LAX90LA050

NTSB accident investigation · Hughes 369HS · Waimea, HI · December 9, 1989

Accident · No injuriesLimited investigationFinal report
Date
December 8, 1989, 15:30 local (Dec 9, 1989, 01:30 UTC)
Place
Waimea, HI
Injuries
5 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N9161FHughes 369HS
Weather
Visual (VMC) · Day
Status
Completed · report September 9, 1992
Report
Approved by Office Director
FAA report
19891208049579A
Case key
26703

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 improper installation of the pc tube by company maintenance personnel, which resulted in fatigue failure of the tube due to induced bending stresses.

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(partial) - mech failure/malfCruise
Maintenance,installation - improperCompany maintenance personnelCause
Bleed air system,lines - incorrectCause
Bleed air system,lines - bentCause
Bleed air system,lines - fatigueCause
Forced landingDescent - emergency
Roll overLanding - flare/touchdown
Terrain condition - rough/uneven
Terrain condition - water

Analysis

The certificated air line transport pilot was conducting a helicopter sightseeing flight with 4 passengers when the engine suddenly lost power. The pilot made an emergency autorotation to the bottom of a small river bottom. While landing, the helicopter rolled over. Examination of the engine showed that the fuel control pc tube to the power turbine governor had fractured, causing the engine to go to a flight idle condition. This tube was found to exceed the specified required length of manufacture. During installation, the tube was bent by company maintenance personnel to fit. Metallurgical exam disclosed a fracture due to fatigue near the fuel control end. This fatigue was introduced by bending stresses in the tube.

Aircraft

Registration
N9161F
Reported as
Hughes 369HS
Category
Helicopter
Serial number
8305115
Airframe hours
12,198
Engine
Allison 250-C20, 375 horsepower, turbo shaft
Damage
Substantial damage
Flight
Part 91
Operator
Air Kaui, Inc.
Registered owner
Heli-Dyne Inc.
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · November 19, 1989 · 85 hours before
Departed
LIH · Lihue, HI
Flight plan
Company VFR

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
39
Certificates
Airline transport, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 2, Valid Medical--no waivers/lim.
Flight hours
11,000 total · 500 in this make and model · 10,000 as pilot in command · 200 in the last 90 days · 75 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
15 statute miles
Lowest ceiling
None
Temperature
75 °F, dew point -0 °F

FAA reports on this event · 1

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