MIA08LA106

NTSB accident investigation · Eurocopter France AS350 B2 · Hiram, GA · May 21, 2008

Accident · No injuriesLimited investigationFinal report
Date
May 21, 2008, 10:04 local (14:04 UTC)
Place
Hiram, GA
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Standing
Aircraft
N417AEEurocopter France AS350 B2
Defining event
Standing-engine(s) operating: Sys/Comp malf/fail (non-power)
Weather
Visual (VMC) · Day
Status
Completed · report September 26, 2008
Report
Approved by Office Director
Parties
FAA/FSDO
FAA report
20080521834049A
Case key
68105

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 failure of the starflex arm during engine run-up due to inadequate inspection by maintenance personnel.

Findings · 2

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Inspection: scheduled/routine inspectionPersonnel issues › Task performance · Maintenance personnelEurocopter AS 350 B2 ECUREUIL: 1 caseAll aircraft: 167 casesProbable cause
Main rotor systemAircraft › Aircraft propeller/rotor · FailureEurocopter AS 350 B2 ECUREUIL: 1 caseAll aircraft: 25 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The pilot stated that after engine start, the helicopter shook violently as the throttle was advanced to flight rpm. He conducted an emergency shutdown, inspected the helicopter, and discovered that the tail rotor boom was buckled. Further inspection revealed that the main rotor starflex arm was broken. According to the director of maintenance, the starflex arm was overlooked during a conformity inspection. As a result, it was overflown by 586 hours. A review of a manufacturer service bulletin revealed that the service life on the starflex arm was 2,200 hours. At the time of the accident, the total time on the starflex arm was 2,786 hours. Due to the operator's record keeping process, the complex component life limit historical records were overlooked.

Factual narrative

On May 21, 2008, at 1004 eastern daylight time, a Eurocopter AS350 B2, N417AE, was substantially damaged during engine run-up, prior to takeoff at Caffery Heliport, Hiram, Georgia. The certificated commercial pilot and two passengers were not injured. Visual meteorological conditions prevailed and a company flight plan was filed for the positioning flight to Austell, Georgia. The helicopter was registered to GE Business Financial Services Incorporated, and operated by Omniflight under the provisions of Title 14 Code of Federal Regulations (CFR) Part 91. The pilot stated that after he conducted a preflight inspection, he started the helicopter. As he advanced the throttle from idle to flight rpm, the helicopter shook violently. He said that he immediately conducted an emergency shutdown and inspected the helicopter. During the inspection, he discovered that the tail rotor boom was buckled, and the main rotor starflex arm was broken. Based on information from the director of maintenance (DOM), the recent maintenance history and inspection status of the helicopter was reviewed. The review revealed that the starflex was not listed on the Aircraft Status Report for the accident aircraft. The DOM further stated that the record keeping process was prone to error, because interpretation of complex component life limit historical records were done by "lesser qualified personnel." An audit of the starflex's life limit status was conducted, and it was discovered that the life limit of 2,200 hours of the starflex had been exceeded by 586.4 operating hours. At the time of the accident, the total time on the starflex arm was 2,786 hours. When the accident aircraft was purchased, the starflex time in service was 2,588 hours. At that time, the operator's conformity inspection failed to discover the excess hours. After the accident the operator immediately audited the time in service of all the starflexes on the remainder of their fleet. No other starflexes were found to have exceeded their life limit.

Aircraft

Registration
N417AE
Reported as
Eurocopter France AS350 B2
Category
Helicopter
Serial number
9032
Airframe hours
2,786
Engine
Turbomeca Arriel 1D1, 732 horsepower, turbo shaft
Damage
Substantial damage
Flight
Positioning · Part 91
Operator
Omniflight Helicopters Inc
Registered owner
GE Business Financial Services
Airworthiness certificate
Standard, Normal
Last inspection
Continuous airworthiness · April 1, 2008 · 51 hours before
Departed
00GE · Hiram, GA
Destination
34GA · Austell, GA
Flight plan
Company VFR
Airport
00GE · Caffery Heliport

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
59
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Helicopter
Medical
Class 2, With waivers/limitations
Last flight review
May 1, 2008
Seat
Right
Flight hours
6,922 total · 11 in this make and model · 5,190 as pilot in command · 15 in the last 90 days · 15 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
260° at 15 knots, gusting 19
Visibility
10 statute miles
Lowest ceiling
None
Temperature
73 °F, dew point 54 °F
Altimeter
29.76 inHg
Observed at
KATL, 21 nm away

Docket · 15

The files NTSB released with the investigation on September 15, 2008, on NTSB’s docket system: statements, records, photos and specialists’ reports. 6.2 MB in all.

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 N417AE · 1

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