ANC93FA033

NTSB accident investigation · Bell 214B1 · Ketchikan, AK · February 19, 1993

Accident · FatalField investigationFinal report
Date
February 19, 1993, 13:40 local (17:40 UTC)
Place
Ketchikan, AK
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Maneuvering
Aircraft
N114CRBell 214B1
Weather
Visual (VMC) · Day
Status
Completed · report August 18, 1994
Report
Approved by Office Director
NTSB office
Alaska Regional Office
Safety recommendations
Yes
FAA report
19930219002899A
Case key
5835

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

Inadequate maintenance of the hydraulic servo actuator which led to the fatigue failure and loss of flight control. In addition, the flightcrew did not, or was unable to, jettison the external load. Factors which contributed to the accident were: the pilot operating the helicopter over maximum gross weight, the operator's continued aerologging operations with aircraft exceeding maximum gross weight, and inadequate surveillance of the operator's maintenance and operations activity by the federal aviation administration.

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/malfunctionHover
Aircraft weight and balance - exceededPilot in commandFactor
Aircraft weight and balance - exceededCompany/operator managementFactor
Inadequate surveillance of operationFaa(organization)Factor
Rotorcraft flight control system,primary servo - fatigueCause
Maintenance,overhaul - inadequateOther maintenance personnelCause
Inadequate surveillance of operationFaa(organization)Factor
Loss of control - in flightHover
In flight collision with terrain/waterDescent - uncontrolled
External load sling/harness - not dumpedCause

Analysis

The helicopter was hovering 200 ft AGL, with logs attached to a 150-FT longline, when it was observed to have a loss of control. The logs were dragged along the ground until caught in stumps, pitching the helicopter into the ground. The lower piston rod of the right dual hydraulic servo actuator had failed in fatigue; also bearing wear was inconsistent with components of comparable time. Operator records showed regular overloading of aerologging helicopters; acft overloaded by 2000 lbs prior to accident. Operator maintenance & facility records incomplete. Maintenance performed in Alaska without FAA authorization. No records of of FAA surveillance of operator external load operations in Alaska since start of operations 4/91. The external hook electrical release mechanism was tested & functioned normally.

Aircraft

Registration
N114CR
Reported as
Bell 214B1
Category
Helicopter
Serial number
28034
Airframe hours
6,772
Engine
Lycoming T5508D, 2,050 horsepower, turbo shaft
Damage
Destroyed
Flight
Part 133
Operator
Chester Rasberry, doing business as Cri Helicopters, Inc
Registered owner
Chester Rasberry
Airworthiness certificate
Standard, Normal
Last inspection
Unknown · December 6, 1992 · 40 hours before
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
49
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Left
Toxicology
Performed
Flight hours
16,500 total · 300 in this make and model · 10,000 as pilot in command · 80 in the last 90 days · 25 in the last 30 days · 5 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
160° at 8 knots
Visibility
50 statute miles
Lowest ceiling
None
Temperature
39 °F, dew point -0 °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.