WPR10CA164

NTSB accident investigation · Eurocopter AS 350 B3 · Parker, AZ · March 16, 2010

Accident · No injuriesData collectionFinal report
Date
March 16, 2010, 09:30 local (16:30 UTC)
Place
Parker, AZ
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N4282Eurocopter AS 350 B3
Defining event
Maneuvering-hover: Miscellaneous/other
Weather
Visual (VMC) · Day
Status
Completed · report July 1, 2010
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
FAA FSDO
FAA report
20100316032849A
Case key
75545

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 mechanics' failure to account for all the tools following a maintenance procedure and the pilot's failure to perform a preflight check before a maintenance test flight.

Findings · 3

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Maintenance: scheduled/routine maintenancePersonnel issues › Task performance · Maintenance personnelEurocopter AS 350 B3: 2 casesAll aircraft: 320 casesProbable cause
Inspection: preflight inspectionPersonnel issues › Task performance · PilotEurocopter AS 350 B3: 2 casesAll aircraft: 551 casesProbable cause
Object/animal/substance: debris/dirt/foreign objectEnvironmental issues › Physical environment · Effect on equipmentEurocopter AS 350 B3: 1 caseAll aircraft: 101 cases

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The pilot of the helicopter told the lead mechanic that the main rotor blade needed to be balanced. Two mechanics showed up on the morning of the accident and installed the balancing equipment. A test flight was flown. The two men performed the necessary work, which required a second adjustable wrench on the top of the rotor head to hold the bolt while the nut below was removed and later torqued back on. When the work was finished, the men gathered their tools. The pilot asked the lead mechanic if they had gathered all their tools and the mechanic replied "yes." The three men got on the helicopter for a test hover to check their work. As the main rotor speed reach 100 percent, the three occupants heard a "bang." As the helicopter hovered, the two mechanics thought the balancing equipment readings were worse than the first flight, and the vibrations in the aircraft had increased. The pilot landed the helicopter so that the mechanics could make additional adjustments. The mechanics discovered that they were missing the adjustable wrench that had been used on the top of the main rotor head. Postaccident examination revealed that one main rotor blade, the tail boom, and the lower vertical stabilizer had received damage from the unaccounted for wrench.

Factual narrative

The pilot of the helicopter told the lead mechanic that the main rotor blade needed to be balanced. Two mechanics showed up on the morning of the accident and installed the balancing equipment. A test flight was flown. The two men performed the necessary work, which required a second adjustable wrench on the top of the rotor head to hold the bolt while the nut below was removed and later torqued back on. When the work was finished, the men gathered their tools. The pilot asked the lead mechanic if they had gathered all their tools and the mechanic replied "yes." The three men got on the helicopter for a test hover to check their work. As the main rotor speed reach 100 percent, the three occupants heard a "bang." As the helicopter hovered, the two mechanics thought the balancing equipment readings were worse than the first flight, and the vibrations in the aircraft had increased. The pilot landed the helicopter so the mechanics could make additional adjustments. The mechanics discovered that they were missing the adjustable wrench that had been used on the top of the main rotor head. Post accident examination revealed that one main rotor blade, the tail boom, and the lower vertical stabilizer had received damage from the unaccounted for wrench.

Aircraft

Registration
N4282
Reported as
Eurocopter AS 350 B3
Category
Helicopter
Serial number
4282
Airframe hours
819
Engine
Turbomeca ARRIEL 2B1, 747 horsepower, turbo shaft
Damage
Substantial damage
Flight
Other work use · Part 91
Operator
Omniflight Helicopters inc.
Registered owner
Cfs Air LLC
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · February 3, 2010
Departed
AZ47 · Parker, AZ
Destination
AZ47 · Parker, AZ
Airport
AZ47 · Lapaz Regional Hospital Helpt

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
52
Injuries
None
Certificates
Flight instructor, Commercial
Instrument ratings
Helicopter
Medical
Class 2, With waivers/limitations
Last flight review
March 21, 2009
Seat
Right
Flight hours
3,900 total · 1,354 in this make and model · 28 in the last 90 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
50° at 5 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
70 °F, dew point 39 °F
Altimeter
30.30 inHg
Observed at
BLH

Docket · 1

The files NTSB released with the investigation on April 14, 2010, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.4 MB in all.

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.