LAX94LA306

NTSB accident investigation · Hughes 269C · Puunene, Maui, HI · August 5, 1994

Accident · No injuriesLimited investigationFinal report
Date
August 5, 1994, 12:15 local (22:15 UTC)
Place
Puunene, Maui, HI
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N8376FHughes 269C
Weather
Visual (VMC) · Day
Status
Completed · report May 9, 1995
Report
Approved by Office Director
FAA report
19940805020609A
Case key
28816

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 overhaul of the red blade main rotor damper, and the inadequate maintenance condition of the other rotor dampers and the landing gear dampers, which led to an uncorrectable ground resonance vibration and a subsequent rollover.

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 flightLanding - flare/touchdown
Landing gear,main gear shock absorbing strut - low compressionCause
Maintenance,annual inspection - inadequateOther maintenance personnelCause
Rotor system,main rotor hub lead-lag stop/damper - overtorqueCause
Maintenance,overhaul - improperOther maintenance personnelCause
Ground resonance - inadvertentPilot in command(cfi)Cause
Remedial action - not possiblePilot in command(cfi)
Roll overLanding - flare/touchdown

Analysis

The student was performing a practice autorotation and at 10 feet he began to increase the collective to cushion the touchdown. The CFI said the main rotor RPM was low and he added throttle to touchdown with power. A ground resonance vibration began and he lifted off the ground. The vibration continued and he rolled the throttle off and set the helicopter on the ground, then it rolled over on its side. The landing gear dampers and main rotor dampers were removed and tested at the factory. The right rear and left front main landing gear dampers had charge pressures below acceptable factory specs. The right front and left rear dampers were found to be within factory spec ranges. All three main rotor dampers were found to be adjusted to excessive friction torque values. The red blade damper was assembled incorrectly with a plate stack up improper for any version of the damper assembly. The helicopter was in storage for 2 years prior to June 1994, when it was leased to the operator. The red blade damper had been removed from another helicopter, overhauled, and placed in spare parts inventory, then put on the red blade on July 20, 1994.

Factual narrative

On August 5, 1994, at 1215 hours Hawaii standard time, a Hughes 269C helicopter, N8376F, rolled over during the termination of a practice autorotation near Puunene, Maui, Hawaii. The helicopter was operated by the flight instructor and was on a local area dual instructional flight. Visual meteorological conditions prevailed at the time and no flight plan was filed. The helicopter sustained substantial damage. The certificated commercial pilot flight instructor and the dual student were not injured. The flight originated at Kahului, Maui, Hawaii, on the day of the accident at 1130 hours.

In his statement, the flight instructor reported that the student was performing a practice autorotation from 800 feet agl. At 50 feet, the student began to apply aft cyclic control to slow the helicopter, and at 10 feet he began to increase the collective to cushion the touchdown. The instructor said the main rotor rpm was low and he added throttle to touch down with power. The instructor reported that immediately a ground resonance vibration began and he lifted off the ground. The vibration did not abate and the instructor rolled the throttle off and set the helicopter on the ground. During the touchdown, the helicopter rolled over on its side.

The landing gear dampers and main rotor dampers were removed from the helicopter and sent to the Schweizer factory in Elmira, New York, for examination under the supervision of a Federal Aviation Administration (FAA) inspector from the associated Flight Standards District Office (FSDO). A copy of the test report is attached as an exhibit to this report.

Compression tests of the right rear and left front main landing gear dampers revealed charge pressures below acceptable factory specifications. The right front and left rear dampers were found to be within factory specification ranges.

All three main rotor dampers were found to be adjusted to excessive friction torque values. The red blade damper was found to be assembled incorrectly with a plate stack up improper for any version of the damper assembly.

The helicopter maintenance records were examined by an FAA inspector from the Honolulu FSDO. He reported that the helicopter had been in storage for 2 years prior to June 1994, when it was leased to the current operator. The red blade damper had been removed from another helicopter, overhauled, and placed in spare parts inventory at Rotor Wing Hawaii, Inc., of Honolulu, Hawaii. The damper was put on the accident helicopter's red blade on July 20, 1994. Pertinent portions of the helicopter maintenance records and serviceable parts tag for the dampers are attached to this report.

Aircraft

Registration
N8376F
Reported as
Hughes 269C
Category
Helicopter
Serial number
480679
Airframe hours
6,999
Engine
Lycoming HIO-360-D1A, 190 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
James C. Hobbs
Registered owner
Kualoa Ranch And Activity Club
Airworthiness certificate
Standard, Normal
Last inspection
Annual · June 21, 1994 · 56 hours before
Departed
OGG · Kahului, Maui, HI
Destination
OGG · HI

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
38
Certificates
Flight instructor, Commercial
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Right
Flight hours
2,997 total · 793 in this make and model · 2,955 as pilot in command · 300 in the last 90 days · 100 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
50° at 5 knots
Visibility
20 statute miles
Lowest ceiling
None
Temperature
84 °F

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 N8376F · 1

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