LAX96LA009

NTSB accident investigation · Hughes 369HS · Hana, HI · October 12, 1995

Accident · Minor injuriesLimited investigationFinal report
Date
October 11, 1995, 17:55 local (Oct 12, 1995, 03:55 UTC)
Place
Hana, HI
Injuries
4 minor, 1 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N9205FHughes 369HS
Weather
Visual (VMC) · Dusk
Status
Completed · report January 29, 1996
Report
Approved by Office Director
FAA report
19951011036109A
Case key
29307

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 loss of engine power due to inadequate maintenance inspection of the fuel system which permitted air to enter the engine fuel supply. A factor in the accident was the pilot's improper execution of the autorotation landing.

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/malfTakeoff - initial climb
Fuel system - leak
Maintenance,inspection - inadequateOther maintenance personnelCause
Forced landingEmergency landing after takeoff
Hard landingEmergency landing
Autorotation - improperPilot in commandFactor

Analysis

During departure, upon reaching 100 feet altitude and 60 knots airspeed, the pilot experienced an airframe vibration accompanied by a fuel filter caution light, engine power warning light and horn, and loss of engine power. In the ensuing autorotation, a hard landing resulted in the main rotor severing the tail boom. Subsequent investigation revealed that there was a leak in the fuel filter bypass switch which permitted air to enter the suction-fed engine fuel system. Inspection of the switch disclosed leakage between the mating flange halves due to deteriorated safety wiring. The last scheduled maintenance on the aircraft was performed 77 hours prior to the accident.

Factual narrative

On October 11, 1995, at 1755 hours Hawaiian standard time, a Hughes 369HS, N9205F, was substantially damaged during an emergency landing shortly after takeoff from Hana Airport on the island of Maui, Hawaii. The commercial pilot was not injured, however, his four passengers received minor injuries. The aircraft was being operated as a sightseeing flight by AlexAir under 14 CFR Part 135 when the accident occurred. Visual meteorological conditions prevailed and a company VFR flight plan was filed.

The pilot reported departing from runway 8/26 at midfield. Upon reaching 100 feet altitude at 60 knots, he experienced a lateral vibration he thought was due to rotor imbalance. He had lowered the collective control and slowed for a normal descent when he noted that the fuel filter light had come on. This was followed immediately by the engine failure light and warning horn, and a loss of engine power. The pilot said he then initiated an autorotation back to the runway. He "lowered collective and nosed the helicopter forward to try to get some airspeed for a flare at about 30 feet," however, he was unable to flare and level the helicopter before the tail boom and landing skids impacted at the same time on the runway. The main rotor blades then flexed downward and severed the tailboom.

Subsequent examination of the aircraft by inspectors from the FAA's Honolulu Flight Standards District Office revealed that there was a leak in the fuel filter bypass switch which allowed air to enter the suction-fed engine fuel system. The fuel filter bypass switch was manufactured by the R. W. Jenson Company as part number 800175-3 (McDonnell Douglas Helicopter/Hughes P/N 369H8144) circa 1974. The last 100-hour inspection of the aircraft was performed 77 hours prior to the accident.

Following the accident the switch was inspected and tested at Spectra-Lux Corporation, who currently manufacture the switch under license. The inspection revealed leakage between the mating flange halves. The leakage was due to deteriorated safety wiring which permitted the machine screws holding the flanges together to loosen. When the screws were tightened, the leakage stopped and the switch functioned to the manufacturers' specifications.

Aircraft

Registration
N9205F
Reported as
Hughes 369HS
Category
Helicopter
Serial number
440583S
Airframe hours
7,270
Engine
Allison 250-C20B, 420 horsepower, turbo shaft
Damage
Substantial damage
Flight
Part 135
Registered owner
Gerardin Corp.
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · September 26, 1995 · 77 hours before
Departed
HNM · HI
Destination
OGG · Kahilui, HI
Flight plan
Company VFR
Airport
HNM · Hana, runway 8, 3,605 × 100 ft, asphalt

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
34
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
2,825 total · 1,805 in this make and model · 2,825 as pilot in command · 218 in the last 90 days · 86 in the last 30 days · 4 in the last 24 hours

Weather

Conditions
Visual (VMC) · Dusk
Wind
60° at 13 knots, gusting 21
Visibility
15 statute miles
Lowest ceiling
None
Temperature
81 °F, dew point 64 °F
Altimeter
29.00 inHg
Observed at
OGG, 24 nm away

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 N9205F · 1

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