ERA19LA273

NTSB accident investigation · Robinson R44 · Sardis, GA · September 17, 2019

Accident · Serious injuriesClass 3 · LimitedFinal report
Date
September 17, 2019, 12:30 local (16:30 UTC)
Place
Sardis, GA
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N827JERobinson R44
Defining event
Maneuvering-low-alt flying: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
Lycoming Engines, FAA/FSDO
FAA report
20190917021859A
Case key
100282

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

Fatigue failure of the fasteners on the engine crankshaft, which resulted in a partial loss of engine power and a subsequent forced landing.

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.

Engine (reciprocating): recip eng rear sectionAircraft › Aircraft power plant · Fatigue/wear/corrosionRobinson Helicopter R44: 2 casesAll aircraft: 42 casesProbable cause
Power plantAircraft › Aircraft power plant · Not serviced/maintainedRobinson Helicopter R44: 1 caseAll aircraft: 198 cases

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 helicopter was about 100 ft above ground level during an aerial application fight when the engine experienced a partial loss of power. The pilot performed an autorotation and the helicopter impacted trees and terrain. Postaccident examination of the engine revealed that the crankshaft idler gear flange, which should have been secured to the left half of the crankcase by a bolt and stud, had separated from its mounting location. Worn fragments of the bolt and stud were recovered from the oil sump. Metallurgical examination of the fasteners revealed that they failed due to rotating bending fatigue, which allowed the crankshaft idler gear to disengage and resulted in a loss of engine power. A review of maintenance records revealed that the engine had been in service for about 20 years and 1,900 operating hours since its last major overhaul, which is 8 years and 400 hours beyond the manufacturer recommended time between overhauls.

Factual narrative

On September 17, 2019, about 1230 eastern daylight time, a Robinson R44, N827JE, was substantially damaged when it was involved in an accident near Sardis, Georgia. The pilot was seriously injured. The helicopter was operated as Title 14 Code of Federal Regulations Part 137 aerial application flight. The pilot reported that he was flying about 100 ft above ground level, applying spray, when he heard a "pop," followed by alarms and lights activating in the cockpit. The helicopter then lost engine power and the pilot performed an autorotation. During the autorotation, the helicopter impacted trees and terrain. Examination of the helicopter by a Federal Aviation Administration inspector revealed that it came to rest on its left side. The inspector observed damage to the fuselage and the tail boom had separated. Subsequent teardown examination of the engine revealed that the left crankshaft idler gear was not engaged in the teeth of the crankshaft gear or the camshaft gear. The idler gear was removed and the idler gear shaft was observed not attached to its left crankcase half mounting location. According to an engine diagram, the idler gear shaft was supposed to secured to the left crankcase half by a bolt and a crankcase stud. Worn fragments of the bolt and crankcase stud, along with the stud nut and fragments of safety wire, were recovered from the oil sump. Metallurgical examination revealed evidence of wear on crankshaft idler gear, shaft flange, and gear shaft fasteners (bolt and stud). The worn gear shaft fasteners exhibited a rotating bending fatigue failure (for more information, see Materials Laboratory Factual Report in the public docket for this accident). According to maintenance records and information from the operator, the engine had been operated for about 1,900 hours over a 20-year-period since major overhaul. Review of Lycoming Service Instruction (SI) 1009BD, superseded by SI 1009BE, revealed a recommended time between overhauls as 12 calendar years or 1,500 hours of operation in the case of engines used in crop dusting or other chemical application, whichever occurs first.

Aircraft

Registration
N827JE
Reported as
Robinson R44 (Undesignat)
Category
Helicopter
Serial number
0153
Built
1995
Airframe hours
3,700
Engine
Lycoming O-540-F1B5, 250 horsepower, reciprocating
Damage
Substantial damage
Flight
Aerial application · Part 137
Operator
Rowland Air Chem Llc
Registered owner
Rowland Air Chem Llc
Airworthiness certificate
Special, Restricted (Special)
Last inspection
Annual · May 4, 2020
Departed
Sardis, GA
Destination
Sardis, GA
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
53
Injuries
Serious
Certificate
Commercial
Medical
Class 2, Without waivers/limitations
Last flight review
April 20, 2019
Seat
Right
Restraint
3-point
Flight hours
4,000 total · 400 in this make and model · 4,000 as pilot in command · 150 in the last 90 days · 50 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
310° at 5 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
93 °F, dew point 63 °F
Altimeter
29.97 inHg
Observed at
2J5, 10 nm away

Docket · 7

The files NTSB released with the investigation on August 28, 2020, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.1 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.