Aviation Accident Summaries

Aviation Accident Summary SEA08LA038

Yuma, AZ, USA

Aircraft #1

N104EA

Hiller UH-12E

Analysis

While conducting an aerial application flight, the pilot reported that he was initiating a turn over a set of power lines at an altitude of about 60 feet above ground level (agl). As the helicopter crossed over a series of power lines, the pilot heard a "loud pop" and felt an extreme vibration. The pilot maneuvered the helicopter away from the power lines and initiated a forced landing to an open field. He reported that control of the helicopter was "marginal" as the helicopter descended. Shortly before touchdown, the helicopter began to drift (un commanded) to the left and the pilot lowered the collective. The helicopter touched down hard, pivoted to the left and rolled over onto its right side. Post accident examination of the helicopter revealed that a control rotor had separated from the rotor system. The separated control rotor was found in the area where the vibration started. Examination of the control rotor assembly revealed the tubular spar of the blue control rotor was circumferentially fractured at the outboard cuff bolt location. Magnified examinations of the outboard fracture surfaces revealed surface features consistent with fatigue progression in two fronts around the spar. Fatigue initiation locations were identified on opposite sides of one of the outboard bolt holes in the spar. One fatigue origin was identified on the bore surface of the bolt hole and the other was mechanically damaged preventing determination of its exact location. The bore surface was rough and no obvious corrosion was noted in the hole. From the bolt hole the fatigue propagated almost entirely around the spar with very small overstress regions connecting the fatigue to the opposite bolt hole in the spar. No corrosion was noted in the originating bolt hole, however, the exterior surface of the spar exhibited wide spread pitting corrosion and fretting on the faying surfaces with the control rotor cuff. Additional localized corrosion was noted on the interior faying surface of the cuff. Maintenance records indicated that the most recent 100-hour inspection was conducted about 77 hours prior to the accident. The logbook entry associated with the inspection indicated that Airworthiness Directive AD 97-10-16 had been complied with. AD 97-10-16 (effective date 6/26/97) states, in part,: "To prevent separation of the control rotor blade assembly and subsequent loss of control of the helicopter, accomplish the following: (a) Within the next 100 hours time-in-service (TIS) after the effective date of the AD, unless previously accomplished within the last 100 hours TIS, and thereafter at intervals not to exceed 100 hours TIS from the date of the last inspection, or at the next annual inspection, whichever occurs first, inspect the blade spar tube and cuff for corrosion or cracks, or elongation, corrosion, burrs, pitting or fretting of the bolt holes, and repair, as necessary..."

Factual Information

On November 23, 2007, about 1930 mountain standard time, a turbine powered Hiller UH-12E helicopter, N104EA, sustained substantial damage during landing following an in-flight separation of a control rotor, about 3 miles northeast of Yuma, Arizona. The helicopter is registered to Tri-rotor Spray and Chemical of Ulysses, Kansas, and operated under the provisions of Title 14, CFR Part 137. The commercial pilot, the sole occupant, was not injured. Night visual meteorological conditions prevailed for the aerial application flight that originated near Yuma approximately 10 minutes prior to the accident. In a written statement, the pilot reported that he was initiating a turn over a set of power lines at an altitude of about 60 feet above ground level (agl). As the helicopter crossed over the power lines, the pilot heard a "loud pop" and felt an extreme vibration. The pilot maneuvered the helicopter away from the power lines and initiated a forced landing to an open field. He reported that control of the helicopter was "marginal" as the helicopter descended. Shortly before touchdown, the helicopter began to drift (un commanded) to the left and the pilot lowered the collective. The helicopter touched down hard, pivoted to the left and rolled over onto its right side. Post accident examination of the helicopter by the pilot and operator revealed that a control rotor (blue) had separated from the rotor system. The separated control rotor was found in the area where the vibration started. The control rotor assembly was sent to the NTSB Office of Research and Engineering, Materials Laboratory for further examination. Examination of the control rotor assembly revealed the tubular spar of the blue control rotor was circumferentially fractured at the outboard cuff bolt location. Magnified examinations of the outboard fracture surfaces revealed surface fracture features indicative of fatigue progression in two fronts around the spar. Fatigue initiation locations were identified on opposite sides of one of the outboard bolt holes in the spar. One fatigue origin was identified on the bore surface of the bolt hole and the other was mechanically damaged preventing determination of its exact location. The bore surface was rough and no obvious corrosion was noted in the hole. From the bolt hole, the fatigue propagated almost entirely around the spar with very small overstress regions connecting the fatigue to the opposite bolt hole in the spar. No corrosion was noted in the originating bolt hole; however, the exterior surface of the spar exhibited widespread pitting corrosion and fretting on the adjoining surfaces with the control rotor cuff. Additional localized corrosion was noted on the interior faying surface of the cuff. Review of the airframe maintenance logbook revealed the most recent annual inspection was conducted on August 9, 2007, at a total airframe time of 8,159.7 hours. The entry for the annual inspection stated that Airworthiness Directive (AD) 97-10-16 had been complied with and a cuff inspection AD was due at 8,259.7 hours. The most recent 100-hour inspection was conducted on October 18, 2007, at an airframe total time of 8,251.8 hours. The entry for the 100-hour inspection indicated that AD 97-10-16 had been complied with by dye penetrant inspection. No defects were noted. The most recent maintenance inspection performed on the helicopter was a 50-hour inspection, conducted on November 11, 2007, at an airframe total time of 8301.0 hours. AD 97-10-16 (effective date 6/26/97) states, in part,: "To prevent separation of the control rotor blade assembly and subsequent loss of control of the helicopter, accomplish the following: (a) Within the next 100 hours time-in-service (TIS) after the effective date of the AD, unless previously accomplished within the last 100 hours TIS, and thereafter at intervals not to exceed 100 hours TIS from the date of the last inspection, or at the next annual inspection, whichever occurs first, inspect the blade spar tube and cuff for corrosion or cracks, or elongation, corrosion, burrs, pitting or fretting of the bolt holes, and repair, as necessary, in accordance with the Accomplishment Instructions of Hiller Aviation Service Bulletin No. 36-1, Revision 3, dated October 24, 1979." The procedures outlined in the SB specify inspections and associated maintenance actions for the fatigue locations identified during the metallurgical examination.

Probable Cause and Findings

Fatigue fracture of the control rotor blade spar and failure of maintenance personnel to follow maintenance directives.

 

Source: NTSB Aviation Accident Database

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