Boeing Heliport Airport
Aircraft Accident/Incident Report

Mesa, Arizona 85215
Wednesday, September 8, 2004 16:00 MST

NTSB Narrative Summary Released at Completion of Accident

The helicopter experienced a NOTAR (no tail rotor) fan failure during the initial climb from the airport and made a subsequent hard landing. Immediately after takeoff, about 30 to 40 feet above ground level (agl), the helicopter began to vibrate. The pilot lowered the collective to the full down position, and the helicopter touched down about 30 to 40 knots ground speed. Upon touchdown, the pilot had difficulty maintaining directional control and the helicopter slid about 300 feet across terrain. The helicopter's NOTAR anti-torque yaw control system utilizes a transmission driven fan with variable pitch blades to supply air to circulation control slots on the tail boom and a pilot controlled directional jet thruster nozzle. Movement of the anti-torque control pedals changes the fan blade pitch to produce more or less airflow to the circulation control slots and the anti-torque thruster nozzle. As the pedals are displaced from center toward either extreme of travel, the airflow increases or decreases proportionally. A post-accident examination of the NOTAR fan system revealed that one of the thirteen Tension-Torsion (T-T) straps located on the variable-pitch fan assembly had failed. The failed strap had accumulated about 1,694 hours of time in service, though the design safe life for the strap was 2,500 hours of time in service. An examination of the strap revealed that it had fractured as a result of the progressive failure of its reinforcement fibers. This progressive fiber failure gradually degraded the strap's integrity until it could no longer support normal in-service tensile loads. In normal operation, the T-T straps are exposed to tensile loads due to the centrifugal force induced by the blade rotation about the anti-torque fan axis. The straps are additionally exposed to torsional loads about their longitudinal axis as the blade pitch is changed. The point-symmetric locations of the failure areas were consistent with loading that would occur as the strap was twisted with limited centrifugal force loads present; the twisting direction corresponds to an increase in blade pitch. The Safety Board Materials Laboratory performed load analyses of the straps, revealing that when the strap is twisted without the presence of centrifugal force, portions of the fiber reinforced region of the strap are subjected to compression and transverse shear stresses. Furthermore, the compression and transverse shear stresses are highest in the locations where the subject strap failed. When the anti-torque fan is rotated at speeds less than an approximate 75 percent of maximum power, compression, and transverse shear stresses can develop in the straps when the blade pitch is adjusted. Additionally, with no fan rotation (and therefore no centrifugal force) critical buckling strains on the strap's fibers can be achieved by increasing the blade pitch to near the design limits. This could plausibly occur during a preflight inspection when the pilot checks pedal control surface movement prior to starting the engine. All T-T strap load and fatigue tests preformed by the helicopter manufacturer incorporate centrifugal force loads, and therefore, do not test the full load spectrum.

NTSB Probable Cause Narrative

fracture of a Tension-Torsion strap in the anti-torque fan due to progressive fiber failure of the composite strap material from compression and/or transverse shear stresses that occurred with repeated manipulation of the cockpit anti-torque control pedals without the fan operating at full rpm. A factor in the accident was the helicopter manufacturer's inadequate fatigue and load testing on the strap.

Event Information

Type of Event Accident
Event Date 9/8/2004
Event Day of the Week Wednesday
Time of Event 1600
Event Time Zone Mountain Standard Time
Event City Mesa
Event State ARIZONA
Event Country --
Zipcode of the event site 85215
Event Date Year 2004
Event Date Month 9
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 332823N
Event Location Longitude 1114336W
Event Location Airport Boeing Heliport
Event Location Nearest Airport ID AZ81
Indicates whether the acc/inc occurred off or on an airport On Airport
Distance from airport in statute miles 0
Degrees magnetic from airport --
Airport Elevation 1385
Weather Briefing Completeness Not pertinent
Investigator's weather source Weather Observation Facility
Time of the weather observation 1549 Mountain Standard Time
Direction of event from weather observation facility (degrees) 180
Weather Observation Facility ID IWA
Elevation of weather observation facility 1382
Distance of event from weather observation facility (units?) 11
Time Zone of the weather observation MST
Lighting Conditions Day
Lowest Ceiling Height --
Lowest Non-Ceiling Height 9000
Sky/Lowest/Cloud Conditions Scattered
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 30
Air Temperature at event time (in degrees celsius) 39
Dew Point at event time (in degress fahrenheit) 5
Wind Direction (degrees magnetic) 170
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 6
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 29.82
Density Altitude (feet) 4495
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 1
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 19745
NTSB Notification Source FAA
NTSB Notification Date Oct 12 2004 12:00AM
NTSB Notification Time 1400
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record May 30 2006 1:54PM
User who most recently changed record NTSB\JOHB
Basic weather conditions Visual Meteorological Cond
FAA District Office WP-FSDO Scottsdale, AZ

Aircraft Involved

Aircraft #1

Aircraft Registration Number N9016W
NTSB Number LAX04LA333
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 McDonnell Douglas
Aircraft Model MD 900
Aircraft Series Identifier --
Aircraft Serial Number 900-00016
Certified Max Gross Weight 6500
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 4
Number of Engines 2
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Aug 18 2004 12:00AM
Airframe hours since last inspection --
Airframe Hours 1687
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name WELLS FARGO BANK NORTHWEST NA TRUSTEE
Aircraft Owner Street Address 299 S MAIN ST MAC U1228-120
Aircraft Owner City Salt Lake Citty
Aircraft Owner State --
Aircraft Owner Country --
Aircraft Owner Zipcode 84111
Operator is an individual? No
Operator Name MD Helicopters Inc.
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address 5000 E. McDowell Rd.
Operator City Mesa
Operator State AZ
Operator Country USA
Operator Zip code 85215
Operator Code --
Owner has at least one certificate None
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) Flight Test
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code AZ81
Departure City Mesa
Departure State AZ
Departure Country USA
Departure Time 1600
Departure Time Zone MST
Destination Same as Local Flt dest & departure same, accident can occur anywhere
Destination Airport Code AZ81
Destination City Mesa
Destination State AZ
Destination Country USA
Specific Phase of Flight Takeoff - initial climb
Report sent to ICAO? No
Evacuation occurred No
Date of most recent change to record Mar 24 2006 12:02PM
User who most recently changed record COOS
Since inspection or accident Last Inspection
Event Location Runway Number and Location NA
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --