SEA04LA018

NTSB accident investigation · Bell 47G-3B-2 · Monmouth, OR · November 18, 2003

Accident · Serious injuriesLimited investigationFinal report
Date
November 18, 2003, 14:52 local (22:52 UTC)
Place
Monmouth, OR
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N7825SBell 47G-3B-2
Weather
Visual (VMC) · Day
Status
Completed · report December 28, 2004
Report
Approved by Office Director
Parties
FAA FSDO, Bell Helicopter
FAA report
20031118027949A
Case key
58359

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

Fatigue failure of a tail rotor blade during hover operations.

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.

Rotor failure/malfunctionHover
Rotor system,tail rotor blade - fracturedCause
Rotor system,tail rotor blade - fatigueCause
Loss of control - in flightHover
Directional control - not possible
In flight collision with terrain/waterDescent - uncontrolled

Analysis

The pilot was conducting long-line operations (utilizing a 50 foot long-line) in support of a Christmas tree harvest when the accident occurred. The pilot reported he was hovering, into the wind, over the "drop off point" when he heard a loud noise emanating from the rear of the helicopter. He described that the helicopter "instantly" began to rotate around its vertical axis and shortly after jettisoning the load the helicopter impacted terrain. During the post accident examination of the wreckage it was noted that the tail rotor blades and tail rotor gearbox were separated from the helicopters tail assembly. The tail rotor gearbox and one of the tail rotor blades was later located in a ditch near the accident site. The second tail rotor blade was located underneath a conifer tree approximately 100 feet east of the wreckage. Examination of the fractured tail rotor revealed that the blade fractured as a result of fatigue. The fatigue crack had multiple origins on the inside surface of the skin near the outboard end of the butt block (approximately 7.6 inches from the inboard end and 1.38-1.6 inches from the leading edge). Several of the origins were in pitted areas measuring no deeper than .00033 inches. Logbook records indicated that the tail rotor blade had accumulated approximately 1,723 hours since new. The life limit for the tail rotor blade is 2,500 hours

Factual narrative

On November 18, 2003, about 1452 Pacific standard time, a Bell/Soloy 47G-3B-2 helicopter, N7825S, which was converted to accommodate a Rolls Royce 250-C20 series turbine engine, sustained substantial damage during a forced landing following an in-flight loss of a tail rotor blade, about 6 miles south of Monmouth, Oregon. The helicopter was being operated under the provisions of Title 14, CFR Part 133, conducting external load operations (utilizing a 50 foot long-line) in support of a Christmas tree harvest when the accident occurred. The helicopter is registered to, and operated by, Farm and Forest Helicopter Service of Napavine, Washington. The certificated commercial pilot, the solo occupant, received serious injuries.

Following the accident the pilot told local law enforcement personnel that while in a stable hover, about 40-50 feet above ground level (AGL), he lost tail rotor control authority, and was unable to maintain directional control.

A witness to the accident reported that he observed a section of tail rotor blade depart the helicopter during the hover operation just before the accident sequence. He reported the helicopter subsequently entered a series of 360-degree rotations just before impacting terrain in a nose low attitude.

In a written statement dated November 24, 2003, the pilot reported he was hovering, into the wind, over the "drop off point" when he heard a loud noise emanating from the rear of the helicopter. He described that the helicopter "instantly" began to rotate around its vertical axis and shortly after jettisoning the load the helicopter impacted terrain.

An FAA representative from the Portland, Oregon, Flight Standards District Office conducted the post accident onsite examination of the wreckage. The inspector reported the helicopter sustained substantial damage consistent with a hard landing. Both main rotor blades struck the ground, but remained attached. One of the blades struck and bent the pylon. The skids were spread and broken. The engine and transmission were displaced from their mounts. The cockpit bubble was broken and the pilot's seat was buckled upward and forward.

During the examination it was noted that the tail rotor blades and tail rotor gearbox were separated from the helicopter's tail assembly. The tail rotor gearbox and one of the tail rotor blades was later located in a ditch near the accident site. The second tail rotor blade was located underneath a conifer tree approximately 100 feet east of the wreckage.

Following the onsite examination, the tail rotor hub, 90-degree gearbox and blade assembly was shipped to Bell Helicopter, Fort Worth, Texas, for further examination and testing.

Examination of the fractured tail rotor blade (S/N A-2522) by personnel from Bell Helicopter and NTSB revealed that the blade fractured as a result of fatigue. According to the engineering laboratory report submitted by Bell Helicopter, the fatigue had multiple origins on the inside surface of the skin near the outboard end of the butt block (approximately 7.6 inches from the inboard end and 1.38-1.6 inches from the leading edge). Several of the origins were in pitted areas measuring no deeper than .00033 inches. The pits are the result of an etching process used to prepare the surface for bonding. The report concludes that the surface condition was "typical of properly prepared surface and no abnormalities were found."

Examination of the opposing blade (S/N A-2500) revealed fatigue cracking on the bottom skin in a similar location as blade A-2522. The origins of the cracks were in areas of pitting attributed to the etching process. The pits measured no deeper than .00017 inches and according to the manufacture were consistent with a properly prepared surface with no anomalies.

The 90-degree gearbox was evaluated during the tail rotor assembly examination. According to the engineering report, wear patterns on the spiral bevel gear was consistent with heavy loading.

Logbook records indicated that the tail rotor blades had accumulated approximately 1,723 hours since new. The life limit for the tail rotor blades is 2,500 hours.

Bell Helicopters manufactured the tail rotor blades on January 26, 1999.

Aircraft

Registration
N7825S
Reported as
Bell 47G-3B-2
Category
Helicopter
Serial number
6688
Airframe hours
11,774
Engine
Allison C-20-B, 420 horsepower, turbo shaft
Damage
Substantial damage
Flight
Aerial application · Part 133
Registered owner
Farm And Forest Helicopter Service Inc
Airworthiness certificate
Special, Restricted (Special)
Last inspection
Annual · October 27, 2003 · 97 hours before
Departed
Monmouth, OR
Destination
Monmouth, OR

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
48
Injuries
Serious
Certificates
Private, Commercial
Airplane ratings
Single-engine land
Medical
Class 2, Valid Medical--w/ waivers/lim
Last flight review
October 30, 2002
Seat
Left
Flight hours
12,855 total · 11,361 in this make and model · 12,750 as pilot in command · 226 in the last 90 days · 93 in the last 30 days · 8 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
180° at 8 knots, gusting 10
Temperature
54 °F

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 N7825S · 2

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