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Accidents · NTSB CEN11LA414 · Final report

Enstrom F-28C-2 accident near Blair, Nebraska, June 23, 2011

On June 23, 2011 at about 5:55 pm local time, a Enstrom F-28C-2 (helicopter), registered N5694A, was substantially damaged in an accident during maneuvering near Blair, Nebraska. It was an aerial observation flight under general aviation rules (Part 91). No one was hurt; 2 people were on board or involved. The weather was visual conditions (good weather).

The NTSB's probable cause their words, unchanged

The failure of a tail rotor pitch change link due to the retaining bolt becoming separated in flight. Contributing to the accident was the pilot’s inadequate preflight inspection.

Source: NTSB aviation accident database, copy made October 5, 2026. Docket and reports at the NTSB.

What the record shows

Date
June 23, 2011 · about 5:55 pm local time
Place
Blair, Nebraska · map
Type
Accident
Injuries
No one was hurt; 2 people were on board or involved.
Weather
visual conditions (good weather)
Aircraft
Enstrom F-28C-2 · all F-28C-2s on the register
Registration
N5694A · registry record · serial 491-2
Damage
Substantial damage
Flight
Aerial observation flight · general aviation rules (Part 91)

The NTSB's narrative final · quoted from the NTSB record

The pilot was conducting an aerial observation flight in a helicopter when he felt a high vibration in the tail rotor system in conjunction with a sharp jerk in the anti-torque pedals. The pilot autorotated to a wet field and the helicopter subsequently rolled over. A postaccident examination of the helicopter revealed that a pitch link retaining bolt had come loose from the pitch link attachment horn. The bolt and its associated hardware separated in flight and the bolt hole where the pitch link attached was elongated. According to the helicopter’s preflight inspection checklist, the pitch link should have been checked before flight for binding or looseness; however, the pilot could not recall if he actually checked it. The helicopter underwent a 100-hour maintenance inspection two weeks before the accident. At that time, the maintenance manual required an inspection in which the pitch links would have to be disconnected then reassembled. Since the pitch link retaining bolt and its associated hardware were never recovered, it could not be determined if the pitch link assembly had been properly installed or torqued at the last inspection. The pitch link failure occurred about 14 hours after this inspection. The Federal Aviation Administration reported that they were not aware of any instances prior to this accident where the tail rotor pitch link assemblies became loose and failed prematurely after proper installation.

The complete narrative as the NTSB published it. The NTSB's docket holds the report as a PDF and any photographs, statements and other documents from the investigation.

The factual record from the NTSB's investigation tables, in plain English

What happened, in order

  1. Aircraft inspection event during prior to flight
  2. Flight control sys malf/fail during maneuvering defining event

The NTSB's findings

  • cause Aircraft › Aircraft propeller/rotor › Tail rotor drive system › (general) › Failure
  • factor Personnel issues › Task performance › Inspection › Preflight inspection › Pilot

Pilot

  • Certificate: flight instructor, commercial pilot
  • Ratings: multi-engine land; single-engine land; instructor: airplane multi-engine; instructor: airplane single-engine; instructor: helicopter; instrument: airplane; instrument: helicopter; rotorcraft: helicopter
  • Flight time: 35,000 hours in all; 5,000 in this make and model; 100 in the last 90 days; 50 in the last 30 days
  • Last flight review: May 19, 2010
  • Medical certificate: Class 2 (with waivers/limitations)
  • Seat: rgt
  • Injury: no injuries

The aircraft

  • Airframe total time: 3,706 hours
  • Last inspection: 100-hour inspection, June 9, 2011; 14 hours since
  • Maximum gross weight: 2,600 lb
  • Seats: 3
  • Landing gear: fixed
  • Engine: Lycoming HIO-360-E1AD (piston); 0 hours total
  • Operator: P And N Corporation

The flight

  • Departed from: PMV Plattsmouth NE at 5:30 pm
  • Destination: Blair NE
  • Flight plan: none

Weather at the time

  • Light: daylight
  • Wind: from 310° at 14 knots
  • Visibility: 10 statute miles
  • Sky: scat at 3,300 ft
  • Temperature: 70°F (21°C), dew point 57°F (14°C)
  • Altimeter: 29.88 inHg
  • Observation at 5:52 pm from OMA, 10 miles away

Injuries

FatalSeriousMinorNone
Flight crew1
Passengers1

Documents from the investigation the NTSB's docket: the evidence folder behind the report

The docket, the folder of records gathered during an investigation (maintenance records, photographs, witness statements, examinations), has not been read from the NTSB for this case yet; the list appears here once it has. Open the docket at the NTSB.

Everything on this page comes from the NTSB's public records. The narrative, probable cause and findings are the NTSB's own words; the coded tables behind the report are written out in plain English, with pilots' ages, home towns and medical details left out. The documents and photographs are the NTSB's docket, shown as the NTSB released them. This site's own text never names anyone involved. A preliminary report can change; the final report usually follows one to two years later, and the page is refreshed when it does.