Aircraft Accident/Incident Report

Hauula, Hawaii 96717
Friday, July 21, 1995 12:27 HST

NTSB Narrative Summary Released at Completion of Accident

THE FIRE DEPARTMENT HELICOPTER PILOT WAS FLYING WITHOUT AN OBSERVER. HE WAS INSERTING TWO POLICE OFFICERS WHO WERE IN A RESCUE NET 50 FEET BELOW THE HELICOPTER, INTO MOUNTAINOUS TERRAIN TO SEARCH FOR A MISSING HIKER. DETERIORATING WEATHER AND CLOUD COVER WITH TURBULENCE WAS PRESENT. GROUND PERSONNEL WARNED THE PILOT THREE TIMES OF THE DETERIORATING CONDITIONS. A WITNESS STATED THAT THE HELICOPTER WAS PARTIALLY IN THE CLOUDS BUT THE NET WAS IN THE CLEAR. HIKERS IN A CANYON NEAR THE ACCIDENT SITE OBSERVED THE NET SWINGING LIKE A PENDULUM THROUGH AN ARC OF 45 TO 50 DEGREES. EXAMINATION OF THE WRECKAGE REVEALED THAT THE LINE WHICH SECURED THE NET TO THE HELICOPTER BECAME ENTANGLED WITH THE MAIN ROTOR AND WAS FOUND WRAPPED AROUND THE MAIN ROTOR MAST AND ALL THE MAIN ROTOR PITCH CHANGE LINKS WERE FACTURED. THE HELICOPTER PILOT'S FIRE DEPARTMENT RECORDS INDICATED HE HAD 511 HOURS OF HELICOPTER TIME WITH 2500 HOURS OF FIXED WING TIME. RECORDS WERE RECOVERED TO DOCUMENT ABOUT 261 HOURS OF ACTUAL HELICOPTER TIME. THE PILOT HAD RECEIVED ABOUT 50 HOURS OF DUAL INSTRUCTION FROM THE FIRE DEPARTMENT CHIEF PILOT IN THEIR TYPE OF OPERATIONS.

NTSB Probable Cause Narrative

the pilot's poor judgement by intentionally flying into adverse weather conditions in mountainous terrain with an external load and no observer which resulted in loss of aircraft control. Factors were pressure from the conditions/events and a lack of total experience in the type of operation.

Event Information

Type of Event Accident
Event Date 7/21/1995
Event Day of the Week Friday
Time of Event 1227
Event Time Zone Hawaii Standard Time
Event City HAUULA
Event State HAWAII
Event Country --
Zipcode of the event site 96717
Event Date Year 1995
Event Date Month 7
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 Witness
Time of the weather observation 0
Direction of event from weather observation facility (degrees) 0
Weather Observation Facility ID
Elevation of weather observation facility 0
Distance of event from weather observation facility (units?) 0
Time Zone of the weather observation
Lighting Conditions Day
Lowest Ceiling Height 0
Lowest Non-Ceiling Height 0
Sky/Lowest/Cloud Conditions Unknown
Sky Condition for Lowest Ceiling Unknown
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 0.4
Air Temperature at event time (in degrees celsius) --
Dew Point at event time (in degress fahrenheit) --
Wind Direction (degrees magnetic) 45
Variable Wind Indicator Unknown
Wind Speed (knots) 20
Wind Velocity Indicator Unknown
Wind Gust Indicator Unknown
Wind Gust (knots) 25
Altimeter Setting at event time (in. Hg) --
Density Altitude (feet) --
Intensity of Precipitation Light
METAR weather report --
Event Highest Injury Fatal
On Ground, Fatal Injuries 0
On Ground, Minor Injuries 0
On Ground, Serious Injuries 0
Injury Total Fatal 3
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 3
Investigating Agency NTSB
NTSB Docket Number (internal use) 1314
NTSB Notification Source --
NTSB Notification Date Jul 21 1995 12:00AM
NTSB Notification Time 1630
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Dec 7 2000 4:25PM
User who most recently changed record dbo
Basic weather conditions Instrument Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N1090S
NTSB Number LAX95GA264
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? --
Damage Destroyed
Aircraft Fire Ground
Aircraft Explosion None
Aircraft Manufacturer's Full Name MCDONNELL DOUGLAS
Aircraft Model 369D
Aircraft Series Identifier 369D
Aircraft Serial Number 800788D
Certified Max Gross Weight 3000
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 5
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection 100 Hour
Date of Last Inspection Apr 18 1995 12:00AM
Airframe hours since last inspection 92
Airframe Hours 6592
ELT Installed Unknown
ELT Activated Unknown
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name CITY/COUNTY OF HONOLULU
Aircraft Owner Street Address 1455 S. BERETANIA, RM 305
Aircraft Owner City HONOLULU
Aircraft Owner State HI
Aircraft Owner Country
Aircraft Owner Zipcode 96814
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) Public Use
Second Pilot on Board No
Departure Point Same as Event Yes
Departure Airport Code NONE
Departure City
Departure State HI
Departure Country
Departure Time 1220
Departure Time Zone HST
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 --