LAX99LA004

NTSB accident investigation · Burson Revolution Mini 500 · Moorpark, CA · October 4, 1998

Accident · FatalLimited investigationFinal report
Date
October 4, 1998, 15:15 local (22:15 UTC)
Place
Moorpark, CA
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Maneuvering
Aircraft
N418MBBurson Revolution Mini 500
Weather
Visual (VMC) · Day
Status
Completed · report September 28, 2000
Report
Approved by Office Director
FAA report
19981004028249A
Case key
44168

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

The improper use of the cyclic flight control by the pilot, which resulted in low g flight load condition, which resulted in rotor disk divergence (mast bumping), and the main rotor blade striking and severing the tail boom.

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 flightManeuvering
Misc rotorcraft,main rotor/tail boom contact
Rotorcraft flight controls - improper use ofPilot in commandCause
Cyclic - improper use ofPilot in commandCause
Rotor system,main rotor blade - separation
Misc rotorcraft,tail boom - separation
Aircraft control - not possible
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - mountainous/hilly

Analysis

The helicopter did not return from an afternoon local area flight and the wreckage was located early the following morning. Both main rotor blades, the tail rotor assembly, the tail boom, and a section of the tail rotor drive shaft were found in a debris field approximately 1/8 mile from the fuselage wreckage. Both main rotor blades separated from the hub outboard of the root doubler and exhibited leading edge damage near the tip and downward bending. Additionally, the 'A' blade was bent smoothly aft approximately 30 degrees over its span. The tail boom was separated from the fuselage approximately 2 feet forward of the tail rotor gearbox. The separation exhibited a diagonal slicing appearance from upper forward to lower aft on the boom. The tail rotor drive shaft was separated at the same fuselage station as the tail boom, and the shaft had a dented appearance which resembled the leading edge radius of the main rotor blade. The main rotor mast exhibited a mast-bumping dent on one side of the mast at the hub attachment but no similar dent on the opposite side. Examination of the aircraft did not reveal any mechanical malfunction of the engine or flight control system.

Factual narrative

On October 4, 1998, approximately 1515 hours Pacific daylight time, a Burson Revolution Mini 500, N418MB, crashed in hilly terrain near Moorpark, California. The amateur built experimental helicopter was destroyed and the private pilot/owner suffered fatal injuries. The flight was conducted under the provisions of 14 CFR Part 91 and originated from a nearby rural area about 1430. Visual meteorological conditions prevailed for the personal flight and no flight plan was filed.

The pilot's daughter reported that she accompanied the pilot to the takeoff/landing site and helped reinstall the main rotor blades, which had been removed to trailer the helicopter. She stated that her father reported that he planned to fly over the park where she would be, and would then fly over the family residence. She left the site at 1417 and asked him to wait about 45 minutes before flying over the park. The daughter further recalled that the pilot reported that he planned to fly for about 1 1/2 to 2 hours. She never saw or heard him fly over the park, and he was not seen over the family house. The pilot's wife reported the pilot as missing and an Alert Notification (ALNOT) was issued at 2040. The Ventura County Sheriff located the wreckage at 0300 on October 5, 1998.

A Federal Aviation Administration (FAA) inspector from the Van Nuys, California, Flight Standards District Office responded to the accident site and interviewed the property owner. The property owner reported that he saw the helicopter in flight, west of the accident site, approximately 1400 to 1430. He stated that the aircraft was flying from east to west about 800 to 1000 feet agl and reported that it "sounded funny, like a go-cart." He reported that the surface winds were calm at the time of the accident. The property owner identified the accident aircraft as the helicopter he had seen earlier.

According to the FAA database, the pilot held a private pilot certificate with a rotorcraft-helicopter rating. The pilot's logbooks indicate he had approximately 100 hours of total flight time, all in helicopters, at the time of the accident. The pilot held a third-class medical dated March 5, 1997.

According to the aircraft logbooks, the experimental helicopter was manufactured by the pilot on April 18, 1998. The engine hour meter indicated that there were 33 engine operating hours on the helicopter at the time of the accident. The records revealed that the pilot made five modifications to the helicopter, which were suggested by the kit manufacturer. A list of those modifications is contained in the party report of Technical Enterprises, attached. A non-factory approved modification was noted on the fuel pump.

The aircraft wreckage was located in an area of low rolling terrain. There was no postimpact fire. The emergency locator transmitter (ELT) was located on the left side of the engine compartment, and the ELT switch was found in the "off" position.

According to the FAA inspectors, at the main impact site, the fuselage was found on its left side. Impact marks were noted about 50 feet upslope from the fuselage. Loose items from the aircraft were scattered in the area between the main wreckage and the site upslope. The fuel tank was ruptured, however, fuel was found in the fuel lines and both carburetors.

Both main rotor blades, tail rotor blades and hub assembly, tail boom, and tail rotor drive shaft were located in a fan-shaped debris field over an area about 1/8 mile east and southeast of the fuselage wreckage location. Main rotor blade "A" was the farthest piece of debris from the fuselage wreckage located approximately 1/8-mile southeast. Within 300 feet east and southeast of the fuselage wreckage were the tail rotor assembly attached to the gearbox and tail boom, a section of the tail rotor driveshaft, and main rotor blade "B." The flight control linkage was separated at several points, however, there was bending in the linkage adjacent to the separations.

The tail rotor drive shaft and tail boom forward of the drive shaft bearing retainer remained attached to the airframe. The tail rotor drive shaft exhibited torsional twisting and displayed a depression between the two bearing retainers, which approximated the leading edge radius of the main rotor. The tail boom was separated from the fuselage approximately 2 feet forward of the tail rotor gearbox. The separation exhibited a diagonal slicing appearance from upper forward to lower aft on the boom. The tail rotor blades remained attached to the tail rotor hub assembly.

Both main rotor blades separated from the rotor hub outboard of the blade root doublers. The leading edge "D" section of each blade displayed downward bending at the point of separation. Main rotor blade "A" displayed damage to the tip of the leading edge and separation of the trailing edge. The leading edge of blade "A" was bent smoothly aft approximately 30 degrees over the entire blade span accompanied by downward bending at the root end. The blade "A" root section was found separated from the hub and the mounting bolts, which attach the blade to the hub, were sheared. Main rotor blade "B" displayed damage to the leading edge and separation of the trailing edge and was bent downward over its entire span. The root section of "B" main rotor blade remained attached to the hub by one of two bolts. The rotor hub remained attached to the mast. The wall of the main rotor drive mast had a dent in one side of the shaft in the vicinity of the main rotor hub attachment. The depth of the dent was approximately 20 percent of the shaft diameter, and the form of the dent resembled the shape of the interior face of the main rotor hub. There was no corresponding dent on the opposite side of the mast.

A representative from Rotax Aircraft Engines assisted in the powerplant examination and a copy of their report is attached. The engine examination did not reveal any evidence of preimpact mechanical malfunction.

Aircraft

Registration
N418MB
Reported as
Burson Revolution Mini 500 (REVOLUTION)
Category
Helicopter, amateur-built
Serial number
0279
Airframe hours
33
Engine
Rotax 582, 85 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Registered owner
William Mark Burson
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Annual · April 18, 1998 · 33 hours before

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
47
Certificate
Private
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Center
Toxicology
Performed
Flight hours
100 total

Weather

Conditions
Visual (VMC) · Day
Wind
30° at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
61 °F, dew point 45 °F
Altimeter
29.00 inHg
Observed at
OXR, 20 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.