FTW03LA081

NTSB accident investigation · Aerospatiale AS-350-BA · Venice, LA · January 9, 2003

Accident · Minor injuriesLimited investigationFinal report
Date
January 9, 2003, 15:00 local (21:00 UTC)
Place
Venice, LA
Injuries
4 minor, 1 uninjured
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N22TVAerospatiale AS-350-BA
Weather
Visual (VMC) · Day
Status
Completed · report December 30, 2003
Report
Approved by Office Director
Parties
Federal Aviation Administration, Eurocopter
FAA report
20030109002509A
Case key
56311

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 loss of tail rotor drive as a result of baggage coming in contact with the tail rotor blades after the aft cargo door was not secured. A contributing factor was the passenger's failure to follow the procedures for properly securing the helicopter's doors and latches.

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/malfunctionDescent
Procedures/directives - not followedPassengerFactor
Door,cargo/baggage - not securedCause
Rotor failure/malfunctionDescent
Rotor system,tail rotor blade - foreign object damage
Forced landingDescent - emergency
Autorotation - performedPilot in command
In flight collision with terrain/waterLanding - flare/touchdown
Misc rotorcraft,emergency floatation gear - failure
Terrain condition - water

Analysis

During the initial descent, at 800 feet agl, the pilot felt a shudder and heard a noise from the helicopter. One of the passengers reported he observed the right baggage door was open and flapping. The helicopter began to yaw to the left, then started to spin, and the pilot inititated an autorotation to the water. Subsequently, the helicopter impacted the water and came to rest partially submerged. The left side float deployed; however, the right side float was not activated. Prior to the accident flight and the engine operating, the pilot dropped off a passenger, another passenger loaded his baggage in the right aft cargo compartment and boarded the helicopter. According to the pilot, the passenger had received a safety briefing regarding the operation of the helicopter's doors and latches. Examination of the helicopter revealed the lower forward latch had been closed; however, it did not engage and secure the door to the striker plate and fiberglass door frame. The tail rotor blades and vertical fin exhibited scratch marks and residual white material that was consistent with foreign object debris (FOD). The one-piece tail rotor drive shaft was sheared just aft of the splined portion of the drive shaft. The failure of the right float was not determined.

Factual narrative

On January 9, 2003, approximately 1500 central standard time, an Aerospatiale AS-350-BA single-engine helicopter, N22TV, impacted the water during an autorotation following a loss control during the initial descent near Venice, Louisiana. The instrument-rated commercial pilot and three passengers sustained minor injuries, and one passenger was not injured. The helicopter was registered to and operated by Tex-Air Helicopters Inc., Houston, Texas. Visual meteorological conditions prevailed, and a company visual flight rules (VFR) flight plan was filed for the Title 14 Code of Federal Regulations Part 135 on-demand air taxi flight. The flight departed the Main Pass 61A (MP 61A) offshore platform at 1440, and was destined for Venice.

According to the Pilot/Operator Aircraft Accident Report (NTSB Form 6120.1/2) pilot statement, approximately 1439 the helicopter landed at MP 61A. With the engine operating, one passenger exited the helicopter, unloaded his baggage from the cargo compartment, and another passenger loaded his baggage in the right aft cargo compartment and boarded the helicopter. According to the pilot, the passenger had received a safety briefing regarding the operation of the helicopter's doors and latches. The helicopter departed for Venice which was located approximately 23 nautical miles to the west.

During the initial descent to Venice while at 800 feet agl, the pilot felt a "sudden hard shudder and noise from the aircraft." A passenger reported the right baggage door was open and flapping. The pilot stated the helicopter entered a yaw to the left, and the pilot then realized he had no response from his inputs to the tail rotor pedals. After attempting to gain altitude by increasing power, the helicopter started to spin to the left. The pilot initated an autorotation and pulled the manual emergency float handle. Subsequently, the helicopter impacted the water and came to rest partially submerged. The left side float deployed; however, the right side float was not activated. The pilot and passengers exited the helicopter and were rescued by a fishing vessel.

On January 13, 2003, under the supervision of an FAA inspector, the helicopter was examined by representatives of the FAA Rotorcraft Directorate, Fort Worth, Texas, and a representative of the aircraft manufacturer. The examination revealed the right aft cargo door had not been properly secured prior to the accident flight. Evidence revealed the lower forward latch had been closed; however, it did not engage and secure the door to the striker plate and fiberglass door frame. A paint rub signature on the door frame was consistent with the latch mechanism in the closed position. The lower aft striker plate, which was deformed, revealed the latch had been engaged and pulled out.

The tail rotor blades exhibited scratch marks and residual white material along their respective leading edges. The vertical fin, which remained attached to the tail boom, displayed marks consistent with the marks noted on the tail rotor blades. The one-piece tail rotor drive shaft was found sheared just aft of the splined portion of the drive shaft. The paint on the forward and aft portions exhibited evidence of torsional distortion.

The emergency float system was examined at Safetech, Houston, Texas, under the supervision of an FAA inspector. The reason for the failure of the right float to deploy was not determined.

According to the operator, some of the baggage, which was located in the right aft cargo compartment prior to the accident flight, was not recovered.

Aircraft

Registration
N22TV
Reported as
Aerospatiale AS-350-BA
Category
Helicopter
Serial number
1591
Airframe hours
5,390.9
Engine
Turbomeca Arriel 1B, 489 horsepower, turbo shaft
Damage
Destroyed
Flight
Part 135
Registered owner
Tex-Air Helicopters Inc
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · December 15, 2002 · 58.6 hours before
Departed
Main Pass 61A, GM
Destination
11LA · Venice
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
32
Injuries
Minor
Certificate
Commercial
Instrument ratings
Helicopter
Medical
Class 2, Valid Medical--w/ waivers/lim
Last flight review
October 31, 2002
Seat
Right
Flight hours
1,932 total · 580 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
315° at 15 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
61 °F

Docket · 5

The files NTSB released with the investigation on November 13, 2003, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.7 MB in all.

FAA reports on this event · 1

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