ATL89FA220

NTSB accident investigation · Aerospatiale AS 350D · Chamblee, GA · September 28, 1989

Accident · FatalField investigationFinal report
Date
September 28, 1989, 14:00 local (18:00 UTC)
Place
Chamblee, GA
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Approach
Aircraft
N57689Aerospatiale AS 350D
Weather
Instrument (IMC) · Day
Status
Completed · report May 15, 1992
Report
Approved by Office Director
FAA report
19890928036979A
Case key
7920

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

Failure of the main rotor swashplate bearing due to lack of lubricant.

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/malfunctionApproach
Maintenance,service bulletin/letter - not followedOther maintenance personnel
Rotorcraft flight control,swashplate assembly - failure,totalCause
Maintenance,lubrication - inadequateCause
In flight collision with terrain/waterLanding

Analysis

As the helicopter approached the airport, it was observed to pitch up & yaw uncontrollably. According to witnesses, the rotor system slowed as the helicopter descended to impact on a city golf course. An investigation revealed that the main rotor swashplate bearing had failed from inadequate lubrication. The stationary swashplate venting hole had not been blocked off in accordance with aerospatiale svc bulletin #62.02. The purpose of the svc bulletin was to prevent leakage of the lubricant. The swashplate bearing had been lubricated 249 hrs prior to the accident. Priority AD 89-21-01 was issued to reduce the lubrication interval from 400 to 100 hours & to block the vent hole in the stationary swashplate. The fuel flow control lever & fuel shut-off control were found in the closed position (as if the plt had shut down the eng before the acdnt).

Aircraft

Registration
N57689
Reported as
Aerospatiale AS 350D
Category
Helicopter
Serial number
1312
Airframe hours
1,174
Engine
Lycoming LTS-101-600A2, 531 horsepower, turbo shaft
Damage
Destroyed
Flight
Positioning · Part 91
Operator
Dooley Helicopters, Inc.
Last inspection
Continuous airworthiness · September 1, 1989 · 29 hours before
Departed
Rome, GA
Destination
PDK · Chamblee, GA

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
33
Certificate
Commercial
Airplane ratings
Single-engine land
Medical
Class 2, Valid Medical--w/ waivers/lim
Toxicology
Performed
Flight hours
3,500 total · 3,400 as pilot in command · 27 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Day
Wind
70° at 9 knots
Visibility
3 statute miles
Lowest ceiling
800 ft broken
Temperature
-0 °F, dew point -0 °F
Observed at
PDK, 1 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.