SEA90LA010

NTSB accident investigation · Hughes 369D · Neah Bay, WA · October 27, 1989

Accident · No injuriesLimited investigationFinal report
Date
October 27, 1989, 11:30 local (19:30 UTC)
Place
Neah Bay, WA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N9163FHughes 369D
Weather
Visual (VMC) · Day
Status
Completed · report October 7, 1992
Report
Approved by Office Director
FAA report
19891027043679A
Case key
41142

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

Fatigue failure of all four attachment studs of the tailrotor gearbox resulting in separation of the gear box, and inadequate maintenance inspection.

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/malfunctionClimb
Rotor drive system,tail rotor gearbox(90 deg) - fatigueCause
Maintenance,inspection - inadequateCompany maintenance personnelCause
Rotor drive system,tail rotor gearbox(90 deg) - separation
Forced landingLanding - flare/touchdown
In flight collision with terrain/waterLanding
Terrain condition - rough/unevenFactor

Analysis

During an external load operation, the pilot had just released the load and was transitioning to a climb attitude when the tail rotor gearbox separated from the tail boom. The pilot was unable to maintain control and the helicopter collided into the rough terrain. The gearbox was metallurgically examined, revealing that all four attachment studs had failed due to fatigue. Further examination revealed contaminants on the gearbox mounting pads between the tail rotor gearbox and the tail boom; fretting was noted. AD88-17-09 and service information notice DN-151/EN-39/FN-28 both mandate initial and recurrent inspection (every flight) of the gearbox attachment area.

Aircraft

Registration
N9163F
Reported as
Hughes 369D
Category
Helicopter
Serial number
690540D
Airframe hours
8,187
Engine
Allison 250-C20B, 375 horsepower, turbo shaft
Damage
Substantial damage
Flight
Other work use · Part 133
Registered owner
Eagle Air Helicopters, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 9, 1989 · 96 hours before
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
41
Certificate
Commercial
Airplane ratings
Single-engine land
Medical
Class 2, Valid Medical--w/ waivers/lim
Flight hours
9,796 total · 3,512 in this make and model · 9,505 as pilot in command · 332 in the last 90 days · 11 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
40 statute miles
Lowest ceiling
None
Temperature
-0 °F

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 N9163F · 1

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