NYC90MA009

NTSB accident investigation · Agusta A109A Mkii · Lacey Township, NJ · October 10, 1989

Accident · FatalMajor investigationFinal report
Date
October 10, 1989, 13:29 local (17:29 UTC)
Place
Lacey Township, NJ
Injuries
5 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N21FLAgusta A109A Mkii
Weather
Visual (VMC) · Day
Status
Completed · report May 18, 1992
Report
Approved by Office Director
FAA report
19891010039549A
Case key
36745

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

In-flight separation of a main rotor blade due to fatigue failure of the main rotor blade spar, which originated at a manufacturing induced scratch (tool mark) that was the result of inadequate quality control.

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.

Airframe/component/system failure/malfunctionCruise - normal
Rotor system,main rotor blade spar - fatigueCause
Inadequate quality controlManufacturerCause
Rotor system,main rotor blade - separationCause
In flight collision with terrain/waterDescent - uncontrolled

Analysis

As the helicopter was in cruise flt at an alt of 2200' MSL, a portion of one of the main rotor blades separated. The subsequent imbalance resulted in separation of the transmission & main rotor assembly from the helicopter. The helicopter then crashed in an uncontrolled descent. A metallurgical exam of the separated blade revealed that it had failed from fatigue. The fracture had initiated at a manufacturing induced scratch in the spar of the blade. The scratch was on the inner surface of the spar at blade station 2825 (in millimeters), near the lead balance wt. It was in line with the edge of the adhesive filet. There was evidence that the crack originated where a sharp tool was used to trim the edge of the adhesive filet. The blade fractured after 922 hrs of operation.

Aircraft

Registration
N21FL
Reported as
Agusta A109A Mkii
Category
Helicopter
Serial number
7309
Airframe hours
911
Engine
Allison 250-C20B, 420 horsepower, turbo shaft
Damage
Destroyed
Flight
Part 135
Operator
Paramount Aviation
Registered owner
Fsq Air Charter Corp.
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · September 3, 1989 · 47 hours before
Departed
6N4 · New York City, NY
Destination
ACY · Atlantic City, NJ
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
27
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Right
Toxicology
Performed
Flight hours
2,900 total · 100 in this make and model · 2,900 as pilot in command · 100 in the last 90 days · 40 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
190° at 8 knots
Visibility
7 statute miles
Lowest ceiling
4,000 ft broken
Temperature
61 °F, dew point 37 °F
Altimeter
30.00 inHg
Observed at
WRI, 22 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.