WPR13LA404

NTSB accident investigation · Bell 47G5 · King City, CA · September 11, 2013

Accident · No injuriesLimited investigationFinal report
Date
September 11, 2013, 07:15 local (14:15 UTC)
Place
King City, CA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N7836SBell 47G5
Defining event
Landing: Hard landing
Weather
Visual (VMC) · Day
Status
Completed · report August 14, 2014
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
FAA report
20130911022579A
Case key
88025

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 failure of the helicopter’s center frame tube due to a fatigue crack and corrosion originating from a welded surface. Contributing to the accident was maintenance personnel’s inadequate inspection of the helicopter during its most recent 100-hour inspection.

Findings · 3

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.

Fuselage: frames (main fuselage)Aircraft › Aircraft structures · Fatigue/wear/corrosionBell 47G-5: 1 caseAll aircraft: 8 casesProbable cause
Maintenance/inspections: scheduled maint checksAircraft › Aircraft handling/service · Inadequate inspectionBell 47G-5: 1 caseAll aircraft: 76 casesProbable cause
Maintenance: scheduled/routine maintenancePersonnel issues › Task performance · Maintenance personnelBell 47G-5: 1 caseAll aircraft: 320 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 low over a field when he heard a "loud bang." He initiated a precautionary landing, during which, the helicopter started to spin. The pilot lowered the collective, and the helicopter subsequently landed hard on a road. Postaccident examination of the helicopter structure revealed that one of the center frame tubes, located just aft of the cabin, had separated due to a fracture. Examination of the fracture surface revealed that a fatigue fracture initiated in the tube at the root of a fillet weld associated with a reinforcing fillet welded axially along the tube. The fatigue crack propagated through the thickness of the tube and circumferentially around the tube from both sides of the weld root. Darker corrosion product found on the fracture face indicated that the preexisting fatigue crack had been exposed to atmospheric elements. The tube fracture occurred in single-sided bending consistent with in-flight airframe loads. The helicopter's most recent 100-hour inspection occurred about 1 month before the accident. According to manufacturer's guidance, the 100-hour inspection required, in part, an inspection of all structural tubing and fittings for cracks, cuts, bends, corrosion, distortion, and damage. If maintenance personnel had adequately inspected this area, they might have identified the degradation of the tube.

Factual narrative

On September 11, 2013 about 0715 Pacific daylight time, a Bell 47G5 helicopter, N7836S, sustained substantial damage during a precautionary landing about 6 miles southeast of King City, California. The pilot, the sole occupant, was not injured. The helicopter's lower center frame and tailboom sustained substantial damage. The helicopter was registered to and operated by Wilbur-Ellis Corporation as an agricultural spray flight under the provisions of 14 Code of Federal Regulations Part 137. Visual meteorological conditions prevailed for the flight and no flight plan was filed. The pilot reported that he was spraying a field about 3-4 feet above the ground when he heard a loud bang. The pilot elected to make a precautionary landing; during the landing flare, the helicopter started to spin. The pilot lowered the collective and the helicopter landed hard onto a road; subsequently, the helicopter's skids spread, and the lower center frame and tailboom were bent. Postaccident examination by a Federal Aviation Administration (FAA) inspector revealed that one of the helicopter's center frame tubes, located just aft of the cabin, had fracture separated. A senior metallurgist at the National Transportation Safety Board (NTSB) materials laboratory reviewed photographs of the fractured surfaces and reported that a fatigue fracture initiated in the tube at the root of a fillet weld associated with a reinforcing filet welded axially along the tube. The fatigue crack propagated through the thickness of the tube and circumferentially around the tube from both sides of the weld root. Darker corrosion product on the fracture face is indicative of a pre-existing fatigue crack that had been exposed to atmospheric elements. The fracture in the tube occurred in single-sided bending consistent with inflight airframe loads. On August 8, 2013 the helicopter underwent a 100 hour inspection. According to manufacturer's guidance, the 100 hour inspection requires in part: to "Inspect all structural tubing and fittings for cracks, cuts, bends, corrosion, distortion and damage."

Aircraft

Registration
N7836S
Reported as
Bell 47G5
Category
Helicopter
Serial number
7860
Built
1967
Airframe hours
16,798
Engine
Lycoming VO-435 SERIES, 260 horsepower, reciprocating
Damage
Substantial damage
Flight
Aerial application · Part 137
Operator
Wilbur-Ellis Co
Registered owner
Wilbur-Ellis Co
Airworthiness certificate
Special, Restricted (Special); Standard, Normal
Last inspection
Continuous airworthiness · September 5, 2013 · 10 hours before
Departed
KIC · King City, CA
Destination
KIC · King City, CA
Airport
KIC · Mesa Del Rey Airport

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
58
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
April 6, 2012
Seat
Left
Restraint
3-point
Flight hours
30,000 total · 20,000 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
320° at 4 knots
Visibility
10 statute miles
Lowest ceiling
1,700 ft overcast
Temperature
63 °F, dew point 55 °F
Altimeter
30.00 inHg
Observed at
SNS, 40 nm away

Docket · 9

The files NTSB released with the investigation on March 14, 2014, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.5 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.