Pilot Debrief

BELL UH-1E near Gustine, CA — 2022-01-23

Final reportWPR22LA084
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Date
2022-01-23
Location
Gustine, CA, USA
Airport
LSN
Aircraft
BELL UH-1E
Registration
N333XL
Category
Helicopter
Highest injury
None
Fatalities
0
Phase of flight
Maneuvering

Probable cause

Failure of the 90° gearbox due to the lack of lubricating oil, which resulted in a loss of rotational drive to the tail rotor and a subsequent loss of control of the helicopter.

NTSB narrative

The pilot was conducting aerial spray applications of a chemical to a field. He had checked the oil quantity of the 90° gearbox during the preflight check but did not recall the quantity of oil at the time. The pilot had operated the helicopter for about 45 minutes and, while making a turn, lost control of the helicopter. The helicopter descended and impacted terrain. Maintenance records revealed no anomalies. Postaccident examination of the 90° gearbox revealed severe damage to the internal components and no evidence of lubricating oil inside the housing. The pinion was severely deformed, which resulted in the loss of rotational drive to the tail rotor assembly and the subsequent loss of control. Examination of the oil level sight glass revealed that the inside was covered with a material that did not allow for sufficient viewing of the oil level. It is likely that, when the pilot looked at the oil level sight glass during his preflight check, he interpreted what he saw as an adequate amount of oil.

Analysis

Primary failure mode
Mechanical failure
First missed decision gate
Pilot could have checked oil level more thoroughly before flight.

NTSB coding

Evidence available

  • Photos
  • 7 docket documents
View NTSB final reportView NTSB docket

Docket documents7

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