Accident Details
Probable Cause and Findings
An in-flight separation of the helicopter’s horizontal stabilizer due to undetected fatigue cracking of the stabilizer spar, which resulted in a loss of control.
Aircraft Information
Registered Owner (Historical)
Analysis
HISTORY OF FLIGHTOn January 16, 2015, about 1230 central standard time, an experimental, amateur-built Safari 400 helicopter, N416JB, impacted terrain following a loss of control in The Woodlands, Texas. The commercial pilot was fatally injured, and the helicopter was destroyed. The helicopter was registered to and operated by the pilot under the provisions of 14 Code of Federal Regulations Part 91 as a personal flight. Visual meteorological conditions prevailed for the flight, and no flight plan was filed.
Witnesses reported that the helicopter was flying in a south-west direction over the property of Woodland Church. The helicopter appeared normal as it neared the church, then the helicopter "turned sideways," banked to the left, and descended to the ground. One witness stated that he heard a breaking sound and saw the "back rotor" hanging. PERSONNEL INFORMATIONThe pilot, age 51, held a commercial pilot certificate with airplane single-engine land and instrument ratings. He held a second-class airman medical certificate that was issued on April 23, 2014, with the limitation that he must wear corrective lenses. On the application for this medical certification, the pilot reported that he had accumulated 2,300 total flight hours of which 150 hours were in the previous 6 months.
According to the pilot's logbook, he had accumulated a total of 48.5 hours total helicopter time at the time of the accident. The pilot began his helicopter training in a Schweizer 269C on September 28, 2014. He accumulated a total of 24.0 hours (including 2.5 hours of solo time) in the Schweizer before transitioning to the accident helicopter on December 18, 2014. He had accumulated 25.7 hours total time (including 11 hours of solo time) in the Safari at the time of the accident. AIRCRAFT INFORMATIONThe helicopter was constructed from a kit produced by Safari Helicopter. It was a two-seat, skid-equipped helicopter with two composite main rotor blades that rotated clockwise and a tail rotor for anti-torque control. The helicopter was equipped with an Aero Sport O-360 engine. Components such as the main rotor head and the tail rotor would typically be delivered to the customer fully assembled.
The accident helicopter, serial number CH2181, was built by the owner of Safari Helicopters on March 1, 2010. A special airworthiness certificate for the helicopter was issued by the FAA on March 6, 2010. The helicopter was sold about 5 days later to a private individual who owned the helicopter until the accident pilot purchased it on November 6, 2014. METEOROLOGICAL INFORMATIONAt 1153, the George Bush Intercontinental Airport (KIAH) automated surface reporting system, located 17 miles southeast of the accident site, reported the following weather conditions: calm winds, 10 miles visibility, ceiling broken at 2,500 ft, temperature 8ºC, dew point 3ºC, and altimeter 30.93 inches of mercury. AIRPORT INFORMATIONThe helicopter was constructed from a kit produced by Safari Helicopter. It was a two-seat, skid-equipped helicopter with two composite main rotor blades that rotated clockwise and a tail rotor for anti-torque control. The helicopter was equipped with an Aero Sport O-360 engine. Components such as the main rotor head and the tail rotor would typically be delivered to the customer fully assembled.
The accident helicopter, serial number CH2181, was built by the owner of Safari Helicopters on March 1, 2010. A special airworthiness certificate for the helicopter was issued by the FAA on March 6, 2010. The helicopter was sold about 5 days later to a private individual who owned the helicopter until the accident pilot purchased it on November 6, 2014. WRECKAGE AND IMPACT INFORMATIONThe NTSB investigator-in-charge (IIC) did not travel to the accident scene. According to photographs taken by the FAA on-site, the main wreckage consisting of the fuselage, main rotor, tail and tail rotor came to rest at the fenceline of a treed area. The horizontal stabilizer had separated from the tail boom and was found about 65 feet northeast of the fuselage. The right door frame was found about 85 feet northeast of the fuselage.
The helicopter wreckage was examined at the facilities of Air Salvage of Dallas on February 24-25, 2015, under the supervision of the NTSB IIC. The examination revealed that the horizontal stabilizer's spar (a steel tube) had separated at the weld area just outboard of a round steel plate (the stabilizer mounting flange) that was welded to the spar. The fracture exhibited signatures of corrosion and fatigue at the weld line. The inboard portion of the spar remained bolted to the tail boom at the mounting flange. Paint transfers were observed on one tail rotor blade. These transfers were located on the side of the blade where the horizontal stabilizer would be mounted. Additionally, both tail rotor blades exhibited impact damage on the leading and trailing edges of the blades.
Flight control continuity was established from the cockpit flight controls through the tail rotor system. The control pedal cable leading from the tail rotor assembly to the right control pedal was found in the full right control pedal position. (In this helicopter, the right pedal is used to counter the torque of the main rotor.) The stationary swash plate (controlling right/left, fore, and aft cyclic) was fractured and separated at all three push-pull tubes. The right door upper and lower hinges were intact, and the upper and lower latching points appeared normal.
The governor friction clutch was found loose. The friction clutch was found to rotate freely and was characterized by a Safari Helicopter representative as slightly loose. According to the Safari Helicopter representative, an excessively loose friction clutch could prevent effective throttle manipulation by the governor, and an overly tight friction clutch could prevent the pilot from over-riding the governor. An instructor pilot for Safari who had recently flown with the accident pilot in the accident helicopter stated that the governor appeared to operate properly.
Engine continuity was confirmed by turning the crankshaft to establish compression at all four cylinders. The four top and four bottom spark plugs were removed from the engine. All eight spark plugs appeared unremarkable. The magneto was turned by hand and sparked at all four connection wires.
The carburetor was in the full throttle position. Blue colored fuel (consistent in appearance with 100 low-lead aviation fuel) was found in the carburetor. The gascolator and carburetor fuel filter screens were void of contaminants. The air filter was examined and appeared unremarkable.
Main Rotor System
The main transmission pinion, tail rotor output shaft, and clutch assembly were separated from the main transmission and free of their mountings. The bottom of the clutch assembly showed evidence of a rotational impact of the clutch drive plate on one of the six clutch drum mount bolts consistent with rotation at the time of impact.
Both composite main rotor blades were deformed upward. One main rotor blade was broken through the laminate and spar about 2 feet outboard of the grip; however, the brass rod along the leading edge was intact but severely deformed. Both main rotor blades exhibited impact marks along the outboard 3 to 4 feet of the leading edges. The main rotor blades rotated normally about the feathering axis when rotated by hand at the grips.
The shear line from the transmission to the main rotor shaft was intact consistent with movement of the gears of the main shaft. The drive gear was still coupled to the shaft.
Tail Section
Impact marks on the tail structure and tail rotor drive shaft were observed. The damage was consistent with a right to left main rotor strike, when looking forward.
The tail rotor drive shaft was impacted at 14.5 inches aft of the forward edge of the fifth bearing frame. The fractured end of the tail was near the forward end of the tail boom. The sixth bearing, along with the tail rotor input coupling and the aft end of the drive shaft (about 24 inches) were missing.
The tail rotor output from the main transmission spun freely; however, the bearings did not rotate smoothly. The tail rotor pitch arms were fastened in their grips. The tail rotor pitch links were deformed and still attached.
Flight Deck Observations
The ignition switch was found in the right ("R") position. A test of the magneto switch and the ignition module pin (#1) indicted the electronic ignition was open, and the magneto was grounded. Only the electronic ignition would have been operating at this switch setting.
The helicopter had warning indicator bulbs for the main rotor, tail rotor, governor, fuel low, and low oil pressure; examination of all five bulbs revealed that none exhibited the typical filament stretching found when a bulb is lit at impact. ADDITIONAL INFORMATIONAs a result of the fatigue cracking of the horizontal stabilizer spar found during this investigation, Safari Helicopter issued a mandatory inspection and modification bulletin titled, "Horizontal Stabilizer Mandatory Inspection and Modification," on April 6, 2015. The bulletin specified a liquid penetrant inspection (LPI) of the horizontal stabilizer as follows:
"On helicopters in operation less than 24 months, this inspection should be accomplished at the next annual condition or 100-hour inspection. On helicopters older than 24 months, the inspection should be accomplished before next flight. This inspection should be added to the annual condition inspection for your particular aircraft."
The bulletin stated that, if cracking was found on the horizontal stabilizer spar, it must be replaced with a new spar. If no cracking was found during LPI inspection, Safari indicated that a steel tube insert must be installed into the end of the stabilizer to extend the "full length of the tail boom mount."
The bulletin also noted that the loss of the horizontal stabiliz...
Data Source
Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# CEN15LA104