NYC03LA037

NTSB accident investigation · Sikorsky S-61A · Glady, WV · January 12, 2003

Accident · Serious injuriesLimited investigationFinal report
Date
January 12, 2003, 12:20 local (17:20 UTC)
Place
Glady, WV
Injuries
2 serious
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N8170VSikorsky S-61A
Weather
Visual (VMC) · Day
Status
Completed · report December 30, 2003
Report
Approved by Office Director
Parties
FAA/FSDO
FAA report
20030112001679A
Case key
56320

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 installation of the left tailrotor control cable by company maintenance personnel.

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/malfunctionHover - out of ground effect
Maintenance,installation - improperCompany maintenance personnelCause
Rotorcraft flight control,tail rotor cable - fractured
Loss of control - in flightHover - out of ground effect
Aircraft control - not possible
Forced landingDescent - emergency
Autorotation - initiatedPilot in command
In flight collision with terrain/waterDescent - emergency
Terrain condition - mountainous/hilly

Analysis

The helicopter came out of maintenance, the captain and first officer conducted a test flight, and then ferried it to the area of operation. The next day, the captain entered a 155-foot out of ground effect hover, and an external load was connected. About the same time, the helicopter started a slow uncommanded yaw to the right. The captain applied full left pedal, released the load, and entered an autorotation. Examination of the tailrotor control system revealed that the left anti-torque control cable was broken. The break was associated with a pulley assembly, the cable strands were bent rearward, and deformed. The cable fracture surfaces were irregular, and also deformed. The associated keeper pins displayed wear marks, and light scratches consistent with control cable contact. The associated pulley was intact. The pulley channel contained an oil-based debris, and control cable fragments. Both tailrotor cables were removed and reinstalled within the last 5.3 hours of operation by company maintenance personnel.

Factual narrative

On January 12, 2003, about 1220 eastern standard time, a Sikorsky S-61A, N8170V, was substantially damaged when it impacted terrain during a forced landing near Glady, West Virginia. Both certificated commercial pilots sustained serious injuries. Visual meteorological conditions prevailed for the commercial logging flight, and a company flight plan was filed for the flight conducted under 14 CFR Part 133.

According to the crew, after the helicopter came out of maintenance, the captain and first officer conducted a test flight, and then ferried the helicopter to the area of operation. On the day of the accident, the first officer flew flights one and three, and the captain flew flights two and four. Each flight lasted about 1 hour 20 minutes, the helicopter was hot refueled between flights, and the flying pilot would occupy the left seat. During the previous flights, no flight control anomalies were identified, and on the accident flight, the captain was in the left seat and flying the helicopter.

After completing approximately the seventh load of the flight, the captain maneuvered the helicopter over the ground tenders, and entered a 155-foot out of ground effect hover. The tenders connected the chokers to the cargo hook, and called "clear." About the same time, the helicopter started a slow uncommanded yaw to the right. The captain applied full left pedal, released the load, and the ground tenders called "kick out." With full left pedal applied, the helicopter continued to yaw right. During the first revolutions, the captain identified a small clear area to the north. The area was approximately level with the helicopter, and approximately 150 feet away on a ridgeline. The captain tried to maneuver the helicopter to the clear area, but by the fourth revolutions, the yaw rate had increased drastically, and helicopter controllability became a major issue. The first officer placed his left hand on the throttles, and the captained called for engines to idle. The captain entered an autorotation, and applied full collective before entering the trees. The helicopter impacted the ground, came to rest up right, and both pilots exited with the assistance of one of the ground tenders. The crew estimated they had conducted 75 loads on the day of the accident. In addition, the first officer estimated the winds were approximately 270 degrees at 10 knots.

Examination of the tailrotor flight control system revealed that the left tailrotor control cable was broken. The break was in the aft part of the cabin and associated with a pulley assembly.

Examination of the cable break revealed that some of the cable strands were bent rearward, and deformed. Examination of the cable fracture surfaces under a stereomicroscope revealed that some of the fractures were irregular and deformed. Examination of the associated keeper pins under a stereomicroscope revealed that both pins displayed wear marks, and light scratches consistent with control cable contact. The associated pulley was intact. The pulley channel contained an oil-based debris, and control cable fragments.

Examination of the maintenance records revealed the helicopter had undergone extensive repairs before being returned to service on January 11, 2003. While in maintenance, both tailrotor cables were removed and then reinstalled on January 9, 2003. At the time of the accident, the helicopter had flown 5.3 hours since returning to service, and total flight time was 14,603 hours.

Aircraft

Registration
N8170V
Reported as
Sikorsky S-61A
Category
Helicopter
Airframe hours
14,591.2
Engines
General Electric CT58-140-1, 1,500 horsepower, turbo shaftGeneral Electric CT58-140-1, 1,500 horsepower, turbo shaft
Damage
Substantial damage
Flight
Other work use · Part 133
Registered owner
Carson Helicopters, Inc.
Airworthiness certificate
Special, Restricted (Special)
Last inspection
Continuous airworthiness · January 10, 2003 · 5.3 hours before
Departed
NONE · Glady, WV
Destination
NONE · Glady, WV
Flight plan
Company VFR

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
48
Injuries
Serious
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Last flight review
June 1, 2001
Seat
Left
Flight hours
18,807 total · 10,346 in this make and model · 1,400 as pilot in command · 251 in the last 90 days · 23 in the last 30 days · 4 in the last 24 hours
Role
Co-pilot
Age
59
Injuries
Serious
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Helicopter
Medical
Class 2, Valid Medical--no waivers/lim.
Last flight review
November 26, 2001
Seat
Right
Flight hours
28,360 total · 10,725 in this make and model · 22,846 as pilot in command · 2,172 in the last 90 days · 53 in the last 30 days · 4 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
19 °F, dew point 7 °F
Altimeter
30.31 inHg
Observed at
EKN, 12 nm away

Docket · 5

The files NTSB released with the investigation on October 21, 2003, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.2 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.