LAX93LA071

NTSB accident investigation · Hughes 369D · Hilo, HI · December 22, 1992

Accident · No injuriesLimited investigationFinal report
Date
December 21, 1992, 14:00 local (Dec 22, 1992, 00:00 UTC)
Place
Hilo, HI
Injuries
5 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N113RSHughes 369D
Weather
Visual (VMC) · Day
Status
Completed · report August 30, 1993
Report
Approved by Office Director
FAA report
19921221051009A
Case key
27888

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 bearing failures due to the operator's use of improper maintenance inspection and overhaul procedures by installing an unserviceable compressor module in the helicopter engine. Factors in the accident were the unsuitable nature of the terrain for the forced landing and the tail wind condition during the landing touchdown.

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/malfCruise - normal
Compressor assembly - previous damage
Maintenance,overhaul - not performedCompany maintenance personnelCause
Maintenance,inspection - improperCompany maintenance personnelCause
Engine assembly,bearing - failure,totalCause
Forced landingDescent - emergency
Hard landingLanding - flare/touchdown
Terrain condition - none suitableFactor
Weather condition - tailwindFactor

Analysis

During cruise the pilot detected a buffeting in the airframe followed by a left yaw. The engine gages indicated decreasing power output with a high turbine outlet temperature, and, the engine chip and failure lights illuminated. The pilot executed an auto rotation and had to stretch the glide slightly to reach the only suitable area which involved a down wind landing. The main rotor sliced off the tail boom as the helicopter slid to a stop. Review of the operators daily flight sheets for the accident helicopter revealed that a engine chip light had illuminated on the flight prior to this one. The corrective action taken was to clean the chip plug and reinstall it. No test flight and further check of the plug was done as required in the maintenance manuals. Disassembly of the engine revealed that the number 1 and 2 bearings in the compressor module had failed. Review of maintenance records revealed that the compressor module was formerly installed in an engine which was involved in a helicopter accident in may of 1992. The compressor module was not disassembled for inspection as required in the overhaul and maintenance manual, and was not signed off for return to service. It was installed by the operator in the accident helicopter engine on November 21, 1992.

Aircraft

Registration
N113RS
Reported as
Hughes 369D
Category
Helicopter
Serial number
590506D
Airframe hours
6,928
Engine
Allison 250 C20B, 420 horsepower, turbo shaft
Damage
Substantial damage
Flight
Part 135
Operator
Mauna Kea Helicopters
Registered owner
Mauna Kea Helicopters, Insc.
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · December 7, 1992 · 64 hours before
Departed
MUE · Kamuela, 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
30
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Helicopter
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
4,017 total · 3,643 as pilot in command · 138 in the last 90 days · 71 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
50° at 5 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
68 °F
Altimeter
29.00 inHg

FAA reports on this event · 1

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

Other investigations on N113RS · 1

Matched to the same aircraft by N-number and date.