SEA04LA043

NTSB accident investigation · Garlick UH-1H · Liberty, WA · February 23, 2004

Accident · Serious injuriesLimited investigationFinal report
Date
February 23, 2004, 13:30 local (21:30 UTC)
Place
Liberty, WA
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N6257PGarlick UH-1H
Weather
Visual (VMC) · Day
Status
Completed · report August 11, 2011
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20040223001789A
Case key
58791

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 failure of the tail rotor slider lugs due to fatigue while the helicopter was maneuvering.

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/malfunctionManeuvering
Miscellaneous,bolt/nut/fastener/clamp/spring - fatigueCause
Forced landingDescent - emergency
Hard landingEmergency landing

Analysis

The pilot was conducting a long-line logging operation in a restricted category helicopter. During the second logging cycle of the day, which included fifty turns, the pilot was setting a load of logs down when he heard a loud bang from the rear of the helicopter. The aircraft began spinning to the left, and after the second turn the pilot chopped the throttle in an attempt to land between the loading deck and the loader. The helicopter landed hard and flat, resulting in the aircraft's main rotor blades striking the log deck and the loader, ripping out the helicopter's transmission. During an inspection of the aircraft wreckage it was observed that both of the tail rotor slider's lugs were fractured where they become tangent to the slider barrel. A subsequent examination of the tail rotor slider assembly revealed that the slider lugs had failed due to fatigue. The fatigue origin was determined to be rough machining marks.

Factual narrative

On February 23, 2004, approximately 1330 Pacific standard time, a Garlick UH-1H (originally manufactured by Bell Helicopter) restricted-category rotorcraft, N6257P, sustained substantial damage after impacting objects following a loss of control near Liberty, Washington. The helicopter was being operated as an external-load (logging) flight by Skyline Helicopters of College Place, Washington, under the provisions of 14 CFR Part 133. The airline transport pilot, sole occupant of the helicopter, sustained serious injuries. Visual meteorological conditions prevailed and a flight plan was not filed for the local flight. The flight departed the local operations area about 1300.

According to the pilot, this was the second logging cycle of the day that lasted about 3 hours and included fifty turns. The pilot stated that as he was setting down a load of logs, he heard a loud bang which came from the aft end of the helicopter, and the helicopter began spinning to the left. After the second turn he "chopped the throttle" and steered the helicopter to the last opening between the loading deck and the loader where the helicopter landed hard but flat. The main rotor blades struck the log deck and the loader, ripping out the transmission. The pilot also reported, "...[the] incident began at about 200 feet, spinning down to 100 feet, cushion from there through impact."

A representative from the Federal Aviation Administration's (FAA) Spokane, Washington, 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 skids were bent upward, the main and tail rotor blades were damaged, the transmission was separated from its mounts, and the tail rotor drive shaft was broken. The inspector also observed that both lugs of the tail rotor slider were broken off where they become tangent to the slider barrel. During the recovery of the helicopter FAA personnel retained various component parts of the tail rotor assembly for future examination.

On April 26, 2004, representatives from the FAA's Rotorcraft Directorate Division, Rotorcraft Standards Staff, Forth Worth, Texas, supervised an examination of various parts of the tail rotor assembly. The examination was conducted by representatives of the Bell Helicopter Textron Incorporated (BHTI) field investigations laboratory in Euless, Texas. Components received for examination included the tail rotor hub, crosshead, retention nut, slider and supporting hardware.

According to the NTSB Materials Laboratory, Washington, D.C., an examination of the tail rotor slider revealed that the lugs were separated from the body due to fatigue. One of the fracture faces, the primary fracture, was highly polished from the fracture faces rubbing together, indicating cracking had been present for some time. The primary fatigue fracture was in the lug-to-barrel radius and had multiple origins where the radius became tangent with the barrel. The origins were in rough machining marks. The fatigue cracking grew through to the splines on the inside diameter and finally fractured in overload. The fatigue fracture had an overall length of 1.4 inches (30 mm). The secondary fatigue fracture in the other lug had multiple origins in reverse bending where the radius became tangent with the lug, with the origins in rough machining marks. The fatigue grew 0.12 inch (3.0 mm) in the lug from the radius side and 0.04 inch (1.0 mm) into the lug from the other side. The fatigue cracking grew through the lug thickness. The lug's thicknesses were within limits. The surface roughness of the fractured slider was also within limits.

The general lug-to-barrel radius was 0.170 inch (4.32 mm), but the radius at the fatigue fracture was 0.060 (1.52 mm), due to the rough surface finish. The slider's hardness was over the appropriate specifications. A chemical analysis performed on the slider found it to be made of 4340 steel per Mil-S-5000 which was outside the appropriate standards. A metallurgical section near the primary origins showed a white-colored layer (decarburization) on the surface of the lug and into the radius. The layer was 0.001 inch (0.03 mm) deep and softer than the underlying material.

The cadmium plate on the primary fatigue fractured lug had an average thickness of 0.00096 inch (0.0244 mm). The cadmium plate average thickness on the secondary fatigue fractured lug was 0.00105 inch (0.0267 mm).

The operator of the helicopter advised that the company had purchased 6 tail rotor sliders from Strube, Incorporated, Marietta, Pennsylvania, on October 9, 2001. The operator maintained that the accident slider was one of the 6 purchased from Strube which was installed on October 23, 2001, in accordance with TM 55-1520-210-23-1.

At the time of the accident it was reported that the slider had accumulated a total time of 2,234.2 hours. The FAA inspector reported that the operator was keeping track of this slider's hours on a Historical Record Card. According to TM 55-1520-210-23-1, Table 1-8, Overhaul and Retirement Schedule, Change 41, page 1-111, the retirement interval listed for "Slider, Tail Rotor" was 3,000 hours.

In addition to the accident slider, the operator provided a second unused slider for examination. The operator stated that the unused slider was one of the 6 sliders the company purchased from Strube on October 9, 2001. Placed inside the barrel was a piece of paper with information that included United States government contract number which corresponded to Forest Scientific, of North Lindenhurst, New York, as the contractor. According to the Government Procurement History, in 1974 the United Stated government purchased 7,004 sliders from Forest Scientific. BHTI reported that it had no records indicating Forest Scientific Inc. was a BHTI approved vendor for manufacturing the slider.

The helicopter was released to the owner's representative on April 15, 2004.

Aircraft

Registration
N6257P
Reported as
Garlick UH-1H
Category
Helicopter
Serial number
63-8807
Engine
Lycoming T-53, 1,400 horsepower, turbo shaft
Damage
Substantial damage
Flight
Other work use · Part 133
Operator
Skyline Helicopters
Registered owner
Michael J. Ragenovich
Airworthiness certificate
Special, Restricted (Special)
Departed
Liberty, WA
Destination
Liberty, WA

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
54
Injuries
Serious
Certificates
Commercial, Airline transport, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 2, Valid Medical--no waivers/lim.
Last flight review
February 3, 2004
Seat
Left
Flight hours
13,435 total · 1,800 in this make and model · 10,000 as pilot in command · 162 in the last 90 days · 58 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
135° at 5 knots
Visibility
10 statute miles
Lowest ceiling
4,000 ft overcast
Temperature
39 °F, dew point 30 °F
Altimeter
29.78 inHg

Docket · 11

The files NTSB released with the investigation on April 21, 2011, on NTSB’s docket system: statements, records, photos and specialists’ reports. 10.3 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.