Aircraft Accident/Incident Report

Philadelphia, Mississippi 39350
Saturday, November 27, 1999 14:45 CST

NTSB Narrative Summary Released at Completion of Accident

At the last refueling stop the pilot and passenger stated to the lineman that the greenhouse window above the pilot had cracked during the previous leg of the flight. The transcript of communications recorded on the cockpit voice recorder showed that about 29 minutes before the accident, the passenger stated to the pilot "I think if I hadn't-a broke that off we wouldn't had any greenhouse by the time we got home". About 18 minutes before the accident, the passenger stated to the pilot "boy those catfish are going crazy down there aren't they". The pilot respond "yep", "must have been the vibrations from the helicopter". About 2 minutes later the passenger and pilot discuss sighting deer in a field. About 1 minute 30 seconds before the accident, the pilot asked the passenger "has this vertical just gotten in here or has it been here for a while?" The passenger replied "we haven't had any verticals at all." The pilot replied, "we do now." The passenger replied, "yeah well it started right after we left back there. I think it maybe ah that's why I was thinking it was the air." About 20 seconds later, the passenger stated that another person had tracked the helicopter's blades before they left and that he was commenting on how smooth it was. About 40 seconds later the pilot stated "this stuff is getting worse." The recording then ended. Witnesses in the area of the accident site stated that they observed the helicopter flying from east to west, just above the treetops. The helicopter began rolling back and forth. They then observed the main rotor blades contact the tail area, and the aft tail boom and tail rotor separate. Shortly after this, the main rotor separated and the helicopter descended and crashed to the ground. A fire erupted during ground impact. Witnesses did not observe any smoke come from the helicopter prior to the accident. The entire main rotor system was accounted for in the wreckage, except for the pitch change horn for the "red" main rotor blade and the majority of the pitch change link that attaches to the "red" pitch change horn at the pitch change links lower rod end. The "red" grip remained in place in the main rotor system. The surface of the "red" grip exhibited two boreholes that mated with two bushing that were part of the departed and missing "red" pitch change horn. The mating grip surface exhibited a blackish residue near the pitch change horn boreholes, and the blackish area extended beyond the boreholes. The crashsite and an extended area back-up the wreckage path were searched extensively, including by Boy Scout parties; the "red" pitch change horn and most of the "red" pitch change link were not found. Examination of the red grip by an NTSB metallurgist showed the surfaces of both the upper and lower holes showed extensive areas of dark deposits and surface damage consistent with repeated small relative movements against mating objects (fretting). Visible fretting areas covered most of the surface of the bushing counter bores and portions of the fractured surfaces of the threads. Energy dispersive x-ray analysis of samples of the black deposits taken from the upper hole found them to mostly contain aluminum and iron and significant amounts of oxygen along with minor amounts for the other constituents of the grip and bushing. Samples from the lower hole were found to be mostly aluminum with large peaks for iron, cadmium, silicon and oxygen. Both bushing counter bores showed localized material removal and enlargement of the diameters. Up to .020 to 0.025 inches of material were removed in localized areas from the bushing bore. In addition, the bores were deformed and distorted adjacent to the grip surface. The surfaces of the holes, particularly the upper one, also contained circumferential marks in the bushing counter bore, the lock ring diameter and on the fractured threads indicating progressive and incremental movement of the mating objects. No other evidence of failure or malfunction of the helicopter structure, flight controls, engine, or rotor and rotor drive system was found. Aircraft records show the rotor head, including the"red" blade grip and pitch change horn, was last removed from the helicopter in March 1998, 162.2 flight hours before the accident, for blade retention strap replacement.

NTSB Probable Cause Narrative

The failure of the pilot and company maintenance personnel during preflight and periodic inspections to identify the signs of fretting and looseness in the "red" main rotor blade pitch change horn to main rotor blade grip attachment, resulting in the helicopter continuing in service with a loose pitch change horn, separation of the pitch change horn from the blade grip, and inflight breakup of the helicopter due to the main rotor striking the tailboom. Contributing to the accident was the pilot's failure to respond to increased vibration in the main rotor system and land immediately.

Event Information

Type of Event Accident
Event Date 11/27/1999
Event Day of the Week Saturday
Time of Event 1445
Event Time Zone Central Standard Time
Event City PHILADELPHIA
Event State MISSISSIPPI
Event Country --
Zipcode of the event site 39350
Event Date Year 1999
Event Date Month 11
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 324704N
Event Location Longitude 0885534W
Event Location Airport --
Event Location Nearest Airport ID --
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation --
Weather Briefing Completeness Not pertinent
Investigator's weather source Weather Observation Facility
Time of the weather observation 1453 ST
Direction of event from weather observation facility (degrees) 150
Weather Observation Facility ID MEI
Elevation of weather observation facility 297
Distance of event from weather observation facility (units?) 30
Time Zone of the weather observation ST
Lighting Conditions Day
Lowest Ceiling Height --
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions Clear
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 19
Dew Point at event time (in degress fahrenheit) -1
Wind Direction (degrees magnetic) 240
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 3
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30
Density Altitude (feet) 900
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Fatal
On Ground, Fatal Injuries 0
On Ground, Minor Injuries 0
On Ground, Serious Injuries 0
Injury Total Fatal 2
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 2
Investigating Agency NTSB
NTSB Docket Number (internal use) 12473
NTSB Notification Source --
NTSB Notification Date Nov 27 1999 12:00AM
NTSB Notification Time 1700
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Dec 6 2002 3:26PM
User who most recently changed record NTSB\MONR
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N8144M
NTSB Number MIA00FA030
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? No
Damage Destroyed
Aircraft Fire Ground
Aircraft Explosion None
Aircraft Manufacturer's Full Name Bell
Aircraft Model 212
Aircraft Series Identifier 212
Aircraft Serial Number 30706
Certified Max Gross Weight 11200
Aircraft Category Helicopter
Aircraft Registration Class U.S. Registered/U.S. Soil
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 15
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection AAIP
Date of Last Inspection Apr 12 1999 12:00AM
Airframe hours since last inspection 59
Airframe Hours 11302
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name HOUSTON HELICOPTERS, INC.
Aircraft Owner Street Address 3506 LOCKHEED
Aircraft Owner City PEARLAND
Aircraft Owner State TX
Aircraft Owner Country USA
Aircraft Owner Zipcode 77581
Operator is an individual? No
Operator Name --
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address --
Operator City --
Operator State --
Operator Country --
Operator Zip code --
Operator Code YHHA
Owner has at least one certificate --
Other Operator of large aircraft? --
Certified for Part 133 or 137 Operation External Load
Operator Certificate Number --
Indicates whether an air carrier operation was scheduled or not --
Indicates Domestic or International Flight --
Operator carrying Pax/Cargo/Mail --
Type of Flying (Per_Bus / Primary) Positioning
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code TCL
Departure City TUSCALOOSA
Departure State AL
Departure Country USA
Departure Time 1410
Departure Time Zone CST
Destination Same as Local Flt --
Destination Airport Code JAN
Destination City JACKSON
Destination State MS
Destination Country USA
Specific Phase of Flight Maneuvering
Report sent to ICAO? --
Evacuation occurred No
Date of most recent change to record Oct 15 2002 2:22PM
User who most recently changed record KENJ
Since inspection or accident Time of Accident
Event Location Runway Number and Location 0
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --