LAX03LA138

NTSB accident investigation · Eurocopter France AS355N · Redding, CA · April 18, 2003

Accident · No injuriesLimited investigationFinal report
Date
April 18, 2003, 09:30 local (16:30 UTC)
Place
Redding, CA
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N355JEurocopter France AS355N
Weather
Visual (VMC) · Day
Status
Completed · report July 25, 2007
Report
Approved by Office Director
Parties
Sierra Pacific Industries, Turbomeca, American Eurocopter Corporation, Federal Aviation Administration
FAA report
20030418005569A
Case key
56868

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

Failure of the pilot to maintain adequate obstruction clearance during landing, which resulted in the tail rotor contacting a brush pile. The accident sequence was precipitated by the initiation of a precautionary landing by the pilot due to a discrepancy with the engines' torque meter gauge.

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.

Loss of control - in flightHover - in ground effect
Engine instruments,torquemeter - fluctuating
Precautionary landing - attemptedPilot in command
Clearance - not maintainedPilot in commandCause
Terrain condition - high vegetation
Rotor system,tail rotor - foreign object damage
Directional control - not possiblePilot in commandCause
Rotor system,tail rotor - separation
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - ground

Analysis

The helicopter's main rotor and tail rotor blades contacted a brush pile during a precautionary landing that was preceded by a discrepancy in the engine/power torque indication gages. The flying pilot (FP) conducted a normal start up and hover taxied the helicopter to a predetermined location for takeoff. He observed a discrepancy between the two engine torque indicator needles, with no other engine, systems, or rotor indications noted, which led him to make the precautionary landing. As the FP hovered the helicopter in a high hover about 10 feet above the ground, he initiated a slow left turn, with the intention of keeping an adjacent brush pile in view. The pilot reported that the initial 45 degrees of the left turn were normal. Unbeknownst to the pilot, the tail rotor had contacted a brush pile. After the tail rotor contacted the brush pile and the tail rotor gear box separated from the tail boom, the helicopter pitch attitude changed to a nose low attitude and the helicopter started to yaw to the left with the yaw rate increasing. The FP attempted to counteract the loss of control with full aft cyclic and full right pedal, with no effect. Ultimately the main rotor struck the brush pile and the helicopter rotated to the left. The helicopter manufacturer does not identify a torque split between the number 1 and number 2 engines as an emergency. The normal procedure for a torque split discrepancy is to utilize the equalizing trim to balance the torque loads. The FP indicated there was very little apparent vibration, and the NFP did not report any vibrations. After the accident it was observed that the tail and tail rotor assembly had separated from the tail boom, and one of the STARFLEX rotor head arms were fractured at a 45-degree angle. Left yaw of the helicopter is consistent with a loss of tail rotor authority, and the change in noise level heard by the crew could be associated with the tail rotor's interaction with the brush pile. Both engines were test run at the Turbomeca factory in Texas, under the auspices of a Safety Board Investigator on September 3, 2003. No discrepancies were noted with the test run.

Factual narrative

History of flight

On April 18, 2003, at 0930 Pacific daylight time, a Eurocopter/France (Aerospatiale) AS355N, N355J, experienced a loss of control during landing at the Redding Municipal Airport (RDD), Redding, California. Sierra Pacific Industries operated the helicopter under the provisions of 14 CFR Part 91. The helicopter sustained substantial damage after the tail rotor gearbox struck a brush pile. The two commercial rotorcraft rated pilots were not injured. Visual meteorological conditions prevailed for the local area familiarization flight, and no flight plan had been filed. The flight was departing at the time of the accident.

In an interview with the National Transporation Safety Board investigator-in-charge (IIC), the chief pilot, who was the flying pilot (FP), noted a loss of engine power and tail rotor thrust while in a hover. He made a precautionary landing, and landed harder than normal. He lowered the collective, and the helicopter spun around hitting the brush pile. The tail rotor and tail rotor gearbox separated from the tail boom, and the right landing skid collapsed.

In the FP's written statement he reported that after liftoff he brought the helicopter to a hover with the intent of repositioning it to an adjacent clear and level grassy area prior to calling for a takeoff clearance. While hover taxiing in a northerly direction over a graded gravel access road, he noted a discrepancy in the power torque indicator needles. The number 1 needle fluctuated between 0 percent and 10 percent lower than the number 2 needle (which had a normal indication), with an average position of 25 percent lower than the number 2 needle indication. All of the other engine, systems, and rotor indications were normal.

The FP elected to land the helicopter for further investigation, even though he felt it was a torque indication problem and not a power problem. He attempted to land on the gravel road; however, as the helicopter came in to land the rotor wash kicked up dust and debris. He decided to relocate the helicopter another 50 yards north of his current location to a less dusty, level, and unobstructed area. He stopped the taxi, hovered between 5 and 10 feet, and began a slow counterclockwise (left) turn. His intention was to keep a brush pile, located about 36 yards to the west of his current location, in his sight while turning to face the direction of "anticipated vehicular or pedestrian traffic."

The FP reported that the initial 45 degrees of turn were normal, with anticipated levels of control movement required. The helicopter then began an unanticipated change in attitude and moved in "contradiction to control inputs." The FP noted that the noise levels in the cabin changed noticeably; "abnormally quiet with a subtle increase in turbine or main rotor tone." The FP stated that the helicopter began an abrupt nose-low attitude change while rolling slightly left with the yaw movement increasing in rate in the counterclockwise direction. The helicopter started to descend while moving left (sideways) and forward towards the brush pile. He immediately applied "pedal, cyclic and collective forces," which eventually became full aft cyclic and full right pedal input in an attempt to arrest the helicopter's movement.

The FP stated that the helicopter's response to the flight control inputs were not what he expected. The helicopter continued to pitch down, the yaw rate continued to increase to the left, and the helicopter continued to move in the direction of the brush pile, all while descending. At that point he reduced cyclic and collective forces and applied full right pedal, and then moved the cyclic slightly to the left to redirect the helicopter to a point adjacent to the brush pile. The yaw rate increased "dramatically" and he knew that a loss of helicopter control was imminent. He lowered the collective, neutralized the cyclic, while maintaining full right pedal application and landed within a few feet of the brush pile.

The FP indicated that full down collective had been applied upon touchdown, and he then heard a series of loud crashing and breaking noises as the main and tail rotors contacted the brush pile. The helicopter immediately rotated to the left, "and in opposition to the direction of main rotor movement." The tail boom was severed and the right main skid was displaced. The FP applied the main rotor brake to stop the main rotor blade rotation.

In an addendum to the FP's original written submission, he reported that the event "produced little apparent vibration;" however, both pilots noted a sudden change in noise level in the helicopter. He stated that the sound change "could be associated with a main rotor blade falling out of track with the remaining blades."

In the non-flying pilot's (NFP) written statement, he indicated that the engines were started normally and the FP completed the checklists after startup; all checks were normal. They lifted off and came to a low hover (about 6 feet), and the then FP proceeded to reposition the helicopter to a vacant field near the hangar. During the hover taxi the FP noted a split in the torque needles, and decided to land in the field. The NFP cleared the area to the right of the helicopter, as the FP had started a left pedal turn. While the NFP's head was turned to the right he noted a sudden change in noise levels. He looked forward and the helicopter pitched down and yawed to the left. The FP then directed the helicopter to a landing area adjacent to a "brush/burn" pile. After touchdown the helicopter continued in a counterclockwise rotation striking the brush pile and damaging the tail rotor, tail boom, main rotor blades and the right skid. The helicopter was shut down and secured, and the main rotor brake was pulled, "stopping the main rotor blades."

Damage to the helicopter included the separation of the vertical tail, tail rotor, and tail rotor drive gearbox assemblies. The red arm of the STARFLEX rotor head separated at a 45-degree angle from the leading edge outboard to the trailing edge inboard. The right landing skid had buckled.

Personnel information

According to the flying pilot's written report he held a commercial pilot certificate with a rotorcraft-helicopter rating issued on December 8, 1999. The pilot reported that he had accrued a total rotorcraft flight time of 200 hours, with 150 hours in the accident make and model.

Aircraft information

According to a sales order packing list, on February 20, 2002, the core STARFLEX (part number (350A31-1907-3; serial number M4741) became the property of American Eurocopter (AEC) as a special warranty exchange between AEC and Sierra Pacific. A maintenance logbook entry recorded on March 4, 2002, indicated that the main rotor head assembly had been disassembled and returned AEC to for evaluation. A new STARFLEX (part number 350A31-1916-00; serial number M3008) was installed.

Per part number and serial number, the new STARFLEX was subject to Airworthiness Directive (AD) 2002-03-52 issued on March 30, 2002, which required a visual inspection of the star arm end for a gap in the adhesive bead between the bushing and each arm end. The purpose of the AD was to address reports of bonding failures between the metal bushing and the STARFLEX arm end that led to severe vibrations that had resulted in several emergency landings. If the bonding discrepancy was not detected, the FAA ascertained that severe lateral vibrations could result, with a subsequent loss of helicopter control. To remain in compliance with the AD, the time inspection interval was required before each start and thereafter at intervals not to exceed 4 hours time-in-service.

A review of the aircraft's daily flight logs for the past year showed that the AD had been complied with, with no defects found. On the day of the accident the AD inspection had been complied with and signed

Aircraft

Registration
N355J
Reported as
Eurocopter France AS355N
Category
Helicopter
Serial number
5360
Airframe hours
2,175.8
Engines
Turbomeca Arrius 1A, 256 lbs thrust, turbo shaftTurbomeca Arrius 1A, 256 lbs thrust, turbo shaft
Damage
Substantial damage
Flight
Instructional · Part 91
Registered owner
Sierra Pacific Industries
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 1, 2002 · 52.7 hours before
Departed
RDD · Redding, CA
Destination
RDD · Redding, CA
Airport
RDD · Redding Muni

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
Pilot
Age
49
Injuries
None
Certificates
Airline transport, Flight instructor, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1
Last flight review
March 1, 2003
Seat
Left
Flight hours
11,000 total · 150 in this make and model · 10,000 as pilot in command · 60 in the last 90 days · 30 in the last 30 days
Role
Flight instructor
Age
33
Injuries
None
Certificates
Airline transport, Commercial, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2
Seat
Right
Flight hours
4,000 total · 10 in this make and model · 2,800 as pilot in command · 40 in the last 90 days · 20 in the last 30 days · 5 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
10° at 7 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
57 °F, dew point 30 °F
Altimeter
30.09 inHg
Observed at
RDD

FAA reports on this event · 1

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