SEA08LA213

NTSB accident investigation · Bell 206B · Woods Landing-Jelm, WY · September 27, 2008

Accident · Serious injuriesLimited investigationFinal report
Date
September 27, 2008, 13:00 local (19:00 UTC)
Place
Woods Landing-Jelm, WY
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N59611Bell 206B
Defining event
Maneuvering-low-alt flying: Loss of tail rotor effectiveness
Weather
Visual (VMC) · Day
Status
Completed · report March 23, 2009
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20080927848189A
Case key
69012

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 pilot's encounter with a loss of tail rotor effectiveness event and his failure to maintain directional control while maneuvering. Contributing to the accident were the tailwind condition and the sloping, uneven terrain.

Findings · 4

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Performance/control parameters: directional controlAircraft › Aircraft oper/perf/capability · Not attained/maintainedBell 206B: 8 casesAll aircraft: 3,958 casesProbable cause
Terrain: sloped/uneven terrainEnvironmental issues › Physical environment · Contributed to outcomeBell 206B: 3 casesAll aircraft: 270 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotBell 206B: 45 casesAll aircraft: 9,295 casesProbable cause
Wind: tailwindEnvironmental issues › Conditions/weather/phenomena · Effect on operationBell 206B: 5 casesAll aircraft: 594 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The pilot reported that he was flying over his ranch property at about 50 knots looking for stray cattle when "...a strong tailwind or twister caused the ship to vibrate very fast and violent, and dove to the right." The pilot stated that several people on the ground observed the helicopter spin 5 to 6 times before impacting the uneven and sloping ground and rolling over. The pilot further stated, "I couldn't get response from the tail rotor, collective, or cyclic." The ranch foreman saw the helicopter making a "big circle," followed by 3 or 4 "tight circles" in a clockwise direction before impacting terrain. A post crash examination of the helicopter by a Federal Aviation Administration (FAA) aviation safety inspector revealed no apparent malfunctions. The pilot reported no preimpact anomalies with the helicopter. The Rotorcraft Flying Handbook states that a loss of tail rotor effectiveness (LTE) is the occurrence of an uncommanded yaw rate that does not subside on its own accord, which can result in the loss of helicopter control. The recovery technique for LTE is full left pedal while simultaneously moving cyclic control forward to increase airspeed. If altitude permits, reduce power. FAA Advisory Circular 90-95 states, "Any maneuver which requires the pilot to operate in a high-power, low-airspeed environment with a left crosswind or tailwind creates an environment where unanticipated right yaw may occur."

Factual narrative

On September 27, 2008, about 1300 mountain daylight time, a Bell 206B helicopter, N59611, was substantially damaged following a loss of control and impact with terrain about 5 miles southeast of Jelm, Wyoming. The certificated commercial pilot, the sole occupant, sustained serious injuries. Visual meteorological conditions prevailed for the local flight, which was being operated in accordance with 14 Code of Federal Regulations (CFR) Part 91, and a flight plan was not filed. The flight departed from the pilot's private residence about 1230. In a statement submitted to the NTSB investigator-in-charge (IIC), the pilot reported that while he was flying over his ranch at about 50 knots looking for stray cattle, "...a strong tailwind or twister caused the ship to vibrate very fast and violent, and dove to the right. My elevation was 200 to 300 feet above ground level (agl)." The pilot stated that several people on the ground observed the helicopter spin 5 to 6 times before impacting the ground. The pilot further stated, "I couldn't get response from the tail rotor, collective, or cyclic." In a telephone interview with the IIC on the day of the accident, the ranch foreman reported observing the helicopter making a "big circle," followed by 3 or 4 "tight circles" in a clockwise direction before impacting terrain. A postcrash examination of the helicopter by a Federal Aviation Administration (FAA) aviation safety inspector revealed that damage to the helicopter included the separation of both main rotor blades, left main cabin door, left main skid, and the outboard one-third of one tail rotor blade. The tail rotor assembly was severed from the tail boom. The helicopter came to rest partially on its right side on sloping uneven terrain, and there was no postcrash fire. The pilot reported no preimpact anomalies with the helicopter. On October 31, 1983, Bell Helicopter published Operations Safety Notice (OSN) 206-83-10, regarding loss of tail rotor effectiveness (LTE) in the Model 206B and similar airframes; the OSN describes the phenomenon as an unanticipated right yaw. The notice contains the following warnings when maneuvering between hover and 30 miles per hour (mph): "Be aware that a tail wind will reduce relative wind speed if a downwind translation occurs. If loss of translational lift occurs it can result in a high power demand and an additional anti-torque requirement. Be alert during hover (especially OGE) and high power demand situations. Be alert during hover in winds of about 8-12 knots (especially OGE) since there are no strong indications to the pilot, to the possibility of a reduction of translational lift. This reduction results in an unexpected high power demand and increased anti-torque requirements. Be aware that if a considerable amount of left pedal is being maintained, that a sufficient amount of left pedal may not be available to counteract an unanticipated right yaw." According to FAA Advisory Circular (AC) 90-95, "Any maneuverwhich requires the pilot to operate in a high power, low airspeed environment with a left crosswind or tailwind creates an environment where unanticipated right yaw may occur." The AC also advised of greater susceptibility for loss of tail rotor effectiveness (LTE) in right turns and the phenomena may occur in varying degrees in all single main rotor helicopters at airspeeds less than 30 knots. The Rotorcraft Flying Handbook (FAA-H-8083-21) states that unanticipated yaw or loss of tail rotor effectiveness (LTE) is the occurrence of an uncommanded yaw rate that does not subside of its own accord and, which, if not corrected, can result in the loss of helicopter control. It further states, that LTE is not related to an equipment or maintenance malfunction and may occur in all single rotor helicopters at airspeeds less than 30 knots. The recovery technique for LTE is full left pedal while simultaneously moving cyclic control forward to increase airspeed. If altitude permits, reduce power.

Aircraft

Registration
N59611
Reported as
Bell 206B
Category
Helicopter
Serial number
1515
Airframe hours
2,519
Engine
Rolls-Royce Allison 250-C20, 317 horsepower, turbo shaft
Damage
Substantial damage
Flight
Personal · Part 91
Operator
James E Simon
Registered owner
James E Simon Co.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 20, 2006 · 12 hours before
Departed
Laramie, WY
Destination
Laramie, WY

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
81
Injuries
Serious
Certificate
Private
Medical
Class 3, With waivers/limitations
Seat
Right
Flight hours
3,000 total · 3,000 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
Variable at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
73 °F, dew point 27 °F
Altimeter
30.30 inHg
Observed at
LAR, 20 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.