Aircraft Accident/Incident Report

Adjuntas
Wednesday, July 29, 1992 8:30 AST

NTSB Narrative Summary Released at Completion of Accident

WITNESSES OBSERVED THE HELICOPTER, AND THEN A LOUD BANG WAS HEARD & THE ENGINE WAS NO LONGER AUDIBLE. THE HELICOPTER IMMEDIATELY MADE A TURN TO THE LEFT & DESCENDED. AS IT APPROACHED THE GROUND, THE ENGINE NOISE INCREASED. THE HELICOPTER IMPACTED HARD ON TOP OF A HILL. POST-CRASH EXAMINATION INDICATED THAT THE ENGINE AND TRANSMISSION OIL TANK AND ENGINE OIL SYSTEM CONTAINED 2 QTS OF OIL. THE TURN-TO-LOCK TYPE OIL STICK WAS NOT LOCKED, AND OIL RESIDUE WAS VISIBLE EXITING THE FILLER NECK AND FLOWING OUT OF THE ENGINE COMPARTMENT AND DOWN THE TAIL BOOM. NO OIL LEAKAGE WAS FOUND ON THE GROUND AT THE CRASH SITE. THE DAY BEFORE THE ACCIDENT, AN FAA INSPECTOR HAD NOTED OIL LEAKAGE IN AND AROUND THE HELICOPTER'S ENGINE COMPARTMENT. TOXICOLOGY TESTS RESULTS ON THE PILOT WAS POSITIVE FOR FOR 0.010 UG/ML (BLOOD-TETRAHYDROCANNABINOL CARBOXYLIC ACID) MARIJUANA, ONE PASSENGER WAS POSITIVE FOR 0.038 UG/ML (BLOOD) MARIJUANA, AND ANOTHER PASSENGER WAS POSITIVE FOR 2.4 MCG/ML (URINE) DIPHENHYDRAMINE OR BENADRYL.

NTSB Probable Cause Narrative

THE FAILURE OF THE PILOT-IN-COMMAND TO MAINTAIN ADEQUATE ROTOR RPM DURING A PRECAUTIONARY LANDING FOLLOWING THE LOSS OF ENGINE OIL. IN ADDITION, THE PILOT FAILED TO INSURE THAT THE ENGINE CONTAINED ADEQUATE OIL, AND THAT THE OIL DIP STICK WAS SECURE PRIOR TO TAKEOFF. A FACTOR WHICH CONTRIBUTED TO THE ACCIDENT WAS THE PILOT'S IMPAIRMENT DUE TO MARIJUANA.

Event Information

Type of Event Accident
Event Date 7/29/1992
Event Day of the Week Wednesday
Time of Event 830
Event Time Zone Atlantic Standard Time
Event City ADJUNTAS
Event State PUERTO RICO
Event Country --
Zipcode of the event site 00601
Event Date Year 1992
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 0
Degrees magnetic from airport 0
Airport Elevation --
Weather Briefing Completeness Unknown
Investigator's weather source Weather Observation Facility
Time of the weather observation 846 Atlantic Standard Time
Direction of event from weather observation facility (degrees) 160
Weather Observation Facility ID PSE
Elevation of weather observation facility 29
Distance of event from weather observation facility (units?) 25
Time Zone of the weather observation AST
Lighting Conditions Day
Lowest Ceiling Height 0
Lowest Non-Ceiling Height 4000
Sky/Lowest/Cloud Conditions Scattered
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 15
Air Temperature at event time (in degrees celsius) 31
Dew Point at event time (in degress fahrenheit) 22
Wind Direction (degrees magnetic) 100
Variable Wind Indicator Unknown
Wind Speed (knots) 7
Wind Velocity Indicator Unknown
Wind Gust Indicator Unknown
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 30
Density Altitude (feet) 1300
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 4
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 4
Investigating Agency NTSB
NTSB Docket Number (internal use) 613
NTSB Notification Source --
NTSB Notification Date Jul 29 1992 12:00AM
NTSB Notification Time 1000
Fiche Number and/or location -used to find docket information 48011
Date of most recent change to record Dec 11 2000 3:05PM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N8476E
NTSB Number MIA92FA156
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 135: Air Taxi & Commuter
Type of Flight Plan filed None
Flight plan Was Activated? --
Damage Destroyed
Aircraft Fire Ground
Aircraft Explosion None
Aircraft Manufacturer's Full Name BELL
Aircraft Model 47J2
Aircraft Series Identifier 47J2
Aircraft Serial Number 1837
Certified Max Gross Weight 2850
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 Jul 13 1992 12:00AM
Airframe hours since last inspection 29
Airframe Hours 7732
ELT Installed No
ELT Activated Unknown
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name WESTERN HELICOPTERS, INC.
Aircraft Owner Street Address P.O. BOX 119
Aircraft Owner City HATILLO
Aircraft Owner State PR
Aircraft Owner Country
Aircraft Owner Zipcode 00659
Operator is an individual? --
Operator Name WESTERN HELICOPTERS, INC.
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address P.O. BOX 119
Operator City HATILLO
Operator State PR
Operator Country
Operator Zip code 00659
Operator Code UWHA
Owner has at least one certificate Yes - certificate holder
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 Non-scheduled
Indicates Domestic or International Flight Domestic
Operator carrying Pax/Cargo/Mail Passenger Only
Type of Flying (Per_Bus / Primary) Unknown
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code ABO
Departure City ARECIBO
Departure State PR
Departure Country
Departure Time 810
Departure Time Zone AST
Destination Same as Local Flt --
Destination Airport Code PSE
Destination City PONCE
Destination State PR
Destination Country
Specific Phase of Flight Landing
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jan 2 2001 10:35AM
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 --