FTW94MA236

NTSB accident investigation · Aerospatiale AS350B · Kalaupapa, HI · July 15, 1994

Accident · Serious injuriesMajor investigationFinal report
Date
July 14, 1994, 17:45 local (Jul 15, 1994, 03:45 UTC)
Place
Kalaupapa, HI
Injuries
1 serious, 6 uninjured
Damage
Substantial damage
Phase of flight
Emergency descent
Aircraft
N350MHAerospatiale AS350B
Weather
Visual (VMC) · Day
Status
Completed · report June 26, 1995
Report
Approved by Office Director
FAA report
19940714018959A
Case key
19181

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 pilot's failure to properly monitor power required versus power available to maintain rotor revolutions per minute (RPM), resulting in rotor RPM decay and a forced landing. Factors related to the accident were: the pilot's change of the tour route without notifying the company, which delayed rescue, and the location of the arm and fire switches for the flotation equipment, which required the pilot to remove his hand from the collective control to activate that equipment.

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.

Forced landingEmergency descent/landing
Flight to new destination - performedPilot in command
Flight advisories - not issuedPilot in commandFactor
Rotor rpm - not maintainedPilot in commandCause
Landing gear,float assembly - other
Acft/equip,inadequate control locationFactor
In flight collision with terrain/waterLanding
Terrain condition - water

Analysis

The helicopter was on a 14 CFR part 135 air tour flight, which was scheduled to tour around the island of maui. The pilot made the decision to tour the island of molokai when weather along his scheduled route deteriorated. He did not inform the company of the routing change. While in a hover approximately 150 feet from a shore line, rotor RPM deteriorated and the inflatable float-equipped helicopter made an emergency landing in the water. The floats were deployed as the helicopter entered the water; however, the landing was hard and the helicopter sustained substantial damage. (To deploy the floats, the pilot was required to remove his hand from the collective control.) The pilot and five of the passengers were not injured. The remaining passenger received serious injuries. After landing, the seven occupants donned life vests and swam to the shore where they spent the night before being located by airborne search personnel. The helicopter drifted ashore and was examined. No evidence of a preimpact mechanical failure or malfunction was found.

Factual narrative

See Group Chairman's Factual Report.

Aircraft

Registration
N350MH
Reported as
Aerospatiale AS350B
Category
Helicopter
Serial number
2199
Airframe hours
5,337
Engine
Turbomeca ARRIEL 1B, 685 horsepower, turbo shaft
Damage
Substantial damage
Flight
Part 135
Operator
Hawaii Helicopers
Registered owner
Hawaii Helicopters, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · July 4, 1994 · 58 hours before
Departed
OGG · Kahului, HI
Destination
OGG · HI
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
26
Certificates
Private, Commercial
Airplane ratings
Single-engine land
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Right
Flight hours
3,497 total · 2,000 in this make and model · 227 in the last 90 days · 77 in the last 30 days · 5 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
60° at 15 knots
Visibility
15 statute miles
Lowest ceiling
None
Temperature
82 °F, dew point 70 °F
Altimeter
29.00 inHg
Observed at
OGG, 30 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.