing a power check which involved applying up collective, he heard a loud "pop." He responded by immediately lowering the collective and secured the helicopter. Examination of the helicopter revealed the steel tail rotor drive shaft part number (P/N) C196-1 was circumferentially fractured at the weld of the forward flange; a portion of the intermediate flex plate P/N A947-2, remained bolted to the flange. The remaining portion of the flex plate remained bolted to the clutch shaft yoke, P/N C195. The tailcone attachment frame P/N C237-1, and the damper assembly mount angle was fractured. There was no report of any damage to any frame or interior of the tailcone aft of the damper. The helicopter time at the time of the accident was reported to be 1,770 hours. A section of the tail rotor drive shaft assembly containing the fracture, separated flange with attached portion of flex plate, and clutch shaft yoke with remaining portion of flex plate were retained for examination by the NTSB Materials Laboratory. According to the NTSB Materials Laboratory factual report, the fracture between the tail rotor drive shaft and flange was consistent with torsional overstress. The report also indicated that a portion of flex plate attached to the flange also exhibited features consistent with overstress. Inspection of the bolted connection between the clutch shaft yoke and the portion of the flex plate revealed all of the hardware was in the correct sequence with the exception of the omission of a washer between the flex plate and the clutch shaft yoke. The washer omission was consistent on both of the connections between the clutch shaft yoke and the flex plate. The hardware stack-up for the connection between the flex plate and the portion of the drive shaft flange was correct. Review of the maintenance records revealed an entry dated November 12, 2015, at helicopter total time of about 1,759 hours, indicating in part that the sprag clutch was removed and replaced. Review of the maintenance manual revealed that with respect to the C-195 yoke removal and installation, a caution indicates, "There must be one AN960-416L or one AN960-416 washer between each arm ofC195 yoke and A947-2 flex plate…." The maintenance manual also references Section 7.330, which pertains to intermediate flex plate installation and shimming. That section contains measurements to determine proper shimming required at the intermediate flex plate. The mechanic who performed the clutch removal and installation stated that the measurements he took at the intermediate flex plate during and after his repairs were exactly the same. He also indicated that when they installed new hardware, he obtained the same dimensions. According to the maintenance record entry returning the helicopter to service after the accident, there was no record that the governor was removed, replaced, or repaired. According to a representative of the helicopter manufacturer, if misalignment of the clutch shaft, sheave, and intermediate flex coupling was not corrected during installation, there could be significant preload or tension in the entire length of driveshaft between the main rotor gearbox and tail rotor gearbox. The representative also indicated that the effect of a missing washer would have caused fatigue type failure of the tailrotor drive-line, and they had not previously seen a failure of the tail rotor driveshaft at the flange as had occurred in the accident helicopter.

Aircraft

Registration
N7512N
Reported as
Robinson Helicopter R44 II
Category
Helicopter
Serial number
10131
Built
2003
Airframe hours
1,758.8
Engine
Lycoming IO-540-AE1A5, 285 horsepower, reciprocating
Damage
Substantial damage
Flight
Other work use · Part 91
Operator
Timberview Helicopters
Registered owner
Provac LLC
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · November 12, 2015 · 11 hours before
Departed
DTS · Destin, FL
Destination
DTS · Destin, FL
Airport
DTS · Destin Executive
Equipment
None

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
27
Injuries
None
Certificates
Commercial, Flight instructor
Instrument ratings
Helicopter
Medical
Class 2, Without waivers/limitations
Last flight review
April 2, 2015
Seat
Left
Restraint
3-point
Flight hours
1,021 total · 972 as pilot in command · 90 in the last 90 days · 24 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
50° at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
73 °F, dew point 57 °F
Altimeter
30.42 inHg
Turbulence
Unknown
Observed at
DTS

Docket · 9

The files NTSB released with the investigation on April 18, 2019, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.8 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.