LAX02TA299

NTSB accident investigation · Eurocopter AS350-B3 · Bishop, CA · September 29, 2002

Accident · No injuriesFinal report
Date
September 29, 2002, 08:54 local (15:54 UTC)
Place
Bishop, CA
Injuries
4 uninjured
Damage
Substantial damage
Phase of flight
Standing
Aircraft
N352SAEurocopter AS350-B3
Weather
Visual (VMC) · Day
Status
Completed · report June 8, 2005
Report
Approved by Office Director
Parties
U.S. Forest Service, Federal Aviation Administration
FAA report
20020929025099A
Case key
55797

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

the disengagement of the collective locking mechanism due to component wear.

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/malfunctionStanding - engine(s) operating
Rotorcraft flight control,collective control - wornCause
Rotorcraft flight control,collective control - unlockedCause
Hydraulic system - not availableCause
Loss of control - on ground/waterStanding - engine(s) operating
Collective - inadvertent activation
On ground/water encounter with terrain/waterStanding - engine(s) operating
Terrain condition - ground

Analysis

The helicopter was performing a hydraulic actuator check for the first flight of the day. The collective had been placed in the down position, the collective lock was engaged, and the rotor powered up to 100 percent flight idle. After depressing the hydraulic test switch, the pilot moved the cyclic fore and aft to confirm there was pressure remaining in the accumulators for a few control movements. The collective rose uncommanded and the helicopter moved forward in a nose down attitude. The main rotor struck the ground and the helicopter made two revolutions before rolling over onto its side, destroying both the main and tail rotor systems. A small fire ensued in the exhaust area, but was quickly extinguished. Examination of the collective locking mechanism (P/N 350A-27 3455-20 and P/N 350A-27 3107-26) found that it failed to hold the collective in the full down position due to wear on the locking tab. During servo accumulator checks, movement of the cyclic control after accumulator depletion caused the collective to move due to feedback in the control system. The locking device disengaged and the collective increased causing the aircraft to move.

Factual narrative

On September 29, 2002, about 0854 Pacific daylight time, an Eurocopter AS350-B3, N352SA, collided with terrain during a premature liftoff while engaged in a pre-departure hydraulic flight control check at the Bishop, California, airport. The U.S. Forest Service was operating the helicopter as a public-use flight under the provisions of 14 CFR Part 91. The commercial pilot and three passengers were not injured; the helicopter sustained substantial damage. The cross-country flight was departing the Bishop airport for Bridgeport, California. Visual meteorological conditions prevailed, and an agency flight plan had been filed.

Forest Service officials reported that the helicopter was performing a hydraulic actuator check for the first flight of the day. The collective had been placed in the down and locked position and the rotor powered up to 100 percent flight idle. After depressing the hydraulic test switch, the pilot moved the cyclic fore and aft (pumped) to confirm there was remaining pressure for a few control movements. The collective rose uncommanded and the helicopter moved forward in a nose down attitude. The main rotor struck the ground and the helicopter made two revolutions before rolling over onto its side, destroying both the main and tail rotor systems. A small fire ensued in the exhaust area, but was quickly extinguished.

Examination of the collective locking mechanism was accomplished by Forest Service investigators. According to their report, the collective control lock mechanism (P/N 350A-27 3455-20 and P/N 350A-27 3107-26) failed to hold the collective in the full down position (due to wear) while performing before takeoff checks. During servo accumulator checks, movement of the cyclic control after accumulator depletion caused the collectiove to move (feedback). The locking device disengaged and the collective increased causing the aircraft to move.

Aircraft

Registration
N352SA
Reported as
Eurocopter AS350-B3
Category
Helicopter
Serial number
3348
Airframe hours
736
Engine
Turbomeca Arriel 1D1, 420 horsepower, turbo shaft
Damage
Substantial damage
Fire
On-Ground
Flight
Public aircraft · Public use
Operator
US Dept of Agriculture, US Forest Service
Registered owner
Sun Air Aviation, LLC
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · August 16, 2002 · 86 hours before
Departed
BIH · Bishop, CA
Destination
O57 · Bridgeport, CA
Flight plan
VFR
Airport
BIH · Bishop

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
27
Injuries
Minor
Certificates
Private, Flight instructor, Commercial
Airplane ratings
Single-engine land
Instrument ratings
Helicopter
Medical
Class 2, With waivers/limitations
Last flight review
February 11, 2002
Seat
Right
Flight hours
3,000 total · 350 in this make and model · 2,900 as pilot in command · 210 in the last 90 days · 37 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
340° at 9 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
45 °F, dew point 30 °F
Altimeter
29.93 inHg
Observed at
KBIH

Docket · 4

The files NTSB released with the investigation on March 21, 2005, on NTSB’s docket system: statements, records, photos and specialists’ reports. 683 KB 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.