Aircraft Accident/Incident Report

Tampa, Florida 33608
Friday, May 19, 1995 20:10 EDT

NTSB Narrative Summary Released at Completion of Accident

THE PILOT STATED HE FELT A FEEDBACK IN THE CYCLIC CONTROL AND THE CONTROLS LOCKED AS HE MADE A SHALLOW LEFT TURN AT ABOUT 800 FEET. THE HELICOPTER ENTERED A DESCENDING LEFT TURN TOWARD AN ISLAND AND THE PILOT RECEIVED INTERMITTENT HYDRAULIC SYSTEM FAILURE INDICATIONS BUT DID NOT FOLLOW MANUFACTURER'S PROCEDURES FOR HYDRAULIC SYSTEM FAILURE WHICH CALL FOR REDUCTION OF AIRSPEED TO BETWEEN 40 AND 60 KNOTS AND TURNING OFF OF THE HYDRAULIC SYSTEM. HE WAS UNABLE TO REGAIN CONTROL OF THE HELICOPTER PRIOR TO TOUCHING DOWN HARD, TAIL FIRST ON THE ISLAND. THE HELICOPTER THEN SKIDDED INTO THE WATER AND CAME TO REST. POST CRASH EXAMINATION SHOWED THE HYDRAULIC MANIFOLD AND FILTER WERE CLOGGED WITH DEBRIS FROM THE CORROSION OF THE MANIFOLD AND FILTER CAP. MANUFACTURER'S PROCEDURES REQUIRE THE FILTER AND MANIFOLD TO BE EXAMINED AT EACH 500 HOUR INSPECTION. THE HELICOPTER HAD RECEIVED A 500 HOUR INSPECTION ABOUT 6 WEEKS AND 50 FLIGHT HOURS BEFORE THE ACCIDENT.

NTSB Probable Cause Narrative

THE FAILURE OF THE PILOT TO FOLLOW MANUFACTURERS PROCEDURES AFTER FAILURE OF THE HYDRAULIC SYSTEM RESULTING IN LOSS OF CONTROL OF THE HELICOPTER. CONTRIBUTING TO THE ACCIDENT WAS THE FAILURE OF MAINTENANCE PERSONNEL TO FOLLOW MANUFACTURERS PROCEDURES FOR MAINTENANCE OF THE HYDRAULIC SYSTEM.

Event Information

Type of Event Accident
Event Date 5/19/1995
Event Day of the Week Friday
Time of Event 2010
Event Time Zone Eastern Daylight Time
Event City TAMPA
Event State FLORIDA
Event Country --
Zipcode of the event site 33608
Event Date Year 1995
Event Date Month 5
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude
Event Location Longitude
Event Location Airport
Event Location Nearest Airport ID
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation --
Weather Briefing Completeness Unknown
Investigator's weather source Weather Observation Facility
Time of the weather observation 1950 Eastern Daylight Time
Direction of event from weather observation facility (degrees) 335
Weather Observation Facility ID TPA
Elevation of weather observation facility 27
Distance of event from weather observation facility (units?) 12
Time Zone of the weather observation EDT
Lighting Conditions Dusk
Lowest Ceiling Height 3000
Lowest Non-Ceiling Height 0
Sky/Lowest/Cloud Conditions Unknown
Sky Condition for Lowest Ceiling Broken
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 7
Air Temperature at event time (in degrees celsius) 26
Dew Point at event time (in degress fahrenheit) 21
Wind Direction (degrees magnetic) 230
Variable Wind Indicator Unknown
Wind Speed (knots) 8
Wind Velocity Indicator Unknown
Wind Gust Indicator Not Gusting
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 29
Density Altitude (feet) 500
Intensity of Precipitation Unknown
METAR weather report --
Event Highest Injury Serious
On Ground, Fatal Injuries 0
On Ground, Minor Injuries 0
On Ground, Serious Injuries 0
Injury Total Fatal --
Injury Total Minor --
Injury Total None 5
Injury Total Serious 1
Injury Total All 1
Investigating Agency NTSB
NTSB Docket Number (internal use) 875
NTSB Notification Source --
NTSB Notification Date May 20 1995 12:00AM
NTSB Notification Time 830
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Dec 7 2000 4:16PM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N35AH
NTSB Number MIA95LA131
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? --
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name AEROSPATIALE
Aircraft Model AS-350B
Aircraft Series Identifier AS-350B
Aircraft Serial Number 2244
Certified Max Gross Weight 4300
Aircraft Category Helicopter
Aircraft Registration Class U.S. Registered/U.S. Soil
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 6
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Mar 28 1995 12:00AM
Airframe hours since last inspection 50
Airframe Hours 1782
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name AMERICAN HELICOPTER SPECIAL.
Aircraft Owner Street Address 825 SEVERN AVE
Aircraft Owner City TAMPA
Aircraft Owner State FL
Aircraft Owner Country
Aircraft Owner Zipcode 33606
Operator is an individual? --
Operator Name
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address
Operator City
Operator State
Operator Country
Operator Zip code
Operator Code
Owner has at least one certificate None
Other Operator of large aircraft? No
Certified for Part 133 or 137 Operation Unknown
Operator Certificate Number --
Indicates whether an air carrier operation was scheduled or not --
Indicates Domestic or International Flight --
Operator carrying Pax/Cargo/Mail --
Type of Flying (Per_Bus / Primary) Personal
Second Pilot on Board No
Departure Point Same as Event Yes
Departure Airport Code TPF
Departure City
Departure State
Departure Country
Departure Time 2005
Departure Time Zone EDT
Destination Same as Local Flt dest & departure same, accident can occur anywhere
Destination Airport Code
Destination City
Destination State
Destination Country
Specific Phase of Flight Maneuvering
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jan 2 2001 10:34AM
User who most recently changed record dbo
Since inspection or accident --
Event Location Runway Number and Location 0
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --