LAX00LA018

NTSB accident investigation · Sikorsky CH-54A · Elko, NV · October 16, 1999

Accident · FatalLimited investigationFinal report
Date
October 16, 1999, 14:10 local (21:10 UTC)
Place
Elko, NV
Injuries
1 fatal, 2 uninjured
Damage
No damage
Phase of flight
Standing
Aircraft
N9125MSikorsky CH-54A
Weather
Visual (VMC) · Day
Status
Completed · report May 17, 2001
Report
Approved by Office Director
FAA report
19991016029129A
Case key
47603

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 flight engineer's decision to climb a step ladder that put him in close proximity to the still turning main rotor blades. The gusting wind was a factor in the accident.

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.

Propeller/rotor contact to personStanding - engine(s) not operating
Weather condition - gustsFactor
Unsafe/hazardous condition - disregardedFlight engineerCause
Clearance - not maintainedFlight engineerCause

Analysis

While the aircraft was shutting down, the flight engineer exited the aircraft, and gave the pilots the signal that the droop stops had engaged. He then climbed up on a stepladder next to the tail boom as the main rotor continued to coast down to a stop. A minute or so later, the two remaining crewmembers heard a 'thump.' The pilot-in-command (PIC) asked the copilot to go outside and find the source of the noise. When he walked toward the rear of the aircraft he found the flight engineer laying across the top of tail boom with a massive head injury. The main rotor of the Ch-54A is fully articulated. The rotor system employs a series of main rotor blade droop stops. As the rotor rpm slows, centripetal force is reduced and the droop stop springs pull the stops back into ground stop position. During spool down it can take 20 seconds or more for the first through sixth stop to move into the ground stop position. The visual strobe effect, caused by the turning rotor head, can make it appear that all the stops are in place when one or more stops still have not yet been fully repositioned. Winds were gusting up to 14 knots at the time of the shutdown. Gusting winds during shutdown can cause a slow turning rotor blade to suddenly flap down independently of the remaining blades.

Factual narrative

On October 16, 1999, at 1410 hours Pacific daylight time, a Sikorsky CH-54A, N9125M, was shutting down at Elko, Nevada, when the flight engineer was struck by a main rotor blade. The aircraft was not damaged. The airline transport pilot or his copilot was not injured; however, the flight engineer received fatal injuries. The aircraft was being operated as a positioning flight by Siller Brothers, Inc., under 14 CFR Part 91 when the accident occurred. The flight originated in Tooele, Utah, at 1230, and was en route to Yuba City, California, with a planned fuel stop in Elko. Visual meteorological conditions prevailed at the time and a company flight plan was filed.

According to the Bureau of Land Management (BLM) State Aviation Manager for the state of Nevada, while the aircraft was being shutdown the flight engineer exited the aircraft. He then gave the pilots the signal that the droop stops had engaged, and then climbed up on a stepladder next to the tail boom. A minute or so later, the two remaining crewmembers heard a "thump." The pilot-in-command (PIC) asked the copilot to go outside and find the source of the noise. When he walked toward the rear of the aircraft, he found the flight engineer lying across the top of tail boom with a massive head injury. He returned to the cockpit and informed the PIC that the flight engineer was injured. The PIC called the tower, requesting immediate emergency medical aid. Emergency medical personnel who responded concluded that the flight engineer had been struck in the back of the head by a main rotor blade.

The main rotor head of the CH-54A is fully articulated with each blade being free to flap independently of the remaining blades. The rotor system employs a series of main rotor blade droop stops. As the rotor rpm slows, centripetal force is reduced and the droop stop springs pull the stops back into ground stop position. Manufacturer's representatives stated that during spool down it can take 20 seconds or more for the first through sixth stop to move into the ground stop position. The visual strobe effect, caused by the turning rotor head, can make it appear that all the stops are in place when one or more stops still have not yet been fully repositioned.

A postaccident inspection of the static main rotor system found all six droop stops fully in the ground stop position.

Winds were gusting up to 14 knots at the time of the shutdown.

The aircraft was on a repositioning flight to its home station in Yuba City, after being released from a Call-When-Needed exclusive use contract with the U.S. Forest Service earlier that day. The stop in Elko was for fuel.

No autopsy was performed. A toxicological study was conducted on samples from the flight engineer by the Washoe County Sheriff's Forensic Science Division. The results were negative for alcohol and all screened drug substances.

Aircraft

Registration
N9125M
Reported as
Sikorsky CH-54A
Category
Helicopter
Serial number
68-18455
Airframe hours
3,766
Engine
P&W JFTD 12A-4A, 4,500 horsepower, turbo shaft
Damage
No damage
Flight
Positioning · Part 91
Registered owner
Neal Siller
Airworthiness certificate
Special, Restricted (Special)
Last inspection
AAIP · October 14, 1999 · 7 hours before
Departed
YVY · Tooele, UT
Destination
O52 · Yuba City, CA
Flight plan
Company VFR
Airport
EKO · Elko Municipal-J.C. Harri

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
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Helicopter, Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Right
Flight hours
22,730 total · 1,540 in this make and model · 14,400 as pilot in command · 193 in the last 90 days · 74 in the last 30 days · 5 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
20° at 9 knots, gusting 14
Visibility
10 statute miles
Lowest ceiling
None
Temperature
48 °F, dew point 7 °F
Altimeter
30.00 inHg
Observed at
EKO

FAA reports on this event · 1

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