LAX84FA405

NTSB accident investigation · Hughes 369D · Mesa, AZ · July 18, 1984

Accident · FatalField investigationFinal report
Date
July 18, 1984, 11:57 local (18:57 UTC)
Place
Mesa, AZ
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N58369Hughes 369D
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
FAA report
19840718075629A
Case key
23979

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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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/malfunctionClimb
Rotor drive system,clutch assembly - undeterminedCause
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - mountainous/hillyFactor
Terrain condition - none suitableFactor
Autorotation - not possiblePilot in commandFactor
Acft/equip,inadequate instrument displayManufacturer

Analysis

The helicopter experienced a main rotor drive system disconnect, an uncontrolled descent & subsequent inflight collision with terrain in a hilly desert area. This was the third & last in a planned series of marketing demo flts conducted for three USMC officers. During the post crash examination of over-running clutch components revealed that the cages & sprags were bound up in their normal engaged positions. Two of the three drag strips were observed to have abrasion signatures across their entire width of .07 inches; the abrasion areas generally matched the geometry of the adjacent ball bearing race. Examination of engineering drawings for the clutch revealed that for the drag strip to contact the adjacent bearing race, the clutch would have to protrude out of its normal relative position by about .20 inches. Heavy oxidation obscured the potential relative running position markings between the inner & outer races.

Aircraft

Registration
N58369
Reported as
Hughes 369D
Category
Helicopter
Serial number
1200848D
Airframe hours
469
Engine
Allison 250-C20B, 420 horsepower, turbo shaft
Damage
Destroyed
Fire
On-Ground
Flight
Part 91
Registered owner
Hughes Helicopters, Inc.
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Annual · December 25, 1984 · 10 hours before
Departed
FFZ · Mesa, 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
37
Certificates
Flight instructor, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Right
Toxicology
Performed
Flight hours
4,004 total · 109 in this make and model · 3,802 as pilot in command · 72 in the last 90 days · 30 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
290° at 5 knots
Visibility
25 statute miles
Lowest ceiling
20,000 ft broken
Temperature
99 °F
Altimeter
30.00 inHg
Observed at
FFZ, 5 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.