Premium research interface

The modern interface for aviation safety intelligence.

Search investigations, review source evidence, monitor watched reports, and trace long-term patterns from one calm, data-first workspace.

63k+
Reports indexed
1940-2026
Coverage
Recent
Last data refresh
Featured Report

Loading…

Loading featured report…

Loading…
Open Report

Safety trends by operating rule

Track fatal and non-fatal accident patterns across Part 91, Part 135, and Part 121 operations.

Loading trend charts…

Browse the aviation graph

Move quickly by aircraft, airport, operator, and time with indexes built for research, not wandering.

Last Data Update

By Decade

By Month

Aircraft Manufacturer

More manufacturers

Airports

More airports

Operators

More operators

About

Aviation safety reports, made easier to study

NTSB Reports is an independent research and search tool for public aviation accident and incident records. It brings NTSB aviation reports, structured fields, docket files, extracted figures, photos, videos, and update history into one searchable interface.

The goal is practical safety education: make it faster to find relevant investigations, compare similar events, review factual records, and understand the evidence behind probable-cause and preliminary reports.

The investigative work and source records belong to the National Transportation Safety Board and the published investigation record. This site is not affiliated with or endorsed by the NTSB.

FAQs

NTSB Report

May 25, 1994 · Hughes 269B · N9375S

Toulon, IL

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
May 25, 1994
Injury Outcomes
2 injuries (2 minor injuries)
Location
Toulon, IL
Aircraft
Hughes 269B
Tail Number
N9375S
Operator
Dwain Webster
Injuries
Minor
Aircraft Damage
Destroyed
NTSB Number
CHI94LA175

THE HELICOPTER HAD BEEN REASSEMBLED AFTER AN ANNUAL INSPECTION, WITH INSTALLATION OF 3 OVERHAULED MAIN ROTOR BLADES. THE MAIN ROTOR BLADE DAMPERS HAD BEEN DISASSEMBLED, INSPECTED AND REASSEMBLED. DURING REASSEMBLY, THE INTERNAL SEQUENCE OF FRICTION DISCS WAS INCORRECT, RESULTING IN IMPROPER AND NON- UNIFORM DAMPING ACTION BETWEEN THE BLADES. THE SHOCK STRUT OLEOS WERE NOT SERVICED. POST ACCIDENT INSPECTION REVEALED LOW PRESSURE IN THE 3 REMAINING INTACT STRUTS. DURING THE FIRST TAKEOFF AFTER REASSEMBLY TO TRACK THE MAIN ROTOR BLADES IN A HOVER, THE HELICOPTER ENCOUNTERED GROUND RESONANCE AND WAS DESTROYED.

NTSB Probable Cause

the improper reassembly of the main rotor blade dampers and the underservicing of the landing gear skid hydraulic struts which resulted in ground resonance of the helicopter when the first takeoff after reassembly was attempted.

Full Narrative

On May 25, 1994, at 1830 central daylight time, a Hughes 269B helicopter, N9375F, owned and piloted by Dwain Webster of Toulon, Illinois, was destroyed while performing main rotor blade tracking. The private pilot in command and mechanic passenger received minor injuries. Visual meteorological conditions existed at the time of the accident and winds were reported as 10 knots. The flight was operated under 14 CFR Part 91 as a maintenance flight, no flight plan was filed and there was no intent to depart from a hover. The pilot reported that upon completing the fourth rotor engagement to track the newly installed main rotor blades, he began to increase collective pitch to check blade track in a hover. With approximately 2 inches of up collective, the helicopter began violent vertical vibrations. The pilot reduced collective and secured the throttle. The tail boom separated from the helicopter, the cockpit and skids were destroyed, and all three main rotor blade dampers separated from the main rotor blade trailing edges. A post-crash inspection of the helicopter revealed that all the landing gear oleo attaching lugs separated from their attaching points. Flight control continuity was established to the rotor head, and all controls still moved freely. All three main rotor blade spindles rotated smoothly. The red and white main rotor blade flap restrainers were intact. The blue main rotor blade flap restrainer was broken in an upward direction. The main transmission rotated freely. All 3 main rotor blade dampers were able to be moved through their ranges, exhibiting some resistance, which was not measured due to a lack of a calibrated torque wrench. The main rotor blade dampers and the four shock strut oleos were removed for testing at Schweizer Helicopters. The test and disassembly was attended by FAA representatives from the Rochester, NY FSDO. These tests revealed that all the dampers were set 70 to 100 inch-pounds below the value specified in the maintenance manual. The red damper internal discs were assembled in an incorrect order. Blade damper torque values were measured as: 1st stage lead 1st stage lag 2nd stage BLUE 140 in-lb 150 in-lb 220 in-lb WHITE 150 in-lb 150 in-lb 250 in-lb RED 130 in-lb 120 in-lb 200 in-lb normal 200-230 in-lb 200-230 in-lb --------- The 3 intact oleos were compression tested as follows: initial maximum LFWD 70 lbs 600 lbs RFWD 75 lbs 500 lbs RREAR 50 lbs 250 lbs normal 150 lbs 3300 lbs The Airframe and Powerplant mechanic who was performing the annual inspection stated he did not remember servicing the oleo struts. He stated the struts looked ok, and were hand checked by lifting up the tail to check for reaction. They were not checked with any pressure gauge. The same mechanic stated that every other year during the annual inspection the dampers were disassembled, the plates cleaned using emery cloth, and reassembled with new fluid. The same parts that were removed were reinstalled into each damper, the torque was set using a dial calibration type torque wrench calibrated in inch-pounds, and the tension was checked using a scale and pulley. Lead to lag should be set from 6.5 to 7.0 inch pounds according to the maintenance manual. The Pilot Operating Handbook for the Hughes 300 Model 269B contains an OPERATIONAL CHECK - OLEO DAMPERS section, which includes the following: "CAUTION" "Ground resonance can result if aircraft is operated when oleo damper extension, fluid type, and/or fluid-to-air proportions are incorrect." The 269 Series - HMI states: "5.3.f(7) Cycle overhauled dampers and readjust locknut as many times as necessary to stabilize torque reading at 230 inch-pounds." "NOTE: ...if torque readings from lead-to-lag and lag- to-lead positions for first stages of all dampers are not equal, back off cover assembly on individual dampers as necessary...Damper torque may vary from 200 to 230 inch-pounds in actual service." "WARNING" "INCORRECT PHASING AND/OR TORQUE ADJUSTMENTS CAN LEAD TO CONDITIONS THAT MAY RESULT IN GROUND RESONANCE AND DESTRUCTION OF THE HELICOPTER..." Chapter 15 of Helicopter Aerodynamics, by Raymond Prouty, an aeronautical engineer specializing in rotorcraft, discusses the phenomena of ground resonance. The phenomena is associated with fully articulated rotor heads, and results when a resonant frequency is obtained between the ground, a shock strut system, and the rotor system. This resonance is initiated when the blades move on their respective lead-lag hinges, placing their combined center of gravity outside the center of rotation of the rotor disc. Damping to prevent this resonance is required in both the landing gear system and the lead-lag plane of a fully articulated rotor head.

Flight

Event TypeAccident
Event Time18:30 CDT
Nearest AirportDwain Webster Farm (0nm)
Runway0
Flight Plan FiledNone
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftHughes 269B
Tail NumberN9375S
Aircraft CategoryHeli
DamageDestroyed
OperatorDwain Webster
Operating RulePart 91
Engines1
Engine TypeReciprocating
Engine DetailsLycoming · HIO-360-A1A · Reciprocating · 180
Seats2

People & Injuries

Injury Summary2 injuries (2 minor injuries)
Fatal0
Serious0
Minor2
Uninjured0
Total2
Crew 1Age 47 · None

Conditions

ConditionsVMC
LightDaylight
Wind330° @ 8 kt, gusting 12 kt
Visibility5 sm
CeilingOvercast 1000 ft
Temperature / Dew Point0 C
Altimeter0
Observation Time23:30
Weather SourcePILO

Appendix: Source Data