19 Aug 2024: ROBINSON R44 II — Rainbow Helicopters

19 Aug 2024: ROBINSON R44 II (N740RH) — Rainbow Helicopters

No fatalities • Honolulu, HI, United States

Probable cause

A failure of the flex plate yoke flange assembly due to incorrectly torqued bolts. Contributing was the maintenance personnel’s inadequate inspection of the tail rotor flex plate assembly.

— NTSB Determination

Accident narrative

On August 18, 2024, about 1600 Hawaii-Aleutian standard time, a Robinson R44 helicopter, N740RH, sustained substantial damage when it was involved in a pre-takeoff accident near Honolulu, Hawaii. The pilot was uninjured. The helicopter was operated as a Title 14 Code of Federal Regulations Part 135 sightseeing flight. The pilot had completed four flights without incident and was starting the helicopter for the fifth flight when the accident occurred. The pilot reported she noticed an unusual vibration in the pedals as she was starting the helicopter, and the left pedal deflected forward to the stop and could not be recentered. The pilot immediately cut off fuel to the engine and disengaged the clutch without further incident. The pilot exited the helicopter and noticed the tail rotor push-pull tube was bent and severed aft of the tail rotor gear box near the bell crank assembly. According to the Robinson Illustrated Parts Manual, the attachment bolts holding the flex plate and yoke flange assembly together consisted of (2) NAS 6604-4 bolts, (2) NAS 6604-7 bolts, (8) NAS 1149F0432P (AN960-416L) washers, (4) D210-4 nuts, and (4) B330-13 palnuts. A postaccident examination of the helicopter revealed that 1 of the NAS 6604-4 bolts connecting the flex plate to the yoke flange of the tail rotor gearbox was missing. The bolt and associated washers were located at the bottom of the tailboom below the flex plate coupling assembly. The NAS 6604-4 bolt matched witness marks found on the fractured tail rotor push-pull tube. Both NAS 6604-4 bolts exhibited circumferential wear marks on the bolt shaft; the bolt threads were intact. The flex plate assembly exhibited deformation where the NAS 6604-4 bolts were attached; however, the NAS 6604-7 bolts and their attachment points on the flex plate exhibited no wear or deformation. Torque stripe was observed on the NAS 6604-7 bolts and evidence of torque stripe was noted on the 6604-4 bolts. The accident helicopter had gone through a major overhaul in May of 2024 and had flown about 338 hours since overhaul. A 100-hour inspection was completed on August 1, 2024. The 100-hour inspection requires the operator to inspect the tail rotor flex plate assembly. The mechanic who signed the logbook entry for the overhaul reported that he inspected the bolts connecting the tail rotor flex plate and yoke flange assembly by hand. He reported that all four bolts, their respective washers and palnuts were torqued correctly and had torque stripe. A review of the airframe maintenance logbooks showed evidence of compliance with the helicopter manufacturer’s 100-hour inspection; however, no evidence of fretting or looseness was documented.

The Robinson R44 Maintenance Manual 100-hour procedure for the flex plate assemblies requires maintenance personnel to: “Inspect condition. Verify no obvious damage. If fretting is detected, replace the flex plate. Verify bonded washers are installed on both sides of flex plate arm. Verify security and operating clearance.”

Contributing factors

  • Incorrect service/maintenance
  • Maintenance personnel

Conditions

Weather
VMC, wind 020/13kt, vis 10sm

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