ANC89FA069

NTSB accident investigation · Bell 412 · Girdwood, AK · May 6, 1989

Accident · Minor injuriesField investigationFinal report
Date
May 6, 1989, 12:38 local (20:38 UTC)
Place
Girdwood, AK
Injuries
2 minor
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N524EHBell 412
Weather
Visual (VMC) · Day
Status
Completed · report August 2, 1990
Report
Approved by Office Director
NTSB office
Alaska Regional Office
FAA report
19890506010839A
Case key
5106

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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Probable cause

A main rotor flight control bolt (part number 20-057-6-38D) came out of its rod end bearing while in flight due to the bolt being improperly torqued during maintenance.

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.

Airframe/component/system failure/malfunctionCruise - normal
Rotorcraft flight control,cyclic control - disconnectedCause
Maintenance - improperOther maintenance personnelCause
Forced landingDescent - emergency
Terrain condition - mountainous/hillyFactor

Analysis

While IFR at 10,000 feet over mountainous terrain, the helciopter experienced violent vertical vibrations, which continued until the crash-landing about five minutes later. On board weather radar was used to guide the helicopter around the mountain tops, which were in the clouds. At about 200 feet above the ground, the helicopter caught fire, tail rotor control was lost, both engines quit, and cyclic control became unresponsive. The helicopter was destroyed by post-crash fire. About one hour of flt time earlier, the helicopter had undergone an inspection, during which the main rotor flight control system bolts had been retorqued. All but one of these bolts were found in the wreckage. However, the rod end for the missing bolt was found.

Aircraft

Registration
N524EH
Reported as
Bell 412
Category
Helicopter
Serial number
33069
Airframe hours
3,578
Engine
P&W PT6T-3B, 1,025 horsepower, turbo shaft
Damage
Destroyed
Fire
In-Flight
Flight
Part 135
Registered owner
Era Aviation, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
Continuous airworthiness · May 4, 1989 · 1 hours before
Departed
VDZ · Valdez, AK
Destination
ANC · Anchorage, AK
Flight plan
IFR

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
45
Certificates
Airline transport, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Helicopter, Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Right
Toxicology
Performed
Flight hours
9,300 total · 1,700 in this make and model · 8,700 as pilot in command · 6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
40° at 4 knots
Visibility
60 statute miles
Lowest ceiling
5,500 ft broken
Temperature
46 °F
Altimeter
29.00 inHg
Observed at
ANC, 37 nm away

FAA reports on this event · 1

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