N999GH

Substantial
Serious

BELL HELICOPTER TEXTRON CANADA 407S/N: 53868

Accident Details

Date
Wednesday, May 11, 2022
NTSB Number
WPR22LA174
Location
Livermore, CA
Event ID
20220511105065
Coordinates
37.699413, -121.708520
Aircraft Damage
Substantial
Highest Injury
Serious
Fatalities
0
Serious Injuries
1
Minor Injuries
1
Uninjured
0
Total Aboard
2

Probable Cause and Findings

Loss of engine power due to the pilot inadvertently selecting engine IDLE mode while in flight, which reduced rotor and engine speed to a level that could not sustain flight.

Aircraft Information

Registration
Make
BELL HELICOPTER TEXTRON CANADA
Serial Number
53868
Engine Type
Turbo-shaft
Year Built
2008
Model / ICAO
407B407
Aircraft Type
Rotorcraft
No. of Engines
1
Seats
8
FAA Model
407

Registered Owner (Current)

Name
GUARDIAN HELICOPTERS INC
Address
67 D ST
City
FILLMORE
State / Zip Code
CA 93015-1668
Country
United States

Analysis

HISTORY OF FLIGHTOn May 11, 2022, about 0930 Pacific daylight time, a Bell Helicopter Textron Canada 407, N999GH, was substantially damaged when it was involved in an accident near Livermore, California. The pilot was seriously injured and the lineman crew member sustained minor injuries. The helicopter was operated as a Title 14 Code of Federal Regulations Part 133 rotorcraft external-load flight.

The pilot was performing a HEC long-line qualification exam flight at the Livermore Electric Safety Academy, a training operations facility owned by the Pacific Gas and Electric Company (PG&E). The pilot was flying the helicopter solo from the right seat with the door removed so that he could lean outside and observe below. The maneuvers were observed and monitored on the ground by a group of examiners.

The pilot stated that the first 20 minutes of the flight were normal and the accident occurred during the final phase while carrying a PG&E lineman on a 60-ft long line. The pilot was maneuvering the helicopter at an altitude of about 175 ft agl, positioning the lineman against a static line marker ball midway along a 90-ft wire that spanned an 88-ft lattice tower and a 65-ft wood pole. The pilot reported that the engine then lost power and he rolled the throttle out of the “FLY” detent and into the “emergency” range, but the engine did not respond.

He attempted to maneuver the lineman into a clearing and partially raised the collective once the lineman was about 15 ft agl to cushion the lineman’s landing. The pilot stated that he then maneuvered the helicopter to a landing spot away from the linemen and, after reaching an altitude of about 30 ft agl, he raised the collective and dropped the HEC line and cargo hooks; the helicopter landed hard. The pilot stated that the engine was still running after landing and he was able to then shut off the main fuel valve and battery. He was extricated from the helicopter about 30 minutes later.

Multiple witnesses recounted observations that matched the pilot’s statement. All stated that the helicopter appeared to be operating without issue throughout the maneuvers until they heard a change in engine tone, with some then observing the main rotor blades slowing as the helicopter began to rapidly descend. A video provided by a witness showed the helicopter descending just before impact. It appeared intact and was not emitting smoke or vapors. PERSONNEL INFORMATIONThe pilot reported about 3,500 hours of total flight experience including about 1,000 hours as a flight instructor and agricultural pilot. He started working for the helicopter operator about 15 months before the accident. He reported a total of almost 175 hours flight experience in the Bell 407, 10 of which were in the Honeywell engine-equipped 407HP version, all in the accident helicopter.

The pilot’s total FAR Part 133 external load time before the accident totaled about 87 hours. Most of the flight time took place in the Eurocopter AS-350, with 2.3 hours in the Bell 407, and 6.7 hours in the 407HP. Two of the flights involved HEC, with all other flights involving training or carriage of cargo or buckets, all flown from the right seat.

The accident flight was a demonstration flight to PG&E so he could be signed off to perform HEC flights for them. According to the helicopter operator, this was the second time he had taken the check ride, having not passed on the first attempt.

The night before the accident he stayed in a hotel and went to bed about 2100. He awoke at 0630 and reported having a normal night sleep and was well rested. The pilot was 6 ft tall. AIRCRAFT INFORMATIONIn 2019, the helicopter was converted from its original Rolls Royce 250-C47 engine to a Honeywell HTS900-2-1D. The conversion was performed in accordance with the Eagle Copters, Eagle 407HP supplemental type certificate (STC) SR03496NY.

The Honeywell engine was controlled by a Full Authority Digital Engine Control (FADEC) system consisting of two redundant electronic control units (ECUs) along with a fuel metering unit (FMU) assembly, permanent magnet alternator, and other engine and airframe sensors. The FADEC system was designed to provide automatic control of the engine during startup, steady state, and transient operation and ensure that operation stayed within specified envelopes.

Pilot-commanded throttle position was monitored by the ECUs through a dual linear variable differential transformer (LVDT) assembly, mounted to the airframe and connected through a series of bellcranks to a conventional twist grip in the collective control column.

The helicopter was configured for operation from the right seat, with the collective control on the pilot’s left side. The twist grip had three distinct detent positions: OFF, IDLE, FLY, and an unmarked over-center position beyond FLY. Although it was available, this over-center position had no functional use in the Honeywell engine-equipped version of the helicopter. In the original Rolls-Royce engine-equipped helicopter, the over-center position was marked as the “MaxNG” detent. This position allowed the pilot to manually maintain main rotor/power turbine (Nr/Np) speed by going beyond the FLY (90% gas producer [Ng] speed) detent in the event of a FADEC failure.

For both configurations, to reduce engine power, rotating the twist grip from FLY to IDLE would have required a rotation in the clockwise direction when facing forward. Additionally, a lockout button was included that needed to be pressed to move the control from IDLE to OFF. AIRPORT INFORMATIONIn 2019, the helicopter was converted from its original Rolls Royce 250-C47 engine to a Honeywell HTS900-2-1D. The conversion was performed in accordance with the Eagle Copters, Eagle 407HP supplemental type certificate (STC) SR03496NY.

The Honeywell engine was controlled by a Full Authority Digital Engine Control (FADEC) system consisting of two redundant electronic control units (ECUs) along with a fuel metering unit (FMU) assembly, permanent magnet alternator, and other engine and airframe sensors. The FADEC system was designed to provide automatic control of the engine during startup, steady state, and transient operation and ensure that operation stayed within specified envelopes.

Pilot-commanded throttle position was monitored by the ECUs through a dual linear variable differential transformer (LVDT) assembly, mounted to the airframe and connected through a series of bellcranks to a conventional twist grip in the collective control column.

The helicopter was configured for operation from the right seat, with the collective control on the pilot’s left side. The twist grip had three distinct detent positions: OFF, IDLE, FLY, and an unmarked over-center position beyond FLY. Although it was available, this over-center position had no functional use in the Honeywell engine-equipped version of the helicopter. In the original Rolls-Royce engine-equipped helicopter, the over-center position was marked as the “MaxNG” detent. This position allowed the pilot to manually maintain main rotor/power turbine (Nr/Np) speed by going beyond the FLY (90% gas producer [Ng] speed) detent in the event of a FADEC failure.

For both configurations, to reduce engine power, rotating the twist grip from FLY to IDLE would have required a rotation in the clockwise direction when facing forward. Additionally, a lockout button was included that needed to be pressed to move the control from IDLE to OFF. WRECKAGE AND IMPACT INFORMATIONThe helicopter came to rest on its belly and was tilted slightly to the left (see Figures 1 and 2). The landing skids had spread outwards on both sides. The primary airframe structure was largely intact but had buckled in the roof area below the main transmission, which had moved out of position and was tilted slightly down. All four main rotor blades remained attached to the hub assembly; one blade was essentially undamaged and the remaining three had sustained delamination, aft bending, and buckling damage from midspan outwards. The tailboom remained attached to the aft bulkhead, and both tail rotor blades had detached with their roots remaining on the hub.

Figure 1– Helicopter at the accident site (photo courtesy of the FAA).

Figure 2 - Accident location within training facility (photo courtesy of PG&E).

The engine was still attached to its mounts and appeared to have sustained minimal damage. The engine output drive coupling had separated where it joined the main transmission. The damage to the coupling appeared to be consistent with movement of the main transmission at impact. There was no evidence of catastrophic engine failure or foreign object ingestion.

The transmission drivetrain was continuous from the engine output drive coupling through to the main gearbox and both the tail and main rotor blades; the freewheeling clutch was operational.

The flight controls sustained damage consistent with impact at the base of the main transmission assembly and the pilot’s collective control but were otherwise intact. FLIGHT RECORDERSVideo

The helicopter was equipped an Appareo Vision 1000, which was a self-contained image, audio, and parametric data recorder. The parametric data included GPS aircraft time, position, altitude and speed, along with 3-axis acceleration with derived pitch, roll, and yaw.

The unit was mounted on left side of the aft cabin bulkhead, facing forward. The field of view was focused to the left and downward. As such, only a portion of the instrument panel, the left segment of the annunciator panel, and some externally visible features through the helicopter's left chin bubble and left windscreen were visible. The pilot's body was not captured, nor were any of his control inputs.

The recording contained a stereo audio track. One audio channel was of a cockpit area microphone, and the other was recorded from the helicopter's intercom. The intercom track recorded continuously and captured the pilot’s voice as ...

Data Source

Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# WPR22LA174