Go Back  PPRuNe Forums > Aircrew Forums > Rotorheads
Reload this Page >

Helicopter crash off the coast of Newfoundland - 18 aboard, March 2009

Wikiposts
Search
Rotorheads A haven for helicopter professionals to discuss the things that affect them

Helicopter crash off the coast of Newfoundland - 18 aboard, March 2009

Thread Tools
 
Search this Thread
 
Old 24th Jun 2015, 06:22
  #1121 (permalink)  
 
Join Date: Dec 2006
Location: UK and MALTA
Age: 61
Posts: 1,297
Likes: 0
Received 18 Likes on 4 Posts
Nick. Good post!
DOUBLE BOGEY is offline  
Old 24th Jun 2015, 12:04
  #1122 (permalink)  
 
Join Date: Aug 2009
Location: Texas
Age: 64
Posts: 7,180
Received 379 Likes on 233 Posts
Originally Posted by NickLappos
All of us in this industry, in every job, strive to make the best total operations - manufacturers of components, aircraft, engines, operators of the aircraft, pilots, engineers, logistics experts, refuellers, regulators - all of us work our careers to give our passengers the proper safe comfortable and productive flight.

The pilots and engineers that I know from AW, Bell, Mil, Kamov, Airbus and Sikorsky (and I know lots of them) are all professionals, and they lose sleep, as I do, when our best efforts aren't good enough.
A question well asked about "the system" (with all of those folks in it) remains: how was the lesson learned in the incident in Australia (previous to this tragic crash) spread among the interested parties? A variety of "if we know this, what do we do with that information" arises every time things are discovered in the field. This question is informed by the case of a swashplate bearing and the eventual addition of the bearing monitor panel, in another model of aircraft.
Lonewolf_50 is offline  
Old 24th Jun 2015, 14:15
  #1123 (permalink)  
 
Join Date: Mar 2006
Location: USA ex-pat
Age: 62
Posts: 55
Likes: 0
Received 0 Likes on 0 Posts
Design and Engineering

The question is always "What is the next most valuable pound of weight and dollar of cost going to buy that makes the aircraft safer?" Example: should we spend 100 lbs (invented number) going from SS5 to SS6 on the floats, or provide 100 more horsepower when OEI? Both weigh 100 lbs, which makes the aircraft safer? Which do we burden the aircraft with?

Nick thanks for the insightful and (at least for me) illuminating information on the engineering considerations - well put.
crunchingnumbers is offline  
Old 24th Jun 2015, 19:07
  #1124 (permalink)  
 
Join Date: Mar 2002
Location: Canada
Posts: 690
Likes: 0
Received 0 Likes on 0 Posts
LW50 and NF ask excellent questions.

On the question of weight: Would these 17 fatalities been avoided if the crew has SS6 floats appropriate for the Atlantic and been more comfortable ditching? SS4 is only good for ditching along side those in d'Nile after all.

I wonder how the trade off was made on the failure to achieve 30 minutes running after a loss of lubrication. There was over 2 years from the failed test to entry into service and over 6 until Cougar. So time to act. Too expensive (like the Ford Pinto) or too heavy? Another Sikorsky helicopter had a total oil loss in Canada in 2002 so the alarm bells should have been ringing with Sikorsky and the 'extremely remote' argument was already 'optimistic'. Or should we just going to hear the FAA were to blame for letting Sikorsky deliver the aircraft?
zalt is offline  
Old 24th Jun 2015, 19:38
  #1125 (permalink)  
 
Join Date: Mar 2005
Location: Land of the Angles
Posts: 359
Received 2 Likes on 2 Posts
NF. Look again, the reasoning is recorded in the report.

1.6.3 S-92A Main Gearbox

The oil filter bowl is attached to the MGB housing by three equally spaced titanium alloy stud and self-locking nut assemblies. The manufacturer decides what type of fastener to use, as there is no specific rule that defines the type of fastener to be used for what application. In selecting a fastener, aircraft manufacturers typically use similar product history, published material specifications (i.e. American Society for Testing and Materials), and/or develop their own process specifications.

Titanium is desirable in certain applications due to its corrosion resistance and lighter weight as compared to steel. Sikorsky selected the titanium alloy stud because these had been used successfully on other Sikorsky products, such as the CH-53E Sea Stallion which utilizes six titanium studs to attach the oil filter bowl to the MGB. Also, Sikorsky declared that there was no reported history of in-service titanium stud failures.

The fastening system for the oil filter bowl of the S-92A used anodized titanium alloy studs, silver-plated steel nuts and cadmium-plated steel washers. Anodizing and plating increases resistance to corrosion, wear and galling.

http://http://www.bst-tsb.gc.ca/eng/rapports-reports/aviation/2009/a09a0016/a09a0016.asp#sec1_6_3

As always I stand to be corrected, but I think you will find the UH-60 series MGB has titanium studs and still the case today for the reasons noted above.

Read the following paragraph as to why the S-92 was unique in having problems with the titanium studs.

1.6.3.3 S-92A Main Gearbox Oil and Filter Replacement

Last edited by Hilife; 25th Jun 2015 at 14:44.
Hilife is offline  
Old 24th Jun 2015, 21:19
  #1126 (permalink)  
 
Join Date: Jun 2014
Location: United Kingdom
Posts: 34
Likes: 0
Received 0 Likes on 0 Posts
Would these 17 fatalities been avoided if the crew has SS6 floats appropriate for the Atlantic and been more comfortable ditching?
The impact of this crash was sufficient for the sponsons (and their integral dinghies) to detach as I recall. I very much doubt sea state six floats would have made any difference to the poor souls with multiple broken bones who drowned in the freezing cold water.

You can talk about the design flaw and the inadequate run-dry time for decades if you like. The simple truth is that if the Captain had listened to his co-pilot, who twice told him that they had reached the words 'Land Immediately' in the checklist, there would have been no accident to survive, merely a controlled ditching.
The SAR RC is offline  
Old 24th Jun 2015, 22:42
  #1127 (permalink)  
 
Join Date: Aug 2004
Location: Aberdeen
Age: 67
Posts: 2,090
Received 39 Likes on 21 Posts
Originally Posted by The SAR RC
The impact of this crash was sufficient for the sponsons (and their integral dinghies) to detach as I recall. I very much doubt sea state six floats would have made any difference to the poor souls with multiple broken bones who drowned in the freezing cold water.

You can talk about the design flaw and the inadequate run-dry time for decades if you like. The simple truth is that if the Captain had listened to his co-pilot, who twice told him that they had reached the words 'Land Immediately' in the checklist, there would have been no accident to survive, merely a controlled ditching.

I think you are missing the point, which is that the sea state at the time was above 4 and perhaps that was a factor in the captain's denial about the need to ditch - ie he knew it would not be a safe ditching and possibly felt that continued flight was the safer option. But of course we don't know that.
HeliComparator is offline  
Old 24th Jun 2015, 22:59
  #1128 (permalink)  
 
Join Date: Mar 2002
Location: Canada
Posts: 690
Likes: 0
Received 0 Likes on 0 Posts
SAR RC sounds like your answer to my question is either "possibly" or "probably". Unless you think someone believed the oil loss marketing hype and pressed on for the Cape...

Another conclusion from what you write is that survivability features mitigate design flaws (among other things) and if a manufacturer runs out of options and has to say "Land Immediately" in the RFM they shouldn't begrudge investing in them! If they do perhaps it's a sign they aren't going to make much of an effort either

I can understand if Sikorsky are sensitive on survivability. Flack have a C$200k research contract to look at the S-92 exit windows and see if they can actually be opened in a real scenario. The CAA / UK oil company cabin size project has made the S-76 an 8 seater (and any one here who is Xtra Broad shouldn't argue with that considering there have been a trio of S-76 ditchings in recent years), its floatation performance is poor and the 76D isn't likely to survive until next HeliExpo under new owners. Plus I believe the European survivability rule making proposal to change Part 29 hits the streets in a few weeks.
zalt is offline  
Old 26th Jun 2015, 15:01
  #1129 (permalink)  
 
Join Date: Aug 2009
Location: Texas
Age: 64
Posts: 7,180
Received 379 Likes on 233 Posts
As always I stand to be corrected, but I think you will find the UH-60 series MGB has titanium studs and still the case today for the reasons noted
above.
And the SH-60 (now MH-60) family as well.
Lonewolf_50 is offline  
Old 26th Jun 2015, 15:53
  #1130 (permalink)  
 
Join Date: Jan 2015
Location: Europe
Posts: 111
Likes: 0
Received 0 Likes on 0 Posts
Hilife Thanks for taking the time to do that research.

Hilife / Lonewolf_50 Contacts at Fort Rucker insist the H-60 started with stainless steel bolts not titanium studs.

I see "the CH-53E Sea Stallion which utilizes six titanium studs". Why only three studs on the S-92A? Weight again?

With even just 4 studs, geometrically the filter housing would have been less susceptible to the loss of one stud.

The fastening system for the oil filter bowl of the S-92A used anodized titanium alloy studs, silver-plated steel nuts and cadmium-plated steel washers. Anodizing and plating increases resistance to corrosion, wear and galling.
Really?! Wasn't galling the failure mode here?! This just begs more questions than it answers.

This question by Lonewolf_50 remains valid:

...how was the lesson learned in the incident in Australia (previous to this tragic crash) spread among the interested parties? A variety of "if we know this, what do we do with that information" arises every time things are discovered in the field.
This question is informed by the case of a swashplate bearing and the eventual addition of the bearing monitor panel, in another model of aircraft.
I understand this comment to mean the H-53 disaster after a quality control deception by a Sikorsky supplier discussed here: http://www.pprune.org/rotorheads/202...g-failure.html
and
At Sikorsky Aircraft, A Flight Gone Wrong - NYTimes.com
Never Fretter is offline  
Old 29th Jun 2015, 12:19
  #1131 (permalink)  
 
Join Date: Aug 2009
Location: Texas
Age: 64
Posts: 7,180
Received 379 Likes on 233 Posts
Originally Posted by Never Fretter
Hilife / Lonewolf_50 Contacts at Fort Rucker insist the H-60 started with stainless steel bolts not titanium studs.
Are you referring only to what secures the oil filter to the main module (actually, the sump) or all of the studs holding the transmission together?
Lonewolf_50 is offline  
Old 29th Jun 2015, 16:53
  #1132 (permalink)  
 
Join Date: Mar 2002
Location: Canada
Posts: 690
Likes: 0
Received 0 Likes on 0 Posts
As soon as the FAA introduce a means for employees to raise concerns about poor certification decisions, some in industry challenge the idea!
FAA Safety Review Prog delaying Aircraft Cert? | JDA Journal
zalt is offline  
Old 1st Jul 2015, 15:42
  #1133 (permalink)  
 
Join Date: Jan 2015
Location: Europe
Posts: 111
Likes: 0
Received 0 Likes on 0 Posts
Lonewolf_50
The filter.
Never Fretter is offline  
Old 1st Jul 2015, 20:25
  #1134 (permalink)  
 
Join Date: Aug 2009
Location: Texas
Age: 64
Posts: 7,180
Received 379 Likes on 233 Posts
Originally Posted by Never Fretter
Lonewolf_50
The filter.
Ah. Was thinking all studs ...
Lonewolf_50 is offline  
Old 3rd Jul 2015, 09:05
  #1135 (permalink)  
 
Join Date: Sep 2007
Location: USA
Posts: 601
Likes: 0
Received 0 Likes on 0 Posts
There was quite a bit of discussion on this thread about the design issues with the S-92 MRGB. As I pointed out, in my opinion, the use of just 3 fasteners to attach the oil filter housing did not provide a sufficient level of fault tolerance in the event one of the fasteners were to fail.

Also, in my opinion, titanium fasteners should never be used for an application that involves regular removal and re-installation of the fastener, such as attachment of an oil filter housing . Titanium fasteners work well for situations where the fastener is installed under carefully controlled conditions and never is removed. But due to titanium's inclination to gall and inherent notch sensitivity, it does not make a good fastener material for service applications. The miniscule weight savings provided by using titanium studs rather than more reliable A286 cres studs for this application cannot be justified, in my opinion.

I won't go into the obvious design issues in the EC225 MRGB.
riff_raff is offline  
Old 3rd Jul 2015, 12:51
  #1136 (permalink)  
 
Join Date: Mar 2005
Location: Land of the Angles
Posts: 359
Received 2 Likes on 2 Posts
Quote:
The fastening system for the oil filter bowl of the S-92A used anodized titanium alloy studs, silver-plated steel nuts and cadmium-plated steel washers. Anodizing and plating increases resistance to corrosion, wear and galling.
Really?!

Wasn't galling the failure mode here?! This just begs more questions than it answers.
Your not reading the report are you NF.

I say again, read the following paragraph as to why the S-92 was unique in having problems with the titanium studs (historically not an issue on the 53 and 60 Series with millions of flight hours between them) and note that the design scheduled number of times that the oil filter bowl should have been removed during the life of the MGB was just five, but Cougar was averaging around 220 hours instead of the anticipated 500 to 1000 hours.

1.6.3.3 S-92A Main Gearbox Oil and Filter Replacement

When digested, then take a butchers at points 1. to 5. of the conclusions.

3.0 Conclusions

3.1 Findings as to Causes and Contributing Factors


1. Galling on a titanium attachment stud holding the filter bowl assembly to the main gearbox (MGB) prevented the correct preload from being applied during installation. This condition was exacerbated by the number of oil filter replacements and the re-use of the original nuts.

2. Titanium alloy oil filter bowl mounting studs had been used successfully in previous Sikorsky helicopter designs; in the S-92A, however, the number of unexpected oil filter changes resulted in excessive galling.

3. Reduced preload led to an increase of the cyclic load experienced by one of the titanium MGB oil filter bowl assembly attachment studs during operation of CHI91, and to fatigue cracking of the stud, which then developed in a second stud due to increased loading resulting from the initial stud failure. The two studs broke in cruise flight resulting in a sudden loss of oil in the MGB.

4. Following the Australian occurrence, Sikorsky and the Federal Aviation Administration (FAA) relied on new maintenance procedures to mitigate the risk of failure of damaged mounting studs on the MGB filter bowl assembly and did not require their immediate replacement.

5. Cougar Helicopters did not effectively implement the mandatory maintenance procedures in Aircraft Maintenance Manual (AMM) Revision 13 and, therefore, damaged studs on the filter bowl assembly were not detected or replaced.
Hilife is offline  
Old 3rd Jul 2015, 13:56
  #1137 (permalink)  
 
Join Date: Mar 2002
Location: Canada
Posts: 690
Likes: 0
Received 0 Likes on 0 Posts
This just begs more questions than it answers.
Indeed.

As confirmed by Hilife...

note that the design scheduled number of times that the oil filter bowl should have been removed during the life* of the MGB was just five, but Cougar was averaging around 220 hours instead of the anticipated 500 to 1000 hours.
* I assume you mean the TBO

...the expected MTBUR of the filters was massively optimistic meaning the comments on the success of titanium on other fleets are irrelevant.

Any news on the new MGB being designed?
zalt is offline  
Old 3rd Jul 2015, 21:44
  #1138 (permalink)  
 
Join Date: Apr 2000
Location: EGDC
Posts: 10,317
Received 622 Likes on 270 Posts
So why were the filters being removed so frequently? Where there other issues that led to this practice?
crab@SAAvn.co.uk is offline  
Old 3rd Jul 2015, 23:45
  #1139 (permalink)  
 
Join Date: Oct 1999
Location: Den Haag
Age: 57
Posts: 6,244
Received 330 Likes on 183 Posts
Originally Posted by [email protected]
So why were the filters being removed so frequently? Where there other issues that led to this practice?
The filter mesh was smaller than the naturally occurring particulates in canned oil, so they clogged prematurely. Some operators bought filtering equipment, but most didn't (and why should they?)
212man is offline  
Old 4th Jul 2015, 04:25
  #1140 (permalink)  
 
Join Date: May 2012
Location: Aer
Posts: 431
Likes: 0
Received 0 Likes on 0 Posts
We have some S-92s contracted at the moment. They fly 8 hours per day each on busy days. In 18 months, we have had 2 or 3 MGB Oil Filters pop into bypass mode which have been discovered on turnaround. Each time we have consulted the OEM but it has never caused much additional maintenance other than some checks.

So far, we haven't had a technical RTB. As a customer, I find the S-92 is pretty reliable, it always starts, the oil stays in the boxes and passengers like it and trust it.

Last edited by terminus mos; 4th Jul 2015 at 04:46.
terminus mos is offline  


Contact Us - Archive - Advertising - Cookie Policy - Privacy Statement - Terms of Service

Copyright © 2024 MH Sub I, LLC dba Internet Brands. All rights reserved. Use of this site indicates your consent to the Terms of Use.