WPR13TA205

NTSB accident investigation · Bell BHT407 · Big Fork, MT · April 25, 2013

Accident · No injuriesFinal report
Date
April 25, 2013, 10:16 local (16:16 UTC)
Place
Big Fork, MT
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N937GRBell BHT407
Defining event
Maneuvering: Loss of tail rotor effectiveness
Weather
Visual (VMC) · Day
Status
Completed · report July 30, 2014
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
FAA-FSDO
FAA report
20130425005599A
Case key
86704

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 failure to maintain helicopter control while maneuvering over mountainous terrain in strong up/downdrafts and possible mountain wave activity, which resulted in a loss of tail rotor effectiveness.

Findings · 6

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: yaw controlAircraft › Aircraft oper/perf/capability · Capability exceededBell 407: 1 caseAll aircraft: 149 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotBell 407: 19 casesAll aircraft: 9,295 casesProbable cause
Terrain: mountainous/hilly terrainEnvironmental issues › Physical environment · Contributed to outcomeBell 407: 1 caseAll aircraft: 329 cases
Turbulence: terrain induced turbulenceEnvironmental issues › Conditions/weather/phenomena · Effect on operationBell 407: 1 caseAll aircraft: 70 casesProbable cause
Wind: downdraftEnvironmental issues › Conditions/weather/phenomena · Effect on operationBell 407: 2 casesAll aircraft: 178 casesProbable cause
Wind: updraftEnvironmental issues › Conditions/weather/phenomena · Effect on operationBell 407: 1 caseAll aircraft: 14 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, while conducting a reconnaissance orbit over mountainous terrain, he crossed over a ridgeline and then lost directional control of the helicopter. He applied full left pedal and lowered the nose and collective in an attempt to regain control. The helicopter subsequently impacted the uneven snow-covered terrain and rolled onto its right side. Postaccident examination of the airframe and engine revealed no evidence of mechanical malfunction or failures that would have precluded normal operation. A weather study for the area around the accident site revealed that the temperature profile and windy environment supported strong up/downdrafts with the potential for mountain wave formation near the altitude at which the flight was maneuvering. It is likely that the pilot was unable to maintain control of the helicopter as a result of a loss of tail rotor effectiveness while operating in the high-altitude environment and in an area with strong up/downdrafts and possible mountain wave activity.

Factual narrative

On April 25, 2013, about 1016 mountain daylight time, a Bell 407, helicopter, N937GR, was substantially damaged when it landed on uneven snow covered terrain while maneuvering about 10 miles northeast of Bigfork, Montana. The airline transport pilot (ATP) and two passengers were not injured. The helicopter was registered to Two Bear Management LLC, and operated by the Flathead County Sheriff's Office as a public use flight under the provisions of 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed, and a company flight plan was filed and activated. The flight originated from Kalispell City Airport, Kalispell, Montana at about 0945.The pilot reported that he flew directly to a telecommunications repeater site located near the summit of Mt. Aneas and after reaching the site he performed a reconnaissance orbit of the area. Mt. Aneas has a summit of 7,528 feet mean sea level (msl). The reconnaissance orbit was to determine the wind direction and speed in the area. While maneuvering about 60 knots, he stated that he lost directional control after crossing over a ridge line. He applied full left pedal to correct the right turn and lowered the nose and collective control. All attempts to regain directional control were unsuccessful. During the descent he made several power increases to avoid colliding with rocky terrain. As the helicopter impacted the uneven snow covered terrain the helicopter rolled onto its right side. Examination of the helicopter revealed that the right side of the fuselage had crush damage and the tail boom was buckled aft of the horizontal stabilizer. The helicopter was relocated to a secure location and examined by a Federal Aviation Administration (FAA) inspector. The postaccident examination of the airframe and engine revealed no evidence of mechanical malfunctions or failures that would have precluded normal operation. As reported by a Senior National Transportation Safety Board (NTSB) Meteorologist in a NTSB Weather Study, a plot of local observations and Remote Automated Weather Station (RAWS) data located about 15 miles east of the accident site revealed at 0921, winds were 29 miles per hour (MPH) with gusts of 41 MPH and a temperature of 44° F. At 1021, winds were 29 MPH gusting to 47 MPH and a temperature of 44° F. The meteorologist also reported that the temperature profile and windy environment in the area supported mountain wave formation with a potential wave near 7,000 feet msl with strong up/downdrafts. According to FAA's Advisory Circular 90-95, loss of tail rotor effectiveness (LTE) "is a critical, low-speed aerodynamic flight characteristic that can result in an uncommanded rapid yaw rate which does not subside of its own accord and, if not corrected, can result in the loss of aircraft control. LTE is not related to a maintenance malfunction and may occur in varying degrees in all single main rotor helicopters in some of the conditions conducive to LTE to include a high powersetting, low airspeed, and a tailwind or left crosswind."

Aircraft

Registration
N937GR
Reported as
Bell BHT407
Category
Helicopter
Serial number
53282
Built
1998
Airframe hours
1,308
Engine
Allison 250-C47B, 813 horsepower, turbo shaft
Damage
Substantial damage
Flight
Public aircraft - local · Public use
Operator
Flathead County Sheriff's Office
Registered owner
Two Bear Management LLC
Airworthiness certificate
Standard, Normal
Last inspection
Continuous airworthiness · April 10, 2013 · 6 hours before
Departed
S27 · Kalispell, MT
Destination
S27 · Kalispell, MT
Flight plan
Company VFR
Airport
S27 · Kalispell City

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
40
Injuries
None
Certificates
Flight instructor, Airline transport
Airplane ratings
Single-engine land, Single-engine sea, Multi-engine land
Instrument ratings
Helicopter, Airplane
Medical
Class 2, With waivers/limitations
Last flight review
March 18, 2013
Seat
Right
Flight hours
5,000 total · 141 in this make and model · 4,000 as pilot in command · 61 in the last 90 days · 12 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
170° at 9 knots
Visibility
10 statute miles
Temperature
52 °F, dew point 30 °F
Altimeter
29.88 inHg
Observed at
GPI, 18 nm away

Docket · 5

The files NTSB released with the investigation on June 19, 2014, on NTSB’s docket system: statements, records, photos and specialists’ reports. 9.5 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.