# NTSB LAX94LA132: Bell TH-1L, N204AP, Etna, CA, February 23, 1994

- Type: NTSB accident investigation
- Classification: Accident · Minor injuries · Limited investigation · Final report
- Date: February 23, 1994, 11:00 local (19:00 UTC)
- Place: Etna, CA
- Coordinates: 41.409595, -123.01992 (estimated)
- Nearby events: https://openairdocs.org/map.md?lat=41.4096&lon=-123.0199&mi=10
- Phase of flight: [Enroute](https://openairdocs.org/ntsb-phases/400) (OpenAirDocs' grouping)
- Highest injury: Minor injuries
- Injuries: 2 minor
- Status: Completed, report November 14, 1994
- Report: Approved by Office Director
- Safety recommendations: Yes
- NTSB case key (mKey): 28671
- NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=LAX94LA132
- NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/28671/pdf
- Page: https://openairdocs.org/ntsb/LAX94LA132

## Probable cause

THE FAITUGE OF THE GEAR TOOTH WHICH CAUSED THE FAILURE OF THE 42-DEGREE GEAR BOX.

## Sequence of events

In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf).

- Airframe/component/system failure/malfunction, climb
  - rotor drive system,intermediate gearbox(42 deg) - failure,total (cause)
  - rotor drive system,intermediate gearbox(42 deg) - fatigue (cause)
- Forced landing, descent - emergency
- In flight collision with terrain/water, descent - uncontrolled
  - autorotation - not possible, pilot in command

## Analysis

THE 42-DEGREE GEAR BOX FAILED SHORTLY AFTER DEPARTING ON A HELICOPTER LOGGING OPERATION.  THE PILOT JETTISONED THE LOAD, BUT WAS UNABLE TO STOP THE HELICOPTER'S ROTATION AND IT CRASHED. METALLURGICAL EXAMINATION OF THE GEAR BOX REVEALED A FATIGUE BANDING PATTERN NEAR THE TOOTH ROOT OF THE INPUT GEAR.

## Factual narrative

On February 23, 1994, about 1100 hours Pacific standard time, a Bell TH-1L helicopter, N204AP, crashed during an emergency autorotation about 3 1/2 miles north of Etna, California.  The pilot was conducting a visual flight rules (VFR) local area flight under Title 14 CFR Part 133.  The helicopter, operated by Hiser Helicopters Inc., Redmond, Oregon, sustained substantial damage.  The certificated commercial pilot-in-command and the certificated second pilot received minor injuries.  Visual meteorological conditions prevailed.  The flight originated from a helipad next to the accident site about 0945 hours.

The pilot reported in the National Transportation Safety Board Pilot/Operator Aircraft Accident Report, NTSB Form 6120.1/2, that shortly after picking up the 3,200 pounds of logs he felt an audible vibration; the helicopter was between 50 and 60 feet above the ground.  The pilot reduced the power and began a descent to return the load to the ground that was followed by a right turn toward the landing area.

The helicopter responded normally, but the intensity of the vibration increased.  The vibration decreased in about 5 to 8 seconds after the helicopter entered forward flight.  During deceleration, as the longline touched the ground, the helicopter began an uncontrollable spin to the right.  The ground mechanic told the pilot via radio communications that the tail rotor "had stopped."

The pilot rolled-off the throttle after about two or three revolutions to stop the rotation, but was unsuccessful.  The helicopter struck the ground as it continued to rotate.

The operator told Safety Board investigators that the helicopter's 42-degree gear box tail rotor failed.  He also said that the 42-degree gear box had accrued 134 hours of logging activities and a total time of 249 hours since it was overhauled.  The previous gear box had accrued 400 hours before the operator prematurely removed it.  The operator removed it only to inspect the wear and tear on the gear box.

Safety Board investigators sent the gear box to the Safety Board's Material Laboratory Division for metallurgical examination.  The metallurgist reported, in part:

"...that visual examination of the fracture surface on      the input gear revealed the presence of [a] fatigue      banding pattern over most of the fracture surface.  The      fatigue arrest markings emanated from a tooth root....

...The fracture surface [was] within about 0.1 inch of      the tooth root propagated into the tooth, approximately      toward the adjacent tooth root.  Beyond about 0.1 inch      from the root the crack plane changed and the cracking      propagated on a relatively flat plane through the web.       ...A well defined crack arrest pattern was found in the      web of the gear.

...Measurement of the radius from which the fatigue      cracking initiated yielded a value of 0.04 inch.  The      size of this radius is specified as 0.015 inch to 0.025      inch.  No defects were found in the fatigue crack      origin."

The Safety Board's investigator-in-charge returned the 42-degree gear box to the operator on July 6, 1994.

## Aircraft

- Registration: [N204AP](https://openairdocs.org/deregistered/N204AP-2018-01-16), registration cancelled 2018-01-16, S/N 157840, built 1970 (OpenAirDocs)
- Reported make and model: BELL TH-1L
- Registry model: [Bell TH-1L](https://openairdocs.org/model/bell-th-1l) (registry code 1180817) (OpenAirDocs)
- Registry engine: [Lycoming T53-L-13](https://openairdocs.org/engine/lycoming-t53-l-13) (registry code 41551, turbo-shaft) (OpenAirDocs)
- Category: Helicopter
- Serial number: 157840
- Engines: LYCOMING T53-L13 turbo shaft
- Damage: Substantial damage
- Flight: Part 133
- Operator: Hiser Helicopters Inc.
- Registered owner: Southern Aero Corp
- Airworthiness certificate: Special, Restricted (Special)

## Flight crew

As NTSB recorded them. NTSB leaves out names.

- Pilot; age 47; commercial; airplane ratings: single-engine land; medical: class 2, valid medical--no waivers/lim.; seat: left; flight hours: 14,018 total, 3,400 in this make and model, 13,325 as pilot in command, 225 in the last 90 days, 165 in the last 30 days, 9 in the last 24 hours

## Weather

- Conditions: Visual (VMC), Day
- Wind: variable at 5 knots, gusting 7
- Visibility: 40 statute miles
- Lowest ceiling: none
- Temperature: 34 °F, dew point 27 °F
- Altimeter: 30.00 inHg

## FAA reports on this event (1)

The FAA's own accident and incident reports, matched to the aircraft by N-number and date (OpenAirDocs).

- [Accident 19940223002819A](https://openairdocs.org/incident/19940223002819A), Feb 23, 1994: Bell TH1L, Etna, CA, Substantial damage. Vibration after log pickup tried dump load. Lost tail rotor. Uncontrolled spin to impact. 42 degree gear box failed

## Other investigations on N204AP (1)

From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model.

- [NTSB MIA89LA081](https://openairdocs.org/ntsb/MIA89LA081), Feb 8, 1989: Bell TH-1L (N204AP), Greenville, FL, substantial damage. Probable cause: INSTALLATION OF THE IMPROPER SPRAG CLUTCH ASSEMBLY BY THE OWNERS MAINTENANCE PERSONNEL RESULTING IN FAILURE OF THE SPRAG CLUTCH AND THE LOSS OF TRANSMISSION DRIVE.

From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model.

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