LAX95FA225

NTSB accident investigation · Hughes 369D · Highland, CA · June 26, 1995

Accident · Serious injuriesField investigationFinal report
Date
June 26, 1995, 10:20 local (17:20 UTC)
Place
Highland, CA
Injuries
1 serious, 3 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N1089NHughes 369D
Weather
Visual (VMC) · Day
Status
Completed · report March 21, 1996
Report
Approved by Office Director
FAA report
19950626014879A
Case key
28928

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 failure to verify the security of his passenger's cargo/personal belongings which departed the aircraft striking the tailrotor.

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.

Rotor failure/malfunctionCruise
Terrain condition - mountainous/hillyFactor
Rotor system,tail rotor blade - foreign object damageCause
Security of cargo - not verifiedPilot in commandCause
Rotor drive system,tail rotor gearbox(90 deg) - overload
Loss of control - in flightDescent - emergency
Aircraft control - not possible
Hard landingDescent - emergency

Analysis

The helicopter pilot was operating in mountainous terrain with three doors removed. He was positioning survey personnel to remark survey sites. During departure from the mountainous terrain the pilot briefly noticed something in his skid mounted mirror. At that point, the pilot and the three passengers heard a loud 'whump' followed by a loss of tail rotor control. The pilot maneuvered the spinning helicopter over some power lines and onto a downward sloping ridgeline. The helicopter landed hard and rolled down the mountain about 100 to 150 feet. The tail rotor blades, along with half of the severed gear box were not recovered. The left rear seat passenger was missing a sweat jacket. An abundance of 12-inch reinforced marker tape was found at the accident site. Metallurgical analysis revealed that a high strain rate crack growth had occured as in a one-time overload on the tail rotor gearbox casting.

Factual narrative

On June 26, 1995, about 1020 hours Pacific daylight time, a Hughes 369D helicopter, N1089N, was substantially damaged during an emergency landing in mountainous terrain near Highland, California. The pilot and two passengers received minor injuries; a third passenger received serious injuries. Visual meteorological conditions prevailed for the 14 CFR Part 135 local survey flight. A company VFR flight plan had been filed. The flight originated at Rialto, California, at 0920 hours on the morning of the accident.

The helicopter was being operated with the two left doors and the right rear door removed.

The pilot stated that he observed something in his left skid mounted mirror for a fraction of a second just prior to experiencing a loss of tail rotor control.

Postaccident investigation revealed that the tail rotor and half of the tail rotor gearbox were missing. Numerous ground and air searches have failed to find the rotor system components and a passenger's missing jacket.

During the investigation, an abundance of 12-inch-wide nylon reinforced plastic survey marker tape was found at the accident site.

Personnel information

The 12,000-hour commercial instructor pilot stated that he had briefed the passengers prior to flight regarding operations with doors removed and the security of loose items.

The pilot stated that they were in cruise flight heading out of the mountains and had started a gentle descent when two things happened almost simultaneously. First, "I saw something move in the field of vision of my skid-mounted convex mirror". Less than a second later, a strong "whump" was felt and heard by everyone onboard, and the helicopter yawed to the right.

Wreckage and impact information

The loss of the tail rotor control occurred over mountainous terrain. The pilot was able to maneuver around some power lines and control the spinning descent onto a ridgeline with approximately a 10-degree down slope. After impact, the helicopter rolled downhill about 100 to 150 feet.

The tailboom with the vertical and horizontal stabilizers still attached was found at the initial point of impact.

The tail rotor blades, the gearbox output shaft, and half of the gearbox were missing. Subsequent searches failed to find the missing items, nor a purple sweat jacket belonging to the left rear seat passenger.

Additional information

A metallurgical analysis was performed on the remaining gearbox casting. According to the results of the analysis, a high strain rate crack growth had occurred, similar to a one-time overload.

Aircraft

Registration
N1089N
Reported as
Hughes 369D
Category
Helicopter
Serial number
510964D
Airframe hours
6,112
Engine
Allison 250-C20B, 420 horsepower, turbo shaft
Damage
Substantial damage
Flight
Part 135
Operator
Hsi Helicopters, Inc., doing business as Western Helicopters, Inc.
Registered owner
South Coast Helicopters, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · May 30, 1995 · 32 hours before
Departed
L67 · CA
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
62
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
12,000 total · 5,305 in this make and model · 161 in the last 90 days · 57 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Visibility
3 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.

Other investigations on N1089N · 1

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