LAX04LA197

NTSB accident investigation · Schweizer 269C-1 · Van Nuys, CA · April 27, 2004

Accident · No injuriesLimited investigationFinal report
Date
April 27, 2004, 14:40 local (21:40 UTC)
Place
Van Nuys, CA
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Standing
Aircraft
N61415Schweizer 269C-1
Weather
Visual (VMC) · Day
Status
Completed · report October 27, 2005
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20040427008349A
Case key
59147

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 failure of maintenance personnel to ensure the proper charge of the aft landing gear dampers in accordance with the manufacturer's recommendations.

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.

Miscellaneous/otherStanding - engine(s) operating
Maintenance,inspection - inadequateCompany maintenance personnelCause
Landing gear,main gear shock absorbing strut - improperly servicedCause
Ground resonance - encounteredPilot in command(cfi)Cause

Analysis

The helicopter encountered ground resonance during the initial run-up prior to takeoff. During the run-up, the magneto checks produced a rough running engine. At 2,000 rpm the certified flight instructor (CFI) attempted to correct the roughness by leaning the mixture. The helicopter then began shaking from side-to-side, indicating ground resonance. Due to the low rpm, the CFI elected to close the throttle rather than lift the helicopter from the ground. The ground resonance increased and neither the pilot-undergoing-instruction nor the CFI could hold onto the controls. The CFI then pulled the mixture control and the engine stopped. The skid damper assemblies were examined and tested for charge. The rear dampers had a lower charge than that specified in the maintenance manual for the helicopter. The forward dampers were within limits. The Schweizer 269 maintenance instructions call for the dampers to be checked and correctly pressurized at each 100-hour inspection. The last 100-hour inspection was 1 month 61 hours prior to the accident.

Factual narrative

On April 27, 2004, at 1440 Pacific daylight time, N61415, a Schweizer 269C-1 helicopter, encountered a severe vibratory event during the initial run-up at the Van Nuys Airport, Van Nuys, California. Group 3 Aviation was operating the helicopter under the provisions of 14 CFR Part 91. The certified flight instructor (CFI) and the private pilot undergoing instruction (PUI) were not injured; the helicopter sustained substantial damage. Visual meteorological conditions prevailed for the local instructional flight that was originating at the time.

The CFI said that during the run-up, the magneto checks produced a rough running engine. At 2,000 rpm he attempted to correct the roughness by leaning the mixture. The helicopter then began shaking from side-to-side, indicating ground resonance. Due to the low rpm, the CFI elected to close the throttle rather than lift the helicopter from the ground. The ground resonance increased and neither the PUI nor the CFI could hold onto the controls. The CFI then pulled the mixture control and the engine stopped.

According to the PUI, he was performing the run-up check when the right magneto failed the check twice. The CFI assumed the controls and attempted to troubleshoot the problem. A small vibration developed into a violent bucking. The PUI then assisted the CFI in shutting down the helicopter.

A witness submitted a statement. While walking along a fence he heard a loud noise. He turned and saw a helicopter violently shaking fore and aft. The tailboom impacted the ramp, then the blades started to break apart. The landing gear collapsed, and the movement of the helicopter ceased.

The skid damper assemblies were examined and tested for charge at a maintenance facility in the presence of the National Transportation Safety Board investigator-in-charge. The landing gear dampers are pressurized with nitrogen gas. Technicians pressurize the dampers in accordance with the current operating temperatures and environments at the time of the maintenance period. The dampers assist in absorbing the vibration consistent with helicopter operations. In post accident tests, the rear dampers had a lower charge than that specified in the maintenance manual for the helicopter. The forward dampers were within limits. The main rotor dampers were examined with no mechanical anomalies noted.

The last inspection on the helicopter was a 100-hour inspection approximately 61 hours prior to the accident.

In table B-2 of the Schweizer Handbook of Maintenance Instructions, Section 2, page 2-8, item 30 on the 100-hour inspection checklist states the following:

"Forward and aft landing gear dampers (LH [left-hand] side and RH [right-hand] side) for operation and conditions, and for damper extension with full fuel tank (Basic HMI, Section 12). Visually check dampers for leakage; replace if leakage is obvious or extension is not within limits (Basic HMI, Section 12).

According to FAA publication FAA-H-8083-21, "Rotorcraft Flying Handbook:"

"Ground resonance is an aerodynamic phenomenon associated with fully-articulated rotor systems. It develops when rotor blades move out of phase with each other and cause the rotor disc to become unbalanced. This condition can cause a helicopter to self-destruct in a matter of seconds.... If the rpm is low, the corrective action to stop ground resonance is to close the throttle immediately and fully lower the collective to place the blades in low pitch. If the rpm is in the normal range, you should fly the helicopter off the ground, and allow the blades to automatically realign themselves. You can then make a normal touchdown...."

Aircraft

Registration
N61415
Reported as
Schweizer 269C-1
Category
Helicopter
Serial number
18
Airframe hours
5,689.7
Engine
Lycoming HO-360-C1A, 180 hp, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Group 3 Aviation
Registered owner
Dragonfly Corp
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · March 17, 2004 · 61.3 hours before
Departed
VNY · Van Nuys, CA
Airport
VNY · Van Nuys

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
38
Injuries
None
Certificates
Commercial, Flight instructor
Instrument ratings
Helicopter
Medical
Class 2, Valid Medical--w/ waivers/lim
Last flight review
November 1, 2003
Seat
Left
Flight hours
1,079 total · 631 in this make and model · 1,008 as pilot in command · 194 in the last 90 days · 138 in the last 30 days · 4 in the last 24 hours
Role
Student pilot
Age
40
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 2, Valid Medical--no waivers/lim.
Last flight review
February 1, 2004
Seat
Right
Flight hours
301 total · 156 in this make and model · 151 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
220° at 7 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
99 °F, dew point 64 °F
Altimeter
29.95 inHg
Observed at
VNY

FAA reports on this event · 1

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