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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.

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NTSB Report

May 19, 2003 · Bell 407 · N991SP

Franklin, LA

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
May 19, 2003
Injury Outcomes
No injuries (2 uninjured)
Location
Franklin, LA
Aircraft
Bell 407
Tail Number
N991SP
Injuries
None
Aircraft Damage
Substantial
NTSB Number
FTW03TA156

When approaching a helipad for landing, the pilot realized that the anti-torque pedals were not effective. Due to obstacles, the pilot aborted his approach to the helipad and turned eastbound toward a sugar cane field. Subsequently, the helicopter started to rotate and the pilot realized he had no control of the tail rotor with the anti torque pedals. He then rolled the throttle to idle, and initiated an autorotation from approximately 75 feet AGL. The pilot reported that a high sink rate developed and the helicopter impacted the ground hard on the main landing skids. Inspection of the helicopter revealed that the pivot bolt (P/N: NAS6604D31), bushing (P/N: 206-011-726-005), nut (P/N: MS14144l4), and cotter pin (P/N: MS24665-155), that connects the rotor control idler assembly (P/N: 406-012-127-101) to the tail rotor control housing assembly was not found. Examination of the aircraft logbooks indicated that there was an annual maintenance inspection preformed on the helicopter 7 days hours prior to the accident. The helicopter accumulated 4.9 hours of flight time since time of inspection.

NTSB Probable Cause

The loss of tail rotor effectiveness due to the inadequate maintenance performed by other company personnel.

Full Narrative

On May 19, 2003, at 0955 central daylight time, a Bell 407 helicopter, N991SP, registered to and operated by the Louisiana Department of Public Safety, was substantially damaged during a precautionary following a loss of tail rotor pitch control near Franklin, Louisiana. The commercial pilot and his passenger were not injured. Visual meteorological conditions prevailed and a Company VFR flight following plan was filed for the 14 Code of Federal Regulations Part 91 Public Use flight. The local flight originated from Baton Rouge Airport (BTR), Baton Rouge, Louisiana, at 0900, and was destined for Franklin, Louisiana. The pilot reported in the Pilot/Operator Aircraft Accident Report (NTSB Form 6120.1/2) that while he was approaching a helipad for landing, he realized that the anti-torque pedals were not effective. Due to obstacles he aborted his approach to the helipad and turned eastbound toward a sugar cane field. Subsequently, the helicopter started to rotate and he realized he had no control of the tail rotor with the anti torque pedals. He then rolled the throttle to idle, and initiated an autorotation from approximately 75 feet agl. The pilot further reported that a high sink rate developed and the helicopter impacted the ground hard on the main landing skids. An FAA inspector, who examined the helicopter at the accident site, reported that the main landing skids were compressed nearly flat. Further inspection revealed that the pivot bolt (P/N: NAS6604D31), bushing (P/N: 206-011-726-005), nut (P/N: MS14144l4), and cotter pin (P/N: MS24665-155), that connects the rotor control idler assembly (P/N: 406-012-127-101) to the tail rotor control housing assembly was not found. All part numbers were verified with the Bell Helicopter Textron 407 Illustrated Parts Bulletin (BHT-407-IPB). Examination of the aircraft logbooks indicated that there was an annual maintenance inspection preformed on the helicopter 7 days prior to the accident. The helicopter accumulated 4.9 hours of flight time since time of inspection. The company who preformed the maintenance inspection on the helicopter provided the NTSB investigator-in-charge with a written statement from the mechanic and supervisor who worked on the helicopter. The mechanic who was working on tail rotor gearbox area requested his supervisor inspect the area and double-check that the work was complete. It was discovered that the "pitch channel trunnion attach bolt was installed, but not tight or safety wired." The supervisor requested this be complied with. Later that day, the supervisor asked the mechanic if the work was complete, but did not verify it visually. The tail rotor gearbox cowling was then installed.

Flight

Event TypeAccident
Event Time09:55 CDT
Nearest Airport0nm
Flight Plan FiledNone
Flight Plan ActivatedNo
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftBell 407
Tail NumberN991SP
Aircraft CategoryHeli
DamageSubstantial
Engines1
Engine TypeTurboshaft
Engine DetailsRolls-Royce · 250-C47B · Turboshaft · 800
Seats7

People & Injuries

Injury SummaryNo injuries (2 uninjured)
Fatal0
Serious0
Minor0
Uninjured2
Total2
Crew 1Age 57 · Second Class · None

Conditions

ConditionsVMC
LightDaylight
Wind200° @ 6 kt
Visibility10 sm
CeilingNone
Altimeter29.95 inHg
Weather SourcePILO

Appendix: Source Data