Aircraft Accident/Incident Report

Pacific Ocean
Tuesady, June 16, 1998 14:00

NTSB Narrative Summary Released at Completion of Accident

Witnesses reported that the helicopter took off from the ship, and about 85 agl, it started spinning to the right. The pilot called 'No control, MAYDAY,' on the radio. The helicopter nosed down and impacted the water. The aircraft was recovered, except for the aft portion of the tail rotor driveshaft and tailboom, including the tail rotor gearbox and all tail rotor system rotating components. The wreckage was shipped to the United States for examination. The aircraft had undergone a major overhaul/rebuild and annual inspection following a previous accident on March 11, 1997. After completing 1.4 hours of test flights, the helicopter was then partially disassembled and transported to California, and subsequently shipped to American Samoa. Maintenance personnel in Hawaii reassembled the aircraft, after replacing several parts. The owner of the maintenance facility stated some of the life-limited components were replaced with parts with less accrued total time. He reported that they had to adjust the shim on the tail rotor driveshaft because it was 'way off, too tight.' No test run was performed after reassembly. Examination of the helicopter following recovery revealed the forward tail rotor driveshaft coupling evidenced a fracture and separation. The forward portion of the coupling remained attached at the main transmission output pinion, while the aft portion of the coupling remained attached to the forward end of the tail rotor driveshaft. The coupling bolts evidenced smearing of the bolt heads. Scanning electron microscopy revealed a total of eight fracture surfaces. Six fracture surfaces displayed features consistent with fatigue, although much of the mechanical damage prevented identification of origin locations, and the other two fracture surfaces exhibited features consistent with overstress separation. Further, the coupling is designed with a built-in fail-safe feature that will continue to provide torque transmission in the event that a flex frame leg or bolt fractured. When the fail-safe engages, the unbalance of the coupling increases with a resultant increase in the vibration, alerting the pilot to take the appropriate action and land.

NTSB Probable Cause Narrative

The improper shimmying of the tail rotor driveshaft by maintenance personnel which induced fatigue in the tail rotor driveshaft coupling causing it to fail, which resulted in a loss of tail rotor control. A factor is the failure of the pilot to recognize the warning vibrations indicating impending failure of the coupling.

Event Information

Type of Event Accident
Event Date 6/16/1998
Event Day of the Week Tuesday
Time of Event 1400
Event Time Zone --
Event City PACIFIC OCEAN
Event State PACIFIC OCEAN
Event Country --
Zipcode of the event site
Event Date Year 1998
Event Date Month 6
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 Not pertinent
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 Clear
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 12
Air Temperature at event time (in degrees celsius) 29
Dew Point at event time (in degress fahrenheit) --
Wind Direction (degrees magnetic) 90
Variable Wind Indicator Unknown
Wind Speed (knots) 5
Wind Velocity Indicator Unknown
Wind Gust Indicator Not Gusting
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) --
Density Altitude (feet) --
Intensity of Precipitation Unknown
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 2
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 2
Investigating Agency NTSB
NTSB Docket Number (internal use) 1730
NTSB Notification Source --
NTSB Notification Date Jun 16 1998 12:00AM
NTSB Notification Time 1415
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Dec 11 2000 11:32AM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N95MS
NTSB Number LAX98LA200
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 None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Hughes
Aircraft Model 369HS
Aircraft Series Identifier 369HS
Aircraft Serial Number 1130536S
Certified Max Gross Weight 2550
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 4
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection Annual
Date of Last Inspection May 18 1998 12:00AM
Airframe hours since last inspection 29
Airframe Hours 6018
ELT Installed Yes
ELT Activated Unknown
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name CARIBBEAN FISHING COMPANY
Aircraft Owner Street Address 600 GRAND STREET
Aircraft Owner City PITTSBURGH
Aircraft Owner State PA
Aircraft Owner Country
Aircraft Owner Zipcode 15219
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) Aerial Observation
Second Pilot on Board No
Departure Point Same as Event Yes
Departure Airport Code
Departure City
Departure State
Departure Country
Departure Time 1400
Departure Time Zone
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 Takeoff
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 --