LAX97FA149

NTSB accident investigation · Aerospatiale AS350D · Los Angeles, CA · April 7, 1997

Accident · No injuriesField investigationFinal report
Date
April 7, 1997, 12:09 local (19:09 UTC)
Place
Los Angeles, CA
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Standing
Aircraft
N317LTAerospatiale AS350D
Weather
Visual (VMC) · Day
Status
Completed · report December 31, 1998
Report
Approved by Office Director
FAA report
19970407005459A
Case key
29614

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 ensure that the collective lock was properly seated before deplaning.

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.

Miscellaneous/otherStanding - engine(s) operating
Aircraft unattended/engine(s) running - intentionalPilot in command
Control friction - not setPilot in commandCause
Ground resonanceCause

Analysis

The pilot exited the helicopter to escort a deplaning passenger. The student pilot rated passenger was left sitting in the helicopter with instructions not to touch the controls. While the pilot was standing nearby, the helicopter began bouncing up and down in a resonant mode. The pilot ran back to the helicopter and pulled the fuel flow control lever into the cut-off position. The helicopter yawed to the right and settled back on the deck. Investigation revealed the full down position of the collective was spring loaded to keep tension against the control lock. An inspection of the helicopter revealed that the collective was not down and locked, nor were the frictions tightly applied. The manufacturer reported instances in which the collective lock was not seated properly, and consequently, the collective became released while the engine was running. If the lock slips off collective, the spring's tension could force the control to move upward. No malfunction or failure was found with the engine or rotor systems.

Factual narrative

History of flight

On April 7, 1997, at 1209 hours Pacific daylight time, an Aerospatiale AS350D, N317LT, experienced a resonant series of uncommanded takeoffs and landings after landing at the Transamerica heliport in downtown Los Angeles, California. The aircraft sustained substantial damage; however, neither the pilot nor his student pilot rated passenger were injured. There were no ground injuries or damage. The aircraft, operated by Bravo Helicopters of Torrance, California, was awaiting a repositioning flight under 14 CFR Part 91 when the accident occurred. The helicopter had just completed an on-demand air taxi flight under 14 CFR Part 135 and deplaned a non-revenue passenger. The flight originated at the University of California, San Diego, California, at 1100 on the morning of the accident. Visual meteorological conditions prevailed at the time and a company flight plan was filed.

After approaching at the Transamerica building on a 250-degree heading, the pilot made a left pedal turn to 180 degrees, set the aircraft down on the deck, and applied the collective lock and control frictions. He then exited the aircraft, opened the right cabin door, and escorted his passenger to the heliport stairway, where they were met by a building security guard. His student pilot rated passenger remained sitting in the left front seat, with instructions not to touch the aircraft controls.

The pilot, who was standing with his back toward the aircraft at the time, was just saying goodbye to his passenger, when the security guard exclaimed "Holy Cow!" The security guard stated that, while he was looking, the aircraft began bouncing up and down in a resonant mode until reaching a height of nearly 2 to 3 feet with a frequency that he equated with someone dribbling a basketball. He said he also recalled hearing the engine accelerate about the same time the bouncing began.

The pilot, who had glanced back over his shoulder, now also saw what was happening. He ran around the nose of the aircraft and climbed back in the cockpit. The pilot said that after he climbed back into his seat, he immediately pulled the fuel flow control (FFC) lever into the cut off position, effectively shutting down the engine. After bouncing several times with increasing amplitude, the aircraft suddenly yawed to the right, turning about 40 degrees. The aircraft came to rest on a heading of 220 degrees with its stinger resting against the railing on the east side of the heliport. After he shut down the aircraft, both he and his student pilot passenger were able to exit the aircraft without difficulty.

The student pilot confirmed that he saw the pilot apply the control frictions and the collective lock. He reported that the aircraft began rocking and yawed to the right after the pilot re-entered the cockpit. He said that when the aircraft movement occurred, his first reaction was to grab his seat in order to brace himself. He denied touching the controls at any time.

Personnel information

The pilot is the owner and chief pilot of Bravo Helicopters, the operator of the aircraft.

Aircraft information

A manufacturer's representative reported that they are aware of instances in the past in which the collective lock was not seated properly and consequently released the collective while the engine was running. The fully down position of the collective is spring loaded to keep tension against the control lock.

Wreckage and impact information

During a postaccident inspection of the aircraft, the Safety Board noticed that the collective was not down and locked. A further inspection of the controls revealed that the frictions were not tightly applied.

The No. 2 red Starflex Star arm was separated and that the tailboom was buckled aft of its attachment point to the fuselage.

Tests and research

The engine and fractured Starflex Star arm were removed and submitted to their respective manufacturer's facilities for examination.

Allied Signal performed an engine inspection and functional test run in an instrumented test cell. During the inspection it was noted that the combustor drain gasket was damaged and a bolt was missing from the customer bleed pad. The engine was not repaired, but rather was installed in a test cell, started, and brought up to 70 percent Ng and then 100 percent Ng where it ran without surging. During the run it met all the points on the power curve specifications.

The No. 2 red Starflex Star arm was inspected by Eurocopter. The manufacturer reported that the arm met its specifications regarding its material, curing, part health and dimensional and stiffness checks. They identified the fracture as a static rupture which occurred while the load was in the flap/drag mode.

Additional information

The aircraft was recovered by Aircraft Recovery Services and transported to Rotorcraft Support, Inc., in Van Nuys, California. The aircraft was released to a representative of the registered owner on May 5, 1997.

Aircraft

Registration
N317LT
Reported as
Aerospatiale AS350D
Category
Helicopter
Serial number
1403
Airframe hours
9,051
Engine
Lycoming LTS-101-600A, 531 horsepower, turbo shaft
Damage
Substantial damage
Flight
Positioning · Part 91
Operator
Benbow Helicopters, doing business as Bravo Helicopters
Registered owner
Thomas D. Thomas
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · February 28, 1997 · 18 hours before
Departed
Uc San Diego, CA
Destination
63L
Airport
63L · Transamerica Bldg Helipad

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
Airline transport, Flight instructor
Instrument ratings
Helicopter
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Right
Flight hours
6,582 total · 300 in this make and model · 6,466 as pilot in command · 272 in the last 90 days · 95 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
210° at 6 knots
Visibility
9 statute miles
Lowest ceiling
None
Temperature
57 °F, dew point 54 °F
Altimeter
30.00 inHg
Observed at
LAX, 12 nm away

Docket · 15

The files NTSB released with the investigation on July 16, 1998, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.7 MB in all.

FAA reports on this event · 1

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