FTW04IA077

NTSB incident investigation · Bell BH-212 · Galliano, LA · December 3, 2003

Incident · No injuriesIncident investigationFinal report
Date
December 3, 2003, 08:25 local (14:25 UTC)
Place
Galliano, LA
Injuries
11 uninjured
Damage
No damage
Phase of flight
Enroute
Aircraft
N5017HBell BH-212
Weather
Visual (VMC) · Day
Status
Completed · report June 30, 2004
Report
Approved by Office Director
Parties
FAA Rotorcraft Directorate
Case key
58778

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

On this page

Probable cause

The loss of tail rotor control due to sheared, loose, and bent bolts which secured the tail rotor pitch control bellcrank support bracket.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of control - in flightCruise
Rotorcraft flight control,t/r bellcrank/quadrantCause
Miscellaneous,bolt/nut/fastener/clamp/spring - shearedCause
Miscellaneous,bolt/nut/fastener/clamp/spring - bentCause
Tail rotor/anti-torque control - not possiblePilot in commandCause
Miscellaneous,bolt/nut/fastener/clamp/spring - loose part/bolt/nut/clamp/etcCause
Miscellaneous/otherEmergency landing

Analysis

The airline transport-rated pilot executed a precautionary landing following an uncommanded right yaw and in-flight control anomalies. The operator reported that approximately 35 minutes into flight, the aircraft suddenly yawed "violently" to the right with slight nose tuck. The tail rotor pedals were simultaneously driven to near full right position. The co-pilot immediately reduced collective and IAS, corrected with left pedal while canceling the Flight Director. The aircraft oscillated twice at medium intensity and relatively small magnitude. Control of the aircraft was then passed to the pilot-in-command who reestablished straight and level flight at reduced power, with full right pedal required. Cruise power at this time was approximately 60 percent. The crew reviewed the prescribed emergency procedures and notified company dispatch. In-flight troubleshooting revealed no remedial effect from securing one or both Helipilot SAS systems. Hydraulic systems not cycled, but pressure was noted as "normal" on both systems. Hydraulic boost to pedals appeared "normal." Slight left pedal input confirmed tail rotor control input. Controlled slow flight ability was confirmed down to 40 knots with resultant increasing right yaw. The 12,900-hour pilot executed a normal approach, touched down at 25 to 30 knots, and controlled the yaw with the collective and throttle. Examination of the aircraft by the operator revealed that the upper/left bolt that secures the tail rotor pitch control bellcrank support was bent and loose in the nutplate. The lower/left bolt had sheared just below the bolt head, and the lower/right bolt was sheared in the threaded area in the nutplate. Control movement was checked with no binding, lost motion or unusual noises. No additional anomalies were noted in the tail rotor control system.

Factual narrative

On December 3, 2003, approximately 0825 central standard time, a Bell BH-212 helicopter, N5017H, registered to Evergreen Equity, Inc., of McMinnville, Oregon, and operated by Evergreen Helicopters International, Inc., of Galveston, Texas, was in cruise flight when it experienced an uncommanded right yaw and in-flight control anomalies. The pilot executed a precautionary landing at South Lafourche Airport (L49), near Galliano, Louisiana. The airline transport-rated pilot, co-pilot, and nine passengers were not injured. Visual meteorological conditions prevailed and a company visual flight rules (VFR) flight plan was filed for the 14 Code of Federal Regulations Part 135 domestic, non-scheduled, on-demand air taxi flight. The flight originated from Ship Shoal 358 (SS358) offshore platform, Gulf of Mexico, at 0750, and was destined for Evergreen Fourchon Heliport (OLS2), near Golden Meadow, Louisiana.

The operator stated in the Pilot/Operator Aircraft Accident Report (NTSB form 6120.1/2), that approximately 35 minutes into flight, the aircraft suddenly yawed "violently" to the right with slight nose tuck. The tail rotor pedals were simultaneously driven to near full right position. The co-pilot immediately reduced collective and IAS, corrected with left pedal while canceling the Flight Director. The aircraft oscillated twice at medium intensity and relatively small magnitude. Control of the aircraft was then passed to the pilot-in-command who reestablished straight and level flight at reduced power, with full right pedal required. Cruise power at this time was approximately 60 percent. The crew reviewed the prescribed emergency procedures and notified company dispatch. In-flight troubleshooting revealed no remedial effect from securing one or both Helipilot SAS systems. Hydraulic systems not cycled, but pressure was noted as "normal" on both systems. Hydraulic boost to pedals appeared "normal." Slight left pedal input confirmed tail rotor control input. Controlled slow flight ability was confirmed down to 40 knots with resultant increasing right yaw. The pilot consulted with Base Maintenance and determined to proceed to the nearest airport for run-on landing. The co-pilot briefed the passengers on the situation and safety procedures.

The 12,900-hour pilot-in-command executed a normal approach to L49, touched down on Runway 36 at 25 to 30 knots, and controlled the yaw with the collective and throttle. The shutdown and evacuation were uneventful and the helicopter was not damaged.

Examination of the aircraft by the operator revealed that the upper/left bolt that secures the tail rotor pitch control bellcrank support was bent and loose in the nutplate. The lower/left bolt had sheared just below the bolt head, and the lower/right bolt was sheared in the threaded area in the nutplate. Control movement was checked with no binding, lost motion or unusual noises. No additional anomalies were noted in the tail rotor control system.

Aircraft

Registration
N5017H
Reported as
Bell BH-212
Category
Helicopter
Serial number
30930
Airframe hours
10,799.1
Engine
Pratt & Whitney PW PT6-3, 900 horsepower, turbo shaft
Damage
No damage
Flight
Part 135
Operator
Evergreen Helicopters International, Inc., doing business as Evergreen Helicopters International, Inc.
Registered owner
Evergreen Equity, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
Continuous airworthiness · December 2, 2003 · 3.1 hours before
Departed
NONE · Gom Ss358, GM
Destination
OLS2 · Fourchon, LA
Flight plan
Company VFR
Airport
L49 · South Lafourche, runway 36, 3,800 × 75 ft, asphalt

Flight crew · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
54
Injuries
None
Certificate
Airline transport
Instrument ratings
Helicopter
Medical
Class 2, Valid Medical--w/ waivers/lim
Last flight review
March 6, 2003
Seat
Left
Flight hours
12,900 total · 3,000 in this make and model · 10,700 as pilot in command
Role
Co-pilot
Age
36
Injuries
None
Certificate
Commercial
Medical
Class 2, Valid Medical--no waivers/lim.
Last flight review
March 6, 2003
Seat
Right
Flight hours
1,781 total · 342 in this make and model · 1,332 as pilot in command · 59 in the last 90 days · 14 in the last 30 days · 9 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
60° at 7 knots
Visibility
10 statute miles
Lowest ceiling
6,000 ft overcast
Temperature
61 °F, dew point 52 °F
Altimeter
30.18 inHg