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NTSB Report

March 7, 2009 · Md Helicopter 369D · N501EF

Trona, CA

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
March 7, 2009
Injury Outcomes
3 injuries (3 minor injuries)
Location
Trona, CA
Aircraft
Md Helicopter 369D
Tail Number
N501EF
Operator
Airwest Helicopters
Injuries
Minor
Aircraft Damage
Substantial
NTSB Number
WPR09LA144

The helicopter pilot was flying passengers and equipment to a landing zone on a peak with an elevation of 9,993 feet. He made one high pass around the summit and assessed the wind as light and variable. He made a right circling approach and slowed from 60 knots to 40 knots. The airspeed suddenly decreased to 20 knots and the helicopter yawed 90 degrees to the right. He temporarily stabilized the situation, but then the helicopter went into a violent and uncontrollable right spin. It spun down vertically until it collided with terrain, rolled onto its right side, and slid about 75 yards before coming to a stop facing uphill. One of the passengers held a rotorcraft/helicopter pilot certificate. He indicated that on the first landing attempt the pilot appeared to be running out of left pedal. The second attempt was at a different angle to the landing zone, but once again the pilot seemed to run out of left pedal and the helicopter began to spin. The pilot could not recover during the attempt and the helicopter made three turns before colliding with the terrain. The Rotorcraft Flying Handbook refers to unanticipated yaw that does not subside on its own as a loss of tail rotor effectiveness. It notes that, if not corrected, this can lead to a loss of control. It may occur in all single-rotor helicopters at airspeeds less than 30 knots. A common cause is insufficient tail rotor thrust for a given power setting at higher altitudes, where tail rotor thrust and efficiency are reduced. Another potential cause is encountering a quartering tailwind from certain directions.

NTSB Probable Cause

The pilot's failure to maintain control while landing in a high density altitude environment due to a loss of tail rotor effectiveness.

Full Narrative

HISTORY OF FLIGHTOn March 7, 2009, about 1000 Pacific standard time, a MD Helicopter 369D, N501EF, collided with terrain near Trona, California. Airwest Helicopters, Inc., was operating the helicopter under the provisions of 14 Code of Federal Regulations (CFR) Part 135. The airline transport pilot and two passengers sustained minor injuries; the helicopter sustained substantial damage to the airframe. The cross-country, on-demand, air taxi flight departed the Wildrose National Park's heliport near Inyokern, California, about 0945. The purpose of the flight was to transport maintenance personnel to a radio tower. Visual meteorological conditions (VFR) prevailed, and a company VFR flight plan had been filed. The pilot departed Redlands, California, and stopped to refuel at Inyokern. He departed Inyokern, and landed at the heliport to load equipment. He then flew 6 miles east to a radio facility on top of Rogers Peak, elevation 9,993 feet. He noted that the peak was at the intersection of two ridge lines; one ran north/south, and the other ran east/west. The north-to-east quadrant consisted of very steep terrain; the other quadrants formed a large ice bowl with grades varying from 15 to 30 degrees. The pilot made one high reconnoiter right-hand turn around the summit. He assessed the wind as light and variable. He continued the circling approach from north to south, east of the ridge line and about 100 feet higher. He slowed from 60 knots to 40 knots so that he could assess his available power during the landing. The pilot felt that the helicopter was performing adequately with the torque level in the top of the green operating range on the torque gage. The airspeed suddenly decreased to 20 knots, and the helicopter yawed 90 degrees to the right. He held the new heading, lowered the nose to gain airspeed, and held the same torque input as he attempted to go over the ridge in order to abort the landing. The situation appeared stable until the helicopter went into a violent and uncontrollable right spin. The pilot indicated that he felt no response to his control inputs. He did not want to land in the ice bowl, and proceeded over the east/west ridge. He was unable to get forward airspeed and stop the spin. The helicopter spun down vertically, and he pulled all remaining pitch to cushion the impact. The helicopter was on a southwesterly heading, and the main rotor blades made first contact followed by the skids. It rolled onto its right side, and slid about 75 yards before coming to a stop facing uphill. The right front passenger exited through where the bubble had been, and helped the rear passenger out. The pilot turned off the battery and fuel. He exited with the fire extinguisher, and put out a fire in the tailpipe. One of the passengers held a rotorcraft/helicopter pilot certificate. He indicated that on the first landing attempt, the pilot appeared to be running out of left pedal. The second attempt was at a different angle to the landing zone, but once again the pilot seemed to run out of pedal, and the helicopter began to spin. The pilot couldn't recover this time, and it made three turns before colliding with the terrain. ADDITIONAL INFORMATIONThe Rotorcraft Flying Handbook describes unanticipated yaw as an uncommanded yaw rate that does not subside on its own. It notes that, if not corrected, this can lead to a loss of control of the helicopter. This is referred to as a loss of tail rotor effectiveness. It indicates that this condition is not related to equipment or maintenance, and may occur in all single-rotor helicopters at airspeeds less than 30 knots. The tail rotor does not provide adequate thrust to maintain directional control. Common causes are certain wind directions during hover, or insufficient tail rotor thrust for a given power setting at higher altitudes, where tail rotor thrust and efficiency are reduced. TESTS AND RESEARCHPost accident examination of the wreckage revealed no anomalies with the engine that would have precluded normal operation. Examination of the airframe revealed a fracture of a component of the tail rotor control rod. Metallurgical examination determined that the fracture was a result of ductile overload during impact. No anomalies were discovered that would have precluded normal operation.

Flight

Event TypeAccident
Event Time10:00 PST
Nearest Airport0nm
Flight Plan FiledCvfr
Flight Plan ActivatedYes
Aircraft FireGrd
Aircraft ExplosionNo

Aircraft

AircraftMd Helicopter 369D
Tail NumberN501EF
Aircraft CategoryHeli
DamageSubstantial
OperatorAirwest Helicopters
Operating RulePart 135
Engines1
Engine TypeTurboshaft
Engine DetailsRolls Royce · 250 C20 · Turboshaft · 420
Seats4

People & Injuries

Injury Summary3 injuries (3 minor injuries)
Fatal0
Serious0
Minor3
Uninjured0
Total3
Crew 1Age 60 · First Class · Minor

Conditions

ConditionsVMC
LightDaylight
Wind3 kt
Visibility10 sm
CeilingNone
Temperature / Dew Point54 / 21 C
Altimeter30.11 inHg
Observation Time18:56
Weather SourceWFAC

Appendix: Source Data