LAX00TA163

NTSB accident investigation · Hughes OH-6A · Green Valley, AZ · April 20, 2000

Accident · Minor injuriesFinal report
Date
April 20, 2000, 07:15 local (14:15 UTC)
Place
Green Valley, AZ
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N61869Hughes OH-6A
Weather
Visual (VMC) · Day
Status
Completed · report November 1, 2001
Report
Approved by Office Director
FAA report
20000420036799A
Case key
49002

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

Company maintenance personnel's failure to secure an attachment nut to a control link. While maneuvering, the parts separated and resulted in the total cyclic control system failure and impact into rough terrain.

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/malfunctionManeuvering
Rotorcraft flight control,cyclic control - not safetiedFactor
Maintenance,100-hour inspection - improperCompany maintenance personnelCause
Rotorcraft flight control,cyclic control - failure,totalCause
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - rough/uneven
Aircraft control - not possiblePilot in command

Analysis

While maneuvering about 20 feet above obstacles looking for the footprints of a group of suspected illegal entrants, the U.S. Border Patrol pilot suddenly experienced an unusual vibration in the cyclic control. After the vibration started, the helicopter almost immediately started turning right and descended. The pilot attempted to stop the turn and descent, but to no avail, and he crashed in the rough terrain. The previous day a 300-hour inspection had been completed by Border Patrol mechanics, and it involved a rebuild of the swashplate assembly. During this maintenance, the cyclic control's longitudinal link (part number 369A7608) was removed and replaced at the stationary swashplate. Upon completion of the maintenance, a cotter pin is required to be installed in the link's attachment nut to secure it. The cotter pin, and the respective nut, were observed missing at the accident site. During the recent maintenance, a mechanic had failed to reinstall the cotter pin into the nut, and it backed off during flight. This maintenance oversight-related failure resulted in the pilot's complete loss of cyclic control.

Factual narrative

History of flight

On April 20, 2000, about 0715 hours mountain standard time, a Hughes OH-6A, N61869, operated by the Department of Justice, U.S. Border Patrol Air Operations, experienced an in-flight control system failure while maneuvering southwest of Green Valley, Arizona. The helicopter crashed in rough terrain and was substantially damaged. The commercial pilot received minor injuries. Visual meteorological conditions prevailed during the public-use flight, which was performed under 14 CFR Part 91. A company flight plan was filed for the flight that originated from Tucson, Arizona, at 0600.

The pilot, who has over 19,000 hours of flight time, including 3,326 hours in the accident model of helicopter, reported that seconds prior to losing control of the helicopter, he had been flying about 20 feet above obstacles looking for the footprints of a group of suspected illegal entrants. He suddenly experienced an "unusual vibration in the cyclic control." After the vibration started, the helicopter almost immediately started turning slightly right and descending. The pilot stated that he immediately attempted to stop the turn and descent, but to no avail.

Helicopter maintenance information

The operator reported that the accident occurred during the helicopter's first operational flight following completion of a 300-hour inspection, performed by U.S. Border Patrol mechanics. The inspection was completed on April 19, 2000, and, in part, involved maintenance to the main rotor hub (swashplate assembly). The rebuild of the rotor hub included removal and replacement of several bearings, the main rotor blade pitch control links, the main rotor droop stop ring, and several other components. During this maintenance, the longitudinal link (part number 369A7608) was removed and replaced.

Wreckage and impact information

An examination of the wreckage revealed that the longitudinal link that connects the stationary swashplate to the longitudinal pitch mixer bellcrank was observed disconnected at the stationary swashplate. The link's attachment nut and its respective cotter key were not found.

In addition, the right-hand link (part number 369A7613) that connects the stationary swashplate to the lateral mixer bellcrank was found fractured. Its respective bolt was missing its required cotter key and the top nut was found backed off and retained on the bolt by approximately three bolt threads.

No other evidence of preimpact discrepancies in the flight control system was noted.

Tests and research

The operator indicated that an in-flight disconnect of the longitudinal link would result in a complete loss of cyclic control.

Aircraft

Registration
N61869
Reported as
Hughes OH-6A
Category
Helicopter
Serial number
69-16002
Airframe hours
7,603
Engine
Allison 250-C20B, 300 horsepower, turbo shaft
Damage
Substantial damage
Flight
Public aircraft · Part 91
Registered owner
U.S. Border Patrol Air Ops.
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · April 19, 2000 · 2 hours before
Departed
TUS · Tucson, AZ
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
54
Certificates
Commercial, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Right
Flight hours
19,560 total · 3,326 in this make and model · 19,201 as pilot in command · 287 in the last 90 days · 93 in the last 30 days · 8 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
130° at 10 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
131 °F, dew point 77 °F
Altimeter
30.00 inHg
Observed at
TUS, 23 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.