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NTSB investigation record

CEN13FA192

Completed

Sikorsky S-76A++· N574EH

Date
March 15, 2013
Location
Grand Lake, LA
Conditions
VMC
Record
Published September 25, 2020

Primary finding

Probable cause

Fracture of the red tail rotor blade spar, which resulted in the separation and departure of the red tail rotor blade from the helicopter and subsequent compromised tail gearbox. The red tail rotor blade was not recovered, thus the cause of the initial fracture could not be determined.

Investigator assessment

Analysis narrative

The pilot and two mechanics were conducting a post-maintenance check flight of the helicopter's avionics system. After testing the avionics, the pilot allowed the mechanic to fly the helicopter at 1,000 feet above ground level. The mechanic maneuvered the helicopter for about 1 minute and then stated that he was transferring control of the helicopter back to the pilot. Two seconds later, the cockpit voice recorder (CVR) cut off. About 1 minute after the CVR cut off, the pilot made a routine radio call to the tower controller that he was returning to land. Two minutes after this call, the pilot radioed the tower controller and his company's dispatcher, stating that he had a problem and would be landing off-airport immediately. Several ground witnesses noticed the helicopter as it flew toward the accident site, and it was making an unusual noise, described as grinding, screeching, or whistling. The helicopter impacted with a high vertical descent rate and a postcrash fire ensued. Examination of the helicopter revealed that the main rotor and tail rotor systems had low rotational energy at the time of ground impact. Two of the tail rotor blades (yellow and red) were fractured adjacent to the tail rotor hub. The fracture signatures on the red/yellow tail rotor spar assembly were consistent with the red tail rotor blade spar initially fracturing and the red tail rotor blade departing from the tail rotor. The resultant imbalance of the tail rotor fractured the tail gearbox (TGB) output housing studs and most likely tripped the CVR g-switch, which cut off the CVR. The yellow tail rotor blade spar fractured due to high centrifugal forces as a result of the imbalance, and the yellow blade departed from the tail rotor; the tail rotor was then rebalanced. The two remaining tail rotor blades continued to provide partial tail rotor anti-torque, and tail rotor drive remained continuous through the TGB. The entirety of the red and yellow blade separation event likely occurred very quickly, with only a momentary bump or vibration at the time of blade separation. As the TGB output housing began to separate from the center housing, the gears likely began going out of mesh, allowing the output bevel gear to eventually contact the TGB center housing. This condition likely resulted in the loud, unusual noise reported by witnesses, as well as a drag force on the tail rotor drive system. As the pilot attempted to land, he likely shut the engines down in conjunction with an autorotative landing. Because the tail rotor drive system and main transmission remained mechanically linked, when the engines were shut down, it is likely that main rotor speed (Nr) degraded due to the compromised TGB. As a result, the helicopter developed a high vertical descent rate until ground impact. The red blade spar fracture signatures were consistent with a fast-growth failure mode. Plausible fast-growth failure modes that were examined included a discrete impact event (e.g. object strike), anomalous operation of the pivot bearing, and a fracture of the pitch horn box (the structure which attaches the pitch horn to the blade and to which the pivot bearings and bumper attaches). With the lack of available evidence because the red blade was not recovered, the specific failure mode could not be determined during the investigation.

Source record

Factual narrative

HISTORY OF FLIGHT On March 15, 2013, about 1147 central daylight time, a Sikorsky S-76A++ helicopter, N574EH, was destroyed after ground impact near Grand Lake, Louisiana. All three occupants onboard, the pilot and two maintenance personnel, were fatally injured. The helicopter was registered to Era Helicopters LLC and was operating under the provisions of 14 Code of Federal Regulations Part 91 as a post-maintenance check flight of avionics systems. Visual meteorological conditions prevailed for the local flight, which departed from Lake Charles Regional Airport (LCH), Lake Charles, Louisiana at 1119. At 1120, LCH tower controller instructed the pilot to report inbound to LCH at the completion of the maintenance flight. The pilot acknowledged and advised he would remain on the LCH air traffic control (ATC) frequency. At 1145, the pilot advised LCH ATC that he was about 10 miles to the south of LCH and would be returning for landing. At 1146:57, the pilot called LCH tower controller and advised he had an emergency and would be immediately landing off the airport. At 11:47:02, the pilot called the Era Helicopters company dispatcher and advised that he had a problem and would be landing immediately. The wreckage of the helicopter was found about 5 miles southeast of the threshold for Runway 33 at LCH. The majority of the helicopter was consumed by a post-crash fire. Several witnesses noticed the accident helicopter as it flew toward the accident site. The first witness, a helicopter pilot, stated that he observed the accident helicopter in a shallow descent as it passed just east of his house about 600 feet above ground level. He stated that the helicopter was producing an unusual, grinding noise as it passed over his house. After watching the helicopter pass by his house, he walked inside his house to avoid directly viewing a possible crash. As he walked back outside, he noticed smoke plumes to the north of his house. A second witness, a previous Navy helicopter mechanic, recorded a cell phone video of the helicopter as it passed by his position. He stated the helicopter's rotor system sounded abnormal as it flew by, making a loud, screeching noise. He stated the helicopter appeared to slow down, then the helicopter's tail rose up and it started to spin. He heard a loud boom and saw a plume of smoke. A third witness stated the helicopter was making a whistling type of noise as it flew toward LCH. At about 100 to 150 feet above the ground, he noticed the helicopter pitch down and then spin for about five revolutions. He stated that he did not hear any noise from the helicopter as it was spinning. After the helicopter impacted the ground, he noticed flames and smoke. A map of witness locations and the helicopter's flight path is located in the docket for this investigation. PERSONNEL INFORMATION The pilot, age 69, held an airline transport pilot certificate with airplane single-engine land, rotorcraft-helicopter, and instrument helicopter ratings. According to records provided by Era Helicopters, the pilot had accumulated 22,564 hours of total flight experience, with 54 hours in the last ninety days. The pilot had accumulated 850 hours of flight experience in the make and model of the accident helicopter. On February 8-9, 2013, the pilot completed recurrent training in a SK-76 simulator, which included 8 hours of flight time. Dual engine failure/autorotation and tail rotor malfunctions were accomplished during this recurrent training. On April 2, 2012, the pilot was issued a Class 1 time limited special issuance medical certificate, which required corrective lenses be worn for near vision. During the last examination, the pilot was evaluated for his history of myocardial infarction, angina pectoris and coronary artery disease requiring percutaneous transluminal angioplasty, hypothyroidism, and the use of medication. AIRCRAFT INFORMATION The Sikorsky S-76A++ helicopter has a four-bladed, fully articulated main rotor that provides helicopter lift and thrust, and a four-bladed flexible beam tail rotor (spar) that provides main rotor anti-torque and directional control. The helicopter is equipped with two Turbomeca Arriel 1S1 turboshaft engines that are positioned side-by-side behind the main transmission assembly. The accident helicopter, serial number (S/N) 760369, was manufactured in 1990. Records show the helicopter had accumulated an aircraft total time (ATT) of 6,765.7 hours as of March 15, 2013. The No. 1 engine, S/N 3016, had a time since new (TSN) of 8361.10 hours and a time since overhaul (TSO) of 1475.11 hours as of March 15, 2013. The No. 2 engine, S/N 3508TEC, had a TSN of 6696.80 hours and a TSO of 1287.50 hours as of March 15, 2013. METEOROLOGICAL INFORMATION The weather observing station at LCH reported the following conditions at 1153: wind 180 degrees at 13 knots with gusts to 19 knots, visibility 10 miles, clear skies, temperature 23 degrees Celsius, dew point 14 degrees Celsius, altimeter setting 30.05. FLIGHT RECORDERS A solid-state cockpit voice recorder (CVR), model L3/Fairchild FA2100-1020, was recovered at the accident site and sent to the NTSB Audio Laboratory for readout. Timing of the accident flight CVR recording was aligned with timing information provided by a time-encoded ATC recording. Other transmissions in the CVR recording were used to validate the alignment of the two recordings. A summary of the CVR is as follows: 1113: The accident flight recording began, with a sound similar to an engine starting. 1115: The pilot and a mechanic noted that the automatic flight control system (AFCS) test passed with no faults. 1120: The mechanic noted that they needed to do a power check when they returned. The pilot agreed. 1127: The mechanic asked if he could fly after the maintenance checks. 1127-1142: The pilot performed a series of turns, climbs, and descents to check the avionics, flight directors, and autopilot systems. The pilot and mechanic agreed one of the two flight directors may have had a remaining problem. 1142: The pilot asked the mechanic if he wanted to fly the helicopter. The mechanic agreed, and the pilot said he would set the helicopter up for the mechanic on a heading of 150 degrees at an altitude of 1,000 feet. The mechanic noted the helicopter was not like the Cessna 172 he had flown. 1143:00: The pilot said to the mechanic, "it is all yours…do anything you want with it." 1143:06: The mechanic asked if he needed to use the pedals. The pilot said only during power changes. 1143:17: Two high pitched tones, similar to an altitude alert, were recorded. 1143:42: The mechanic said "not quite as touchy as I thought it would be." 1143:45: The pilot said, "oh that's because I've got everything turn on." 1143:55: The pilot said, "What we'll do, we'll take these autopilots off. Take our forced trim off." 1144:04: The mechanic said, "oh yea, there we go; now I'm flying something. Okay." 1144:10: The mechanic said, "Okay, you got her." 1144:12: Two or three snapping sounds were recorded on the intercom. At the same time, the cockpit area microphone recorded a sound similar to the rotor or engine RPM increasing. The two or three snapping sounds, about 0.25 seconds in length, may have been a virtual artifact of the power removal from the CVR and not a physical sound that existed in the helicopter. 1144:13: The CVR recording ended. For additional information on the CVR, see the Sound Spectrum Study and full transcript of the CVR in the docket for this investigation. WRECKAGE AND IMPACT INFORMATION Representatives from the National Transportation Safety Board (NTSB), Federal Aviation Administration (FAA), Sikorsky Aircraft Corporation (SAC), and Era Helicopters were present for the documentation and investigation of the helicopter accident site. Of the four tail rotor blades, two of the tail rotor blades ('yellow' and 'red') were

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