17 Jun 2019: Robinson R44 Undesignat — Air Adventures Helicopters

17 Jun 2019: Robinson R44 Undesignat (N1241W) — Air Adventures Helicopters

No fatalities • Key West, FL, United States

Probable cause

The failure of maintenance personnel to properly secure the right-side tail boom mounting bolts which resulted in the failure of the bolts and an inflight separation of the tail rotor.

— NTSB Determination

Accident narrative

On June 17, 2019, about 1950 eastern standard time, a Robinson R44 helicopter, N1241W, was substantially damaged when it was involved in an accident near Key West, Florida. The pilot and two passengers were not injured. The helicopter was operated as a Title 14 Code of Federal Regulations Part 91 revenue sightseeing flight.

In a statement provided by the pilot, he flew the helicopter earlier that day without any unusual indications. He washed and dried the helicopter, inspecting the helicopter as he performed the task. He departed the airport and entered the right crosswind pattern. As the helicopter climbed through 300 ft above ground level, the pilot detected “rapid tail vibrations.” The pilot radioed tower and requested a return to the airport. He proceeded back to the airport when he heard a loud pop and felt a “hard” right yaw. Attempts to regain control of the helicopter with the anti-torque pedals were ineffective. He initiated an autorotation, and the helicopter began to yaw to the left. Again, attempts to regain control of the helicopter were ineffective. As the helicopter descended toward the water, the pilot deployed the floats, and landed the helicopter upright on the water without further incident.

Examination of the helicopter revealed that the tail rotor assembly had separated from the tail boom in flight, resulting in substantial damage. The tail rotor assembly was damaged where the tail rotor gearbox input cartridge and tail boom flange mate. Examination of the two surfaces at the National Transportation Safety Board Materials Laboratory revealed all input cartridge lugs and flange pieces were accounted for. The top left side mounting lug had the fractured mating tail boom flange still secured in place via a bolt. The fracture surface was consistent with overstress. The bottom port side of the tail boom flange had the fractured portion of the mating input cartridge still secured in place via a bolt. The fracture surface was consistent with overstress.

The tail boom casting that attaches the tail rotor gearbox to the tail boom had all four locking inserts threaded into the four casting bolt holes. New, unused bolts were obtained and utilized to test the locking capability of the inserts in the tail boom bolt holes. The bolts were hand-tightened, and a torque wrench determined that each bolt reached 35 to 40 in-lbs when halfway threaded, which was the expected range for the drag effect once the locking insert was engaged. After removal and re-assembly, the bolts were fully inserted and torqued to the manufacturer required 240 in-lbs. All the bolt bottom surfaces aligned with the edge of the locking insert, which was about 3 to 4 threads into the hole from the inboard surface. All the bolts locked inside the inserts as designed.

The input cartridge bolt holes were examined and found to be deformed in the holes of the two right side input cartridge mounting lugs which were missing their respective bolts. In addition, they were out of round and had a ridge of material circumferentially around the edge of the outboard face. All the bolt holes had damage around the inner diameter that appeared to be imprints from the threads of the mating bolts; the deepest imprints were observed on the top right side lug hole. All tail boom flange bolt holes were examined and found that the threading was present and not stripped, although there was some damage observed.

The helicopter was last inspected on May 10, 2019, at a total aircraft time of 1,523.75 hours. At that time, the tail boom was replaced. Replacement of the tail boom would have involved removal of the tail rotor gearbox and reattaching it to the new tail boom. Following the replacement of the tail boom, the pilot reported rapid tail rotor vibrations which required multiple attempts to successfully balance the tail rotor as part of the post maintenance checks. The helicopter had flown about 60 hours since the inspection without any discrepancies.

Contributing factors

  • Tail rotor drive system — Failure
  • Incorrect service/maintenance

Conditions

Weather
VMC, wind 120/11kt, vis 10sm

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