SEA01MA163

NTSB accident investigation · Kawasaki KV-107-II · Emigrant, MT · August 31, 2001

Accident · FatalMajor investigationFinal report
Date
August 31, 2001, 09:05 local (15:05 UTC)
Place
Emigrant, MT
Injuries
3 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N186CHKawasaki KV-107-II
Weather
Visual (VMC) · Day
Status
Completed · report February 21, 2003
Report
Approved by Office Director
Parties
Boeing, Global Rotorcraft Customer Support, GE Aircraft Engines, Columbia Helicopters, Inc., FAA Flight Standards District Office
FAA report
20010831025399A
Case key
53170

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 loss of control during cruise/climb flight for undetermined reasons.

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.

Loss of control - in flightCruise
Reason for occurrence undeterminedCause
In flight collision with terrain/waterDescent - uncontrolled

Analysis

The Kawasaki Vertol KV-107 II rotorcraft had departed the helibase on a non-mandatory test flight requested by the pilot-in-command (PIC) to 'tweak' the rotorcraft's engine synchronization system. The test flight was conducted with the bucket and 150 foot long line attached to facilitate the test procedure. Witnesses reported observing the rotorcraft between 300 and 1,000 feet in altitude and beginning a climb when it began to pitch/roll and descend rapidly. Several witnesses reported seeing the bucket horizontal to the rotorcraft and also caught up in one of the rotors. The aircraft impacted on its right side intact with the exception of its rotor blades. Two of the three forward rotor blades were found 600-900 feet from the ground impact site. The third forward rotor blade, which was broken in half, was found with its outboard section at the ground impact site and the inboard half approximately 100 feet away. All three aft rotor blades were found in close proximity to one another and approximately 400 feet distant from the primary ground impact site. All six blades separated from their root sections in about the same place and a post crash fire destroyed much of the rotorcraft. Post crash examination established control continuity from the cockpit area through the control closet and on to all the associated hydraulic actuators as well as the continuity of the entire synchronization drive shafting. Examination and disassembly of all major components revealed no evidence of any fatigue propagation, disconnects, or characteristics of other time dependent failure mechanisms. All hydraulic actuators underwent an X-ray examination and disassembly and there was no evidence of any blockage or jamming within any of the actuators. The engines were examined and disassembled and the gas generator speed range for both was determined to be between 64.3% and 69.7%, or about 10% above ground idle. There was evidence that the long line cable encountered/impacted the nose gear strut, as well as an aft strut, the forward left side of the fuselage, the forward rotor head rain shield and all three forward rotor blades. It could not be determined whether the cable to rotor interaction was an initiating event or the result of a previous occurrence which allowed the cable to become entangled with the forward rotor blades. The PIC had more than 1630 hours of V-107 rotorcraft time of which more than 670 hours were logged as PIC time. The co-pilot had more than 150 hours of V-107 rotorcraft time none of which was PIC time.

Factual narrative

History of flight

On August 31, 2001, approximately 0905 hours mountain daylight time, a Kawasaki KV-107 II rotorcraft, N186CH, registered to and operated by Columbia Helicopters Leasing, Inc., and being flown by two commercial pilots, was destroyed when it collided with terrain following a loss of control in flight during a cruise/climb phase of operation. The crash site was approximately three miles south of Emigrant, Montana. Both pilots and the onboard mechanic were fatally injured. A post-crash fire destroyed much of the rotorcraft. Visual meteorological conditions existed and no flight plan had been filed. The flight, which was a non-mandatory maintenance check flight following a phase five inspection, was to have been operated under 14CFR91, and originated from the Fridley Helibase staging site approximately eight nautical miles north of the crash site and slightly north of Emigrant, Montana. The rotorcraft was estimated to have departed on the check flight approximately 0845. The aircraft was under contract with US Forest Service and was engaged in firefighting operations in support of the Fridley Fire centered approximately eight nautical miles north and west of Emigrant, Montana.

The rotorcraft departed the Fridley helibase approximately 0845 hours with both pilots and a mechanic aboard. At this time the rotorcraft had been released from the United States Forest Service (USFS) contract and would remain so for the duration of the test flight (refer to Attachment USDA-I). Immediately prior to departure the ground crewman observed the copilot occupying the right seat within the cockpit (refer to Attachment EK-I).

Witness data

There were seven witnesses located circumferentially around the accident site who observed the rotorcraft immediately prior to or during the crash sequence. The witnesses were located throughout all four quadrants of the compass (N/S/E/W) at distances ranging from less than one-half a mile up to three miles from the crash site (refer to Chart I which shows the approximate location of all seven witnesses).

A synopsis of key observations from each of the witness's statements follows (refer to attached individual witness statements one through seven for additional details):

Witness #1, who was located approximately one-half mile south of the accident site, and was looking north at the rotorcraft, reported that he saw it "dropping," facing south while rotating very slowly to the left; and that the rotorcraft was starting to drop to the left side. The witness believed that the tether and bucket were still below the rotorcraft at the time he observed it and that the rotorcraft was approximately 300 feet above the ridge when he first saw it dropping.

Witness #2, who was located approximately one mile south of the accident site, and was looking north at the rotorcraft, reported that he saw something "spinning" and "dropping fast out of sight."

Witness #3, who was located approximately one and one-half miles east of the accident site, and was looking west at the rotorcraft, reported that he saw it "wobbling" and then it "started down spinning."

Witness #4, who was located approximately three miles north of the accident site, and was looking south at the rotorcraft, reported that he saw "a chopper with [the] water bucket flying erratically." He commented that it seemed that the rotors "were not functioning properly" and that the rotorcraft was "going down fast in a circular pattern." He also reported the rotorcraft as rolling from side to side about 1,000 feet above ground.

Witness #5, who was located approximately two miles northwest of the accident site, and was looking southeast at the rotorcraft, reported that he had a side view of a light colored helicopter, which was "flying northbound" and "pulling a water bucket" and that "all looked fine." He reported further that after about five to six seconds of observation he witnessed the "aft (back) drop down and the forward (front) end rise up and go completely upside down." Additionally, he reported that as the aircraft approached a fully inverted attitude nearly horizontal with the ground he witnessed "the aft rotor blade catch the water bucket's cable and sling it around and round wildly." He then observed the rotorcraft descend inverted in a "left to right turn" with the bucket and cable entangled.

Witness #6, who was located approximately two miles west northwest of the accident site, reported that she observed the helicopter fly over highway 80 towards the Yellowstone River with the "basket hanging below and slightly behind [the] helicopter as it flew." After crossing over the Yellowstone River the helicopter appeared to climb and turn northward roughly paralleling the river. She reported that as the helicopter made this left turn "it seemed to suddenly start a sharp descent," "the nose seemed to dip lower" and "the left hand turn became sharper." The helicopter was observed to "lean steeply to the left" and the basket remained attached by its line and "became parallel to the helicopter as it continued its descent." She reported that the helicopter then turned back to the right and seemed to descend in a clockwise rotation at which point the "rotors appeared to have stopped rotation." The helicopter turned back to the left and rolled slightly on its side at which time "the basket was almost above the helicopter." She observed the helicopter then turn back to the right and level out slightly, during which "there was no rotation of the blades." The helicopter made one last turn to the left before descending from view.

Witness #7, who was located approximately one mile south southwest of the accident site, and was looking generally north at the rotorcraft, reported seeing the helicopter fly over and then turn north while carrying a water bucket. She reported that about one mile north of her location she observed the helicopter "pause and then descend with great speed," and that while it was descending she observed "one of the propellers and other parts from the top area of the helicopter fly off as it was descending."

Personnel information

Pilot-in-command:

The pilot-in-command (PIC), who according to the operator would have been assigned the left cockpit seat, held a commercial pilot certificate with helicopter and instrument (helicopter) ratings as well as a type rating in the BV-107 (VFR only limitation). According to the operator, he had accrued approximately 3,889 hours of flight experience, all logged in rotorcraft, and approximately 1,715 hours were logged as PIC time. Additionally, he was reported to have logged approximately 1,631 hours in the Vertol V-107 model rotorcraft of which approximately 671 hours were as PIC. He had been issued a second class medical with no waivers/limitations on September 14, 2000.

Co-pilot:

The co-pilot, who according to the operator would have been assigned the right cockpit seat, held a commercial pilot certificate with helicopter and instrument (helicopter) ratings and private pilot ratings in both airplane single engine land and instrument (airplane). He was not type rated in the BV-107 rotorcraft. He also held a certified flight instructor certificate with ratings in both helicopter and instrument (helicopter). According to the operator, he had accrued a total of approximately 1,354 hours of flight experience of which approximately 1,076 hours were as PIC and approximately 1,298 hours were logged in rotorcraft. Additionally, he was reported to have logged approximately 154 hours in the Vertol V-107 model rotorcraft, none of which was logged as PIC time. He had been issued a first class medical with no waivers/limitations on January 4, 2001.

Crewman:

The crewman, whose location in the rotorcraft could not be determined, held an FAA airframe and powerplant mechanic certificate. According to the operator, he had been engaged in maintenance on the r

Aircraft

Registration
N186CH
Reported as
Kawasaki KV-107-II
Category
Helicopter
Serial number
4005
Airframe hours
41,559
Engine
General Electric CT 58-140-1, 1,500 horsepower, turbo shaft
Damage
Destroyed
Fire
On-Ground
Flight
Flight test · Part 91
Operator
Columbia Helicopters, Inc.
Registered owner
Columbia Helicopters Leasing, Inc.
Airworthiness certificate
Special, Restricted (Special)
Last inspection
Continuous airworthiness · August 30, 2001 · 0.3 hours before
Departed
Emigrant, MT

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 · 4

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
37
Injuries
Fatal
Certificate
Commercial
Instrument ratings
Helicopter
Medical
Class 2
Last flight review
February 19, 2001
Seat
Right
Toxicology
Performed
Flight hours
3,889 total · 1,631 in this make and model · 1,715 as pilot in command · 64 in the last 90 days · 57 in the last 30 days · 2 in the last 24 hours
Role
Co-pilot
Age
28
Injuries
Fatal
Certificates
Flight instructor, Private, Commercial
Airplane ratings
Single-engine land
Instrument ratings
Helicopter, Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Last flight review
June 6, 2001
Seat
Right
Toxicology
Performed
Flight hours
1,354 total · 154 in this make and model · 1,076 as pilot in command · 103 in the last 90 days · 67 in the last 30 days · 2 in the last 24 hours
Role
Other flight crew
Injuries
Fatal
Role
Co-pilot
Age
28
Injuries
Fatal
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land
Instrument ratings
Helicopter, Airplane
Medical
Class 1
Last flight review
June 6, 2001
Seat
Left
Toxicology
Performed
Flight hours
1,354 total · 154 in this make and model · 1,076 as pilot in command · 103 in the last 90 days · 67 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
290° at 10 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
61 °F, dew point 41 °F
Altimeter
29.95 inHg
Observed at
LVM, 25 nm away

Docket · 45

The files NTSB released with the investigation on February 20, 2003, on NTSB’s docket system: statements, records, photos and specialists’ reports. 9.9 MB in all.

Supplement EItem 1 · .PDF · 114 KBSupplement GItem 2 · .PDF · 73 KBSupplement SItem 3 · .PDF · 30 KBPilot/Operator Aircraft Accident Report, NTSB Form 6120.1Item 4 · .PDF · 387 KBAttachment USDA-IItem 5 · .PDF · 34 KBAttachment EK-IItem 6 · .PDF · 25 KBChart IItem 7 · .PDF · 754 KBChart IIItem 8 · .PDF · 79 KBWitness StatementsItem 9 · .PDF · 644 KBAttachment ACDD-IItem 10 · .PDF · 131 KBAttachment MT-IItem 11 · .PDF · 204 KBAttachment DP-IItem 12 · .PDF · 305 KBAttachment IItem 13 · .PDF · 192 KBAttachment IIItem 14 · .PDF · 385 KBAttachment IIIItem 15 · .PDF · 140 KBAttachment IVItem 16 · .PDF · 105 KBAttachment VItem 17 · .PDF · 124 KBAttachment VIItem 18 · .PDF · 344 KBAttachment VIIItem 19 · .PDF · 1.0 MBToxicological ReportsItem 20 · .PDF · 145 KBStatement of Party Representatives to NTSB InvestigationItem 21 · .PDF · 329 KBRelease of Aircraft Wreckage, NTSB Form 6120.15Item 22 · .PDF · 40 KBPhoto 1. An aerial view looking north shortly after the accident showing the northeasterly smoke drift. Note the forward green rotor blade in the foreground (arrow).Item 23 · .PDF · 180 KBPhoto 2. An aerial view of the ground impact site (view: bottom to top is west).Item 24 · .PDF · 202 KBPhoto 3. A view looking north at the forward (cockpit) portion of the rotorcraft. Note the large tree directly behind the cockpit. No NegativeItem 25 · .PDF · 260 KBPhoto 4. A view of the aft portion of the rotorcraft showing the aft transmission gearing, vertical drive shaft and rotor head, and mixing box output. No Negative.Item 26 · .PDF · 253 KBPhoto 5. A view showing the synchronization drive shaft (top center from left to right). Note the bucket cabling running from left to right (foreground). No Negative.Item 27 · .PDF · 185 KBPhoto 6. A view of the steel circumferential bucket retainer ring and associated cabling. The bucket was destroyed in the fire. No Negative.Item 28 · .PDF · 272 KBPhoto 7. A view showing the bucket cabling as found at the site looped around the forward nose gear strut. No Negative.Item 29 · .PDF · 240 KBPhoto 8. A close-up view of the diagonal scrape marks on the nose gear strut (oleo). No Negative.Item 30 · .PDF · 84 KBPhoto 9. A close-up view of the forward lower left side of the fuselage showing cable braid marks across the black painted surface. No Negative.Item 31 · .PDF · 147 KBPhoto 10. A close-up view of the forward rotor head rain shield showing cable braid marks across the black painted surface. No Negative.Item 32 · .PDF · 141 KBPhoto 11. A view of the aft rotor head at the accident site. No Negative.Item 33 · .PDF · 246 KBPhoto 12. A view of the forward rotor head at the accident site. No Negative.Item 34 · .PDF · 223 KBPhoto 13. An aerial view showing the location of the forward yellow rotor blade with respect to the fuselage ground impact site (arrow).Item 35 · .PDF · 150 KBPhoto 14. A close-up view of the inboard half of the forward red rotor blade. No Negative.Item 36 · .PDF · 259 KBPhoto 15. A view of the outboard half of the forward red rotor blade lying perpendicular to the synchronization drive shaft (arrow). No Negative.Item 37 · .PDF · 253 KBPhoto 16. A close-up view of a portion of the steel cable showing the braid pattern and freshly abraded cable strands. No Negative.Item 38 · .PDF · 167 KBPhoto 17. A close-up view of a portion of the steel cable showing a 90 degree permanent deformation. No Negative.Item 39 · .PDF · 139 KBPhoto 18. A view of all three forward rotor blades (red-yellow-green: right to left) and their associated blade root sections. No Negative.Item 40 · .PDF · 139 KBPhoto 19. A close-up view of the mid-span separation of the forward red blade showing cable braid marks along the blade's leading edge. No Negative.Item 41 · .PDF · 137 KBPhoto 20. A view of all three aft rotor blades (yellow-red-green: left to right) and their associated blade root sections. No Negative.Item 42 · .PDF · 116 KBPhoto 21. A close-up view of all six rotor blade inboard sections from left to right: forward: red-yellow-green and aft: green-red-yellow. Note the abrasion marks on the forward blade inboard sections. No Negative.Item 43 · .PDF · 155 KBPhoto 22. A close-up view of the aft turbine disk (power turbine wheel) of one of the engines. Note the consistent blade deformation opposite to the direction of rotation. No Negative.Item 44 · .PDF · 175 KBPhoto 23. A close-up view of the aft turbine disk (power turbine wheel) of the opposing engine. Note the consistent blade deformation opposite to the direction of rotation. No Negative.Item 45 · .PDF · 149 KB

FAA reports on this event · 1

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