GAA17CA132

NTSB accident investigation · Bell Helicopter Textron 206 · Carson City, NV · February 2, 2017

Accident · Minor injuriesData collectionFinal report
Date
February 1, 2017, 16:30 local (Feb 2, 2017, 00:30 UTC)
Place
Carson City, NV
Injuries
2 minor
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N519EHBell Helicopter Textron 206
Defining event
Landing-flare/touchdown: Dynamic rollover
Weather
Visual (VMC) · Day
Status
Completed · report September 7, 2017
Report
Approved by Office Director
NTSB office
General Aviation Accidents
Parties
FAA
FAA report
20170201001959A
Case key
94695

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-in-command’s delayed remedial action to arrest the right yaw after the bounced landing while operating in a flight regime conducive to the loss of tail rotor effectiveness, which resulted in a roll-over.

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.

Action: delayed actionPersonnel issues › Action/decision · Instructor/check pilotBell Helicopter Textron 206L-1: 3 casesAll aircraft: 894 casesProbable cause
Performance/control parameters: yaw controlAircraft › Aircraft oper/perf/capability · Not attained/maintainedBell Helicopter Textron 206L-1: 3 casesAll aircraft: 149 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · Instructor/check pilotBell Helicopter Textron 206L-1: 8 casesAll aircraft: 9,295 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 flight instructor on the controls of the high skid-equipped-landing-gear helicopter reported that he was the pilot-in-command (PIC). The PIC reported that he and another flight instructor were performing simulated emergency procedures during the flight. He reported that he attempted to demonstrate a simulated fixed-pitch (right stuck antitorque pedal) emergency procedure. He reported that, during the maneuver, the nose of the helicopter was about 40° nose right of centerline. He reduced the throttle, and the nose corrected to about 20° nose right of centerline. The helicopter touched down on taxiway delta with minimal forward airspeed, and it then bounced about 5 ft above the ground and yawed right about 1 3/4 turns. The helicopter touched down a second time about 65 ft south of the taxiway centerline and rolled onto its left side. The helicopter sustained substantial damage to the firewall, main rotor drive system, and tail rotor drive system. A METAR at the time of the accident reported that the wind was from 110° at 08 kts. The flight instructor seated in the right seat reported that the wind at the time of the accident was from 090° at 08 kts. When the PIC was asked by the National Transportation Safety Board investigator-in-charge if he placed the collective in the full-down position after touchdown or if he increased the collective after the initial touchdown, he responded that he could not remember. When asked if he applied full left pedal to combat the right yaw, he said that he did not because the event happened quickly. According to the Federal Aviation Administration Helicopter Flying Handbook (FAA-8083-21A), the Helicopter Instructor's Flying Handbook (FAA-8083-4), and Advisory Circular (AC) 90-95 "Unanticipated Rapid Right Yaw in Helicopters," the loss of tail rotor effectiveness is a critical, low-speed aerodynamic flight characteristic that can result in an uncommanded rapid yaw rate that does not subside of its own accord and, if not corrected, can result in the loss of aircraft control. AC 90-95, Section 7.d.3. (page 7), defines flight characteristics and wind azimuths and states that the tail rotor vortex ring state occurs when the wind is from 210° to 330°. 1. Winds within this region will result in the development of the vortex ring state of the tail rotor. AC 90-95, Section 10, "Recommended Recovery Techniques," (page 8), states: a. If a sudden unanticipated right yaw occurs, the pilot should perform the following: (1) Apply full left pedal. Simultaneously, move cyclic forward to increase speed. If altitude permits, reduce power. (2) As recovery is effected, adjust controls for normal forward flight. b. Collective pitch reduction will aid in arresting the yaw rate but may cause an increase in the rate of descent. Any large, rapid increase in collective to prevent ground or obstacle contact may further increase the yaw rate and decrease rotor rpm. The pilot reported that there were no preaccident mechanical malfunctionsor failures with the helicopter that would have precluded normal operation.

Factual narrative

The flight instructor on the controls of the high skid-equipped landing gear helicopter reported that he was the pilot in command (PIC). The PIC reported that he and another flight instructor were performing simulated emergency procedures during the flight. He reported that he attempted to demonstrate a simulated fixed pitch (right stuck anti-torque pedal) emergency procedure. He reported that during the maneuver the nose of the helicopter was about 40° nose right of centerline. He reduced the throttle and the nose corrected to about 20° nose right of centerline. The helicopter touched down on taxiway delta with minimal forward airspeed, and the aircraft bounced about 5 ft above the ground and yawed right about 1 ¾ turns. The helicopter touched down a second time about 65 ft south of the taxiway centerline and rolled onto its left side. The helicopter sustained substantial damage to the firewall, main rotor drive system and tail rotor drive system. The Meteorological Aerodrome Report for the airport which the accident occurred and at the time the accident occurred, identified that the wind was out of the 110° at 08 kts. The flight instructor seated in the right seat, reported that the wind at the time of the accident was out of 090° at 08 kts. When the PIC was asked by the NTSB investigator-in-charge (IIC); was the collective placed in the full down position after touchdown, he could not remember. When asked if he increased the collective after the initial helicopter touchdown; he could not remember. When asked if he applied full left pedal to combat the right yaw, he said that he did not because the event happened quickly. According to the Federal Aviation Administration Helicopter Flying Handbook (FAA-8083-21A) and The Helicopter Instructors Flying Handbook (FAA-8083-4) and Advisory Circular (AC) 90-95 Unanticipated rapid right yaw; Loss of Tail Rotor Effectiveness (LTE) is a critical; low-speed aerodynamic flight characteristic which can result in an uncommanded rapid yaw rate which does not subside of its own accord and, if not corrected, can result in the loss of aircraft control. AC 90-95 Section 7. d. 3. (page 7) defines Flight Characteristics and wind azimuths: Tail rotor vortex ring state occurs when the wind is out of (210° to 330°). 1. Winds within this region will result in the development of the vortex ring state of the tail rotor. AC 90-95, Section 10. a. 1-2 (page 8) is titled Recommended Recovery Techniques and states: a. If a sudden unanticipated right yaw occurs, the pilot should perform the following: (1) Apply full left pedal. Simultaneously, move cyclic forward to increase speed. If altitude permits, reduce power. (2) As recovery is effected, adjust controls for normal forward flight. b. Collective pitch reduction will aid in arresting the yaw rate but may cause an increase in the rate of descent. Any large, rapid increase in collective to prevent ground or obstacle contact may further increase the yaw rate and decreaserotor rpm. The pilot reported that there were no preaccident mechanical malfunctions or failures with the helicopter that would have precluded normal operation.

Aircraft

Registration
N519EH
Reported as
Bell Helicopter Textron 206 (L1)
Category
Helicopter
Serial number
45429
Built
1980
Airframe hours
15,844.7
Engine
Rolls Royce 250-C30P, 650 horsepower, turbo shaft
Damage
Substantial damage
Flight
Instructional · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · January 24, 2017
Departed
CXP · Carson City, NV
Destination
CXP · Carson City, NV
Airport
CXP · Carson, runway 09, 6,101 × 75 ft, asphalt
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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Flight instructor
Age
46
Injuries
Minor
Certificates
Flight instructor, Commercial
Instrument ratings
Helicopter
Medical
Class 2, Without waivers/limitations
Last flight review
January 16, 2016
Seat
Left
Restraint
4-point
Flight hours
3,300 total · 6 in this make and model · 3,146 as pilot in command · 26 in the last 90 days · 6 in the last 30 days · 2 in the last 24 hours
Role
Flight instructor
Age
62
Injuries
Minor
Certificates
Airline transport, Flight instructor
Instrument ratings
Helicopter
Medical
Class 2, With waivers/limitations
Last flight review
September 1, 2016
Seat
Right
Restraint
4-point
Flight hours
7,954 total · 4 in this make and model · 7,274 as pilot in command · 39 in the last 90 days · 6 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
90° at 8 knots
Visibility
10 statute miles
Temperature
46 °F, dew point 28 °F
Altimeter
29.98 inHg
Observed at
CXP

Docket · 3

The files NTSB released with the investigation on August 17, 2017, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.8 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.

Other investigations on N519EH · 1

Matched to the same aircraft by N-number and date.