LAX08IA032

NTSB incident investigation · Robinson R22 Beta · Fresno, CA · December 4, 2007

Incident · No injuriesIncident investigationFinal report
Date
December 4, 2007, 14:55 local (22:55 UTC)
Place
Fresno, CA
Injuries
2 uninjured
Damage
No damage
Phase of flight
Landing
Aircraft
N805EHRobinson R22 Beta
Weather
Visual (VMC) · Day
Status
Completed · report December 24, 2008
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20071204828639I
Case key
67213

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the incident.

On this page

Probable cause

Failure of the tail rotor system support bracket during landing.

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/malfunctionLanding - flare/touchdown
Tail rotor/anti-torque control - restrictedCause
Rotorcraft flight control,tail rotor pedal - failureCause

Analysis

Just as the helicopter touched down while performing a hovering autorotation, the certified flight instructor (CFI) heard a loud 'snap’ coming from the right side. The CFI took the controls from the student and attempted to neutralize the anti-torque pedals, but reported that they were stuck in place, with the right pedal in the forward position. He reduced the engine rpm’s to 75 percent, and attempted to move the pedals to no avail. At that point, he instructed the student to start the shutdown procedures. Following a normal shutdown, they exited the helicopter, and began to inspect the cause of the stuck anti-torque pedal. Both the CFI and student observed a broken metal structure adjacent to the restraining block that retains the anti-torque pedals. The CFI reported that it appeared to be the actual metal structure that the entire pedal assembly bolts to. The helicopter inspection revealed that the right-hand support bracket (part number A359-2) of the tail rotor control system had failed. The operator reported that the airframe had a total time of 13,000 hours. The helicopter manufacturer reported that they had been aware of other failed support brackets on helicopters with over 7,500 hours in service. As a result, the manufacturer increased the thickness of the support bracket material, and changed their overhaul procedures requiring replacement of the A359-1 and -2 support brackets at overhaul for all R22 and R44 models. The manufacturer also issued service bulletin (SB) SB-97 for the R22 and SB-63 for the R44, which require the addition of a safety tab on the older thinner support brackets.

Factual narrative

On December 4, 2007, at 1455 Pacific standard time, a Robinson Helicopter Company (RHC) R22 Beta, N805EH, experienced a flight control malfunction as it touched down during a practice hover autorotation at Fresno Chandler Executive Airport (FCH), Fresno, California. Mazzei Flying Service, Inc., operated the helicopter under the provisions of 14 Code of Federal Regulations Part 91, as a training flight. The helicopter was not damaged. The Certified Flight Instructor (CFI) and student were not injured. Visual meteorological conditions prevailed for the local area instructional flight that departed the Fresno Yosemite International Airport (FAT), at 1405. No flight plan had been filed.

In the CFI’s written report he reported that while on approach for the third hover autorotation, he noted a slight wind shift and instructed the student to do a pedal turn into the wind. The CFI reported that the student had done a good job, with minimal drift, a flat set down, and "good collective cushion." The CFI had been following the student on the flight controls and noted no unusual control inputs for the maneuver. As the helicopter settled onto the ground, with the student inputting right anti-torque pedal to compensate for the loss of engine torque, the CFI heard a loud 'snap’ from the floor area of the student's side (right side) of the helicopter.

The CFI attempted to neutralize the anti-torque pedals, and found that they were stuck in place with the right pedal in the forward position. He reduced engine rpm’s to 75 percent, and again attempted to slowly move the pedals, but they seemed stuck. He instructed the student to begin the shut down procedures. Following a normal shutdown, they exited the helicopter and began an inspection as to the cause of the stuck right anti-torque pedal. The student pilot pointed out broken metal structure adjacent to the restraining block that retains the anti-torque pedals. The CFI reported that it appeared to be the actual metal structure that the entire pedal assembly bolts to.

An inspection of the helicopter by the Federal Aviation Administration (FAA), and the operator's maintenance personnel revealed that the right-hand support bracket (part number A359-2) of the tail rotor control system had failed. The operator reported that the helicopter has a total airframe time of about 13,000 hours.

Tests and research

The right-hand support bracket was inspected by the RHC laboratory. RHC had been notified of other failed support brackets on the R22 with over 7,500 hours in service. As a result, the support bracket was redesigned by RHC by increasing the thickness of the material. RHC also changed the overhaul procedures that require the A359-1 and -2 supports to be replaced at overhaul for all R22 and R44 helicopters. RHC also issued service bulletin (SB) SB-97 for the R22 and SB-63 for the R44, which require the addition of a safety tab on the older thinner support brackets.

Aircraft

Registration
N805EH
Reported as
Robinson R22 Beta
Category
Helicopter
Serial number
1907
Airframe hours
13,078
Engine
Lycoming O-320-B2C, 131 horsepower, reciprocating
Damage
No damage
Flight
Instructional · Part 91
Operator
Golden Eagle Enterprises, Inc., doing business as Mazzei Flying Service
Registered owner
Golden Eagle Enterprises, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · October 1, 2007
Departed
FAT · Fresno, CA
Destination
FAT · Fresno, CA
Airport
FCH · Fresno Chandler Executive

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
45
Injuries
None
Certificates
Commercial, Private, Flight instructor
Airplane ratings
Single-engine land
Instrument ratings
Helicopter, Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
June 8, 2006
Seat
Left
Flight hours
897 total · 676 in this make and model · 823 as pilot in command · 164 in the last 90 days · 46 in the last 30 days · 1 in the last 24 hours
Role
Student pilot
Age
24
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land
Medical
Class 2, Without waivers/limitations
Last flight review
April 12, 2007
Seat
Right
Flight hours
1,476 total · 11 in this make and model · 1,465 as pilot in command · 36 in the last 90 days · 11 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
310° at 5 knots
Visibility
9 statute miles
Lowest ceiling
18,000 ft broken
Temperature
66 °F, dew point 34 °F
Altimeter
30.26 inHg
Observed at
FAT, 6 nm away

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 N805EH · 1

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