WPR18LA170

NTSB accident investigation · Schweizer 269C · Las Vegas, NV · June 13, 2018

Accident · Minor injuriesClass 3 · LimitedFinal report
Date
June 13, 2018, 10:59 local (17:59 UTC)
Place
Las Vegas, NV
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Standing
Aircraft
N557DCSchweizer 269C
Defining event
Standing-engine(s) operating: Ground resonance
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
FAA report
20180613007719A
Case key
97479

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 pilot’s failure to take the appropriate corrective action for ground resonance, which resulted in a loss of helicopter control.

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.

Action: incorrect action selectionPersonnel issues › Action/decision · PilotSchweizer 269C: 1 caseAll aircraft: 397 casesProbable cause
Knowledge: knowledge of proceduresPersonnel issues › Experience/knowledge · PilotSchweizer 269C: 1 caseAll aircraft: 41 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotSchweizer 269C: 8 casesAll aircraft: 9,295 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.

Ground resonanceStanding-engine(s) operatingSchweizer 269C: 6 casesAll aircraft: 21 casesDefining event

Analysis

The pilot was preparing to depart in the helicopter on a local flight. He stated that he powered up the helicopter and that, with the engine/rotor rpm at the “very bottom of [the] green range” and the helicopter still on the ground, the helicopter began to vibrate. The vibrations worsened, and in response to the ground resonance, he lowered the collective and rolled off the throttle to abort the takeoff. The vibrations increased in severity and lasted about 20 seconds. The main rotor and engine then shut down, and the helicopter had rotated about 45° to the left. A nearby witness stated that the helicopter was shaking and that it never came to full power or left the ground. Postaccident examination of the helicopter, including the landing gear dampers, skid attachments, and main rotor blade dampers, revealed no anomalies that would have precluded normal operation. Further, the main rotor dampers were tested about 7 flight hours before the accident flight with no anomalies noted. The Federal Aviation Administration’s (FAA) Helicopter Flying Handbook (FAA-H-8083-21A) stated the following about ground resonance: "If the rpm is low, the only corrective action to stop ground resonance is to close the throttle immediately and fully lower the collective to place the blades in low pitch. If the rpm is in the normal operating range, fly the helicopter off the ground." However, this guidance for ground resonance corrective action was listed in the same paragraph after discussion of hard contact with the ground and when one other landing gear strikes the surface. Although the pilot noted that the engine/rotor rpm was at the very bottom of the green range, the rpm was still in the normal operating range; his decision to lower the collective instead of taking off led to increased (and/or continued) ground resonance vibrations and the subsequent substantial damage to the fuselage.

Factual narrative

On June 13, 2018, about 1059 Pacific daylight time, a Schweizer 269C helicopter, N557DC, was substantially damaged when it was involved in an accident near Las Vegas, Nevada. The pilot sustained minor injuries. The helicopter was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot was departing North Las Vegas Airport (VGT), Las Vegas, Nevada, destined for Perkins Field Airport (U08), Overton, Nevada. According to the pilot, he started the engine and, after performing startup and preflight checks, increased the engine/rotor rpm; the helicopter had not yet become light on the skids. He stated that, with the engine/rotor rpm at the “very bottom of [the] green range,” the helicopter began to vibrate while still on the ground. The vibrations initially seemed normal but then worsened. He stated that the helicopter was not yet at the point where he would proceed to hover, which he said would have included getting the helicopter light on the skids, lifting gradually, and having the engine/rotor rpm at the top half of the range. In response to the ground resonance, he lowered the collective and rolled off the throttle to abort the takeoff. The vibrations increased in severity and lasted about 20 seconds. The main rotor and engine then stopped, and the helicopter had rotated about 45° to the left. A nearby witness stated that the helicopter was shaking, with the main rotor blades “flopping up and down.” He said it never came to full power or left the ground and that the helicopter “destroyed itself.” Postaccident examination of the helicopter revealed substantial damage to the fuselage. Examination of the airframe revealed no anomalies or evidence of preimpact mechanical failure that would have precluded normal operation. Flight control continuity was established to the main rotor and tail rotor blades. All of the landing gear dampers were examined and tested within the specified pressure/charge range. No anomalies were observed on the skid attachments. Two main rotor dampers were separated from the main rotor blades and remained attached to the mast; visual examination revealed no anomalies. The attached main rotor damper was removed from the main rotor blade and was examined and tested with no anomalies noted. All of the main rotor blade dampers had been tested about 7 flight hours before the accident and met the specified criteria. Compliance was documented with a special airworthiness information bulletin on landing gear damper inspections (SAIB SW-17-29). The Federal Aviation Administration’s (FAA) Helicopter Flying Handbook in effect at the time of the accident (FAA-H-8083-21A), Chapter 11, Helicopter Emergencies and Hazards, stated the following regarding ground resonance: "If the rpm is low, the only corrective action to stop ground resonance is to close the throttle immediately and fully lower the collective to place the blades in low pitch. If the rpm is in the normal operating range, fly the helicopter off theground." This ground resonance corrective action guidance was listed in the same paragraph after discussion of hard contact with the ground and when one other landing gear strikes the surface. The pilot stated that there are no procedures in the pilot’s operating handbook for the helicopter make/model for dealing with ground resonance on startup and that his training focused on ground resonance during the transition from flight to hover and as the result of skid-to-ground hard contact. The pilot further stated that the FAA guidance in the Helicopter Flying Handbook was focused on ground resonance occurring on skid-to-ground hard contact when the helicopter was already in the air. He also cited the guidance in the handbook regarding corrective action when rpm was low of lowering the collective and closing the throttle. The pilot stated that he had not anticipated that ground resonance could develop so easily without lifting the helicopter.

Aircraft

Registration
N557DC
Reported as
Schweizer 269C (UNDESIGNAT)
Category
Helicopter
Serial number
S1630
Built
1993
Airframe hours
5,208.4
Engine
Lycoming HIO-360-D1A, 190 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · June 4, 2018
Departed
VGT · Las Vegas, NV
Destination
U08 · Overton, NV
Flight plan
VFR
Airport
VGT · North Las Vegas
Equipment
Handheld GPS, 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
59
Injuries
Minor
Certificate
Private
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
May 9, 2017
Seat
Left
Restraint
4-point
Flight hours
1,120.9 total · 72 in this make and model · 970.5 as pilot in command · 3.7 in the last 90 days

Weather

Conditions
Visual (VMC) · Day
Wind
130° at 9 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
97 °F, dew point 28 °F
Altimeter
29.81 inHg
Observed at
KGVT

Docket · 6

The files NTSB released with the investigation on February 22, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 13.8 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 N557DC · 1

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