NTSB and the probable cause

MikeD

Administrator
Staff member
3 years after a fatal helicopter crash in the Cave Creek area north of Scottsdale, AZ, the NTSB has released their "probable cause" and yet again, as I've mentioned many times before, the probable cause is only a theory with no direct evidence of any kind to link it to the accident at hand. Unfortunately, when the NTSB does this, these probably cause statements become statements of fact, even when there's no evidence supporting the cause given. This frustrates me to no end as an accident investigator myself.

NTSB...I know you guys don't like loose ends..neither do I. But there are accidents where the cause might be an unknown, and in your own history you've had a number of accidents where you've written that "the probable cause of this accident could not be determined".

In this case, I personally would've written the probable cause as "the NTSB has determined that this accident was caused by a flexing of the main rotor system severe enough to cause blade-to-tailboom contact and subsequent separation of the tail rotor driveshaft and loss of anti-torque control. This loss of anti-torque occurred in a critical flight regime where aircraft control could not be maintained. The reason(s) for the severe flexing of the main rotor system is unable to be determined." Writing up a probable cause that has no basis in known fact only serves to do a disservice to aviation safety as a whole, as it's not only inaccurate or completely wrong as a safety causal factor, it affects the integrity of the aviation safety process and focuses attention on items that are no more than a red herring.

PHOENIX (AP) - A billionaire business owner who died along with four others in a 2010 helicopter crash allowed his 5-year-old daughter to sit on his lap in the co-pilot's seat where she apparently kicked the flight controls and caused the accident, according to federal investigators.

The National Transportation Safety Board reviewed the crash that killed Services Group of America founder and owner Thomas J. Stewart, 64, for nearly three years before releasing its final probable cause report this week.

Stewart's young daughter, wife, brother-in-law and company pilot also were killed in the crash on Valentine's Day 2010.

The NTSB found that Stewart allowed his daughter, Sydney, to sit on his lap on a trip from his northern Arizona ranch to his home in Scottsdale, the Phoenix suburb where SGA is headquartered.

It was "highly likely" that the child suddenly pushed down with her foot on the copter's controls, according to the Nov. 7 report. Either Stewart or his pilot then quickly pulled up on the controls, causing the helicopter's main blades to bend and strike the aircraft's tail, the report said.

The helicopter then plunged out of control into a dry stream bed in the north Phoenix community of Cave Creek, killing all aboard instantly, according to investigators.

Madena Stewart, 40, her brother, Malang Abudula, 38, and company pilot Rick Morton, 63, were also killed in the crash.

The report's conclusion was immediately challenged by the lawyer for the pilot's family, who has blamed a faulty rotor blade for the crash, and by Stewart's company.

"That's their interpretation, and it does not comport with what our experienced investigators believe happened," said Gary C. Robb, a Kansas City, Mo., attorney who specializes in aviation accidents.

Robb has sued Eurocopter and others involved in repairing one of the helicopter's blades after a previous mishap. He said he believes the repair was faulty and the blade came apart in flight, causing the crash.

The NTSB found no evidence of that. It concluded that the repaired blade hit the tail rotor drive shaft and broke.

Eurocopter helped the NTSB investigate the crash and ran simulations that concluded that only a rapid down and then up movement on a control called a "collective" could have caused the accident.

"Unfortunately, we believe that Eurocopter had some input into that report, as Eurocopter conducted its own evaluation to exonerate itself," Robb said in an interview with The Associated Press on Friday.

The NTSB laid some blame on the pilot for not controlling his cockpit. For example, it found that Stewart liked to fly the craft even though he wasn't licensed for helicopters. The report faulted Morton for allowing such a violation.

William Waldock, who teaches air crash investigation at Embry-Riddle Aeronautical University in Prescott, Ariz., reviewed the NTSB report and said there is no direct evidence that the child kicked the controls.

"A sudden up and down" movement of the controls would have led to such an accident, Waldock said. But he added that he didn't see "any direct evidence that factually verifies" that the girl kicked the controls.

SGA issued a statement saying the NTSB investigated the crash with Eurocopter but without outside investigators.

"Despite this length of time, there are many questions that remain unanswered, not the least of which is that the NTSB's conclusion is at odds with every single eyewitness," it said.

Also, the statement said, "the conclusion is wholly inconsistent with the way Rick Morton commanded the helicopter and the respect Tom Stewart gave his pilots in the cockpit."

The company said now that the report is public, independent experts will have access to the evidence and "will be able to conduct a more thorough investigation into the cause of the crash. Because the matter is in litigation, the company cannot comment further."

NTSB reports are approved by the agency's board. No one was available to comment on the findings at American Eurocopter's Texas headquarters Saturday.

Stewart joined his father's Seattle-based port support business in the late 1960s and expanded it into insurance and food distribution, fruit packing and retailing.

After spinning off some subsidiaries, he moved the company to Arizona in 2006. It remains privately held.
 
Another recent accident that comes to mind is the Cessna somewhere up here (now that I think about it, it may have been Canadian) where the investigating body determined that a drunk passenger probably pushed the back of the pilot's seat, pinning him against the controls and nosing the aircraft into the water. While the theory is plausible, it seems as though it would be extremely difficult to corroborate (that's a word right?). One almost wonders if there isn't an agenda being pushed.

But it will be interesting to see what the results of the investigation of my shops fatal this summer are. I of course have my theory and I have a lot more information than the average joe, but I'm curious what the NTSB will come up with other than "the pilot in command's whatever and subsequent collision with terrain.".
 
MikeD
Post crash fire? If not there would have been a transferance between her foot/shoe and the collective. Also, I'm not following the logic behind the rapid down and then up causing the strike. The other way around, yes.....
 
MikeD
Post crash fire? If not there would have been a transferance between her foot/shoe and the collective. Also, I'm not following the logic behind the rapid down and then up causing the strike. The other way around, yes.....

Yes, this is the pic of the Ec-135. Unless the up pull was more severe than the down push possibly. Either way, there's little evidence for the why; and the what is still in contention.

EC.jpg
 
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