GAA16CA039

NTSB accident investigation · Bell 407 · Cameron, LA · October 30, 2015

Accident · No injuriesData collectionFinal report
Date
October 30, 2015, 12:20 local (17:20 UTC)
Place
Cameron, LA
NTSB coordinates
29.3906, -93.4461 (estimated), outside the stated state
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Standing
Aircraft
N420PHBell 407
Defining event
Standing-engine(s) start-up: Part(s) separation from AC
Weather
Visual (VMC) · Day
Status
Completed · report February 8, 2016
Report
Approved by Office Director
NTSB office
General Aviation Accidents
Parties
FAA Baton Rouge FSDO
FAA report
20151030019639A
Case key
92283

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

The pilot's failure to remove a main rotor blade tiedown, which resulted in substantial damage to a main rotor blade when the engine was started.

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.

Inspection: preflight inspectionPersonnel issues › Task performance · PilotBell 407: 1 caseAll aircraft: 551 casesProbable cause
Action: forgotten action/omissionPersonnel issues › Action/decision · PilotBell 407: 1 caseAll aircraft: 440 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

The operator reported that the pilot landed and shutdown the helicopter on an offshore platform. He secured the main rotor system by attaching a tiedown to the forward left main rotor blade and he then attached this tiedown to the left front skid cross tube. Several hours later, the pilot entered the right front seat to begin the engine start sequence. The operator reported that the pilot proceeded to start the engine and noted a few seconds after initiating the engine start that the helicopter made an "unusual noise" and began to shake. The pilot then shut down the helicopter without further incident. A postflight inspection revealed substantial damage to the blue main rotor blade. The operator reported there were no pre-impact mechanical failures or malfunctions with the airframe or engine that would have precluded normal operation.

Factual narrative

The operator reported that the pilot landed and shutdown the helicopter on an offshore platform. He secured the main rotor system by attaching a tiedown to the forward left main rotor blade and he then attached this tiedown to the left front skid cross tube. Several hours later, the pilot entered the right front seat to begin the engine start sequence. The operator reported that the pilot proceeded to start the engine and noted a few seconds after initiating the engine start that the helicopter made an "unusual noise" and began to shake. The pilot then shut down the helicopter without further incident. A postflight inspection revealed substantial damage to the blue main rotor blade. The operator reported there were no pre-impact mechanical failures or malfunctions with the airframe or engine that would have precluded normal operation. The Bell Helicopter 407 Rotorcraft Flight Manual lists the preflight check areas in Section 2 Normal Procedures. Regarding the exterior check, this manual states in part; 2-3-B-1. Fuselage – Cabin Right Side 1. All main rotor blades – tiedowns removed, condition. There is also a warning in this section that states, "Failure to remove rotor tiedowns before engine starting may result in severe damage and possible injury."

Aircraft

Registration
N420PH
Reported as
Bell 407 (NO SERIES)
Category
Helicopter
Serial number
53747
Built
2007
Airframe hours
9,015.86
Engine
Rolls-Royce 250-C47B, 630 horsepower, turbo shaft
Damage
Substantial damage
Flight
Part 135
Operator
Phi Inc.
Registered owner
Phi Inc.
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · December 17, 2014
Departed
149 · Cameron, LA
Destination
167 · Cameron, LA
Airport
167 · West Cameron 167
Equipment
Satellite tracking device

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
49
Injuries
None
Certificates
Flight instructor, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 1, With waivers/limitations
Last flight review
June 21, 2015
Seat
Right
Restraint
4-point
Flight hours
3,104 total · 313 in this make and model · 1,918 as pilot in command · 150 in the last 90 days · 36 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
180° at 13 knots, gusting 20
Visibility
10 statute miles
Lowest ceiling
None
Temperature
75 °F, dew point 73 °F
Altimeter
29.92 inHg
Observed at
KVBS, 11 nm away

Docket · 2

The files NTSB released with the investigation on January 28, 2016, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.2 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.