SEA91FA143

NTSB accident investigation · Sikorsky S-64E · Index, WA · June 27, 1991

Accident · Serious injuriesField investigationFinal report
Date
June 27, 1991, 14:05 local (21:05 UTC)
Place
Index, WA
Injuries
3 serious, 2 minor; on the ground: 1 serious, 2 minor
Damage
Destroyed
Phase of flight
Standing
Aircraft
N6959RSikorsky S-64E
Weather
Visual (VMC) · Day
Status
Completed · report January 25, 1993
Report
Approved by Office Director
FAA report
19910627024349A
Case key
41323

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

The control interference by the mechanic when he inadvertently raised the collective pitch and the copilot's failure to attend the flight controls. Factors relating to the accident were the motion sickness of the mechanic, inadequate collective pitch control locking mechanism utilized by the company, and administrative tasks that diverted the co-pilot's attention from attending the flight controls.

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/waterStanding - engine(s) operating
Control interference - inadvertentOther crewmemberCause
Incapacitation(motion sickness)Other crewmemberFactor
Collective - inadvertent activationOther crewmemberCause
Acft/equip,inadequate aircraft componentCompany/operator managementFactor
Aircraft unattended/engine(s) running - improperCopilot/second pilotCause
Diverted attentionCopilot/second pilotFactor
Lift-off - uncontrolledCopilot/second pilotCause

Analysis

The acft was on an external load logging opn and the PIC had landed at a field site to refuel. The PIC exited, with the acft running at full RPM while it was being refueled, and the copilot remained in the right seat completing load reports. The acft controls were unattended. The crew chief was seated in the aft facing hoist opr station, which had the collective pitch stick installed beside the seat. He had become air sick during the flt, and remained seated after the PIC exited. When he attempted to exit, which required that he stand, turn around and step up out of the seat well, the acft took off to a hover and rotated to the left. The tail rotor struck a rotor blade box on top of a support trailer parked by the refueling site, fracturing the aft tail boom, pylon and tail rotor from the acft. The acft pitched nose down, rolled over and impacted the ground.

Aircraft

Registration
N6959R
Reported as
Sikorsky S-64E
Category
Helicopter
Serial number
64002
Engine
P&W JFTD12A4A, 4,500 horsepower, turbo shaft
Damage
Destroyed
Fire
On-Ground
Flight
Other work use · Part 133
Operator
Erickson Air Crane Co.
Registered owner
Erickson Air Crane Co.
Airworthiness certificate
Special, Restricted (Special)
Departed
NONE · Index, WA

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
40
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Flight hours
17,000 total · 9,000 in this make and model · 15,000 as pilot in command · 110 in the last 90 days · 48 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
340° at 13 knots
Visibility
35 statute miles
Lowest ceiling
None
Temperature
70 °F, dew point 52 °F
Altimeter
29.00 inHg
Observed at
PAE, 38 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.