SEA90LA016

NTSB accident investigation · Hughes 269C · Estacada, OR · November 15, 1989

Accident · FatalLimited investigationFinal report
Date
November 15, 1989, 13:00 local (21:00 UTC)
Place
Estacada, OR
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Maneuvering
Aircraft
N9592FHughes 269C
Weather
Visual (VMC) · Day
Status
Completed · report September 5, 1991
Report
Approved by Office Director
FAA report
19891115045379A
Case key
41148

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 misjudged clearance between her external load and the obstruction. Factors related to the accident were: the obstruction, improper maintenance and modification of the external load line/hook by the operator, failure of the pilot to jettison the external load, and a failure of the operator management to assure the pilot had received adequate training/certification.

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.

In flight collision with objectManeuvering
Terrain condition - high obstruction(s)Factor
Clearance - misjudgedPilot in commandCause
Loss of control - in flightManeuvering
External load sling/harness - improperFactor
Maintenance,modification - improperCompany/operator managementFactor
Load jettison - not performedPilot in commandFactor
Inadequate initial trainingPilot in commandFactor
Inadequate certification/approval,airmanCompany/operator mgmtFactor
In flight collision with terrain/waterManeuvering

Analysis

The helicopter was being use in an external load opn to move christmas trees from a field to a drop zone (dz) for loading on a truck. During an apch to the dz, the plt did not maintain sufficient altitude or clearance to keep the load clear of obstructions. Subsequently, she lost control of the helicopter & it traveled 100 to 200 ft backwards. It then hit the ground tail 1st, rolled over & was extensively damaged. Trees were scattered between the object & the main wreckage. An exam revealed the plt had only a manual means of releasing the load at the helicopter. The electrical release sys had been rewired to provide power to the bottom hook only. One of the ground psnl rprtd the hook had been malfunctioning. The plt had 5 hrs of dual time & 8 hrs of plt-in-command time in external load opns; however, she did not possess the required letter of competency for this opn.

Aircraft

Registration
N9592F
Reported as
Hughes 269C
Category
Helicopter
Serial number
440296
Airframe hours
3,180
Engine
Lycoming HIO-360-D1A, 190 horsepower, reciprocating
Damage
Destroyed
Flight
Other work use · Part 133
Operator
Helicopter Enterprises
Registered owner
John Inman
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · October 1, 1989 · 80 hours before
Departed
NONE

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
Certificate
Commercial
Airplane ratings
Single-engine land
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Left
Toxicology
Performed
Flight hours
332 total · 162 in this make and model · 194 as pilot in command · 20 in the last 90 days · 13 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
30 statute miles
Lowest ceiling
None
Temperature
50 °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 N9592F · 1

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