FTW91IA143

NTSB incident investigation · Bell 412 · Rowan Midland · August 8, 1991

Incident · No injuriesIncident investigationFinal report
Date
August 8, 1991, 10:00 local (15:00 UTC)
Place
Rowan Midland
Injuries
15 uninjured
Damage
No damage
Phase of flight
Initial climb
Aircraft
N177EHBell 412
Weather
Visual (VMC) · Day
Status
Completed · report May 5, 1993
Report
Approved by Office Director
FAA report
19910808036879I
Case key
23280

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

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Probable cause

The mechanic's failure to assemble the tail rotor drive shaft correctly and the subsequent failure of the tail rotor drive shaft. A factor was the lack of inspection procedures for offshore maintenance.

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.

Airframe/component/system failure/malfunctionTakeoff - initial climb
Maintenance,installation - improperOther maintenance personnelCause
Maintenance,inspection - not performedOther maintenance personnelFactor
Rotorcraft flight control,tail rotor control - loss,totalCause
Rotor drive system,tail rotor drive shaft - failure,totalCause
Precautionary landing - performedPilot in command
Forced landingDescent - emergency

Analysis

During takeoff from a moving vessel, the pilot lost directional control. He elected to continue to fly in an effort to reach an offshore platform. As direction control became more unstable, the captain ordered the first officer to make a water landing. Floats were inflated and the landing was made without incident. All 15 on board were recovered without incident. Examination revealed that the tail rotor drive shaft had been assembled incorrectly and that the quill assembly had failed.

Aircraft

Registration
N177EH
Reported as
Bell 412
Category
Helicopter
Serial number
33037
Engine
P&W PT6T-3B, 1,025 horsepower, turbo shaft
Damage
No damage
Flight
Part 135
Operator
Era Aviation Inc.
Departed
NONE · West. Carribean, GM
Destination
MSY · New Orleans, LA
Flight plan
Company VFR

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
45
Certificate
Airline transport
Instrument ratings
Helicopter
Medical
Class 1, Valid Medical--w/ waivers/lim
Flight hours
13,900 total · 8,000 in this make and model · 12,500 as pilot in command · 118 in the last 90 days · 29 in the last 30 days · 7 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
45° at 5 knots
Visibility
20 statute miles
Lowest ceiling
None
Temperature
-0 °F, dew point -0 °F

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.