Aircraft Accident/Incident Report

Avalon, California 90704
Tuesady, December 28, 1999 10:50 PST

NTSB Narrative Summary Released at Completion of Accident

The helicopter collided with terrain following a loss of engine power while maneuvering at low level on a sightseeing flight. As the helicopter passed about 250 feet above ground level (agl) over a ridgeline, the pilot began a descending and decelerating right turn to observe a herd of buffalo. About midway down the ridge, the low rotor rpm warning horn sounded. The pilot lowered collective and the horn stayed on. He noted the rotor speed was down between 300 and 320 rpm and concluded that he would have to make an immediate landing. The helicopter landed downslope at an estimated 10 to 15 mph, and the tail rotor struck the ground first. The helicopter pitched forward, continued to slide down the hill, collided with trees, and rolled onto its right side. An 80-psi check of the pneumatic system revealed two calibrated leaks and an additional leak. The attachment fitting for the P3 air accumulator on the governor pressure (Pg) line was 3/4 of a turn loose. The engine was removed and shipped to the manufacturer for testing. Several discrepancies due to damaged hardware were corrected during preparation for the test run. The engine was placed in a test stand and started normally. The engine completed a test protocol with no discrepancies noted. The P3 accumulator fitting was loosened and the engine immediately went to flight idle. The engine would not accelerate above idle power with the P3 accumulator fitting loose. Once the fitting was loosened less than finger tight, it continued to loosen to 3/4 to a full turn loose.

NTSB Probable Cause Narrative

A loose pneumatic fitting caused the engine to go to flight idle power at a low altitude, which resulted in a forced landing in hilly terrain.

Event Information

Type of Event Accident
Event Date 12/28/1999
Event Day of the Week Tuesday
Time of Event 1050
Event Time Zone Pacific Standard Time
Event City AVALON
Event State CALIFORNIA
Event Country --
Zipcode of the event site 90704
Event Date Year 1999
Event Date Month 12
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 332459N
Event Location Longitude 1182755W
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 Weather Observation Facility
Time of the weather observation 1056 Pacific Standard Time
Direction of event from weather observation facility (degrees) 190
Weather Observation Facility ID LGB
Elevation of weather observation facility 58
Distance of event from weather observation facility (units?) 26
Time Zone of the weather observation PST
Lighting Conditions Day
Lowest Ceiling Height --
Lowest Non-Ceiling Height 10000
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) 10
Air Temperature at event time (in degrees celsius) 23
Dew Point at event time (in degress fahrenheit) 0
Wind Direction (degrees magnetic) 300
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 5
Wind Velocity Indicator --
Wind Gust Indicator Unknown
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30
Density Altitude (feet) --
Intensity of Precipitation --
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 6
Injury Total None --
Injury Total Serious 1
Injury Total All 7
Investigating Agency NTSB
NTSB Docket Number (internal use) 12419
NTSB Notification Source --
NTSB Notification Date Dec 28 1999 12:00AM
NTSB Notification Time 1236
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Oct 23 2002 10:24AM
User who most recently changed record NTSB\MONR
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N3593S
NTSB Number LAX00FA061
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed Company VFR
Flight plan Was Activated? No
Damage Destroyed
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Aerospatiale
Aircraft Model AS-350D
Aircraft Series Identifier AS350D
Aircraft Serial Number 1063
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 7
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection 100 Hour
Date of Last Inspection Dec 9 1999 12:00AM
Airframe hours since last inspection 40
Airframe Hours 14085
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name ISLAND EXPRESS HELICOPTERS, INC.
Aircraft Owner Street Address PO BOX 2249
Aircraft Owner City AVALON
Aircraft Owner State CA
Aircraft Owner Country --
Aircraft Owner Zipcode 90704
Operator is an individual? No
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 ISHA
Owner has at least one certificate --
Other Operator of large aircraft? --
Certified for Part 133 or 137 Operation --
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) Other Work Use
Second Pilot on Board No
Departure Point Same as Event Yes
Departure Airport Code --
Departure City AVALON
Departure State CA
Departure Country USA
Departure Time 1030
Departure Time Zone PDT
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 No
Date of most recent change to record Oct 3 2002 4:47PM
User who most recently changed record COOS
Since inspection or accident Last Inspection
Event Location Runway Number and Location 0
Runway Length --
Runway Width --
Sight Seeing flight Yes
Air Medical Flight No
Medical Flight --