LAX04LA116

NTSB accident investigation · Hughes 369D · Wahiawa, HI · December 18, 2003

Accident · No injuriesLimited investigationFinal report
Date
December 17, 2003, 16:30 local (Dec 18, 2003, 02:30 UTC)
Place
Wahiawa, HI
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N1113LHughes 369D
Weather
Visual (VMC) · Day
Status
Completed · report December 28, 2004
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20031217036429A
Case key
58711

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 secure the external sling load, which allowed the load to shift, and subsequently strike and remove the tail rotor.

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.

Cargo shiftTakeoff - initial climb
Towing/advertising/external load equipment - not securedCause
Load tie-down/security - improperPilot in commandCause
Airframe/component/system failure/malfunctionEmergency descent/landing
Rotor system,tail rotor - foreign object damageCause
Rotor system,tail rotor - separationCause
Forced landingEmergency landing
Roll overEmergency landing
Terrain condition - high vegetation
Terrain condition - water

Analysis

The commercial helicopter pilot was transporting a sling load of ladders taped together and suspended by a 15-foot line. During the flight, the load shifted, and a ladder struck the tail rotor. The tail rotor separated from the helicopter, and the pilot initiated an emergency autorotation. The helicopter landed at an off-airport site and rolled onto its side. According to the operator's FAA-approved flight manual for external loads, the pilot has the sole responsibility to ensure that the load is properly rigged.

Factual narrative

On December 17, 2003, at 1630 Hawaiian standard time, a Hughes 369D helicopter, N1113L, crashed into a remote area after the tail rotor separated from the helicopter 3 miles northeast of the Wheeler Army Airfield (HHI), Wahiawa, Hawaii. Pacific Helicopter Tours Inc., of Kahului, Hawaii, operated the helicopter under the provisions of 14 CFR Part 133 as an external load operation. The helicopter sustained substantial damage. The commercial pilot, the sole occupant, was not injured. Visual meteorological conditions prevailed for the local flight that departed HHI about 1600. No flight plan had been filed, which was scheduled to terminate at HHI.

The incident was upgraded to an accident on February 4, 2004; after a review of the operator's contract confirmed that the flight was not a military operation. The University of Hawaii had contracted with Pacific Helicopter Tours to fly people and equipment to various areas around the Army installation at HHI for environmental studies.

According to the pilot, the cargo consisted of a net and three ladders. The net was connected to the bell hook and the ladders were also connected to the hook via two 15-foot straps. After takeoff, at an airspeed of 50-60 knots, he felt the load change. He indicated that it felt like the load was released. The nose of the helicopter pitched down and the helicopter rolled to the left. The pilot stated he was able to maintain control by increasing and reducing power. The pilot completed a successful autorotation to a riverbed. After touchdown the helicopter rolled onto its left side. The pilot stated that there were no mechanical anomalies noted with the helicopter prior to the load shift.

In the Operator's Rotorcraft-Load Combination Flight Manual Section II Page 6 subsection E External Load Securing Procedures states:

"(1) To be determined on an individual load basis by pilot in command who will assume total responsibility for making sure this is done."

According to one of the loaders, the three ladders were duck-taped together and attached to the helicopter with two 15-foot straps. They were strapped in such a way that would allow them to "fly in a horizontal position."

The loader and crew watched the helicopter takeoff with no discrepancies. They were walking back to their camp when they turned around to watch the helicopter again. They saw the helicopter "slow abruptly", and indicated that the "nose turned up." Simultaneously the ladders "appeared to swing high." The majority of the ground crew watched the helicopter "drop rapidly and out of sight with the load still attached below the ship." One of the crewmembers saw something fall from the load, but didn't know what it was.

According to a Federal Aviation Administration (FAA) inspector, who responded to the accident site, the accident flight was the last flight of the day. Contracted loaders placed equipment into a cargo net, and attached it to the external line. The cargo included four ladders: two 12-foot ladders, one 8-foot ladder, and one 6-foot ladder. After takeoff, as the helicopter picked up airspeed the pilot heard a "bang." He felt the helicopter pitch forward and roll left. The pilot entered an autorotation and landed in a riverbed. The FAA inspector stated that one of the 12-foot ladders had shifted during takeoff, and had come back and struck the tail rotor. The tail rotor then separated from the helicopter.

Aircraft

Registration
N1113L
Reported as
Hughes 369D
Category
Helicopter
Serial number
11008370
Airframe hours
13,654.7
Engine
Allison 250-C20B, 420 horsepower, turbo shaft
Damage
Substantial damage
Flight
Other work use · Part 133
Registered owner
Pacific Helicopter Tours, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · November 17, 2003 · 43.3 hours before
Departed
HHI · Wahiawa, HI
Destination
HHI

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
55
Injuries
Minor
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Helicopter
Medical
Class 2, Valid Medical--w/ waivers/lim
Last flight review
November 14, 2003
Seat
Left
Flight hours
9,100 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
100° at 6 knots
Visibility
10 statute miles
Lowest ceiling
3,600 ft broken
Temperature
73 °F, dew point 66 °F
Altimeter
29.96 inHg
Observed at
HNL, 15 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 N1113L · 3

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