ANC92FA159

NTSB accident investigation · Hughes 369D · Nunavaugaluk Lk, AK · September 9, 1992

Accident · Serious injuriesField investigationFinal report
Date
September 9, 1992, 10:10 local (18:10 UTC)
Place
Nunavaugaluk Lk, AK
Injuries
2 serious
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N8697FHughes 369D
Weather
Visual (VMC) · Day
Status
Completed · report September 29, 1993
Report
Approved by Office Director
NTSB office
Alaska Regional Office
FAA report
19920909035639A
Case key
5649

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

The separation of the tail rotor abrasion strip and the subsequent total loss of the tail rotor. Factors contributing to the accident were: insufficient manufacturer's maintenance design changes, inadequate aircraft equipment design by the manufacturer and insufficient standards of the FAA certification organization.

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
Rotor system,tail rotor blade abrasion strip - separationCause
Maintenance,design change - information insufficientManufacturerFactor
Acft/equip,inadequate designManufacturerFactor
Insufficient standards/requirements,manufacturerFaa(organization)Factor
Rotor system,tail rotor blade - separationCause
Forced landingLanding
Autorotation - performedPilot in command
Loss of control - in flightLanding
In flight collision with terrain/waterLanding

Analysis

Shortly after takeoff, at 1,000 ft AGL, the pilot experienced airframe vibration and a grinding sound. He entered autorotation, and at 200 ft AGL the tail rotor and part of the t/r gear box separated from the helicopter. It then rotated approximately 720 deg and impacted the ground. One of the t/r blades was missing the abrasion strip. An airworthiness directive (AD) & service bulletin (sb) were in effect directing installation of rivets within 300 hrs to prevent possible loss of tailrotor control. Due to seasonal use, helicopter had less than 160 hrs since issuance of the AD. Tail rotor blade found intact was 40% debonded, but would pass a 'tap test' iaw manufacturer's sb. Failed blade estimated to be 90% debonded. Daily visual inspection required by sb reportedly did not detect debonding in progress.

Aircraft

Registration
N8697F
Reported as
Hughes 369D
Category
Helicopter
Serial number
1170221D
Airframe hours
3,527
Engine
Allison 250-C20B, 375 horsepower, turbo shaft
Damage
Substantial damage
Flight
Business · Part 91
Operator
Eberle, Terrance, doing business as Whirlwind Aviation Ltd
Registered owner
Eberle, Terrance
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 16, 1992 · 152 hours before
Departed
Crystal Cr Lodg, AK
Destination
Kokwok River, 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
39
Certificate
Private
Airplane ratings
Single-engine sea, Single-engine land
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
1,679 total · 500 in this make and model · 1,400 as pilot in command · 150 in the last 90 days · 50 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
340° at 8 knots
Temperature
45 °F, dew point 34 °F
Altimeter
29.00 inHg

FAA reports on this event · 1

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