Kahului Airport
Aircraft Accident/Incident Report

Kahului, Hawaii 96753
Friday, April 21, 2000 9:30 HST

NTSB Narrative Summary Released at Completion of Accident

The pilot attempted a run on landing after a loss of engine power over rough terrain. The helicopter bounced back into the air after initial touchdown and came to a sudden stop after a skid caught in a ditch. The pilot saw the engine oil pressure light illuminate followed by an illuminated generator light and the sound of the low rotor rpm audio. He informed his passengers that he was making a precautionary landing and briefed them on emergency procedures. After entering autorotation, he unsuccessfully attempted to restart the engine. He continued to the preselected landing zone, and after clearing obstacles, landed in an open area. One passenger seated in the back recalled smelling fuel about 15 seconds prior to the low rpm audio warning. During the on-scene inspection of the fuel system, the T-fitting was partially attached to the ignition solenoid housing. It was further noted that the safety wire was not a field installation. Maintenance personnel indicated that they had not done fieldwork in this area, and the last overhaul was conducted at the manufacturer's facilities in June 1999. The engine was later examined at the manufacturer's facility. Prior to removal of the ignition solenoid valve, T-fitting, and start drain components, manufacturer representatives confirmed that the safety wire, a swedged unit, was installed at their facility during the last overhaul. A visual inspection of the T-fitting and ignition solenoid valve revealed that the threads of both units were covered in a black substance with metallic particles sticking to the threads. The O-ring on the T-fitting was flattened with material missing from it. A metallurgical examination of the ignition solenoid valve and T-fitting was conducted. The T-fitting is made from steel, and the ignition solenoid valve is made from an aluminum alloy. The O-ring is located in a recessed groove that provides sealing between the threaded portion of the ignition solenoid valve and T-fitting. An energy dispersive x-ray spectroscopy (EDS) test indicated that the black substance found on the threads of both components contained peaks of aluminum. It also revealed that the inside threaded portion of the ignition solenoid valve housing exhibited deterioration consistent with fretting. An examination of the chamfer area of the ignition solenoid housing was outside of the manufacturer's design specifications. The chamfer area is the recessed groove in the ignition solenoid housing and is designed to guide the O-ring into position and prevent it from being pinched between the T-fitting and ignition solenoid valve once installed. The O-ring would not have seated properly during installation due to the chamfer area being outside of design specification limits. This would have prevented adequate clamping forces to be applied and may have allowed the lock nut to loosen. The engine was the placed in a test cell for an acceptance run. The engine started and ran for approximately 20 minutes while a range of acceptance tests were conducted. No discrepancies were noted with the engine run-up.

NTSB Probable Cause Narrative

Failure of the manufacturer to ensure proper quality control of the ignition solenoid housing chamfer area, which allowed for insufficient clamping forces between the ignition solenoid housing and T-fitting, and the eventual separation of the T-fitting, loss of fuel, and loss of engine power.

Event Information

Type of Event Accident
Event Date 4/21/2000
Event Day of the Week Friday
Time of Event 930
Event Time Zone Hawaii Standard Time
Event City KAHULUI
Event State HAWAII
Event Country --
Zipcode of the event site 96753
Event Date Year 2000
Event Date Month 4
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude --
Event Location Longitude --
Event Location Airport KAHULUI AIRPORT
Event Location Nearest Airport ID OGG
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 7
Degrees magnetic from airport 210
Airport Elevation --
Weather Briefing Completeness Not pertinent
Investigator's weather source Weather Observation Facility
Time of the weather observation 954 Hawaii Standard Time
Direction of event from weather observation facility (degrees) 210
Weather Observation Facility ID OGG
Elevation of weather observation facility 54
Distance of event from weather observation facility (units?) 2
Time Zone of the weather observation HST
Lighting Conditions Day
Lowest Ceiling Height 0
Lowest Non-Ceiling Height 4700
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) 26
Dew Point at event time (in degress fahrenheit) 17
Wind Direction (degrees magnetic) 50
Variable Wind Indicator Unknown
Wind Speed (knots) 20
Wind Velocity Indicator Unknown
Wind Gust Indicator Unknown
Wind Gust (knots) 16
Altimeter Setting at event time (in. Hg) 30
Density Altitude (feet) --
Intensity of Precipitation Unknown
METAR weather report --
Event Highest Injury None
On Ground, Fatal Injuries 0
On Ground, Minor Injuries 0
On Ground, Serious Injuries 0
Injury Total Fatal --
Injury Total Minor --
Injury Total None 6
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 10115
NTSB Notification Source FAA
NTSB Notification Date Apr 20 2000 12:00AM
NTSB Notification Time 1430
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Jul 17 2001 8:35AM
User who most recently changed record MONR
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N6094H
NTSB Number LAX00LA167
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 135: Air Taxi & Commuter
Type of Flight Plan filed Company VFR
Flight plan Was Activated? --
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Eurocopter
Aircraft Model AS-350 BA
Aircraft Series Identifier AS-350 BA
Aircraft Serial Number 2694
Certified Max Gross Weight 4630
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 Apr 5 2000 12:00AM
Airframe hours since last inspection 52
Airframe Hours 10066
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name SUNSHINE HELICOPTERS, INC.
Aircraft Owner Street Address KAHULUI HELIPORT #107
Aircraft Owner City KAHULUI
Aircraft Owner State HI
Aircraft Owner Country
Aircraft Owner Zipcode 96753
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 SSHA
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 Yes
Departure Airport Code OGG
Departure City
Departure State HI
Departure Country
Departure Time 907
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 Cruise
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jun 15 2001 4:03AM
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 Yes
Air Medical Flight No
Medical Flight --