LAX02IA013

NTSB incident investigation · McDonnell Douglas 600N · Long Beach, CA · October 23, 2001

Incident · No injuriesIncident investigationFinal report
Date
October 22, 2001, 17:00 local (Oct 23, 2001, 00:00 UTC)
Place
Long Beach, CA
Injuries
1 uninjured
Damage
No damage
Phase of flight
Standing
Aircraft
N959SDMcDonnell Douglas 600N
Weather
Visual (VMC) · Day
Status
Completed · report April 18, 2003
Report
Approved by Office Director
Parties
NTSB
Case key
53678

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 fatigue failure of a 5/16-inch boom attach bolt was most probably caused by the angular misalignment between the tail boom bolt hole and the fuselage mounted nutplate.

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/malfunctionStanding - engine(s) not operating
Misc rotorcraft,tail boom - fatigueCause

Analysis

A MDHI 600N helicopter, operated by the Los Angeles County Sheriff's Department, was found to have a fractured tail boom attach bolt during a routine ground examination of the helicopter for evening ground standby duty. The pilot stated that as he pushed sideways on the tail boom it seemed loose. Subsequent examination by maintenance personnel found that the head half of the upper right 5/16-inch tail boom attach bolt was hanging loose by the safety wire. Examination of the bolt revealed that it had failed about three threads from the bolt shank. The remainder of the threaded portion of the bolt remained in the plate nut affixed to the fuselage. Fretting was observed on the fuselage and tail boom mating points in proximity to the fractured bolt. Areas of the bolt shank exhibited polishing. Subsequent examination for collateral damage revealed cracks were present at the aluminum attach fitting and associated angles. The operator examined two of their other 600N helicopters and found those with cracks at the same location. Two other local area law enforcement operators also found cracks in the same location. The tail boom is attached to the fuselage with four special OEM produced bolts. The helicopter tail boom is required to be removed every 300 flight hours for inspection, and, in addition is occasionally removed for other servicing procedures. Examination of the maintenance records disclosed that the bolts may have been through about 10 torque cycles. The bolts have no life limit. The failed 5/16-inch bolt, p/n HS5482-5-18, is torqued to 150-inch/pounds during installation. On November 2, 2001, MDHI issued service bulletin SB600N-036, which prescribes procedures for inspecting the upper right tail boom, attach bolt, and attach fitting assembly. "The Part 1 inspection requirements of this bulletin shall be accomplished within the next five (5) hours of helicopter operation after the receipt of this bulletin or within thirty (30) days of the issue date of this bulletin, whichever occurs first." "The Part 2 inspection and repair requirements of this bulletin shall be accomplished within the next twenty-five (25) hours of helicopter operation after the receipt of this bulletin or within ninety (90) days of the issue date of this bulletin, whichever occurs first." On November 28, 2001, the FAA issued Priority Letter Airworthiness Directive (Emergency AD) 2001-24-51, mandating compliance with the service bulletin 600N-036.

Factual narrative

On October 22, 2001, about 1700 hours Pacific daylight time, a MDHI 600N helicopter, N959SD, operated by the Los Angeles County Sheriff's Department, was found to have a fractured tail boom attach bolt during a preflight examination by a pilot. A routine ground examination of the helicopter was being performed prior to evening ground standby duty from the Sheriff's Aerobureau in Long Beach, California. The pilot stated that as he pushed sideways on the tail boom it seemed loose. Subsequent examination by maintenance personnel found that the head half of the upper right 5/16-inch tail boom attach bolt was hanging loose by the safety wire. Examination of the bolt revealed that it had failed about three threads from the bolt shank. The remainder of the threaded portion of the bolt remained in the plate nut affixed to the fuselage. Fretting was observed on the fuselage and tail boom mating points in proximity to the fractured bolt. Areas of the bolt shank exhibited polishing.

Subsequent examination for collateral damage revealed cracks were present at the aluminum attach fitting and associated angles. The operator examined two of their other 600N helicopters and found those with cracks at the same location. Two other local area law enforcement operators also found cracks in the same location. According to the Federal Aviation Administration (FAA) Aircraft Certification Offices responsible for certifying the 600N, a service bulletin and a priority letter airworthiness directive are in process.

The tail boom is attached to the fuselage with four special OEM produced bolts. The helicopter tail boom is required to be removed every 300 flight hours for inspection, and, in addition, is occasionally removed for other servicing procedures. Examination of the maintenance records disclosed that the bolts may have been through about 10 torque cycles. The bolts have no life limit. The failed 5/16-inch bolt, p/n HS5482-5-18, is torqued to 150-inch/pounds during installation.

On November 2, 2001, MDHI issued service bulletin SB600N-036, which prescribes procedures for inspecting the upper right tail boom, attach bolt, and attach fitting assembly.

"The Part 1 inspection requirements of this bulletin shall be accomplished within the next five (5) hours of helicopter operation after the receipt of this bulletin or within thirty (30) days of the issue date of this bulletin, whichever occurs first."

"The Part 2 inspection and repair requirements of this bulletin shall be accomplished within the next twenty-five (25) hours of helicopter operation after the receipt of this bulletin or within ninety (90) days of the issue date of this bulletin, whichever occurs first."

On November 28, 2001, the FAA issued Priority Letter Airworthiness Directive (Emergency AD) 2001-24-51, mandating compliance with the service bulletin 600N-036.

Aircraft

Registration
N959SD
Reported as
McDonnell Douglas 600N
Category
Helicopter
Serial number
RN-019
Engine
Allison 250-C20, 530 horsepower, turbo shaft
Damage
No damage
Flight
Public aircraft · Public use
Registered owner
Los Angeles County Sheriff's Dept.
Airworthiness certificate
Standard, Normal
Departed
LGB · Long Beach, CA
Destination
LGB · CA
Flight plan
Company VFR
Airport
LGB · Long Beach

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.

Weather

Conditions
Visual (VMC) · Day
Visibility
10 statute miles
Lowest ceiling
None
Temperature
63 °F