FTW90LA044

NTSB accident investigation · Aerospatiale AS-350B · Grand Prairie, TX · December 25, 1989

Accident · No injuriesLimited investigationFinal report
Date
December 25, 1989, 09:30 local (15:30 UTC)
Place
Grand Prairie, TX
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N249HSAerospatiale AS-350B
Weather
Visual (VMC) · Day
Status
Completed · report June 26, 1992
Report
Approved by Office Director
FAA report
19891225053229A
Case key
23086

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

Manufacturer's failure to property install the left side components of the dual control system following its removal for additional completion work prior to delivery of the aircraft. Contributing to the accident was the failure of quality control personnel to detect the oversight.

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
Rotorcraft flight control,cyclic control - disconnectedCause
Maintenance,installation - improperManufacturerCause
Maintenance,inspection - inadequateManufacturerFactor
Loss of control - in flightHover
Hard landingDescent - uncontrolled

Analysis

Initial liftoff and hover were normal, however, as the pilot, who was flying from the left seat, was preparing to takeoff, his cyclic disconnected and came out of the floor mount. The pilot yelled to the rated passenger to take the cyclic and he lowered collective while attempting to maintain directional control with the pedals. The aircraft subsequently landed hard in a tail low attitude, severing the tailboom. Investigation revealed that the 'pip' pin which normally secured the cyclic to the control mount was missing and not found. Examination of the components did not reveal any evidence of working, elongation, or damage in the holes where the pin would have normally been installed. Audit of the maintenance records of the aircraft, which had been delivered from the manufacturer 2 days prior to the accident, revealed that the dual controls had recently been installed and inspected at the factory.

Aircraft

Registration
N249HS
Reported as
Aerospatiale AS-350B
Category
Helicopter
Serial number
2249
Airframe hours
14
Engine
Turbomeca ARRIEL 1B, 529 horsepower, turbo shaft
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Simpson, Henry
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · December 22, 1990 · 2 hours before
Departed
F67
Destination
F67
Airport
F67 · Municipal

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
35
Certificate
Commercial
Airplane ratings
Single-engine land
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
2,200 total · 8 in this make and model · 1 in the last 90 days · 1 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
250° at 10 knots
Visibility
15 statute miles
Lowest ceiling
None
Temperature
37 °F, dew point 21 °F
Altimeter
30.00 inHg
Observed at
DFW, 15 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.