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ERA14LA099 · Bell 47D1

21 Jan 2014 · Pell City, AL, United States

Milam Bell 47D1 · Accident: system/component malfunction/failure (non-power) on approach

From Birmingham-Shuttlesworth International Airport (BHM) to Pell City, AL (no airport)

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Event

NTSB case
ERA14LA099
Event typeAccident: someone killed or seriously injured, or the aircraft substantially damaged (NTSB definition). Incident: an occurrence that affected or could have affected safety, short of that. Glossary
Accident
InvestigationHow far the investigation had got when the record was published: preliminary, ongoing, final or completed. Unknown where the source does not say. Glossary
Completed
API-reported fatalities
0 · all aircraft and ground
Ground fatalities
Unknown
OperationWhat kind of flying it was, grouped by the rules it flew under: airline (US Part 121), air taxi and commuter (Part 135), general aviation (Part 91 and similar), military or government. Glossary
General aviation
WeatherVisual meteorological conditions (VMC): good enough to fly by looking outside. Instrument conditions (IMC): cloud or low visibility, flying by instruments. Glossary
Visual Meteorological Cond

Bell 47D1

Aircraft type
Bell 47
Category
Helicopter
RegistrationThe aircraft's tail number, such as N12345 or G-ABCD. Registrations are reissued, so the same one years apart can be a different aircraft. Glossary
N93067
Operator
Milam
Onboard fatalities
Unknown
Route
From Birmingham-Shuttlesworth International Airport (BHM), Birmingham, ALTo Pell City, AL (no airport)
Aircraft age
About 49 years (built 1965)
Flight rulesThe regulations the flight operated under: in the US, Part 91 (general aviation), Part 121 (airlines), Part 135 (air taxi and commuter) and others; for flights abroad, the NTSB's coarser commercial or non-commercial code. Glossary
Part 91: General Aviation
Phase of flightThe stage of the flight when things started to go wrong: standing, taxi, takeoff, initial climb, en route, maneuvering, approach or landing. Glossary
Approach
Defining eventThe single coded event the NTSB judges best describes what happened (records from 2008 on). Older records name the first occurrence in the sequence instead. Glossary
System/component malfunction/failure (non-power)
DamageDestroyed: beyond practical repair. Substantial: damage that affects the structure, performance or handling and normally needs major repair. Minor: less than that. Glossary
Substantial

Cause areas

  • Aircraft › Aircraft propeller/rotor
  • Personnel issues › Action/decision
  • Personnel issues › Task performance

Approximate · Coordinates as recorded by the NTSB; no uncertainty radius is established.

NTSB narrative

The commercial pilot was completing a business flight in the helicopter. He reported that, while descending the helicopter for a confined off-airport landing, at 25 to 35 ft above ground level, he heard a "snap/pop" and that the engine suddenly began "over-revving." The helicopter started descending and then touched down hard, and one of the main rotor blades struck the helicopter's tail. After touchdown, the engine was still running, but the rotor blades were not moving.

Examination of the transmission revealed that it incorporated a light-weight clutch assembly, which was not authorized for use in the installed transmission model. Further examination revealed that the clutch shoe running surface on the inner diameter of the clutch drum exhibited a series of abnormal wear grooves along the entire surface of clutch shoe contact and that the clutch lining of each shoe exhibited glazing, which occurs when the clutch is improperly engaged. The contact surface of each clutch shoe also contained numerous metallic slivers that were atypical of a normal in-service clutch assembly and appeared to be material that had transferred from the drum to the shoes.

During the transmission examination, the pilot was asked to describe his normal engine start and clutch engagement procedure. The clutch engagement procedure described by the pilot was not in accordance with the published procedure. The pilot's procedure likely resulted in a lengthy clutch engagement and an extended period of clutch slippage during each start that led to the glazed condition of the clutch assembly. Once the glazed condition began to develop, the period of clutch slippage during each start lengthened, further contributing to the glazed condition. Ultimately, the glazed condition resulted in the in-flight disengagement of the clutch and a loss of rotor rpm.

The pilot reported that, about 15 flight hours before the accident, he had a mechanic install an engine in the helicopter that produced 25 more horsepower than the previously installed engine. The installation of the higher horsepower engine would have increased the tendency for slippage of a glazed clutch assembly.

The pilot also reported that the transmission had accumulated about 615 hours since overhaul. According to the helicopter's maintenance and overhaul instructions, the transmission should be disassembled every 600 hours to inspect all parts, including the clutch, for damage or excessive wear. Given that the engine had been installed about 15 flight hours before the accident, the 600-hour inspection could have been accomplished at that time. However, review of maintenance records did not indicate that the 600-hour transmission inspection had occurred, and the mechanic who installed the higher horsepower engine reported that he did not disassemble the transmission.

Probable cause

The pilot’s use of an improper clutch engagement procedure, which resulted in clutch glazing, slippage, and, ultimately, the in-flight disengagement of the clutch and a loss of rotor rpm. Contributing to the accident were the installation of a light-weight clutch assembly and a higher horsepower engine, both of which increased the tendency for clutch slippage, and inadequate inspection of the clutch assembly.

Verbatim NTSB analysis and probable cause from the NTSB dataset

Sources

NTSB record ERA14LA099
Event ID
20140121X71107
Case number
ERA14LA099
Dataset
full-current
Source SHA-256
5cf380f0061817c0331a6b2d8cc7e0ee3a79bea469a1001dc5c10e56f35f5ab3
Source notes (4)
  • Unreviewed is an editorial label, not an investigation status. API-sourced is not report-checked or human-reviewed. Explicit event totals are used without summing aircraft injury tables; onboard allocation is withheld. Unknown values remain unknown. The operation category is mapped from the NTSB-reported FAR part and has not been reviewed.
  • Filled from the NTSB case API where the bulk record had no value: investigation status. Values present in the bulk record are kept.
  • The date is the local date, which is the same as the UTC date the NTSB stores.
  • API snapshot SHA-256: f5ad40b5484abeb17b17b6c0766e26738ee86665c8259d67e6802cdc4fa5ca94; retrieved 2026-09-15T23:16:10.930Z.