LAX99LA283

NTSB accident investigation · Bell UH-1B · Lost Hills, CA · August 25, 1999

Accident · No injuriesLimited investigationFinal report
Date
August 24, 1999, 23:00 local (Aug 25, 1999, 06:00 UTC)
Place
Lost Hills, CA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N999SJBell UH-1B
Weather
Visual (VMC) · Night/bright
Status
Completed · report August 14, 2001
Report
Approved by Office Director
FAA report
19990824013459A
Case key
47206

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

Failure and separation of the 90-degree gearbox as a result of the disengagement of the pinion and gear teeth. The cause(s) of the pinion and gear disengagement were undetermined.

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/malfunctionTakeoff - initial climb
Rotor drive system,tail rotor gearbox(90 deg) - disengagedCause
Reason for occurrence undeterminedCause
Rotor drive system,tail rotor gearbox(90 deg) - separationCause
Forced landingEmergency descent/landing
Autorotation - performedPilot in command
In flight collision with objectEmergency descent/landing
Object - fence

Analysis

During the takeoff initial climb as the helicopter accelerated through 25 to 30 miles per hour, the 90-degree gearbox fractured through the center of the gearbox case and separated from the tailboom. The pilot was able to slow the spin rate and performed a hovering autorotation. A portion of the tail boom impacted a barbed wire fence as the helicopter settled vertically. Metallurgical examination of the gearbox case fractures disclosed overload features. Internal examination of the gearbox and gears showed that the pinion and gear teeth had disengaged. The disengagement lasted a short period of time. As a result of the disengaged gear and pinion rotating against each other, the gearbox case became overloaded and subsequently separated. The wear patterns on the pinion and gear teeth drive side did not meet the patterns specified in the maintenance manual; the patterns extended off the toe ends and the tips of the teeth. The gearbox, which is an 'on-condition' component, was last overhauled or repaired in 1984. There is no requirement for an internal inspection of the tail rotor gearbox during routine or annual maintenance inspections.

Factual narrative

History of flight

On August 24, 1999, at 2300 hours Pacific daylight time, a Bell UH-1B, N999SJ, experienced a failure and separation of the 90-degree gearbox during the initial takeoff climb and landed hard in a field near Lost Hills, California. The helicopter, operated by San Joaquin Helicopters, Delano, California, was substantially damaged. The airline transport pilot, the sole occupant, was not injured. The aerial application flight was being conducted under the provisions of 14 CFR Part 137 and was originating from the field at the time of the accident. Night visual meteorological conditions prevailed and no flight plan was filed.

The pilot reported that he was in the process of spraying pesticide on a field of pistachio trees, making north-south swath runs and using left pedal turns at the end of each row. He stated that there was a crosswind from the west. On the last run before reloading the helicopter, he felt a high frequency vibration in the tail rotor pedals. As he turned toward the east, the vibration ceased. The pilot reported that he attributed the vibration to the crosswind; he had not experienced any problems with the helicopter prior to the vibration onset.

The pilot landed and the helicopter was reloaded with pesticide and refueled while the engine and rotors were idling. Three ground crewmembers assisted with the fueling and loading of the helicopter. The ground supervisor performed a walk-around inspection of the aircraft, and stated that he didn't notice any fluid leaks or hear any unusual sounds while the helicopter was on the ground.

The pilot took off and was accelerating through effective translational lift when he felt a momentary vibration and heard a "bang." The helicopter yawed to the right and completed two 360-degree turns in a level attitude. The pilot slowed the aircraft and entered a hovering autorotation by rolling the throttle back to flight idle. He reported that the spin did not stop completely but it did slow down.

As the helicopter began a third revolution the tail boom just aft of the horizontal stabilator impacted a barbed wire fence and the helicopter settled vertically to the ground. After landing, the pilot completed a normal shutdown of the engine. As he exited the helicopter, he heard a "thud." He walked around to the tail of helicopter and noticed that the 90-degree gearbox had broken off through the center of the gearbox case. The fracture was at approximately a 30-degree angle and extended from a stud hole near the lower oil sight level glass to a stud hole near the upper oil filler neck. The tail rotor blades and rotating components remained attached to the output quill case section of the gearbox, which had fallen to the ground under the tail boom. The input section of the tail rotor main gearbox remained attached to the tail boom.

Tests and research

The gearbox and tail rotor rotating components were examined at the Bell Helicopter Textron laboratory in Fort Worth, Texas, under the supervision of Safety Board investigators. A copy of the metallurgy report is appended to this file.

Inspection revealed that the main case fracture extended from two cracks that met near the upper side of the case. The longest part of the fracture extended from the lower stud. The metallurgist inspected the area of the lower stud and concluded that it was a result of overstress. The overstress fracture progressed from the area of the lower stud across the sight glass port and up the case. The fracture then branched from near its upper end and progressed through the oil filler port.

Another crack, also determined by the metallurgist to be overstressing, occurred at the upper stud and progressed to the crack at the oil filler port. A third crack, which did not extend into the main fracture, was found at the oil filler port. This crack extended from the bottom of the upper stud hole toward the top of the filler port.

Microscopic examination with optical and scanning electron microscopes revealed multiple indentations in the thread area for the upper stud. The metallurgist reported that these indentations were made by the stud threads as the stud moved in the stud hole as the fracture progressed toward the oil filler port and the cases were moving apart.

Two studs and a shim plate screw located in the forward portion of the input side of the main case were fractured. The direction of the overstress fractures in the studs and screw were downward.

It was observed that the toe ends of the gear teeth had rotated against the pinion bearing housing after it moved out of position. This contact locally "machined" that area. Imprints of the ends of the gear teeth were also made in the contact area. The metallurgist reported that the imprints appeared to have been made with no rotation of the gear.

Inspection of the gearbox assembly revealed that the pinion and gear had disengaged and the tips of the teeth had been chipped and smeared from rotating against each other while out of mesh. There was no evidence of overheating.

The wear patterns on the drive sides of the pinion and gear teeth drive surfaces did not meet the patterns specified in the maintenance manual; the patterns extended off the toe ends and the tips of the teeth.

The tail rotor pitch change rod that ran through the mast had a rubbed area near the inboard end. The inboard end of the tail rotor mast had contacted the rubbed area. The nut threads and cotter pin at the outboard end had been sheared. The rod was bent.

Inspection of the tail rotor blades' leading edges revealed that they both had indentations near the blade tips. The "red" tail rotor blade displayed debonding of the abrasion strip at the tip block in association with two indentations.

The tail rotor pitch links were measured for length as specified by the maintenance manual. The red pitch link length was found to be 5.48 inches and the white pitch link was 5.42 inches long. The manual specified that the initial length of the pitch links was to be set at 5.42-inches, with one link shortened during the tracking of the tail rotor blades. The manual indicated that one link could be shorter than 5.42-inches, but not longer.

The tail rotor yoke was checked with a coordinate-measuring machine to determine if it had been bent. The angles of the spindles, with respect to each other and to the center of the yoke, were within the engineering drawing requirements. There was no evidence that the yoke had been bent.

Additional information

Records revealed that the helicopter was manufactured on October 13, 1964, and was subsequently delivered to the Australian military on November 9, 1964. The operator reported that they had purchased the helicopter in 1990. According to the records, it appeared that the last time the gearbox had been overhauled or repaired was in 1984 while in service with the Australian military. According to Bell Helicopters, the gearbox is an "on-condition" component, with no specific replacement or overhaul schedule. The operator's maintenance logs showed that the last annual inspection on the helicopter had been performed on April 24, 1999. At that time, the 90-degree gearbox was inspected as per the annual inspection checklist. The list requires the mechanic to check the gearbox attachment fitting for cracks, corrosion, and security, and to check the gearbox for "oil level, leaks and security, chip detector for security and proper operation, vent for obstruction, drain and service." No internal inspection of the gearbox is required during the annual inspection.

Aircraft

Registration
N999SJ
Reported as
Bell UH-1B
Category
Helicopter
Serial number
1025
Airframe hours
7,856
Engine
Lycoming T53-L11B, 1,200 horsepower, turbo shaft
Damage
Substantial damage
Flight
Aerial application · Part 137
Registered owner
San Joaquin Helicopters
Airworthiness certificate
Special, Restricted (Special)
Last inspection
Annual · April 24, 1999 · 43 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
55
Certificate
Airline transport
Instrument ratings
Helicopter
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
11,500 total · 6,500 in this make and model · 11,000 as pilot in command · 90 in the last 90 days · 38 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night/bright
Wind
210° at 4 knots
Visibility
10 statute miles
Temperature
75 °F, dew point 57 °F
Altimeter
29.00 inHg
Observed at
BFL, 34 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.