SEA90LA023

NTSB accident investigation · Hughes 369D · Stayton, OR · November 29, 1989

Accident · No injuriesLimited investigationFinal report
Date
November 29, 1989, 11:45 local (19:45 UTC)
Place
Stayton, OR
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N446TNHughes 369D
Weather
Instrument (IMC) · Day
Status
Completed · report June 25, 1992
Report
Approved by Office Director
FAA report
19891129047789A
Case key
41153

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 maintenance personnel failed to record the previous flight time for the overrunning clutch on airworthiness certification documents when the assembly was overhauled. Also, causal to the accident was the operation of the aircraft by the operator for 175 hours after mandatory retirement time for the sprague assembly.

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/malfunctionHover
Rotor drive system,freewheeling sprag unit - failure,totalCause
Maintenance,recordkeeping - improperOther maintenance personnelCause
Maintenance,replacement - not performedCompany maintenance personnelCause
Forced landingDescent - emergency
In flight collision with terrain/waterDescent - uncontrolled

Analysis

While hovering to pick up an external load, the pilot experienced loss of rotor RPM and executed a hovering autorotation. The acft impacted the ground and was substantially damaged. Examination of the overrunning clutch revealed fatigue failure of the overrunning clutch assy. When the clutch was overhauled, the previous time was listed as unknown. It was installed on the accident acft and operated 175 hours past mandatory replacement.

Aircraft

Registration
N446TN
Reported as
Hughes 369D
Category
Helicopter
Serial number
1211037D
Airframe hours
3,688
Engine
Allison 250-C20B, 420 horsepower, turbo shaft
Damage
Substantial damage
Flight
Other work use · Part 133
Operator
Associated Helicopter Svcs
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · November 26, 1989 · 15 hours before
Departed
NONE · Stayton, OR

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
43
Certificate
Commercial
Airplane ratings
Single-engine land
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
10,780 total · 1,720 in this make and model · 10,750 as pilot in command · 130 in the last 90 days · 112 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Day
Wind
Calm
Visibility
1 statute miles
Lowest ceiling
200 ft overcast
Temperature
37 °F, dew point 37 °F
Altimeter
30.00 inHg
Observed at
SLE, 13 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.