WPR24LA134

NTSB accident investigation · Bell 206L-3 · Tracy, CA · April 23, 2024

Accident · No injuriesClass 3 · LimitedFinal report
Date
April 23, 2024, 10:50 local (17:50 UTC)
Place
Tracy, CA
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N17592Bell 206L-3
Defining event
Maneuvering-low-alt flying: Sys/Comp malf/fail (non-power)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration, Textron Aviation (Bell)
FAA report
20240423009619A
Case key
194163

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

A loss of collective control authority due to fatigue failure of the collective servo cylinder extension arms from corrosion pitting.

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.

Flight control systemAircraft › Aircraft systems · FailureBell 206L-3: 1 caseAll aircraft: 65 casesProbable cause
Rotorcraft flight control: main rotor controlAircraft › Aircraft propeller/rotor · FailureBell 206L-3: 1 caseAll aircraft: 28 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

During a pipeline inspection flight, the pilot and passenger of the accident helicopter heard a loud noise, followed by a shudder and an uncontrolled descent. The pilot was unable to stop the helicopter’s descent with collective control inputs and he completed a forced landing into an orchard, which resulted in substantial damage to the tailboom. Postaccident examination of the helicopter revealed fractures in the upper and lower arms of the cylinder extension to the collective control servo. All the linkages and securing hardware for the collective control system were in place. Metallurgical examination revealed the collective servo arm fractured due to fatigue cracking that had initiated in the lower cylinder extension arm at corrosion pits along the inside surface. Once the crack had propagated through more than 80% of the arm’s cross section, the remainder carrying the loads fractured from overstress. The upper arm also fractured from fatigue initiating at corrosion pits along the radii at the forward and aft ends of the open section in the middle of the arm. Composition testing determined that the elements in the corrosion pitting were consistent with compounds found in marine environments. The helicopter had been periodically flown about 50 nm from salt water. However, the undamaged cyclic servo had also been installed in the accident helicopter at the same time as the collective servo. It is unclear why the cylinder extension arms of the collective servo failed, and the cyclic servo cylinder extension arms remained intact, both having been exposed to the same environmental conditions; the extension arms for both the collective and cyclic servos were contained within a protective housing above the cockpit. The fracture surfaces were also examined to count the fatigue striations and correlate the fatigue crack growth with the 59 hours that the helicopter operated with newly installed composite blades. However, the number and pattern of crack arrest features could not be linked to any specific loading events, and the linking of the individual striations to the two-vibrations-per-blade revolution was inconsistent with the 59-hour propagation time. Therefore, the fatigue crack initiation or propagation could not be attributed to the blade installation.

Factual narrative

On April 23, 2024, about 1050 Pacific daylight time, a Bell 206 L-3, N17592, was substantially damaged when it was involved in an accident near Tracy, California. The pilot and passenger were not injured. The helicopter was operated as a Title 14 Code of Federal Regulations Part 91 aerial observation flight. According to the pilot, they were inspecting a pipeline from about 280 ft above ground level (agl). While flying on a northerly heading, the pilot began a left turn to the west to continue the inspections. The pilot and passenger, who was observing the flight, then heard and felt a loud pop followed by a shudder. The helicopter then started an uncontrolled descent that the pilot was unable to correct with collective control inputs. At the time, engine power and rotor rpm were normal, and no annunciations or warning lights were observed. Most of the nearby landing areas were obstructed by wires, so the pilot selected an orchard with small trees to complete the forced landing. The helicopter descended over the trees, and the pilot was able to use cyclic inputs to keep the helicopter level before it dropped to the ground from about 12 to 15 ft agl. The helicopter sustained substantial damage to the tailboom. Postaccident examination of the helicopter revealed that collective control authority was continuous from the collective stick to the collective servo through the collective servo input arms. The collective servo exhibited two fractures at the cylinder extension lower arm and upper arm (referred to as the output support upper and lower leg in the NTSB materials laboratory report). The cyclic control system was continuous from the cyclic stick through the servos to the swashplate assembly. An NTSB materials laboratory examination of the collective servo showed that both fractures were relatively flat and oriented 90° relative to the longitudinal direction of each arm. Both cracks on the fracture surfaces had propagated from the interior surfaces outward and exhibited fatigue striations that were consistent with fatigue crack propagation. Dimpled rupture features were observed outside the fatigue cracking regions, consistent with subsequent overstress fracture of each arm following the end of the fatigue crack propagation. Cylinder Extension Lower Arm The lower arm crack had propagated through 80% of the arm before it transitioned to overload. The initiation site contained a prominent corrosion pit about 1.1 mm wide by 0.34 mm deep (0.043 by 0.013 inches). This and other corrosion pits served as individual initiation sites for multiple fatigue cracks, separated by small ratchet marks. The compounds that comprised the corrosion pit included elements consistent with corrosion products in a marine environment such as sodium, potassium, calcium, chlorine and sulfur with an elevated amount of chlorine in the deepest regions of the pit. The base material of the servo arm was consistent with 7075 aluminum alloy composition. Cylinder Extension UpperArm The upper arm contained two thumbnail cracks with three major initiation regions. The crack initiation site for the smaller of the two thumbnail cracks contained a corrosion pit and fatigue striations emanating from the pit. A wider corrosion pit was found within the larger thumbnail crack that measured 0.30 mm wide by 0.14 mm deep (0.012 inch by 0.0055 inch). Fatigue striations were present near the corrosion pit with propagation into the arm cross section away from the corrosion pit. The corrosion pits on the upper arm also exhibited a chemical composition consistent with aluminum oxide with elements associated with salt compounds, like the lower arm. A follow-up materials laboratory examination at Bell Engineering Laboratories revealed that the collective inputs, especially during <1G maneuvers, were initially driving the crack and creating fatigue band features. Towards the end of the fatigue crack, the two-per-revolution main rotor loads were contributing to the crack growth, consistent with the attributes of the individual striations. The laboratory examination group attempted to perform a fatigue band count to correlate the fatigue band striations with the two-vibrations-per-blade revolution to determine if the crack initiation started after Van Horn composite blades were installed 10 days (59 flight hours) before the accident. However, due to the non-uniform fatigue band structure, an accurate fatigue band count could not be performed. Maintenance records showed that the collective and cyclic servos were removed from another Bell 206 (s/n 51036, N170AM) on September 29, 2021, at 1,897.2 hours since overhaul and the “reason for removal” was noted as “conv. [convenience].” N170AM was involved in an accident on July 9, 2021, due to a dynamic rollover. According to the maintenance logbook of N17592, the servos were installed in the accident helicopter on October 27, 2021. The pilot reported that he had accumulated 159.2 flight hours in the accident helicopter between 2021 and the day of the accident. During this time, the helicopter was routinely operated in eastern California (Modesto, Fresno, Victorville), about 50 nm from the Pacific Ocean.

Aircraft

Registration
N17592
Reported as
Bell 206L-3
Category
Helicopter
Serial number
51535
Airframe hours
22,826
Engine
Rolls Royce 250-C30P, 435 horsepower, turbo shaft
Damage
Substantial damage
Flight
Aerial observation · Part 91
Operator
Premier Rotors LLC
Registered owner
Premier Rotors LLC
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · April 6, 2024 · 59.4 hours before
Departed
MOD · Modesto, CA
Destination
TCY · Tracy, CA
Airport
1Q4 · New Jerusalem
Equipment
Satellite tracking device, ADS-B, Video recording 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
45
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land
Instrument ratings
Helicopter
Medical
Class 2, Without waivers/limitations
Last flight review
December 14, 2023
Seat
Right
Restraint
4-point
Flight hours
2,789 total · 232 in this make and model · 2,628 as pilot in command · 108 in the last 90 days · 44 in the last 30 days · 5 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Variable at 5 knots
Lowest ceiling
5,000 ft broken
Temperature
63 °F, dew point 50 °F
Altimeter
29.96 inHg
Observed at
KTCY, 8 nm away
METAR
METAR KTCY 231755Z AUTO VRB05KT 10SM SCT031 BKN050 17/10 A2996 RMK A01=

Docket · 6

The files NTSB released with the investigation on July 16, 2025, on NTSB’s docket system: statements, records, photos and specialists’ reports. 29.5 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.