ANC83FA122

NTSB accident investigation · Aerospatiale AS-350D · Dutch Harbor, AK · July 12, 1983

Accident · Serious injuriesField investigationFinal report
Date
July 11, 1983, 16:23 local (Jul 12, 1983, 00:23 UTC)
Place
Dutch Harbor, AK
Injuries
1 serious, 3 minor
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N141EHAerospatiale AS-350D
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
NTSB office
Alaska Regional Office
FAA report
19830711036079A
Case key
4038

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of engine power(total) - mech failure/malfCruise - normal
Lubricating system - blocked(partial)Cause
Maintenance - improperCompany maintenance personnelCause
Fluid,oil - starvationCause
Engine assembly,bearing - failure,totalCause
Forced landingLanding
Autorotation - performedPilot in command
Roll overLanding - flare/touchdown
Terrain condition - mountainous/hillyFactor

Analysis

Aprx 2 min after takeoff, the plt & passengers heard a loud muffled boom from behind the firewall, then the rotor RPM began to decay. The plt entered an autorotation & selected a landing area. He noted that the eng was not driving the rotor sys, so he shut it down to reduce the possibility of fire while landing. During an emergency landing on sloping, mountainous terrain, the helicopter rolled over, and subsequently, it came to rest in a ravine at the bottom of the slope. A teardown of the eng revealed that the #3 bearing, pn 4-301-051-02, had failed & that the oil jet for the bearing was clogged. Reportedly, maintenance personnel were aware that a differential pressure check, to detect clogging to the #2 & #3 packaged oil jets, was 7 to 8 PSI. This was 2 to 3 PSI too high & indicated clogging of the oil jets. (This procedure was outlined in Lycoming svc bulletin LTS101A-17-0014). However, the discrepancy was not entered in the eng maintenance logs.

Aircraft

Registration
N141EH
Reported as
Aerospatiale AS-350D
Category
Helicopter
Serial number
1460
Airframe hours
813
Engine
Lycoming LTS-101-600A2, 615 horsepower, turbo shaft
Damage
Destroyed
Flight
Part 135
Registered owner
Era Helicopters, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
Continuous airworthiness · July 11, 1983
Destination
DUT · Dutch Harbor, AK
Flight plan
Company VFR

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
31
Certificates
Commercial, Airline transport, Flight instructor
Airplane ratings
Multi-engine land, Single-engine sea
Instrument ratings
Helicopter, Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Right
Flight hours
6,807 total · 1,006 in this make and model · 6,703 as pilot in command · 180 in the last 90 days · 4 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
15 statute miles
Lowest ceiling
None
Temperature
50 °F
Altimeter
30.00 inHg

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.