Accident Details
Probable Cause and Findings
The failure of the sun gear within the main transmission resulting in the main rotor system not being driven.
Aircraft Information
Registered Owner (Historical)
Analysis
HISTORY OF FLIGHT
On June 21, 1996, approximately 0750 central daylight time, a Eurocopter Mbb BO-105 CBS-4, N2906T, was destroyed after impacting water approximately 70 nautical miles south of Sabine Pass, Texas, in the Gulf of Mexico. The twin engine helicopter, owned and operated by Air Logistics Inc. as a Title 14 CFR Part 135 air taxi passenger flight, was en route to an oil platform located 90 miles south of Sabine Pass. All 4 occupants, the airline transport rated pilot and 3 passengers, were fatally injured. A company flight plan was filed and visual meteorological conditions prevailed.
According to the company flight plan, the helicopter departed the Sabine Pass field base (95XS) at 0711 to transport 3 oil workers to High Island platform A-555. Company employees at the base reported that, the scheduled flight departed on time and nothing out of the ordinary was observed prior to and during departure. The pilot called company dispatch and reported off Sabine at 0711 with 2.5 hours of fuel on board (according to the chief pilot, 2.5 hours of fuel is "topped off" with approximately 1,020 lbs. of fuel). The company's flight following radio log shows that the pilot made a normal position report at 0729 and reported that he was 67 miles from destination. The pilot transmitted another normal position report at 0744 and reported that he was 38 miles from destination. No other radio transmissions were received from the aircraft. The company's published flight following procedures requires each aircraft to transmit position reports every 15 minutes after departure. The next position report was due from the accident aircraft at 0759. The pilots of 5 other aircraft which were monitoring the same company frequency at the time of the accident, reported that they did not hear any emergency transmissions or any unusual radio traffic. Although unlikely, it is feasible that a radio transmission from the accident aircraft between 0744 and 0759 could have been masked by other transmissions on that frequency.
According to the chief pilot, the altitude at which the helicopter would have been cruising at would most likely have been between 500 and 1,000 feet AGL. No radar data was available to verify position or altitude (out of range for ATC coverage).
PERSONNEL INFORMATION
The pilot held a rotorcraft-helicopter Airline Transport Pilot Certificate with a VFR Commercial Pilot Type Rating in Cessna Citation 500, Airplane Single and Multi Engine -Instrument, CFI Rotorcraft-Helicopter, and an A& P Certificate. His current FAA medical certificate was second class with no limitations or waivers, and was dated June 6, 1996. He had been employed by Air Logistics as a helicopter pilot since August 15, 1983. His total flight time was approximately 20,459 hours, 18,692 of which were in helicopters. He had no history of previous accidents, incidents, or flight violations and his total experience in Gulf helicopter operations was 16 years (approximately 12,000 flight hours).
According to a company check airman, the pilot demonstrated power recovery auto-rotations in a BO-105 helicopter during his most recent annual re-qualification on November 17, 1995. Full touchdown practice auto-rotations in the BO-105 were not practiced. Company records showed that the pilot completed re-qualification training in Bell BHT-206 helicopter on August 8, 1995. During this training the pilot accomplished two straight-in, and two 180 degree turn auto-rotations (full touch down). Additionally, company training policy requires pilots to demonstrate full touchdown practice auto-rotations to the water in Bell 206 helicopters. According to FAA regulations, there is no requirement to demonstrate full touchdown practice auto-rotations.
According to company records, the pilot worked normal duty hours from June 13 through June 21. Personnel based at Sabine observed that the pilot seem to have had regular sleep cycles for work days prior to the accident. They stated that he usually was in bed (quarters located at the base) by 2300 each night.
AIRCRAFT INFORMATION
The MBB BO-105 CBS-4 (originally a CBS-2 model), serial number S-573 was manufactured in March, 1982, and the current Standard Airworthiness Certificate was issued on March 29, 1991. The helicopter was acquired by Air Logistics in November, 1995. Airframe total time at the time of the accident was 10,596.3 hours.
The aircraft was being maintained in accordance with the Air Logistics Approved Aircraft Inspection Program (AAIP). The program contains a Daily Service Check (DSC), a 50 hour Preventative Maintenance Inspection (PMI), a series of 5 separate phase inspections conducted 150 hours apart, a 2,500 hour major airframe inspection, and "additional" maintenance items that are stand-alone inspections. The description and details of the inspection program are contained in the Air Logistics Maintenance Manual and is FAA approved.
A detailed review of the aircraft maintenance records indicated that all of the inspections required by the AAIP had been complied with. A Daily Service check had been performed on June 20, 1996, the night before the accident. The last 50 hour PMI was performed on June 17, 1996, 20.2 flight hours prior to the accident. The last phase inspection (Phase 5) was conducted on June 16, 1996, 26.4 flight hours prior to the accident. Additionally, 300 hour swashplate, and 6 month float assembly inspections were conducted on June 15, 1996.
Recent significant maintenance performed on the helicopter included the installation of the main transmission (S/N 1165) and main rotor assembly. Interviews of company maintenance personnel at the Sabine Pass, Texas, Air Logistics base, where the maintenance was performed, revealed that the main transmission and rotor assemblies were installed as a complete unit, (i.e. rotor system installed on the transmission). The tail rotor intermediate gearbox and tail rotor pitch change links were also replaced at the same time. The above maintenance was performed on June 15, 1996, and the aircraft flew 27 hours after the installations prior to the accident.
Airworthiness Directive (AD) compliance was verified using the maintenance records and were visually inspected on the aircraft (during wreckage examination) for compliance. The non-applicable AD's were verified to be "non-applicable". All pertinent AD's were complied with and verified. A detailed review of the airframe maintenance records revealed no uncorrected defects or anomalies.
The helicopter was powered by two Allison 250-C20B turbo shaft engines. Engine #1 (left side), serial number CAE-832097, had a total operating time of 11,861.0 hours. It was installed on the airframe on August 20, 1993. Engine #2 (right side), serial number CAE-830480, had a total operating time of 12,802.6 hours. It was installed on the airframe on August 15, 1990. A review of both engines' maintenance records revealed that all overhauls and inspections of the accessory, gearbox, compressor, and turbine sections were properly complied with, and no anomalies or uncorrected defects were found.
Note: A detailed list of the last 90 days of verified maintenance history of the aircraft and a list of significant maintenance events for transmission, S/N 1165, are attached to this report.
METEOROLOGICAL INFORMATION
High Island weather station H08, located on platform HI 264, reported the following observation at 0730: 5000 scattered, 20 miles visibility, temperature 83 degrees, dew point 74 degrees, winds from 100 degrees at 10 knots, altimeter 29.92. Sea state reports ranged from 1 to 3 foot swells in the area of the accident.
COMMUNICATIONS
No distress calls were reported from the aircraft.
WRECKAGE AND IMPACT INFORMATION
At the request of the NTSB IIC, the wreckage recovery portion of the investigation was delegated to Air Logistics, party to the investigation. Recovery events were documented with under water video and still photography once the wreckage was brought to the surface. This documentation was valuable to the investigation team as it was used as a means of distinguishing recovery damage from impact damage.
After 3 days of searching, a sonar contact was made at coordinates; North 28 degrees 27 minutes 84 seconds, West 94 degrees 15 minutes 24 seconds. At 1628 June 24, 1996, a diver confirmed contact with Air Logistics BO-105, N2906T. The location of the wreckage was oriented on line with a straight course from Sabine base to the intended destination (High Island platform A-555). The following information is submitted as the aircraft was found in-situ on the ocean floor:
The divers found the helicopter laying on its left side with the skid mounted floats not deployed. The right float bag was torn away from the aircraft and the float bottle was exposed. The tail boom was found structurally separated from the fuselage and was only attached by wiring. The rotor head was attached to the mast and gear box, and all four blades were attached to the blade grips. Three of the blades were full length and appeared relatively undamaged. The fourth blade was found fractured approximately eight feet outboard. The under carriage was severely crushed upward and the fuel bladders were found exposed.
After the extraction of the occupants, the aircraft was pulled to the surface. The rotor blades were cut off and marked to facilitate raising the wreckage to the surface. About twenty feet off the bottom, the main transmission began to separate from the fuselage. When the aircraft broke the surface, it had completely come apart. It was held together by the transmission mounting point on the right side of the transmission deck. At the conclusion of recovery operation, the aircraft had been submerged for approximately 157 hours. The recovery effort was completed in water temperatures of approximately 67 degrees and a water depth of 130 feet...
Data Source
Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# FTW96FA265