SEA02IA096

NTSB incident investigation · Kaman K-600 (HH-43B) · Cocolalla, ID · May 21, 2002

Incident · No injuriesIncident investigationFinal report
Date
May 20, 2002, 17:45 local (May 21, 2002, 00:45 UTC)
Place
Cocolalla, ID
Injuries
1 uninjured
Damage
No damage
Phase of flight
Enroute
Aircraft
N286MKaman K-600 (HH-43B)
Weather
Visual (VMC) · Day
Status
Completed · report May 30, 2003
Report
Approved by Office Director
Parties
FAA Spokane FSDO
Case key
54865

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the incident.

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Probable cause

The reverse installation of the RPM compensator assembly control box bolts resulting in the threaded end of the bolt impinging on a clevis and jamming the collective during climb. A contributing factor was the lack of adequate documentation provided by the technical order instruction for installation of the compensator.

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/malfunctionClimb
Information insufficientManufacturerFactor
Maintenance,installation - improperFactor
Miscellaneous,bolt/nut/fastener/clamp/spring - reversedCause
Rotorcraft flight control,collective control - jammed

Analysis

The pilot of the Kaman K-600 (HH-43) rotorcraft began to reduce collective to stop the climb and bring the hook into position for another log pickup when the collective effectively jammed at a high power setting forcing the rotorcraft into a climb. The pilot was able to utilize an alternative means of reducing power and, after flight testing the rotorcraft successfully, landed without damage or injury. Post-incident examination revealed that the four hex head bolts that secure the RPM compensator assembly control box into the cabin ceiling had been installed in reverse; such that each bolt head was at the top of the control box with each threaded bolt end extruding downward through the control box bolt retaining ears. This allowed the clevis of the compensator telescopic unit, linked to the collective, to jam against the extended bolt end. The maintenance instructions contained in the Technical Order (T.O.) for the HH-43 were found to contain no instructions relating to the proper orientation of the bolts at installation.

Factual narrative

History of flight

On May 20, 2002, approximately 1745 Pacific daylight time, a Kaman K-600 (HH-43), N286M, registered to/operated by JC Helicopter Services LLC, and being flown by a commercial pilot, sustained a jammed collective condition while entering a hover at a logging site near Cocolalla, Idaho. The pilot was uninjured and the aircraft sustained no damage during the pilot's use of alternate controls to affect an emergency landing. Visual meteorological conditions prevailed and no flight plan had been filed. The flight, which was engaged in logging operations, was operated under 14 CFR 133, and originated from a local site nearby.

The pilot reported that he had been engaged in log-slinging operations and that after about two hours while flaring in anticipation of another load pickup, he began to reduce collective to stop the climb and bring the hook into position. He determined that the collective was jammed at a high power setting and could not be reduced further. He was able to stop the climb and establish level flight by applying throttle outside the governed range and selecting manual on the governor control switch. He was then able to initiate a slow descent by reducing RPM and after approximately 20 minutes of practiced flight operations in this regime during which he determined that control response was marginal, he initiated a landing to an open field. Approximately eight feet above ground entering ground effect he began to lose control of the rotorcraft, rolled the throttle to flight idle and executed a successful landing.

Post-incident investigation revealed that the four hex head bolts that secure the RPM compensator assembly control box into the cabin ceiling had been installed such that each bolt head was at the top of the control box with each threaded bolt end extruding downward through the control box bolt retaining ears. The threaded (nut) ends of all four bolts were observed extending out the bottom of the control box retaining holes such that the threaded end of each bolt faced down and at least one bolt end was found to interfere with the movement of the RPM compensator telescopic unit clevis (refer to photo 1). Further examination revealed that when the bolts were installed with each hex head end at the bottom of the control box and the nuts at the top, the maximum extension of the bolt from the bottom of the control box was confined to the thickness of the hex head. This installation would ensure that none of the four bolts would interfere with the RPM compensator telescopic unit.

Aircraft information

Timber Choppers, Inc. holds the Type Certificate for the civil variant of the Kaman HH-43 series rotorcraft (refer to Attachment TC-I). N286M, a Kaman K-600, also previously designated for military use as the HH-43B rotorcraft, had been acquired from military surplus and had been certificated by the Federal Aviation Administration for restricted category operations. The total airframe and engine time was not reported and the rotorcraft was reported as being on a continuous airworthiness inspection program with the most recent (phase) inspection being conducted May 20, 2002, four hours prior to the accident.

The maintenance instructions contained in the Technical Order (T.O.) for the HH-43 (refer to Attachment TO-I) were reviewed, specifically, the sections covering the removal and installation of the RPM compensator assembly control box. The installation procedure was described under Section III, paragraph 3-91 (x) as follows:

"Position control box assembly (13) on cabin ceiling and secure with four bolts, eight washers and four nuts."

The Technical Order provided no guidance as to the proper orientation (up or down) for the bolts upon installation.

Aircraft

Registration
N286M
Reported as
Kaman K-600 (HH-43B)
Category
Helicopter
Serial number
110
Engine
Lycoming T53-L-11, 1,300 horsepower, turbo shaft
Damage
No damage
Flight
Other work use · Part 133
Registered owner
JC Helicopter Services, LLC
Airworthiness certificate
Special, Restricted (Special)
Last inspection
Continuous airworthiness · May 20, 2002 · 4 hours before
Departed
Cocolalla, ID

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
52
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Medical
Class 2, Valid Medical--w/ waivers/lim
Last flight review
July 22, 2002
Seat
Left
Flight hours
16,000 total · 1,000 in this make and model · 15,000 as pilot in command · 300 in the last 90 days · 100 in the last 30 days · 8 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
240° at 11 knots
Visibility
10 statute miles
Lowest ceiling
4,400 ft broken
Temperature
54 °F, dew point 43 °F
Altimeter
29.79 inHg
Observed at
COE, 20 nm away

Docket · 4

The files NTSB released with the investigation on April 14, 2003, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.0 MB in all.

Other investigations on N286M · 1

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