WPR10LA117

NTSB accident investigation · Bell 47G-4A · Shafter, CA · January 22, 2010

Accident · Minor injuriesLimited investigationFinal report
Date
January 22, 2010, 09:09 local (17:09 UTC)
Place
Shafter, CA
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N28938Bell 47G-4A
Defining event
Landing-flare/touchdown: Hard landing
Weather
Visual (VMC) · Day
Status
Completed · report January 7, 2011
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration FSDO
FAA report
20100122026059A
Case key
75301

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

On this page

Probable cause

The loss of a main rotor blade counterweight due to corrosion. Contributing to the accident was the failure of the operator to perform the initial and recurrent inspections required by a Service Bulletin to detect the corrosion in the counterweight.

Findings · 2

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.

Flight control systemAircraft › Aircraft systems · FailureBell 47G-4A: 1 caseAll aircraft: 65 casesProbable cause
InspectionPersonnel issues › Task performance · Maintenance personnelBell 47G-4A: 1 caseAll aircraft: 29 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 maneuvering the helicopter to make an aerial application pass. At approximately 80 feet above ground level, he heard a muffled "crack/bang" and the helicopter immediately yawed and he experienced lateral vibrations in the cyclic. The pilot then initiated a forced landing with the shaking becoming more violent. The helicopter subsequently landed hard with the engine still running. The main rotor blades contacted and severed the tail boom, and the engine separated from its mounts. Postaccident examination of the helicopter revealed that a main rotor counterweight was missing. Examination of the broken counterweight rod end showed evidence of corrosion over approximately 45 percent of the diameter of the rod end. Maintenance records indicate that a Service Bulletin to inspect main rotor counterweight rods for pit corrosion had not been complied with. The Service Bulletin states that after an initial inspection of the main rotor counterweight rods, recurrent inspections should be accomplished every 300 hours of time in service.

Factual narrative

On January 22, 2010, approximately 0909 Pacific standard time, a Bell 47G-4A helicopter, N28938, sustained substantial damage following a forced landing near Shafter, California. The commercial pilot, the sole occupant, received minor injuries. Inland Crop Dusters, Inc., was operating the helicopter under the provisions of 14 Code of Federal Regulations Part 137. Visual meteorological conditions prevailed for the aerial application flight. A flight plan had not been filed. The pilot reported that while maneuvering at 80 feet to make an aerial application run, he heard a muffled "crack/bang." The helicopter immediately yawed and the pilot experienced lateral vibrations in the cyclic. He initiated a forced landing to the field below and the shaking became more "violent." He said the engine was still running, but the aircraft landed hard. The main rotor blades contacted and severed the tail boom, and the engine separated from its mounts. A post accident examination of the helicopter by a Federal Aviation Administration inspector revealed that a main rotor blade counterweight was missing. There was a search for the missing part, but it was never located. Examination of the broken counterweight rod end showed evidence of corrosion over approximately 45 percent of the diameter of the rod end. Maintenance records indicate the rod was not inspected for corrosion pits to comply with Bell Helicopter Textron Service Bulletin 47-78-2 Rev. B, April 13, 1981. The Service Bulletin states that after an initial inspection for corrosion pits on the counterweight rods, recurrent inspections will be accomplished every 300 hours of time in service.

Aircraft

Registration
N28938
Reported as
Bell 47G-4A
Category
Helicopter
Serial number
7728
Airframe hours
7,207
Engine
Lycoming VO-540 SERIES, 310 horsepower, reciprocating
Damage
Substantial damage
Flight
Aerial application · Part 137
Operator
Inland Crop Dusters Inc
Registered owner
Inland Crop Dusters Inc
Airworthiness certificate
Special, Restricted (Special)
Departed
MIT · Shafter, CA
Destination
MIT · Shafter, CA

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
63
Injuries
Minor
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Seat
Right
Flight hours
32,000 total · 4,000 in this make and model · 31,280 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
90° at 7 knots
Visibility
10 statute miles
Lowest ceiling
4,400 ft broken
Temperature
46 °F, dew point 39 °F
Altimeter
29.45 inHg
Observed at
BFL, 10 nm away

Docket · 5

The files NTSB released with the investigation on September 29, 2010, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.8 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.

Other investigations on N28938 · 1

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