LAX03LA017

NTSB accident investigation · Hughes 369D · Kaaawa, Oahu, HI · October 29, 2002

Accident · Serious injuriesLimited investigationFinal report
Date
October 29, 2002, 09:30 local (19:30 UTC)
Place
Kaaawa, Oahu, HI
Injuries
2 serious, 1 minor
Damage
Destroyed
Phase of flight
Takeoff
Aircraft
N220ALHughes 369D
Weather
Visual (VMC) · Day
Status
Completed · report October 28, 2004
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20021029033319A
Case key
55971

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

Dynamic rollover during an attempted takeoff, due to the combined effects of the soft sloping terrain and the pilot's failure to redistribute the passengers to a more favorable lateral CG condition.

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.

Roll overTakeoff
Terrain condition - downhillFactor
Terrain condition - softFactor
Aircraft weight and balance - not correctedPilot in commandCause
Dynamic rollover - encounteredPilot in commandCause

Analysis

The helicopter rolled over during an attempted takeoff from a sloping landing zone on a ridgeline composed of soft soil. The pilot's mission was to transport passengers to the remote landing site on top of a ridge. Upon arrival, the pilot performed a reconnaissance of the area and landed on a part of the ridge that sloped to the right. The pilot reported that the wind was strong and gusty, but was most directly on the nose of the helicopter. The pilot said he maintained full flight rotor rpm and completely lowered the collective pitch, then the helicopter settled right skid downslope. He noted that the ground was soft. One of the passengers, who was seated directly behind the pilot, disembarked, which left two passengers on the right side of the helicopter. Then the pilot applied collective pitch, and the helicopter began to roll right. The pilot decreased the collective and applied left cyclic, but this had no effect. The helicopter rolled over and slid down the steep incline. A search and rescue pilot who landed at the landing zone a short time after the accident reported that the wind speed was about 25 knots, and it was gusting to 30 knots.

Factual narrative

On October 29, 2002, about 0930 Hawaiian standard time, a Hughes 369D, N220AL, rolled over and slid about 150 feet down a mountainside during an attempted takeoff from a ridge about 4 miles southwest of Kaaawa, Oahu, Hawaii. The accident occurred during an on-demand air taxi flight performed by Cherry Helicopters, Inc., based in Kahuku, Oahu, Hawaii, under the provisions of 14 CFR Part 135. The helicopter was destroyed. The airline transport certificated pilot and one of the two passengers sustained serious injuries; the second passenger received minor injuries. Visual meteorological conditions prevailed, and a company flight plan had been filed. The flight originated from Kahuku, about 0900.

According to the pilot, he picked up three passengers and transported them to a landing zone at a remote site on top of a ridge. Upon arrival, the pilot performed a reconnaissance of the area and landed on a part of the ridge that sloped to the right. The pilot reported that the wind was strong and gusty, but was most directly on the nose of the helicopter. The pilot said he maintained full flight rotor rpm and completely lowered the collective pitch, then the helicopter settled right skid downslope. He noted that the ground was soft. One of the passengers, who was seated directly behind the pilot, disembarked, which left two passengers on the right side of the helicopter. Then the pilot applied collective pitch, and the helicopter began to roll right. The pilot decreased the collective but this had no effect. The helicopter tipped over and slid down the steep incline.

A Federal Aviation Administration (FAA) aviation safety inspector reported to the National Transportation Safety Board investigator that the landing zone (pinnacle) was approximately 18 feet wide. The pilot had, according to a passenger, landed on the extreme edge of the pinnacle, on the sloping ground. The FAA inspector further indicated the pilot stated that upon initially landing the helicopter tilted to the right. During the pilot's subsequent attempted takeoff, as the pilot raised the collective he had full left cyclic displacement, but to no avail.

The FAA also reported to the Safety Board investigator that when the occupants were rescued, the pilot of a rescue helicopter noted the local wind condition at the ridgeline. The rescue pilot reported that the wind speed was about 25 knots, and it was gusting to 30 knots.

Aircraft

Registration
N220AL
Reported as
Hughes 369D
Category
Helicopter
Serial number
1090606D
Airframe hours
7,972
Engine
Allison 250-C20, 450 horsepower, turbo shaft
Damage
Destroyed
Flight
Part 135
Registered owner
Cherry Helicopters, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · September 28, 2002 · 14 hours before
Departed
Kahuku, HI
Destination
Kaaawa, Oahu, 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
57
Injuries
Serious
Certificate
Airline transport
Instrument ratings
Helicopter
Medical
Class 2, Valid Medical--w/ waivers/lim
Last flight review
March 1, 2002
Seat
Left
Flight hours
7,731 total · 100 in this make and model · 60 in the last 90 days · 20 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Variable at 6 knots
Visibility
7 statute miles
Lowest ceiling
3,500 ft broken
Temperature
77 °F, dew point 66 °F
Altimeter
30.04 inHg
Observed at
HHI, 7 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 N220AL · 1

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