LAX04LA176

NTSB accident investigation · Bell 47G-4A · Bakersfield, CA · April 3, 2004

Accident · Serious injuriesLimited investigationFinal report
Date
April 3, 2004, 07:45 local (15:45 UTC)
Place
Bakersfield, CA
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N7NBBell 47G-4A
Weather
Visual (VMC) · Day
Status
Completed · report December 28, 2004
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20040403004479A
Case key
59003

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

a loss of tail rotor drive due to a disconnection of the drive shaft's splined coupling at the tail rotor gear box. The splined coupling to tail rotor gear box disconnection occurred as a result of tail boom flexing due to the combined effects of an uninstalled structural support tube and a crack in left side frame tubes. Inadequate maintenance inspection was a factor.

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/malfunctionManeuvering - aerial application
Misc rotorcraft - not installedCause
Misc rotorcraft,tail boom - crackedCause
Maintenance,inspection - inadequateCompany maintenance personnelFactor
Rotor drive system,tail rotor drive shaft coupling - disconnectedCause
Loss of control - in flightManeuvering - aerial application
Tail rotor/anti-torque control - not availablePilot in command
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - crop

Analysis

The helicopter experienced a loss of tail rotor control and collided with terrain. During an aerial application flight, the pilot heard a rattling noise from the aft end of the helicopter. He then lost tail rotor authority and entered a flat spin. The pilot attempted to make a run-on landing, but the helicopter continued to spin until it impacted terrain. A Federal Aviation Administration inspector examined the helicopter after the accident. He noted that the cross-over support tube near the aft end of the tail boom was missing. A crack was found on the tail boom left side frame tubes. Deposits of rust in the area suggests that the crack was a pre-existing crack. The inspector thought that this would have added excessive stress to the structure during turning maneuvers and caused the last spline coupling shaft to disconnect from the tail rotor gear box as the tail boom flexed. A 50-hour maintenance inspection was completed the day before the accident.

Factual narrative

On April 3, 2004, about 0745 Pacific standard time, a Bell 47G-4A, N7NB, collided with terrain following a loss of tail rotor control near Bakersfield, California. Inland Crop Dusters, Inc., was operating the helicopter under the provisions of 14 CFR Part 137. The commercial pilot, the sole occupant, sustained serious injuries; the helicopter sustained substantial damage. The local aerial application flight departed Shafter-Minter Field Airport, Shafter, California, about 0700. Visual meteorological conditions prevailed, and no flight plan had been filed.

In a written statement, the pilot reported that while turning to reposition himself on the spray run he was making, he heard a rattling noise from the aft end of the helicopter. He then lost tail rotor authority and entered a flat spin. The helicopter was only about 150-175 feet above ground level (agl). He rolled off the throttle and lowered the collective. The pilot attempted to make a run-on landing, but the helicopter continued to spin until it impacted terrain.

The helicopter incurred damage to the cabin, skids, tail rotor drive system, tail boom, and center section.

A Federal Aviation Administration inspector examined the helicopter after the accident. He stated that there was a crack on the left side support tube area of the tail boom, prior to it connecting to the tail rotor assembly. The inboard side of the crack had significant deposits of rust. It was also noted that the cross-over support tube in that area of the frame was missing. The inspector stated that this would have added excessive stress to the structure during turning maneuvers and caused the last spline coupling shaft to disconnect from the tail rotor gear box.

A 50-hour maintenance inspection was completed the day before the accident.

Aircraft

Registration
N7NB
Reported as
Bell 47G-4A
Category
Helicopter
Serial number
7732
Airframe hours
9,916.2
Engine
Lycoming VO-540-B1B3, 200 horsepower, reciprocating
Damage
Substantial damage
Flight
Aerial application · Part 137
Registered owner
Inland Crop Dusters Inc.
Airworthiness certificate
Special, Restricted (Special)
Last inspection
100 hour · April 2, 2004
Departed
KMIT · Shafter, CA

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
41
Injuries
Serious
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Medical
Class 2, Valid Medical--no waivers/lim.
Last flight review
January 15, 2004
Seat
Left
Flight hours
3,833 total · 1,800 in this make and model · 173 in the last 90 days · 73 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
0° at 0 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
63 °F, dew point 43 °F
Altimeter
29.93 inHg
Observed at
BFL

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 N7NB · 1

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