FTW97FA352

NTSB accident investigation · Bell 407 · Grand Isle S108 · September 18, 1997

Accident · Minor injuriesField investigationFinal report
Date
September 18, 1997, 07:45 local (12:45 UTC)
Place
Grand Isle S108
Injuries
4 minor, 1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N467PHBell 407
Weather
Instrument (IMC) · Day
Status
Completed · report June 4, 2002
Report
Approved by Office Director
Parties
Petroleum Helicopters Incorporated, Bell Textron, FAA
FAA report
19970918027589A
Case key
51163

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

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Probable cause

The tail rotor blade strike(s) that severed the aft portion of the tailboom, subsequently rendering the pilot with no tail rotor control while in cruise flight. A factor was the lack of suitable terrain for the forced autorotative landing.

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/malfunctionCruise
Rotor system,tail rotor - blade strikeCause
Misc rotorcraft,tail boom - cut/severedCause
Tail rotor/anti-torque control - not possiblePilot in commandCause
Forced landingEmergency descent/landing
Autorotation - performedPilot in command
Hard landingEmergency landing
Terrain condition - none suitableFactor
Terrain condition - water

Analysis

The helicopter was in cruise flight over open ocean water at 130 knots and 800 feet MSL, when the pilot felt a "violent jerk or yaw" and heard a grinding sound coming from the rear of the aircraft. The pilot attempted to correct the yaw with the anti-torque pedals, but there was no response, and the aircraft continued to yaw to the right and the nose pitched down. The pilot reduced the throttle and initiated an autorotation. He stated that the helicopter made "almost" a 360-degree right turn before contact with the water at a level pitch attitude with "slight" forward speed. One of the 4 passengers recalled seeing an object fall and hit the water, "leaving a circular motion" on top of the water, just prior to the helicopter landing in the water. The helicopter remained afloat on its deployed skid mounted float system and was recovered on the day of the accident, with the exception of the aft section of the tail boom, including the tail rotor gearbox, vertical fin, and tail rotor hub and blade assembly, which was missing. The aft section of the tail boom was recovered approximately 3 months later. Detailed examination of the tail boom separation area revealed multiple fractures and tears between tail boom stations 148 and 162. Examination of the fractured area revealed no evidence of fatigue. There was evidence of 4 tail rotor blade strikes between tail boom stations 150.9 and 153.2. One of the tail rotor blades was fractured about 14 to 18 inches from the inboard end, with the outboard section missing. The metallic leading edge of the remaining inboard section of this blade was deformed and twisted toward the tail boom. The other tail rotor blade was relatively intact with an indentation near the leading edge on the side toward the tail boom located about 18 inches from the inboard end of the blade. White paint, similar to the paint on the tail boom was found smeared onto the tail rotor blade's black paint in the area of the indentation. Detailed examinations of the tail rotor hub and blade assembly, tail rotor mast, tail rotor controls, tail rotor drive system, and the 90-degree gearbox mounting system did not reveal the reason for the in-flight contact of the tail rotor blades with the tail boom.

Factual narrative

History of flight

On September 18, 1997, at 0745 central daylight time, a Bell 407 helicopter, N467PH, owned by G.E. Capital Corporation, and operated by Petroleum Helicopters Incorporated (PHI), was substantially damaged when the tail rotor blades struck the tail boom while in cruise flight. The pilot executed a forced landing (autorotation) into ocean water, approximately 70 miles south west of Fourchon, Louisiana, in the Gulf of Mexico. The commercial pilot was not injured and his four passengers sustained minor injuries. Visual meteorological conditions prevailed and a company flight plan was filed for the 14 Code of Federal Regulations Part 135 on demand air taxi flight. The flight originated at 0729 from the Ewing Banks 826 offshore platform, and was en route to a company field base located in Venice, Louisiana.

In an interview with the NTSB investigator-in-charge (IIC), the pilot stated that the helicopter was in cruise flight at 130 knots and 800 feet mean sea level (MSL), when suddenly there was a "violent jerk or yaw of the aircraft and a loud noise like a bang, followed by a grinding like sound." The pilot attempted to correct the yaw with the anti-torque pedals, but there was no response, and the aircraft continued to yaw to the right and the nose pitched down. He then applied aft cyclic to try to "level" the aircraft, and reduced the collective. Losing altitude and still in a turn to the right, the pilot reduced the throttle and initiated an autorotation. He stated that the helicopter made "almost" a 360-degree turn before contact with the water at a level pitch attitude with "slight" forward speed. Upon entering the water, the chin bubbles broke out and then the pilot deployed the skid mounted floats. The helicopter came to rest floating upright on the water surface. After about 1 hour, a rescue boat arrived and the pilot and his 4 passengers were transported to the nearest offshore platform. The helicopter was kept afloat by a recovery crew and transported by barge to Lafayette, Louisiana.

All of the 4 passengers aboard provided written statements to the NTSB IIC. Excerpts of their statements follow:

Passenger #1, seated in the left front seat across from the pilot, stated that he was talking to the pilot on the intercom when he heard a "loud noise from the back off the aircraft and saw the foot controls go to the floor" as the helicopter "yawed or shoved" to the left. The helicopter "stayed in a downward" angle for "a few seconds" and then "came back around to the right and went nose down" and "side to side nearly vertically." He observed the pilot "fighting the controls" as the helicopter "went to the right again and almost turned upside down. The pilot then "pulled the ship out of [the] corkscrew," and the helicopter impacted the water.

Passenger #2, seated in the cabin left seat directly behind passenger #1 and facing to the rear of the helicopter, stated that he heard a "loud boom" through his ear protection. The helicopter "pitched to the left" and began a "spiral nose dive." The helicopter "made several revolutions" prior to impacting the water. He observed the pilot "struggling with the stick" during the descent.

Passenger #3, seated in the cabin left rear seat facing forward, stated that he heard a "loud bang" and the helicopter started "spinning out of control." The helicopter "kept spiraling down" as the pilot was "fighting with the control stick to stabilize the helicopter." He stated that the helicopter "hit the water" at about a 20-degree angle and the "windshield and pilots foot control pedals busted."

Passenger #4, seated in the cabin right seat facing aft, stated that he was reading when he heard a "whop" sound come from behind his head and then "suddenly, the aircraft yawed hard to the left and rolled slightly to the right." At this point, he was looking to see "our relationship with the water when [his] eyes caught a glimpse of a falling object. He further stated that, "as fast as [his] eyes picked the object up, it (the object) hit the water leaving a circular motion on top of the water." The aircraft then "went nose downward while descending to the water." Just before the aircraft hit the water, he remembered hearing a loud high pitch sound coming from the main rotor area as the "nose of the aircraft came up, almost leveling off, but still nose forward somewhat." He recalled that the aircraft "went into the water rather hard" and water immediately came "flooding through the ship." The helicopter "went deep into the water, then suddenly there was a loud noise and the helicopter came rushing back to the surface."

Personnel information

The pilot was employed by PHI on February 6, 1988, and held a valid commercial pilot certificate with helicopter, single engine land, and multi-engine land airplane ratings. He held airplane and helicopter instrument ratings. His total flight time, as of September 18, 1997, was 10,773 hours, of which 9,330 hours were in light helicopters. His total flight time in the Bell model 407 as pilot-in-command was 75 hours. He had flown 163 hours in single engine helicopters in the 90 days preceding the accident.

Aircraft information

Manufactured at Bell Helicopter Textron Canada, the Bell model 407 helicopter, serial number (S/N) 53142, was certified on May 16, 1997, with 7.2 total flight hours. After certification, the helicopter was ferried to the HAS Corporation, Mount Pleasant, Pennsylvania, for customization and avionics installations. The helicopter was delivered to PHI, Lafayette, Louisiana, on June 19, 1997, as a new aircraft with a total time of 20.5 hours.

The following information is a summary of the manufacturing history of the helicopter:

The helicopter was equipped with tail boom, S/N 53143. The tail boom serial number is usually matched with the helicopter serial number; however, according to the manufacturer, it is not unusual to see a difference in the helicopter serial number and some major assemblies such as the tail boom.

The tail boom was equipped with tail-rotor gearbox, S/N A-777, which was test run (called a "green" run) on two occasions for routine manufacturing testing purposes. On the first run, the gearbox performed to manufacturer's specifications. However, following a green run, gearboxes are normally disassembled as part of a visual inspection process to ascertain gear wear patterns and other details not visible from the outside. During the disassembly of the gearbox, it was discovered that the output journal needed to be replaced. The following green run was successful and the gearbox was accepted.

During manufacturing, the tail boom was equipped with tail rotor hub and blade assembly, S/N 53117, which included the following components:

Hub (yoke/flexure) S/N A-160

Tail Rotor Blade S/N A-1692 (later replaced by blade S/N 1757 due to damage)

Tail Rotor Blade S/N A-1693

After the tail rotor hub and blade assembly was installed on the helicopter, blade S/N A-1692 was found to have a dent on the outboard side. The damage was assessed by manufacturing quality assurance, and the blade was removed for repair. A replacement blade, S/N A-1757, was then installed on the tail rotor hub and blade assembly. The tail rotor hub and blade assembly was then balanced and operated during test and certification flights before undergoing a final inspection conducted by Bell Canada and Transport Canada. During the final inspection, blade S/N 1693 was found to have a minor scratch on the outside face, which was repaired. Also, the tail skid was found loose and repaired with a sealing compound.

The operator provided the following notes on maintenance of the helicopter after delivery:

August 14, 1997: 3-month/300-hour lubrication and service as per FAA approved inspection plan. Aircraft total time 84.2 hours.

August 21, 1997: 150-hour inspection. Aircraft total time 9

Aircraft

Registration
N467PH
Reported as
Bell 407
Category
Helicopter
Serial number
53142
Airframe hours
177
Engine
Allison 250C-47B, 674 horsepower, turbo shaft
Damage
Substantial damage
Flight
Part 135
Operator
Petroleum Helicopters, Inc., doing business as Phi
Registered owner
G.E. Capital Corporation
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · September 6, 1997 · 35 hours before
Departed
NONE · Ewing Banks-286, GM
Destination
7R1 · Venice, 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
60
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Helicopter, Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Last flight review
July 3, 1997
Seat
Rear
Flight hours
10,773 total · 75 in this make and model · 9,961 as pilot in command · 163 in the last 90 days · 48 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Day
Wind
70° at 16 knots
Visibility
6 statute miles
Lowest ceiling
4,000 ft broken
Temperature
77 °F
Altimeter
29.96 inHg

FAA reports on this event · 1

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