WPR16LA142

NTSB accident investigation · Bell UH 1H · Mt. Adams, WA · July 17, 2016

Accident · No injuriesLimited investigationFinal report
Date
July 17, 2016, 14:09 local (21:09 UTC)
Place
Mt. Adams, WA
Injuries
8 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N790RJBell UH 1H
Defining event
Landing: Loss of tail rotor effectiveness
Weather
Visual (VMC) · Day
Status
Completed · report May 25, 2017
Report
Approved by Office Director
NTSB office
Western Pacific Region
FAA report
20160717020149A
Case key
93616

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 yaw control as he slowed the helicopter during a landing approach, which resulted in the loss of helicopter control due to the loss of tail rotor effectiveness.

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.

Performance/control parameters: yaw controlAircraft › Aircraft oper/perf/capability · Not attained/maintainedBell UH-1H: 1 caseAll aircraft: 149 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotBell UH-1H: 9 casesAll aircraft: 9,295 casesProbable cause
Terrain: mountainous/hilly terrainEnvironmental issues › Physical environment · Contributed to outcomeBell UH-1H: 2 casesAll aircraft: 329 cases

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 was conducting a public flight in the helicopter to transport two search and rescue personnel to a landing zone located in mountainous terrain at an elevation of about 7,800 ft. The pilot reported that he aborted his first approach, which was from the north, because he felt that he was using too much left pedal. On his second approach, which was from the south, the helicopter yawed right. The pilot recognized that a loss of tail rotor effectiveness was occurring. He attempted to recover control by reducing the collective and applying forward cyclic; however, the helicopter spun and impacted the ground. The pilot reported that there were no mechanical malfunctions or failures with the helicopter that would have precluded normal operation. It is likely that, during the landing approach, as the helicopter's airspeed dropped below effective translational lift and the pilot added power to compensate, there was insufficient left pedal to stop the resulting right yaw, and the pilot lost control of the helicopter due to a loss of tail rotor effectiveness.

Factual narrative

On July 17, 2016, about 1409 Pacific daylight time, a Bell UH-1H helicopter, N790RJ, impacted mountainous terrain while maneuvering near a landing zone located at an elevation of about 7,800 feet in Mount Adams, Washington. Two pilots, four crewmembers and two passengers were not injured; however, the helicopter sustained substantial damage. The helicopter was registered to and operated by the King County Sherriff's Department and was supporting a Search and Rescue (SAR) mission at the time of the accident. Visual meteorological conditions prevailed at the time of the accident, and no flight plan had been filed for the public flight that originated from Yakima Air Terminal/McAllister Field (YKM), Yakima, Washington about 1330. The pilot reported that after refueling at YKM, he departed to transport two SAR personnel onto Mt. Adams to retrieve an injured hiker. While en route, a sensor unit on the helicopter indicated 5 knots of wind. As they approached the hiker from the north, the pilot used too much left pedal and decided to abort the approach. He attempted a second approach from the south, but the helicopter yawed to the right, which the pilot attributed to a loss of tail rotor effectiveness (LTE). In an attempt to recover, the pilot reduced the collective and applied forward cyclic. The helicopter spun about 540 degrees, impacted the ground, and then departed the mountain. The pilot did not observe any indications of a malfunction with the rotor or the drive system on the helicopter. In his subsequent report, he reported that there were no mechanical malfunctions or anomalies that could have precluded normal operation. The helicopter then returned to YKM. The FAA issued Advisory Circular (AC) 90-95, Unanticipated Right Yaw in Helicopters, in February 1995. The AC states that LTE is a critical, low- speed aerodynamic flight characteristic that could result in an uncommanded rapid yaw rate, which does not subside of its own accord and, if not corrected, LTE could result in the loss of aircraft control. It also stated, "LTE is not related to a maintenance malfunction and may occur in varying degrees in all single main rotor helicopters at airspeeds less than 30 knots." Paragraph 6 of the AC covered conditions under which LTE may occur. It stated: "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." Paragraph 8 of the AC stated: "OTHER FACTORS...Low Indicated Airspeed. At airspeeds below translational lift, the tail rotor is required to produce nearly 100 percent of the directional control. If the required amount of tail rotor thrust is not available for any reason, the aircraft will yaw to the right." Paragraph 9 of the AC stated: "When maneuvering between hover and 30 knots: (1) Avoid tailwinds. If loss of translational lift occurs, it will result in an increased high power demand and an additionalanti-torque requirement. (2) Avoid out of ground effect (OGE) hover and high power demand situations, such as low-speed downwind turns. (3) Be especially aware of wind direction and velocity when hovering in winds of about 8-12 knots (especially OGE). There are no strong indicators to the pilot of a reduction of translation lift... (6) Stay vigilant to power and wind conditions."

Aircraft

Registration
N790RJ
Reported as
Bell UH 1H (NO SERIES)
Category
Helicopter
Serial number
70-16371
Built
1970
Airframe hours
8,885.3
Engine
Lycoming T53-L-703, 1,100 horsepower, turbo shaft
Damage
Substantial damage
Flight
Public aircraft - local · Public use
Operator
King County Sheriffs Office
Registered owner
King County Sheriffs Office
Airworthiness certificate
None
Last inspection
Annual · June 6, 2016
Departed
YKM · Yakima, WA
Destination
Mt. Adams, WA
Equipment
Electronic primary flight display, Electronic multifunction display, Satellite tracking 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 · 6

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
37
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
April 13, 2016
Seat
Right
Restraint
4-point
Flight hours
1,110 total · 52 in this make and model · 1,006 as pilot in command · 60 in the last 90 days · 20 in the last 30 days · 3 in the last 24 hours
Role
Co-pilot
Age
48
Injuries
None
Certificate
Commercial
Medical
Class 2, With waivers/limitations
Last flight review
November 23, 2015
Seat
Left
Restraint
4-point
Flight hours
1,849 total · 257 in this make and model · 1,635 as pilot in command · 80 in the last 90 days · 25 in the last 30 days · 2 in the last 24 hours
Role
Other flight crew
Injuries
None
Seat
Rear
Role
Other flight crew
Injuries
None
Seat
Rear
Role
Cabin crew
Injuries
None
Seat
Left
Role
Other flight crew
Injuries
None
Seat
Left

Weather

Conditions
Visual (VMC) · Day
Wind
90° at 8 knots, gusting 15
Visibility
10 statute miles
Temperature
82 °F, dew point 50 °F
Altimeter
29.90 inHg
Observed at
KYKM, 46 nm away

Docket · 3

The files NTSB released with the investigation on April 10, 2017, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.5 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.