Floyd Bennett Field Airport
Aircraft Accident/Incident Report

Brooklyn, New York 11234
Wednesday, September 22, 2010 15:52 EDT

NTSB Narrative Summary Released at Completion of Accident

The helicopter was on final approach to its home heliport following an uneventful local patrol flight. About 300 feet above the ground, the flight crew heard a loud sound from the engine compartment, which was immediately followed by a loss of main rotor rpm. The crew subsequently performed an autorotation to the water below, and upon contact with the water, the installed flotation devices deployed. Examination of the helicopter's reduction gearbox revealed an approximate 3-inch by 9-inch exit hole centered at the top of the reduction gearbox, and its output drive gear had fractured. Metallurgical examination of the fractured pieces of output drive gear revealed features that were consistent with fatigue. The crack initiation site was identified along the outer rim section of the gear, at the root of one of the gear teeth. Even though the crack initiation site was heavily damaged, features indicative of intergranular cracking transitioning to a transgranular fatigue crack propagation were noted. No anomalies or foreign material were noted at the crack origin. The location and size of the intergranular cracking area was within the carburization layer specified by the manufacturing print. Examination of the remaining output drive gear teeth revealed a total of six additional secondary cracks that were localized around an approximate 22-degree arc near the initial fracture location and located in the same general tooth root location as the initial fatigue fracture. The secondary cracks were examined in detail, revealing the presence of fatigue, plastic deformation, and oxidation near the origins of the cracks, which are clear indications that the cracks initiated and propagated prior to the complete failure of the output drive gear. The existence of multiple fatigue-type cracks implied that the cracking was likely the result of a systematic part anomaly or defect, rather than a localized defect, since no such defect was detected in the fracture surface of the secondary cracks. The proper material composition, case hardness and depth, and grain structure along with no evidence of a material process issue indicated that the failed output drive shaft was manufactured as intended. Chemical analyses were conducted on the primary and secondary fracture surfaces to determine if any of these detrimental impurity elements were present and in quantities sufficient to cause a weakening of the material and lead to the initiation of the fatigue crack. Hydrogen content on the primary fracture surface was reported as 1 part per million. Hydrogen concentrations of a few parts per million dissolved in the steel could cause hairline cracking and loss of tensile ductility. Since hydrogen could diffuse out of the part easily under certain conditions, there was no way to definitively determine what the hydrogen level at the fracture surface was at the time of the crack initiation; however, the hydrogen concentration level found on the fractured tooth was in the general neighborhood where hydrogen embrittlement could occur. Thus, embrittlement was considered as a possible contributor to the fatigue failure. Embrittlement is a loss of ductility and/or toughness of a material and in steels could take various forms. Embrittlers such a hydrogen, phosphorus, and nitrogen, could be detrimental to the desired mechanical properties and are typically grain boundary embrittlers that produced low energy, intergranular ductile fractures. Cracks caused by hydrogen embrittlement often originate near or at the surface, usually do not branch, and the crack path could be either transgranular or intergranular and could sometimes change from one plane to the other as it propagated. The output drive gear fatigue crack found on the primary fracture surface was a single crack located at the surface that initially propagated intergranularly then transitioned transgranularly prior to failing in overload. This was consistent with a hydrogen embrittlement induced fatigue crack. Hydrogen uptake could come from a various sources, including the electrochemical plating processes, which the output drive gears experienced three times. In order to prevent hydrogen embrittlement, hydrogen that was picked up during the plating process was driven out by a process called dehydrogenization. Review of the manufacturing production order showed that after each of the three plating operations, the output drive gears was subjected to a dehydrogenization process.

NTSB Probable Cause Narrative

The fatigue fracture of the reduction gearbox output drive gear, which resulted in the loss of power output from the engines to the helicopter rotor blade system and a subsequent forced landing. The fracture of the output drive gear was caused by a fatigue crack that originated in a helical tooth root most likely as a result of hydrogen embrittlement during the manufacturing process.

Event Information

Type of Event Accident
Event Date 9/22/2010
Event Day of the Week Wednesday
Time of Event 1552
Event Time Zone Eastern Daylight Time
Event City Brooklyn
Event State NEW YORK
Event Country --
Zipcode of the event site 11234
Event Date Year 2010
Event Date Month 9
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 403600N
Event Location Longitude 0735358W
Event Location Airport Floyd Bennett Field
Event Location Nearest Airport ID NY22
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 2
Degrees magnetic from airport --
Airport Elevation 16
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 1551 Eastern Daylight Time
Direction of event from weather observation facility (degrees) 230
Weather Observation Facility ID JFK
Elevation of weather observation facility 17
Distance of event from weather observation facility (units?) 5
Time Zone of the weather observation EDT
Lighting Conditions Day
Lowest Ceiling Height --
Lowest Non-Ceiling Height 2500
Sky/Lowest/Cloud Conditions Few
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) 27
Dew Point at event time (in degress fahrenheit) 18
Wind Direction (degrees magnetic) 170
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 8
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 29.98
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Minor
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor 6
Injury Total None --
Injury Total Serious --
Injury Total All 6
Investigating Agency NTSB
NTSB Docket Number (internal use) 30893
NTSB Notification Source FAA Eastern ROC
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Feb 26 2013 9:26AM
User who most recently changed record johb
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N412PD
NTSB Number ERA10TA493
Missing Aircraft Indicator --
Federal Aviation Reg. Part Public Use
Type of Flight Plan filed None
Flight plan Was Activated? No
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name BELL
Aircraft Model 412
Aircraft Series Identifier EP
Aircraft Serial Number 36515
Certified Max Gross Weight 11900
Aircraft Category Helicopter
Aircraft Registration Class --
Aircraft is a homebuilt? No
Flight Crew Seats 2
Cabin Crew Seats 2
Passenger Seats 8
Total number of seats on the aircraft 12
Number of Engines 2
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection Sep 13 2010 12:00AM
Airframe hours since last inspection 56
Airframe Hours 359
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type Unknown
Aircraft Owner Name New York City Police Aviation Unit
Aircraft Owner Street Address Floyd Bennett Field Hangar 4
Aircraft Owner City Brooklyn
Aircraft Owner State NY
Aircraft Owner Country USA
Aircraft Owner Zipcode 11234
Operator is an individual? No
Operator Name New York City Police Aviation Unit
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address Floyd Bennett Field Hangar 4
Operator City Brooklyn
Operator State NY
Operator Country USA
Operator Zip code 11234
Operator Code --
Owner has at least one certificate None
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) --
Second Pilot on Board Yes
Departure Point Same as Event Yes
Departure Airport Code NY22
Departure City Brooklyn
Departure State NY
Departure Country USA
Departure Time --
Departure Time Zone EDT
Destination Same as Local Flt dest & departure same, accident can occur anywhere
Destination Airport Code NY22
Destination City Brooklyn
Destination State NY
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Feb 26 2013 9:27AM
User who most recently changed record johb
Since inspection or accident Time of Accident
Event Location Runway Number and Location N/A
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --