LAX91LA034

NTSB accident investigation · Aerospatiale AS-350-B · Kahului, HI · November 16, 1990

Accident · Minor injuriesLimited investigationFinal report
Date
November 15, 1990, 20:30 local (Nov 16, 1990, 06:30 UTC)
Place
Kahului, HI
Injuries
2 minor, 5 uninjured
Damage
Substantial damage
Phase of flight
Taxi
Aircraft
N350CBAerospatiale AS-350-B
Weather
Visual (VMC) · Night/dark
Status
Completed · report December 30, 1992
Report
Approved by Office Director
Case key
27063

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 inadvertent deactivation of the helicopter's hydraulic boost system and his improper remedial action thereafter to the inflight situations which he created. A contributing factor was related to the manufacturer's inadequate location and design (shape) of the hydraulic test switch.

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 flightTaxi - aerial
Light condition - dark night
Hydraulic system - inadvertent deactivationPilot in commandCause
Acft/equip,inadequate control locationManufacturerFactor
Remedial action - improperPilot in commandCause
Acft/equip,inadequate control shape/sizeManufacturerFactor
Hard landingDescent - uncontrolled

Analysis

The purpose of the planned 5 min long night flight was to reward one of the operator's customer's employees for their sales performance record. The flt involved a view of the city. The pilot had earlier made a similar flt, & during takeoff he had turned off the helicopter's landing light to 'amplify the visual effect' of the runway lights. The helicopter's manufacturer had designed the light switch to be located adjacent to the hydraulic test switch. Upon depression of the light switch the helicopter's light turned off. Upon depression of the hyd test switch the hyd boost system deactivated, the controls stiffened & a warning horn sounded. During the aerial taxi for takeoff, between 25 & 50 ft AGL, the pilot inadvertnetly mistook & depressed the hyd test switch for the light switch, & the warning horn activated. When the pilot released the collective control to silence the horn the collective lowered & the helicopter descended until touching down hard on the taxiway.

Aircraft

Registration
N350CB
Reported as
Aerospatiale AS-350-B
Category
Helicopter
Serial number
2196
Engine
Turbomeca ARRIEL 1B, 650 horsepower, turbo shaft
Damage
Substantial damage
Flight
Executive/Corporate · Part 91
Operator
Hawaii Helicopters, Inc.
Destination
HI
Airport
OGG · Kahului

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
50
Certificate
Commercial
Medical
Class 2, Valid Medical--w/ waivers/lim
Flight hours
9,000 total · 950 in this make and model · 9,000 as pilot in command · 180 in the last 90 days · 60 in the last 30 days · 5 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night/dark
Wind
45° at 10 knots
Visibility
15 statute miles
Lowest ceiling
None
Temperature
75 °F, dew point -0 °F