LAX89LA281

NTSB accident investigation · Aerospatiale AS350D · Volcano, HI · August 19, 1989

Accident · Serious injuriesLimited investigationFinal report
Date
August 19, 1989, 09:10 local (19:10 UTC)
Place
Volcano, HI
Injuries
1 serious, 5 minor, 1 uninjured
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N35970Aerospatiale AS350D
Weather
Visual (VMC) · Day
Status
Completed · report September 30, 1991
Report
Approved by Office Director
FAA report
19890819030479A
Case key
26480

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

A catastrophic failure of the power turbine shaft and bearings. The failure was a result of oil starvation due to an excessively worn chip detector o-ring seal,inadequate maintenance and preflight. Contributing factor(s) was: the mountainous terrain.

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 engine power(total) - mech failure/malfDescent - normal
Lubricating system,oil seal - wornCause
Maintenance,100-hour inspection - poorCompany maintenance personnelCause
Aircraft preflight - inadequatePilot in commandCause
Fluid,oil - starvationCause
Turboshaft engine,gas generator turbine shaft - failure,totalCause
Forced landingLanding - flare/touchdown
Autorotation - performedPilot in command
Roll overLanding - flare/touchdown
Terrain condition - mountainous/hilly

Analysis

The VFR sight-seeing flight was being conducted uner 14 CFR 135. While descending into a mountainous area the pilot felt a severe vibration abt 10 - 15 seconds before the engine failed. The plt executed an autorotation in the upward sloping terrain and the helicopter rolled-over on touchdown. The engine exam dsclsd that the power turbine shaft and the nos. 2 & 3 bearings failed due to oil starvation and displayed extreme high temperature distress. The chip detector o-ring seal was excessively worn. Oil residue streaking was found on the outside of the fuselage/ tailcone assy and the vertical/horizontal stabilizers.

Aircraft

Registration
N35970
Reported as
Aerospatiale AS350D
Category
Helicopter
Serial number
1131
Airframe hours
8,833
Engine
Lycoming LTS-101, 600 horsepower, turbo shaft
Damage
Destroyed
Flight
Part 135
Operator
Papillon Helicopters, Ltd, doing business as Papillon Hawaiian Tours
Registered owner
Papillon Hawaiian Helc., Ltd
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · August 8, 1989 · 68 hours before
Departed
Waikoloa, 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
40
Certificate
Commercial
Airplane ratings
Single-engine land
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Right
Flight hours
8,000 total · 20 in this make and model · 7,500 as pilot in command · 250 in the last 90 days · 100 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Visibility
15 statute miles
Lowest ceiling
None

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.