NYC06LA175

NTSB accident investigation · Enstrom 280C · Danville, WV · July 15, 2006

Accident · Minor injuriesLimited investigationFinal report
Date
July 15, 2006, 09:15 local (13:15 UTC)
Place
Danville, WV
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N5691BEnstrom 280C
Weather
Visual (VMC) · Day
Status
Completed · report April 30, 2008
Report
Approved by Office Director
Parties
Enstrom Helicopter, FAA/FSDO
FAA report
20060715022609A
Case key
64117

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

A partial failure of the override clutch assembly. A contributing factor to the accident was the manufacturer's inadequate inspection procedures of the override clutch assembly following a tail rotor strike.

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 - normal
Rotor drive system,clutch assembly - failure,partialCause
Maintenance,service bulletin/letter - inadequateManufacturerFactor
Hard landingEmergency landing
Terrain condition - ground

Analysis

Approximately 7 minutes after takeoff, the pilot of the helicopter heard a "loud snap," and experienced a 5 to 10 degree right yaw. This occurred a second time, 5 to 8 seconds later. The pilot declared an emergency and elected to make a precautionary landing. During the approach, he experienced a third snap sound and yaw movement. The helicopter was at an airspeed below 20 knots, and about 8 to 10 feet above the ground, when the pilot heard a bang, and felt ground contact. The helicopter rolled to the left, and the main rotor blades contacted the ground. Examination of the helicopter confirmed drive train continuity to the main and tail rotor drive shafts. A ground scar, consistent with tail rotor ground contact, was observed about 60 feet from the main wreckage. The tail rotor gear box, drive shaft and blade assembly were located about 250 feet from the main wreckage. Examination of the tail rotor gearbox and adjacent components did not reveal any preexisting damage; however, it also did not reveal any indications of rotational damage. Examination of the override clutch assembly, which drove both the main transmission and the tail rotor system, revealed preexisting damage that occurred at an undeterminable time prior to the accident. The accident helicopter was involved in a previous hard landing accident about 13 months, and 87 hours of operation prior, during which, it had a tail rotor strike, and a fractured tail rotor drive shaft. The override clutch assembly was not removed for inspection after that accident; nor was it specifically required to be removed and inspected per the manufacturer's maintenance guidelines for "Special Inspection for Sudden Stoppage, Main and/or Tail Rotor Blade Strikes."

Factual narrative

On July 15, 2006, about 0915 eastern daylight time, an Enstrom 280C, N5691B, was substantially damaged during a precautionary landing in Danville, West Virginia. The certificated commercial pilot sustained minor injuries. Visual meteorological conditions prevailed and no flight plan was filed for the flight that departed the Logan County Airport (6L4), Logan, West Virginia, destined for the Greater Portsmouth Regional Airport, Portsmouth (PMH), Ohio. The solo cross-country instructional flight was conducted under 14 Code of Federal Regulations Part 91.

According to his written statement, the pilot said he heard a "loud snap" and experienced a 5 to 10 degree right yaw, approximately 7 minutes after takeoff. Approximately 5 to 8 seconds later, he heard a second snapping sound, and again experienced a 5 to 10 degree right yaw. The pilot declared an emergency and elected to perform a precautionary landing at a strip mine. During the approach, he experienced a third snap sound and yaw movement. The helicopter was at an airspeed below 20 knots, and about 8 to 10 feet above the ground, when the pilot heard a bang, and felt ground contact. The helicopter rolled to the left, and the main rotor blades contacted the ground.

Examination of the helicopter was conducted by a Federal Aviation Administration (FAA) inspector and representatives from Enstrom Helicopter. Drive train continuity was confirmed to the main and tail rotor drive shafts. A ground scar, consistent with tail rotor ground contact, was observed about 60 feet from the main wreckage. The tail rotor gear box, drive shaft and blade assembly were located about 250 feet from the main wreckage. The tail rotor assembly, 90-degree gearbox and the override clutch assembly were retained for further examination.

Examination of the tail rotor gearbox and adjacent components at the National Transportation Safety Board Materials Laboratory, Washington DC, did not reveal any preexisting damage or failures. In addition, the examination did not reveal any indications of rotational damage.

The override clutch assembly, which drove both the main transmission and the tail rotor system, was removed and examined at its manufacturer, under the supervision of an FAA inspector. According to the manufacturer's teardown report, damage was found in the clutch assembly that was consistent with impact damage sustained during the accident; however, damage was also found that was consistent with preexisting damage that occurred at an undeterminable time prior to the accident. The override clutch assembly had accumulated approximately 1,804.6 hours since new, and had a time between overhaul (TBO) interval of 2,400 hours.

The accident helicopter was involved in a previous hard landing accident on August 12, 2005, during which, it experienced a tail rotor strike, and a fractured tail rotor drive shaft. According to maintenance records, the override clutch assembly was not removed for inspection after that accident. Review of the helicopter's maintenance manual did not reveal any information calling for an inspection of the override clutch assembly after a tail rotor blade strike. Enstrom service information letter (SIL) No. 0088, "Special Inspection for Sudden Stoppage, Main and/or Tail Rotor Blade Strikes" was in effect at the time of the accident; however, the SIL required that the override clutch assembly be inspected only during main rotor strikes and or sudden stoppage. According to the maintenance manual, SIL's were to be considered part of the maintenance manual, and were used to transmit information, recommendations, and general service instructions to the customer. The clutch assembly would not have been disassembled and inspected during routine 100-hour and annual inspection maintenance intervals.

The helicopter had been operated approximately 87 hours since the previous accident. The override clutch assembly teardown report further stated that because the clutch assembly was not disassembled and inspected after the tail strike in August 2005, it was not possible to determine the amount of internal damage that the clutch assembly sustained at the time of that event, and may have accumulated during the subsequent hours of operation.

The pilot held a commercial pilot certificate, with ratings for single and multiengine land airplanes, and was training for a rotorcraft rating with private pilot privileges. He reported 1,060 hours of total flight experience, which included about 30 hours in helicopters.

Aircraft

Registration
N5691B
Reported as
Enstrom 280C
Category
Helicopter
Serial number
1180
Airframe hours
1,804
Engine
Lycoming HIO-360-EIAD, 205 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Registered owner
Marpat Aviation LLC
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · June 1, 2006 · 11 hours before
Departed
6L4 · Logan, WV
Destination
PMH · Portsmouth, OH
Airport
None

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
Student pilot
Age
52
Injuries
Minor
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land, Single-engine sea
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Seat
Left
Flight hours
1,060 total · 27 in this make and model · 25 in the last 90 days · 8 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
250° at 7 knots
Visibility
7 statute miles
Lowest ceiling
1,500 ft overcast
Temperature
75 °F, dew point 70 °F
Altimeter
30.06 inHg
Observed at
CRW, 24 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.

Other investigations on N5691B · 1

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