LAX05LA060

NTSB accident investigation · Eurocopter France EC135T1 · Casa Grande, AZ · January 3, 2005

Accident · Minor injuriesLimited investigationFinal report
Date
January 3, 2005, 13:46 local (20:46 UTC)
Place
Casa Grande, AZ
Injuries
1 minor, 1 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N135NWEurocopter France EC135T1
Weather
Visual (VMC) · Day
Status
Completed · report February 28, 2006
Report
Approved by Office Director
Parties
American Eurocopter, Federal Aviation Administration, Turbomeca-USA
FAA report
20050103000409A
Case key
60796

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 separation of a main rotor control link due to improper maintenance installation.

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.

Loss of control - in flightManeuvering
Rotorcraft flight control,cyclic control rod - not safetiedCause
Maintenance,installation - improperCompany maintenance personnelCause
Aircraft control - diminishedCause
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - ground

Analysis

Following the in-flight separation of a main rotor control link, the pilots lost control and the helicopter hit the ground hard and rolled over. The pilots reported that as they turned base in the traffic pattern for landing at the airport, the helicopter pitched up violently and rolled to the right, followed by a hard roll to the left. Both pilots got on the controls and tried to regain control of the helicopter. The pilots lowered the collective and started down for a landing. During the descent, the pitching and rolling continued intermittently with the roll attitude reaching beyond 60 degrees. As the helicopter neared the ground, the pilots flared and the helicopter hit the ground in a tail low attitude and rolled over. A post accident examination of the helicopter, and examination of maintenance records by a Federal Aviation Administration inspector, occurred on site and after recovery. During the course of the examination it was determined that maintenance personnel had removed cyclic control links from the cyclic control levers to check the ball joints for excess free play during an inspection. The links are attached to the cyclic levers with bolts and castle nuts with cotter pins through the castle nuts as a safety locking device. The right lateral cyclic control link was found broken. The nut on the upper bolt was 1/4-inch away from the side of the attachment point. There was no evidence of the cotter pins having been added to the castle nuts after the link inspection/reinstallation.

Factual narrative

On January 3, 2005, at 1346 mountain standard time, a Eurocopter EC135T1 helicopter, N135NW, sustained a loss of control in flight and collided with terrain at Casa Grande, Arizona. The flight was operated by Omni Flight Helicopters, Inc., d.b.a. Native American Air Ambulance, under the provisions of 14 CFR Part 91. The helicopter was substantially damaged. The certificated commercial check pilot received a minor injury and the certificated airline transport pilot was not injured. Visual meteorological conditions prevailed, and a company flight plan was filed. The local area training flight originated at Mesa, Arizona, about 1330.

The pilots reported that as they turned base in the traffic pattern for landing at the airport, the helicopter pitched up violently and rolled to the right, followed by a hard roll to the left. Both pilots got on the controls and tried to regain control of the helicopter. The pilots lowered the collective and started down for a landing. During the descent, the pitching and rolling continued intermittently with the roll attitude reaching beyond 60 degrees. As the helicopter neared the ground, the pilots flared and the helicopter hit the ground in a tail low attitude and rolled over.

A post accident examination of the helicopter, and examination of maintenance records by a Federal Aviation Administration inspector, occurred on site and after recovery. During the course of the examination it was determined that maintenance personnel had removed cyclic control links from the cyclic control levers to check the ball joints for excess free play during an inspection. The links are attached to the cyclic levers with bolts; castle nuts with cotter pins through the castle nuts as a safety locking device. The right lateral cyclic control link was found broken. The nut on the upper bolt was 1/4-inch away from the side of the attachment point. There was no evidence of the cotter pins having been added to the castle nuts after the link inspection/reinstallation.

Aircraft

Registration
N135NW
Reported as
Eurocopter France EC135T1
Category
Helicopter
Serial number
0010
Airframe hours
4,167
Engine
Turbomeca Arris 2B1, 670 horsepower, turbo shaft
Damage
Substantial damage
Flight
Instructional · Part 91
Registered owner
Omni Flight Helicopters, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · December 1, 2004 · 8 hours before
Departed
IWA · Mesa, AZ
Destination
CGZ · Casa Grande, 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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Check pilot
Age
51
Injuries
Minor
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land
Instrument ratings
Helicopter
Medical
Class 2, With waivers/limitations
Last flight review
November 1, 2004
Seat
Left
Flight hours
14,000 total · 150 in this make and model · 13,500 as pilot in command · 100 in the last 90 days · 30 in the last 30 days · 2 in the last 24 hours
Role
Pilot
Age
63
Injuries
None
Certificates
Commercial, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 2
Last flight review
December 1, 2004
Seat
Right
Flight hours
10,500 total · 150 in this make and model · 9,500 as pilot in command · 36 in the last 90 days · 10 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
210° at 5 knots
Visibility
7 statute miles
Lowest ceiling
5,500 ft overcast
Temperature
55 °F, dew point 52 °F
Altimeter
29.85 inHg
Observed at
PHX, 31 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.