MIA07FA098

NTSB accident investigation · Hughes 369A · Moulton, AL · May 13, 2007

Accident · FatalField investigationFinal report
Date
May 13, 2007, 17:30 local (22:30 UTC)
Place
Moulton, AL
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N468WEHughes 369A
Weather
Visual (VMC) · Day
Status
Completed · report December 28, 2008
Report
Approved by Office Director
Parties
Rolls-Royce, FAA/FSDO, The Boeing Company
FAA report
20070513010419A
Case key
65794

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 separation of a main rotor blade from its tension torsion bar for an undetermined reason.

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/malfunctionCruise
Reason for occurrence undetermined
Rotor system,main rotor tension torsion bar - separation
Loss of control - in flightCruise
Aircraft control - not possiblePilot in command
In flight collision with objectDescent - uncontrolled
Terrain condition - tree(s)

Analysis

The pilot recently purchased the helicopter through an aircraft broker. An annual inspection was done prior to the sale, at which time a main rotor blade was replaced and the other three were overhauled. The accident occurred on the fourth flight of the day of a multiple-leg cross-country flight. The flight departed from one of several planned fuel stops. No flight plan was filed, and searchers found the fire- and impact-damaged wreckage 2 days later in wooded terrain. Three of the four main rotor blades were found separated from the main rotor hub with one of the blades located about 1,100 feet from the main wreckage, consistent with an in-flight separation. A National Transportation Safety Board materials engineer examined the blade retention strap assemblies, and no preexisting material issues were identified to explain why one or more main rotor blades could have separated prior to impact.

Factual narrative

History of flight

On May 13, 2007, about 1730 central daylight time, a Hughes 369A, N468WE, registered to and operated by an individual, impacted terrain in the Bankhead National Forest near Moulton, Alabama. The helicopter was destroyed and the commercial pilot was killed. Visual meteorological conditions prevailed at the time of the accident and no flight plan was filed for the personal flight conducted under the provisions of 14 Code of Federal Regulations Part 91.

Information obtained from family members and local authorities revealed the pilot had recently purchased the helicopter from a private individual through a broker in Lakeland, Florida. The pilot was flying the helicopter back to Kansas, where he resided. On May 13, about 1645, he departed from the Merkel Field Sylacauga Municipal Airport (SCD), Sylacauga, Alabama, which was one of his planned fuel stops. He was flying to the Northwest Alabama Regional Airport (MSL), Muscle Shoals, Alabama. His route of flight took him over the area of Moulton, which at that time the pilot canceled the flight following and shortly there after, was lost from radar. On May 15 at 1130, the helicopter wreckage was located in the Bankhead National Forest by local authorities, which were searching for the helicopter after it was lost from radar. The search efforts were hindered due to a forest fire started by the helicopter crash. An estimated 10 acres of the forest’s undergrowth was burnt.

Personnel information

The pilot, age 26, held a commercial pilot certificate with ratings for airplane single engine land and rotorcraft helicopter, and a private pilot certificate for multiengine airplane. He held a mechanic certificate with ratings of airframe and powerplant, and inspection authorization. He was issued a second-class medical certificate on May 05, 2006, with no limitation. The pilot documented, at the time of the medical, a total of 8,500 flight hours in all aircraft. Copies of the pilot’s airplane logbook, dating up to April 28, 2007, were reviewed. He had documented 7,505 total hours at that time. His pilot’s logbook for helicopter was not located.

Aircraft information

The helicopter was delivered to the United States Military in 1968 as an OH-6A. The helicopter was converted to a Hughes 369A and registered in the normal category in 2004.

The helicopter’s maintenance records were on board the helicopter at the time of the accident and are presumed to have been destroyed. An aircraft component sheet from Lance Aviation Inc, the aircraft broker, advertised the helicopter, as a Hughes 369A, with a total airframe time of 3,984 hours and a "C20C" engine with 3, 361 hours remaining.

According to the broker, the helicopter had both of the tail rotor blades overhauled and three of the main rotor blades overhauled and one replaced, and an annual inspection accomplished just prior to the sale to the pilot. The maintenance and annual inspection were conducted by an individual airframe and powerplant mechanic with inspection authorization.

Meteorological information

The closest official weather observation station was Muscle Shoals, Alabama, 56 miles northwest of the accident site. On May 13, at 1753, an Aviation Routine Weather Report (METAR) recorded in part, winds variable at 6 knots; visibility, 10 statute miles; clear skies; temperature 84 degrees Fahrenheit (F); dew point 46 degrees F; altimeter 30.05 inches of mercury.

Communication

The flight was in contact with the Birmingham Air Traffic Control, which was providing visual flight rules flight following services. The pilot canceled the flight following, and shortly thereafter radar contact was lost. The last radar hit was at 1729:58. At that time the helicopter was about 1,200 feet mean sea level (msl), and located at latitude north 34 degrees 20 minutes 43 seconds and longitude west 87 degrees 16 minutes 13 seconds. No distress calls were received prior to or after the loss of radar contact.

Wreckage and impact information

The wreckage of the helicopter was located in the bottom of a ravine at an elevation of 783 msl. The ravine was in a densely forested area and contained a significant amount of undergrowth. The damage to the surrounding trees indicated that the helicopter’s direction of flight was approximately 330 to 350 degrees at impact. Evidence also indicated that the helicopter fuselage descended near vertically at a high rate of descent, with minimal forward airspeed; impacting the ground nose low, left side low, and in a near inverted attitude. A postcrash fire ensued and consumed nearly the entire fuselage except for a large section of the tailboom structure. The helicopter’s main rotor blades were not found among the wreckage. Odor of Jet A fuel was present at the crash site.

The engine was located on top of the burnt fuselage and had been subjected to extensive fire damage. All engine parts and components (accessory gearbox, fuel control, governor, tubing and lines, control rods, etc.) except those manufactured from hardened metal were destroyed. Engine model could not be identified. The only data plate located in the wreckage was that of the compressor, with an overhaul stamp of 10/92 with 2090 hours. The remnants of the engine were examined. Fractures at the root of the turbine blades around the entire circumference of the fourth stage turbine wheel and heavy scoring in the blade paths of the third and fourth stage turbine wheels were consistent with the engine operating at the time of impact.

The upper and lower vertical fin and horizontal stabilizer of the tail empennage displayed impact and fire damage. The tail rotor blades were consumed in the postcrash fire with only a 6-inch section of one blade tip and the other blades stainless steel abrasion strips remaining. The tail rotor hub and pitch control assemblies were present and displayed fire damage.

The cockpit structure was destroyed by impact forces and fire. The cockpit structure, canopy frame, glass windscreens, overhead transparencies, instrument panel, and console components were distributed in a radius of approximately 50 feet from the wreckage. A canopy door, canopy vents, glass pieces, lower cockpit frame, as well as pilot’s personal effects were located up to 150 feet from the main wreckage site, along the route of flight.

One of the main rotor blades, attached to the main rotor hub assembly, the static mast, upper flight controls, and main transmission, attached to the separated fuselage mount deck, were located about 185 feet southeast of the main wreckage. The missing three blades were located southeast of the main wreckage; one at 185 feet, the second 202 feet, and the third at 1,100 feet from the wreckage. The wide dispersal of the helicopter’s blades and components were consistent with in flight separation. All main rotor blades were in one piece but exhibited some damage to the spars, wrinkling and punctured blade skins and trailing edge separation. Two of the blades were bent upward approximately 45-degree at near mid-span while the other two blades were relatively straight. Damage to the blades were consistent with, post separation, contact with trees, ground, and exposure to the heat from the forest fire.

The central hub subassembly, pitch change housing assemblies, blade dampers, the blade retention strap assemblies, and the separated transmission mount deck were retained by the National Transportation Safety Board for further examination.

Medical and pathological information

A postmortem examination of the pilot was conducted under the authority of the Alabama State Medical Examiner, Huntsville, Alabama, on May 16, 2007. The cause of death for the pilot was attributed to blunt force, traumatic injuries.

The FAA's Civil Aeromedical Institute (CAMI) conducted a toxicological examination on June 13, 2007, which was negative for alcohol or drugs.

Test and research

A Garm

Aircraft

Registration
N468WE
Reported as
Hughes 369A
Category
Helicopter
Serial number
280285
Airframe hours
3,984
Engine
Allison 250-C20 SER, 250 horsepower, turbo shaft
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 1, 2007
Departed
SCD · Sylacauga, AL
Destination
MSL · Muscle, AL

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
26
Injuries
Fatal
Certificates
Private, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Medical
Class 2, Without waivers/limitations
Last flight review
September 5, 2006
Seat
Left
Toxicology
Performed
Flight hours
8,500 total

Weather

Conditions
Visual (VMC) · Day
Wind
Variable at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
84 °F, dew point 46 °F
Altimeter
30.04 inHg
Observed at
MSL, 56 nm away

Docket · 24

The files NTSB released with the investigation on December 12, 2008, on NTSB’s docket system: statements, records, photos and specialists’ reports. 20.2 MB in all.

Reports from Local Agencies: Lawrence County Sheriff's Office.Item 1 · .PDF · 100 KBReports from Federal Agencies: FAA Inspector's Statement.Item 2 · .PDF · 129 KBReports from Federal Agencies: FAA's Record of Conversation with MechanicsItem 3 · .PDF · 54 KBReports from Parties to the Investigation: Excerpt from Boeing's ReportItem 4 · .PDF · 301 KBReports from Parties to the Investigation: Excerpt from Rolls-Royce's Report.Item 5 · .PDF · 762 KBMiscellaneous: Lance Aviation's N468WE Aircraft Component Sheet.Item 6 · .PDF · 27 KBMiscellaneous: Maintenance and Component Documents.Item 7 · .PDF · 568 KBMiscellaneous:Excerpt from the 369 Series Illustration Parts CatalogItem 8 · .PDF · 232 KBMiscellaneous: Purchase Agreement and Registration ApplicationItem 9 · .PDF · 134 KBMaterials Laboratory 15 - Factual Report 08-037Item 10 · .PDF · 8 photos · 10.1 MBToxicological ReportItem 11 · .PDF · 49 KBStatement of Party Representatives to NTSB InvestigationItem 12 · .PDF · 61 KBRelease of Aircraft Wreckage, NTSB Form 6120.15Item 13 · .PDF · 98 KBPhoto 1) Overall View of the Wreckage Site. Photo Provided by NTSB.Item 14 · .PDF · 484 KBPhoto 2) Forest Canopy Directly Over the Wreckage Site. Photo Provide by NTSB.Item 15 · .PDF · 324 KBPhoto 3)View of a Broken Tree Branch Above the Wreckage Site. Photo Provide by NTSB.Item 16 · .PDF · 286 KBPhoto 4) Top View of the Wreckage. Photo Provided by Boeing.Item 17 · .PDF · 719 KBPhoto 5) View of Wreckage at Ground Level. Photo Provided by Boeing.Item 18 · .PDF · 745 KBPhoto 6) Close up View of Wreckage. Photo Provided by Boeing.Item 19 · .PDF · 708 KBPhoto 7) View of One Main Rotor Blade, Main Rotor Hub Assembly, Static Mast, Upper Flight Controls, Main Transmission, and Section of the Fuselage Mount Deck. Photo Provided by Boeing.Item 20 · .PDF · 765 KBPhoto 8) View of the Main Rotor Hub, Static Mast, Upper Flight Controls, and Main Transmission Attached to the Fuselage Mount Deck. Photo Provided by Boeing.Item 21 · .PDF · 719 KBPhoto 9) View of a Main Rotor Blade in a Tree. Photo Provided by FAAItem 22 · .PDF · 953 KBPhoto 10) View of All Four Main Rotor Blades. Photo Provided by NTSB.Item 23 · .PDF · 516 KBGPS 17 - Special StudyItem 24 · .PDF · 6 photos · 1.4 MB

FAA reports on this event · 1

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