WPR16LA081

NTSB accident investigation · Mcdonnell Douglas Helicopter 600N · Ashland, OR · February 5, 2016

Accident · No injuriesLimited investigationFinal report
Date
February 5, 2016, 14:30 local (21:30 UTC)
Place
Ashland, OR
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N745BWMcdonnell Douglas Helicopter 600N
Defining event
Enroute-cruise: Sys/Comp malf/fail (non-power)
Weather
Visual (VMC) · Day
Status
Completed · report July 16, 2018
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Brim Aviation, Portland FAA-FSDO, MDHI, HTC
Case key
92822

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

Fatigue cracking of a main rotor blade for reasons that could not be determined based on the available information.

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.

Main rotor system: main rotor blade systemAircraft › Aircraft propeller/rotor · Fatigue/wear/corrosionMcdonnell Douglas Helicopter 600N: 1 caseAll aircraft: 60 casesProbable cause
Not determinedNot determined › Not determined · Unknown/Not determinedMcdonnell Douglas Helicopter 600N: 2 casesAll aircraft: 2,247 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 commercial pilot reported that, during a cross-country helicopter flight, the main rotor blades seemed minimally out of track. After departing on the last leg of the flight, he noticed a slight "hop" as he made an ascending 180° right turn, but later stated that he had experienced worse with gusting winds and door-off operations. In straight and level flight, the blade track appeared to be no different than on the previous legs. During the descent toward the destination, he noticed that the hop became more apparent when the blades were unloaded. Maintenance personnel subsequently found a crack in one main rotor blade from the trailing edge forward to the spar at a point midspan near the beginning of the trim tab. Examination revealed a visible crack on the top skin, with an opposing crack on the bottom skin. The crack surfaces were flat and light grey with features indicative of fatigue cracking from the trailing edges of the upper and lower skins forward to an internal "C" channel. No gross mechanical damage was visible, and abrasions visible after stripping paint from the blade appeared to be too small to initiate the fatigue crack. The blade had been in service for about 2/3 of its service hour life and more than half of its cycle life at the time of discovery. The reason for crack initiation could not be determined.

Factual narrative

On February 5, 2016, about 1430 Pacific daylight time, a McDonnell Douglas Helicopter (MDHI) 600N, N745BW, experienced a cracked main rotor blade at Ashland, Oregon. The commercial pilot was not injured; the helicopter sustained substantial damage to a main rotor blade. Brim Aviation was operating the helicopter under the provisions of 14 Code of Federal Regulations Part 91. Visual instrument meteorological conditions prevailed, and no flight plan had been filed. The cross-country positioning flight departed Alturas, California, about 1340 and was destined for Ashland. The pilot reported that he was in one helicopter, while another pilot flew in another helicopter for the ferry flight to Ashland. Three intermediate stops were planned along the route of flight. All flight operations and characteristics had been normal, but he noted that the main rotor blades seemed minimally out of track. After departure from Alturas, he noticed a slight hop as he made an ascending 180° right turn out but stated that he had experienced worse with gusting winds and door off operations. In straight and level flight, blade track appeared to be no different than on the previous legs. During the descent into Ashland, he noticed that the hop had become more apparent when the blades were unloaded. He asked the trailing pilot to look at the rotor system for any abnormalities in flight, and the trail pilot indicated that they looked out of track. After landing, the pilot informed maintenance that the track and balance of both helicopters needed to be checked prior to the next operation. Maintenance personnel reported that there was a crack in one main rotor blade from the trailing edge forward to the spar at a point midspan near the beginning of the trim tab. After the operator discovered the crack, the blade was initially sent to Helicopter Technology Company for examination. The damage to the rotor blade was reported to the National Transportation Safety Board (NTSB) on March 9, 2016. The damaged blade was examined by the NTSB Material's Laboratory. The blade had a time in service (TIS) of 2,013.4 hours, 11,065 torque events, and a retirement index number (RIN) of 587,640. The blade's published service life is 3,200 hours or 1 million RIN. Visual examination revealed a visible crack on the top skin with an opposed crack on the bottom skin. The crack surfaces were flat and light grey with features indicative of fatigue cracking from the trailing edges of the upper and lower skins forward to an internal "C" channel. Examination using a scanning electron microscope showed striations and other fracture features within the fatigue crack region. The initial area of origin was in the area of the trailing edge of the upper skin, and striation orientations pointed to the vicinity of the upper corner of the skin. From the origin, the fatigue crack propagated forward in the upper skin to just past the "C" channel. At the "V" strip, the fatigue crack reinitiated at the upper aftcorner of the strip and propagated forward in the upper leg of the "V" and down and forward through the lower leg of the "V." In the lower skin crack surface, additional fatigue crack propagation initiated adjacent to the lower aft corner of the "V" strip then propagated forward and aft in the skin. Two additional fatigue crack paths were discovered in the "C" channel. The complete Material Laboratory Report can be found in the public docket. The other five main rotor blades were sent to the manufacturer for examination, and no anomalies were detected.

Aircraft

Registration
N745BW
Reported as
Mcdonnell Douglas Helicopter 600N
Category
Helicopter
Serial number
RN045
Built
1998
Airframe hours
4,672
Engine
Allison 250-M47, 808 horsepower, turbo shaft
Damage
Substantial damage
Flight
Positioning · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · March 7, 2016
Departed
KAAT · Alturas, CA
Destination
S03 · Ashland, OR
Airport
S03 · Ashland, runway 30, 3,603 × 75 ft, asphalt
Equipment
Satellite tracking device, Electronic flight bag or handheld device

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
53
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land
Medical
Class 2, Without waivers/limitations
Last flight review
March 1, 2016
Seat
Left
Restraint
4-point
Flight hours
9,400 total · 3,000 in this make and model · 9,400 as pilot in command · 115 in the last 90 days · 55 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
61 °F, dew point 43 °F
Altimeter
30.21 inHg
Observed at
KMIR

Docket · 5

The files NTSB released with the investigation on May 3, 2018, on NTSB’s docket system: statements, records, photos and specialists’ reports. 9.2 MB in all.

Other investigations on N745BW · 1

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