Stefan Memorial Airport
Aircraft Accident/Incident Report

Norfolk, Nebraska 68702
Friday, June 21, 2002 12:07 CDT

NTSB Narrative Summary Released at Completion of Accident

The helicopter impacted the terrain following a loss of control. Shortly after departing the hospital on a medivac flight, the pilot requested that company dispatch have the company mechanic meet him at a nearby airport because he was experiencing "binding in the right pedal." An airport employee stated that just prior to the accident, she saw the helicopter hovering over the ramp and thought it was going to land. Four other witnesses reported seeing the helicopter climbing and thought it was taking off. Witnesses also reported seeing the helicopter spinning (directions vary) prior to it descending to impact. One witness reported the nose of the helicopter was stationary on an east heading and the tail of the helicopter was swinging back and forth. He stated the helicopter then veered to the left and he lost sight of it when he traveled behind some buildings. Another witness reported seeing the helicopter rocking nose to tail and going in a circle, but not spinning, prior to impact. Inspection of the helicopter revealed one of the scuff sleeves on the tail rotor pitch change rod was moved approximately 3 inches aft of the bearing bracket. The top of the sleeve was gouged and scuffed. Both the forward and aft ends of the sleeve were slightly curled away from the rod. The forward edge of the sleeve was torn. No other mechanical failure or malfunction of the engine, airframe, or systems were identified that would have resulted in the accident. The guarded hydraulic cut off switch was found in the off position. Records show the pilot had approximately 2,500 hours of helicopter time with a total of 43.8 hours of flight time in this make and model of helicopter. Winds at the time of the accident were from 200 degrees at 16 knots, gusting to 21 knots. The Federal Aviation Administration Rotorcraft Flying Handbook states that a loss of tail rotor effectiveness "may occur in all single-rotor helicopters at airspeeds less then 30 knots. It is the result of the tail rotor not proving adequate thrust to maintain directional control, and is usually caused be either certain wind azimuths (directions) while hovering, or by an insufficient tail rotor thrust for a given power setting at high altitudes."

NTSB Probable Cause Narrative

A loss of tail rotor effectiveness and the pilot's failure to maintain control of the helicopter. Factors associated with the accident were the binding of the tail rotor pitch changed rod, the gusty wind conditions, and the pilot’s lack of total experience in this make and model of helicopter.

Event Information

Type of Event Accident
Event Date 6/21/2002
Event Day of the Week Friday
Time of Event 1207
Event Time Zone Central Daylight Time
Event City Norfolk
Event State NEBRASKA
Event Country --
Zipcode of the event site 68702
Event Date Year 2002
Event Date Month 6
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 415907N
Event Location Longitude 0972606W
Event Location Airport Stefan Memorial Airport
Event Location Nearest Airport ID OFK
Indicates whether the acc/inc occurred off or on an airport On Airport
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation 1573
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 1154 Central Daylight Time
Direction of event from weather observation facility (degrees) 0
Weather Observation Facility ID OFK
Elevation of weather observation facility 1573
Distance of event from weather observation facility (units?) 0
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) 29
Dew Point at event time (in degress fahrenheit) 22
Wind Direction (degrees magnetic) 200
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 16
Wind Velocity Indicator --
Wind Gust Indicator Gusting
Wind Gust (knots) 21
Altimeter Setting at event time (in. Hg) 30.13
Density Altitude (feet) 3344
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Fatal
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal 3
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 3
Investigating Agency NTSB
NTSB Docket Number (internal use) 15418
NTSB Notification Source FAA
NTSB Notification Date Jun 21 2002 12:00AM
NTSB Notification Time 1315
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Jun 3 2004 1:28PM
User who most recently changed record NTSB\MONR
Basic weather conditions Visual Meteorological Cond
FAA District Office Lincoln, NE FSDO

Aircraft Involved

Aircraft #1

Aircraft Registration Number N852HW
NTSB Number CHI02FA174
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? No
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Eurocopter France
Aircraft Model AS-350-B2
Aircraft Series Identifier --
Aircraft Serial Number 2630
Certified Max Gross Weight 4961
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 3
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection AAIP
Date of Last Inspection Jun 15 2002 12:00AM
Airframe hours since last inspection 19
Airframe Hours 5562
ELT Installed No
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name CIT Group/Equipment Financing
Aircraft Owner Street Address 1540 W. Fountainhead Pkwy
Aircraft Owner City Tempe
Aircraft Owner State AZ
Aircraft Owner Country USA
Aircraft Owner Zipcode 85282
Operator is an individual? No
Operator Name Rocky Mountain Helicopters
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address 800 South 3110 West
Operator City Provo
Operator State UT
Operator Country USA
Operator Zip code 84603
Operator Code --
Owner has at least one certificate --
Other Operator of large aircraft? --
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 No
Departure Airport Code NE68
Departure City Norfolk
Departure State NE
Departure Country USA
Departure Time 1200
Departure Time Zone CDT
Destination Same as Local Flt crash at destination city
Destination Airport Code OFK
Destination City Norfolk
Destination State NE
Destination Country USA
Specific Phase of Flight Maneuvering
Report sent to ICAO? No
Evacuation occurred No
Date of most recent change to record Apr 8 2004 6:17PM
User who most recently changed record SULP
Since inspection or accident --
Event Location Runway Number and Location NA
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight Yes
Medical Flight --