SEA92LA029

NTSB accident investigation · Aerospatiale AS355F1 · Billings, MT · October 29, 1991

Accident · No injuriesLimited investigationFinal report
Date
October 28, 1991, 19:15 local (Oct 29, 1991, 02:15 UTC)
Place
Billings, MT
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N101UCAerospatiale AS355F1
Weather
Visual (VMC) · Night/dark
Status
Completed · report May 27, 1993
Report
Approved by Office Director
FAA report
19911028054699A
Case key
41617

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 unlatching and subsequent opening inflight of the left-rear engine cowl door. A factor contributing to the accident was the failure of company maintenance personnel to execute the manufacturer's service bulletin.

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/malfunctionCruise
Door,inspection - unlatchedCause
Maintenance,service bulletin/letter - not performedCompany maintenance personnelFactor

Analysis

Shortly after the company initiated abort of the medevac flight, the flight crew of the aerospatiale AS355 felt a shudder which they attributed to gusty wind conditions. Upon landing at Billings international airport, Montana, a portion of the left-rear engine cowl door was found to be separated, along with damage to the main rotor blades necessitating replacement of the blades. The crew had previously notified company personnel of the cowl door latch problem and had preflighted the cowl prior to the accident flight. The manufacturer was aware of the problem and had issued a relevant service bulletin. The service bulletin had not been implemented on the accident aircraft.

Aircraft

Registration
N101UC
Reported as
Aerospatiale AS355F1
Category
Helicopter
Serial number
5186
Engine
Allison 250-C20, 420 horsepower, turbo shaft
Damage
Substantial damage
Flight
Part 91
Operator
Omni Flight Helicopters, Inc
Departed
MT25 · Billings, MT
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
46
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Helicopter, Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Flight hours
2,826 total · 154 in this make and model · 2,513 as pilot in command · 59 in the last 90 days · 21 in the last 30 days

Weather

Conditions
Visual (VMC) · Night/dark
Wind
220° at 4 knots
Visibility
20 statute miles
Lowest ceiling
2,800 ft broken
Temperature
-0 °F, dew point -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 N101UC · 2

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