ERA20LA051

NTSB accident investigation · Parsons Two Place #1 · Naguabo, PR · December 8, 2019

Accident · Serious injuriesClass 3 · LimitedFinal report
Date
December 8, 2019, 14:05 local (18:05 UTC)
Place
Naguabo, PR
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N446PSParsons Two Place #1
Defining event
Enroute-cruise: Flight control sys malf/fail
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20191208021279A
Case key
100673

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 rudder attachment bolt, which resulted in the rudder’s subsequent inflight separation from the fuselage.

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.

Empennage structure: rudderAircraft › Aircraft structures · Fatigue/wear/corrosionOrtiz-Rivera Luis Ramon PARSONS TWO PLACE #1: 1 caseAll aircraft: 15 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

About 10 minutes after departure while in cruise flight at 55-60 mph, the pilot began to feel a vibration in the airframe and an "abnormal drag." He reduced the engine power, and about that time, he felt the propeller sever the rudder cables. As he looked back, he saw the rudder separate from the airframe and the gyroplane began to spin. The pilot shut down the engine to reduce the torque and attempted to maintain control as the gyroplane rapidly descended until it impacted the ground. The fuselage and main rotor blades were substantially damaged during the accident sequence. An examination of photographs of the fractured bolt section that attached the rudder to the fuselage revealed that the bolt likely fractured as a result of reverse bending fatigue.

Factual narrative

On December 8, 2019, about 1405 Atlantic standard time, an experimental amateur-built Parsons Two Place #1 gyroplane, N446PS, was substantially damaged when it impacted terrain near Naguabo, Puerto Rico. The private pilot sustained serious injuries. The gyroplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. According to the pilot, about 10 minutes after departure while in cruise flight at 55-60 mph, he began to feel a vibration in the airframe and an "abnormal drag." He reduced the engine power, and about that time, he felt the propeller sever the rudder cables. As he looked back, he saw the rudder separate from the airframe and the gyroplane began to spin. The pilot shut down the engine to reduce the torque and attempted to maintain control as the gyroplane rapidly descended until it impacted the ground. Examination of the wreckage by a Federal Aviation Administration inspector revealed that the gyroplane came to rest on the right side. The main rotor blades were impact damaged and cut branches were located nearby. The propeller blades remained attached to the engine and the engine remained attached to the airframe. The rudder was not located after the accident. Photographs of the fractured bolt section that attached the rudder to the fuselage were sent to the National Transportation Safety Board Materials Laboratory for examination, which revealed that the bolt fractured as a result of reverse bending fatigue. According to the preflight checklist for the gyroplane, the pilot should check the rudder for "condition and security, check surface for delamination, check rudder cables (rudder end) for fraying and nico clamps for security." After the accident, the manufacturer of the gyroplane kit updated the preflight checklist to include checking the rudder for "condition and bolt security, check surface for delamination, check rudder cables (rudder end) for fraying and nico clamps for security."

Aircraft

Registration
N446PS
Reported as
Parsons Two Place #1
Category
Gyroplane, amateur-built
Serial number
L ROR-01
Built
2013
Airframe hours
66.8
Engine
Rotax 912 S2, 100 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Condition · June 23, 2019 · 5 hours before
Departed
RVR · Ceiba, PR
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
47
Injuries
Serious
Certificate
Private
Airplane ratings
Single-engine sea, Single-engine land
Medical
BasicMed
Last flight review
May 26, 2019
Seat
Front
Restraint
4-point
Flight hours
311 total · 36 in this make and model · 233 as pilot in command · 3.7 in the last 90 days · 0.1 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
60° at 7 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
84 °F, dew point 72 °F
Altimeter
29.98 inHg
Observed at
TJNR, 3 nm away

Docket · 7

The files NTSB released with the investigation on April 12, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 21.4 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.