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NTSB Report

April 27, 2004 · Schweizer 269C-1 · N61415

Van Nuys, CA

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
April 27, 2004
Injury Outcomes
No injuries (2 uninjured)
Location
Van Nuys, CA
Aircraft
Schweizer 269C-1
Tail Number
N61415
Operator
Group 3 Aviation
Injuries
None
Aircraft Damage
Substantial
NTSB Number
LAX04LA197

The helicopter encountered ground resonance during the initial run-up prior to takeoff. During the run-up, the magneto checks produced a rough running engine. At 2,000 rpm the certified flight instructor (CFI) attempted to correct the roughness by leaning the mixture. The helicopter then began shaking from side-to-side, indicating ground resonance. Due to the low rpm, the CFI elected to close the throttle rather than lift the helicopter from the ground. The ground resonance increased and neither the pilot-undergoing-instruction nor the CFI could hold onto the controls. The CFI then pulled the mixture control and the engine stopped. The skid damper assemblies were examined and tested for charge. The rear dampers had a lower charge than that specified in the maintenance manual for the helicopter. The forward dampers were within limits. The Schweizer 269 maintenance instructions call for the dampers to be checked and correctly pressurized at each 100-hour inspection. The last 100-hour inspection was 1 month 61 hours prior to the accident.

NTSB Probable Cause

the failure of maintenance personnel to ensure the proper charge of the aft landing gear dampers in accordance with the manufacturer's recommendations.

Full Narrative

On April 27, 2004, at 1440 Pacific daylight time, N61415, a Schweizer 269C-1 helicopter, encountered a severe vibratory event during the initial run-up at the Van Nuys Airport, Van Nuys, California. Group 3 Aviation was operating the helicopter under the provisions of 14 CFR Part 91. The certified flight instructor (CFI) and the private pilot undergoing instruction (PUI) were not injured; the helicopter sustained substantial damage. Visual meteorological conditions prevailed for the local instructional flight that was originating at the time. The CFI said that during the run-up, the magneto checks produced a rough running engine. At 2,000 rpm he attempted to correct the roughness by leaning the mixture. The helicopter then began shaking from side-to-side, indicating ground resonance. Due to the low rpm, the CFI elected to close the throttle rather than lift the helicopter from the ground. The ground resonance increased and neither the PUI nor the CFI could hold onto the controls. The CFI then pulled the mixture control and the engine stopped. According to the PUI, he was performing the run-up check when the right magneto failed the check twice. The CFI assumed the controls and attempted to troubleshoot the problem. A small vibration developed into a violent bucking. The PUI then assisted the CFI in shutting down the helicopter. A witness submitted a statement. While walking along a fence he heard a loud noise. He turned and saw a helicopter violently shaking fore and aft. The tailboom impacted the ramp, then the blades started to break apart. The landing gear collapsed, and the movement of the helicopter ceased. The skid damper assemblies were examined and tested for charge at a maintenance facility in the presence of the National Transportation Safety Board investigator-in-charge. The landing gear dampers are pressurized with nitrogen gas. Technicians pressurize the dampers in accordance with the current operating temperatures and environments at the time of the maintenance period. The dampers assist in absorbing the vibration consistent with helicopter operations. In post accident tests, the rear dampers had a lower charge than that specified in the maintenance manual for the helicopter. The forward dampers were within limits. The main rotor dampers were examined with no mechanical anomalies noted. The last inspection on the helicopter was a 100-hour inspection approximately 61 hours prior to the accident. In table B-2 of the Schweizer Handbook of Maintenance Instructions, Section 2, page 2-8, item 30 on the 100-hour inspection checklist states the following: "Forward and aft landing gear dampers (LH [left-hand] side and RH [right-hand] side) for operation and conditions, and for damper extension with full fuel tank (Basic HMI, Section 12). Visually check dampers for leakage; replace if leakage is obvious or extension is not within limits (Basic HMI, Section 12). According to FAA publication FAA-H-8083-21, "Rotorcraft Flying Handbook:" "Ground resonance is an aerodynamic phenomenon associated with fully-articulated rotor systems. It develops when rotor blades move out of phase with each other and cause the rotor disc to become unbalanced. This condition can cause a helicopter to self-destruct in a matter of seconds.... If the rpm is low, the corrective action to stop ground resonance is to close the throttle immediately and fully lower the collective to place the blades in low pitch. If the rpm is in the normal range, you should fly the helicopter off the ground, and allow the blades to automatically realign themselves. You can then make a normal touchdown...."

Flight

Event TypeAccident
Event Time14:40 PDT
Nearest AirportVANNUYS (0nm)
Flight Plan FiledNone
Flight Plan ActivatedNo
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftSchweizer 269C-1
Tail NumberN61415
Aircraft CategoryHeli
DamageSubstantial
OperatorGroup 3 Aviation
Operating RulePart 91
Engines1
Engine TypeReciprocating
Engine DetailsLycoming · HO-360-C1A · Reciprocating · 180
Seats2

People & Injuries

Injury SummaryNo injuries (2 uninjured)
Fatal0
Serious0
Minor0
Uninjured2
Total2
Crew 1Age 38 · Second Class · None
Crew 2Age 40 · Second Class · None

Conditions

ConditionsVMC
LightDaylight
Wind220° @ 7 kt
Visibility10 sm
CeilingNone
Temperature / Dew Point64 F
Altimeter29.95 inHg
Observation Time21:51
Weather SourceWFAC

Appendix: Source Data