FTW91FA002

NTSB accident investigation · Enstrom F28-C · Mesquite, TX · October 7, 1990

Accident · FatalField investigationFinal report
Date
October 7, 1990, 14:47 local (19:47 UTC)
Place
Mesquite, TX
Injuries
1 fatal, 1 serious
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N88RAEnstrom F28-C
Weather
Visual (VMC) · Day
Status
Completed · report December 30, 1992
Report
Approved by Office Director
FAA report
19901007044219A
Case key
23234

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

Installation error of company maintenance personnel. Factors were the unsuitable terrain, the tailwind, the inability of the pilot to maintain main rotor RPM, and the inadequate annual inspection by company maintenance personnel.

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.

Loss of engine power(partial) - mech failure/malfCruise
Ignition system,magneto grounding lead (p-lead) - arcingCause
Ignition system,magneto grounding lead (p-lead) - loose
Maintenance,adjustment - improperCompany maintenance personnelCause
Ignition system,ignition harness - chafed
Maintenance,annual inspection - inadequateCompany maintenance personnelFactor
Forced landingManeuvering - turn to landing area (emergency)
Terrain condition - none suitableFactor
Weather condition - tailwindFactor
Loss of control - in flightDescent - emergency
Adequate rotor rpm - not possiblePilot in commandFactor
In flight collision with terrain/waterDescent - uncontrolled
Roll overLanding - flare/touchdown

Analysis

The helicopter had departed the ranch for a local area pleasure flight when at approximately 300 feet AGL a loss of power occurred. It was over a heavily wooded area. The pilot attempted to extend the glide by pulling in collective pitch and making a right turn (quartering tailwind) to the only available clear area. The main rotor RPM continued to decay and the helicopter descended vertically out of control to impact onto the open field. The skids collapsed and the helicopter rolled right. Post-accident examination of the wreckage revealed that a misaligned p-lead wire in the magneto had chafed and arced. Additionally, both p-lead caps were found loose. The director of maintenance for the operator stated that he and his mechanic did not adjust the magneto timing because it was to hard too reach on the helicopter. The engine was test run without duplication of the power loss.

Aircraft

Registration
N88RA
Reported as
Enstrom F28-C
Category
Helicopter
Serial number
344
Airframe hours
1,089
Engine
Lycoming HIO-360-E1AD, 205 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Operator
Dr. Donald Gillum, doing business as Sky-Ads Inc.
Last inspection
100 hour · July 26, 1990 · 27 hours before
Airport
NONE

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
42
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
1,250 total · 4 in this make and model · 1,200 as pilot in command · 50 in the last 90 days · 25 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
220° at 10 knots
Visibility
20 statute miles
Lowest ceiling
10,000 ft broken
Temperature
93 °F, dew point 68 °F
Altimeter
29.00 inHg
Observed at
DAL, 5 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.

Other investigations on N88RA · 1

Matched to the same aircraft by N-number and date.