SEA06TA028

NTSB accident investigation · Aerospatiale SA-319B · Escalante, UT · December 14, 2005

Accident · Serious injuriesFinal report
Date
December 14, 2005, 14:57 local (21:57 UTC)
Place
Escalante, UT
Injuries
2 serious, 4 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N3194KAerospatiale SA-319B
Weather
Visual (VMC) · Day
Status
Completed · report October 31, 2006
Report
Approved by Office Director
Parties
FAA FSDO
FAA report
20051214028809A
Case key
62969

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 inadequate remedial action when ground resonance was encountered during landing. Contributing factors were the rough/uneven terrain and company inadequate maintenance.

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 - on ground/waterLanding - flare/touchdown
Maintenance - inadequateCompany maintenance personnelFactor
Ground resonance - encounteredPilot in commandCause
Remedial action - inadequatePilot in commandCause
Terrain condition - rough/unevenFactor

Analysis

The helicopter was manufactured in France for the French Army Air Force. Thirty years later, it was imported to California and given a Certificate of Airworthiness in the normal category by the Anchorage, Alaska, FAA FSDO. The helicopter was flying under contract for the Bureau of Land Management (Public Use) in southern Utah in support of an eradication of feral cattle program. The pilot said that he touched down on a sloping rock outcrop when the helicopter began to oscillate. The pilot pulled up on the collective and the aircraft "suddenly self-destructed." Five of the occupants exited the helicopter under their own power, however, one had been struck by a rotor blade and remained buckled in his seat unconscious. The ground resonance event separated the transmission/rotor system, the engine from the fuselage, and one main rotor blade impacted the cabin. The pilot said that he had experienced at least two incipient ground resonance events with this helicopter during the previous 18 months. During a post-accident examination, numerous maintenance discrepancies were identified, including: improper tire inflations, improper main landing gear hydraulic shock strut pressures, and differential functioning of the main rotor blade drag dampers. The manufacturer's representative said that all of these items have narrow operational tolerances if ground resonance events are to be avoided. Additionally, the landing surface was a "bowl shaped" rock formation with the right main landing wheel up sloped approximately 5 degrees and the nose wheel 3-5 inches nose low.

Factual narrative

On December 14, 2005, at 1457 mountain standard time, an Aerospatiale SA-319B, Alouette III helicopter, N3194K, was destroyed by ground resonance encountered during a landing attempt in the Grand Staircase-Escalante National Monument, near Escalante, Utah. The commercial pilot and three passengers were not injured; however, two passengers were seriously injured. The helicopter was being operated under contract to the Bureau of Land Management (BLM) by High Country helicopters LLC. of Cedar City, Utah, as a public use flight. Visual meteorological conditions prevailed for the cross-country flight that had originated at Page, Arizona, approximately 30 minutes before the accident. No flight plan had been filed; BLM personnel stated that the purpose of the flight was to distribute hunters for eradication of feral cattle.

The pilot stated that he was moving hunting personnel from one location to another. He said that he "took about 5 seconds to settle all three tires to a stable footing and then put the collective down to a full-flat pitch." He said the "aircraft settled into a stable position when suddenly we experienced some ground resonance." The pilot said that he pulled the collective up to lift the helicopter off the ground and "suddenly it self-destructed." The ground resonance event separated the transmission/rotor system, the engine from the fuselage, and one main rotor blade impacted the cabin and struck the helmet of at least one rear seat occupant. Five of the occupants exited the aircraft under their own power, however, the occupant struck by the rotor blade was unconscious and remained buckled in his seat.

The pilot said that he had experienced at least two incipient ground resonance events with this helicopter during the previous 18 months.

The helicopter was manufactured in France on January 1, 1972, under contract for the French Army Air Force, and after it was decommissioned, it was sold to a company in California in 2002. On December 16, 2002, the helicopter received a Certificate of Airworthiness in the normal category from the Anchorage, Alaska, Federal Aviation Administration (FAA) Flight Standards District Office (FSDO). On March 17, 2005, it was put on a Part 135 certificate by the Salt Lake City, Utah, FAA FSDO. On May 12, 2005, the helicopter was approved and given a Department of Interior, Interagency Data Card, OAS-36B; this card made the helicopter eligible for the BLM contract.

On February 8 and 9, 2006, three FAA inspectors, two Department of Interior Air Safety Investigators, and a manufacturer's representative examined the helicopter in Cedar City, Utah. They identified numerous maintenance discrepancies including: improper tire inflations, improper main landing gear hydraulic shock strut pressures, and differential functioning of the main rotor blade drag dampers (tested by hand). The manufacturer's representative said that all of these items have narrow operational tolerances if ground resonance events are to be avoided. Additionally, the landing surface was a "bowl shaped" rock formation with the right main landing wheel up sloped approximately 5 degrees and the nose wheel 3-5 inches nose low.

Aircraft

Registration
N3194K
Reported as
Aerospatiale SA-319B
Category
Helicopter
Serial number
2025
Airframe hours
5,258
Engine
Turbomeca Astazou XIV-B, 880 horsepower, turbo shaft
Damage
Substantial damage
Flight
Public aircraft · Public use
Operator
Bureau of Land Management
Registered owner
High Country Helicopters, LLC.
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · December 1, 2005 · 17 hours before
Departed
PGA · Page, AZ
Destination
NONE · Escalante, UT

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
42
Injuries
None
Certificates
Private, Commercial
Airplane ratings
Single-engine land
Medical
Class 2, Without waivers/limitations
Last flight review
March 1, 2005
Seat
Right
Flight hours
3,117 total · 747 in this make and model · 3,100 as pilot in command · 85 in the last 90 days · 18 in the last 30 days · 10 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Variable at 3 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
43 °F, dew point 7 °F
Altimeter
30.20 inHg
Observed at
PGA, 30 nm away

Docket · 2

The files NTSB released with the investigation on August 16, 2006, on NTSB’s docket system: statements, records, photos and specialists’ reports. 721 KB 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.