WPR10LA075

NTSB accident investigation · Aerospatiale AS 355F1 · Temple Bar, AZ · December 6, 2009

Accident · No injuriesLimited investigationFinal report
Date
December 6, 2009, 10:30 local (18:30 UTC)
Place
Temple Bar, AZ
Injuries
7 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N548SAAerospatiale AS 355F1
Defining event
Enroute-cruise: Part(s) separation from AC
Weather
Visual (VMC) · Day
Status
Completed · report March 23, 2010
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
FAA report
20091206053779A
Case key
75151

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 pilot’s inadequate preflight inspection. Contributing to the accident was the pilot’s diverted attention during the preflight inspection.

Findings · 4

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.

Attention/monitoring: attentionPersonnel issues › Psychological · PilotAll aircraft: 226 casesProbable cause
Inspection: preflight inspectionPersonnel issues › Task performance · PilotAll aircraft: 551 casesProbable cause
AircraftAircraft › Aircraft handling/service · Inadequate inspectionAll aircraft: 21 casesProbable cause
Action: forgotten action/omissionPersonnel issues › Action/decision · PilotAll aircraft: 440 casesProbable cause

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 reported that after arriving to work late he began his preflight inspection on the helicopter. As the pilot was inspecting the left engine, the refueling truck arrived and the pilot lowered the left engine cowling door and tended to the refueling of the helicopter. The pilot said that following the refueling of the helicopter, he continued his preflight inspection and subsequently boarded the passengers “not realizing I left the engine cowling ‘unlatched’.” While en route to the flight’s intended destination, the pilot heard a “pop” followed by feedback in the cyclic control. The pilot was informed by the pilot of a second helicopter that the left engine cowling appeared to be open and partially separated. The pilot initiated a precautionary landing to the desert surface and landed without further incident. Examination of the helicopter by a Federal Aviation Administration inspector revealed that two of the three main rotor blades were damaged. One main rotor blade exhibited a one-inch-long gouge about one-quarter of an inch in depth near the blade root. A portion of the left engine cowling was separated and not located.

Factual narrative

On December 6, 2009, about 1030 Pacific standard time, an Aerospatiale AS 355F1 helicopter, N548SA, was substantially damaged during cruise flight when the left engine cowling door opened in flight near Temple Bar, Arizona. The helicopter was registered to and operated by Heli-USA Airways, Inc., Las Vegas, Nevada, under the provisions of Title 14 Code of Federal Regulations Part 135. The commercial pilot and six passengers were not injured. Visual meteorological conditions prevailed and a company flight plan was filed for the cross-country flight. The air tour flight originated from the McCarran International Airport (LAS), Las Vegas, Nevada, about 1000, with an intended destination of Grand Canyon, Arizona. The pilot reported that the morning of the accident, he was late to work due to unforeseen traffic and local events within the area. The pilot stated he was about 40 minutes late to work and upon his arrival, he started his pre-flight inspection. As the pilot was inspecting the area of the left engine, the fuel truck arrived to refuel the helicopter. The pilot “lowered the cowling door [and] walked around to the pilot seat to get the gas cap keys.” After the helicopter was refueled, the pilot “continued the pre-flight, not realizing that I left the engine cowling ‘unlatched’.” The pilot further reported that his passengers were dropped off on the ramp and he proceeded to board them “still not realizing that I left the cowling door unlatched.” The pilot departed the airport and while en route to his destination, he heard a “pop” followed by “shake feed” within the cyclic control. The pilot contacted a second company helicopter to have them visually inspect the helicopter in flight. The pilot of the second helicopter informed the pilot that the left engine cowling appeared to be open and partially separated. The pilot initiated a precautionary landing to the desert surface and landed without further incident. Examination of the helicopter by a Federal Aviation Administration (FAA) inspector revealed that two of the three main rotor blades were damaged. One main rotor blade exhibited a one-inch long gouge about one-quarter of an inch in depth near the blade root. A portion of the left engine cowling was separated and not located.

Aircraft

Registration
N548SA
Reported as
Aerospatiale AS 355F1
Category
Helicopter
Serial number
5167
Airframe hours
7,390
Engines
Allison 250-C20 SER, 420 horsepower, turbo shaftAllison 250-C20 SER, 420 horsepower, turbo shaft
Damage
Substantial damage
Flight
Part 135
Operator
Heliusa Airways Inc
Registered owner
Heliusa Airways Inc
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · November 22, 2009 · 36 hours before
Departed
LAS · Las Vegas, NV
Destination
Grand Canyon, AZ
Flight plan
Company VFR

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
27
Injuries
None
Certificate
Commercial
Medical
Class 2, Without waivers/limitations
Last flight review
July 15, 2009
Seat
Right
Flight hours
3,000 total · 2,928 as pilot in command · 200 in the last 90 days · 60 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Variable at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
39 °F, dew point -0 °F
Altimeter
29.81 inHg
Observed at
LVS, 35 nm away

Docket · 3

The files NTSB released with the investigation on January 19, 2010, on NTSB’s docket system: statements, records, photos and specialists’ reports. 483 KB 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.