Aircraft Accident/Incident Report

St. Paul, Minnesota 55114
Friday, April 14, 2000 16:12 CDT

NTSB Narrative Summary Released at Completion of Accident

During cruise flight the pilot lost control of the helicopter and an uncontrolled forced landing was made onto the top of a two-story industrial warehouse. The pylon mounted actuator support assembly had separated from the transmission case. The support assembly, attachment hardware, and portions of the transmission case were sent to the NTSB Materials Laboratory for analysis. According to the NTSB Materials Laboratory Factual Report, "... all of the studs showed progressive fatigue cracking from multiple origins." The report stated, "All but one stud fracture ... showed progression from diametrically opposed sides, typical of reversed bending fatigue loads." The report stated that all of the stud and dowel holes in the actuator support were, "... elongated on opposite sides from contact with the respective dowel or stud." The report further stated, "In addition to the elongation of the holes, the faying surfaces of the support and the transmission case were severely worn from relative movement. The directions of indicated movements and wear correspond to the axis of elongation of the respective support holes." The lead mechanic for the helicopter reported that one of the dowel pins was found during routine maintenance approximately one year prior to the accident date and the maintenance staff did not determine the identify the source of the dowel pin.

NTSB Probable Cause Narrative

The loss of clamp-up force between the transmission case and the pylon mounted actuator support assembly which resulted in fatigue failure of the threaded studs and dowel pins, the failure of the flight control system, helicopter control not being possible after the flight control failure, and the inadequate maintenance procedures by the company maintenance personnel.

Event Information

Type of Event Accident
Event Date 4/14/2000
Event Day of the Week Friday
Time of Event 1612
Event Time Zone Central Daylight Time
Event City St. Paul
Event State MINNESOTA
Event Country --
Zipcode of the event site 55114
Event Date Year 2000
Event Date Month 4
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude --
Event Location Longitude --
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 1553 Central Daylight Time
Direction of event from weather observation facility (degrees) 130
Weather Observation Facility ID STP
Elevation of weather observation facility 705
Distance of event from weather observation facility (units?) 2
Time Zone of the weather observation CDT
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) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 16
Dew Point at event time (in degress fahrenheit) 4
Wind Direction (degrees magnetic) 350
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 12
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 29.72
Density Altitude (feet) 1218
Intensity of Precipitation --
METAR weather report --
Event Highest Injury None
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor --
Injury Total None 2
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 11719
NTSB Notification Source FAA
NTSB Notification Date Apr 14 2000 12:00AM
NTSB Notification Time 2128
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Feb 2 2009 12:25PM
User who most recently changed record johb
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N225LL
NTSB Number CHI00FA111
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed Company VFR
Flight plan Was Activated? Yes
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Bell
Aircraft Model 222U
Aircraft Series Identifier 222U
Aircraft Serial Number 47539
Certified Max Gross Weight 8400
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 7
Number of Engines 2
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection 100 Hour
Date of Last Inspection Mar 23 2000 12:00AM
Airframe hours since last inspection 39.2
Airframe Hours 7885.3
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Air Methods Corporation
Aircraft Owner Street Address 7301 South Peoria Street
Aircraft Owner City Englewood
Aircraft Owner State CO
Aircraft Owner Country USA
Aircraft Owner Zipcode 80112
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 USA
Operator Zip code --
Operator Code QMLA
Owner has at least one certificate --
Other Operator of large aircraft? No
Certified for Part 133 or 137 Operation --
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 Yes
Departure Airport Code PVT
Departure City St. Paul
Departure State MN
Departure Country USA
Departure Time 1605
Departure Time Zone CDT
Destination Same as Local Flt dest & departure same, accident can occur anywhere
Destination Airport Code STP
Destination City --
Destination State MN
Destination Country USA
Specific Phase of Flight Cruise
Report sent to ICAO? --
Evacuation occurred Yes
Date of most recent change to record Feb 2 2009 12:25PM
User who most recently changed record johb
Since inspection or accident Time of Accident
Event Location Runway Number and Location --
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight Yes
Medical Flight --