Aircraft Accident/Incident Report

Green Valley, Arizona 85614
Thursday, April 20, 2000 7:15 MST

NTSB Narrative Summary Released at Completion of Accident

While maneuvering about 20 feet above obstacles looking for the footprints of a group of suspected illegal entrants, the U.S. Border Patrol pilot suddenly experienced an unusual vibration in the cyclic control. After the vibration started, the helicopter almost immediately started turning right and descended. The pilot attempted to stop the turn and descent, but to no avail, and he crashed in the rough terrain. The previous day a 300-hour inspection had been completed by Border Patrol mechanics, and it involved a rebuild of the swashplate assembly. During this maintenance, the cyclic control's longitudinal link (part number 369A7608) was removed and replaced at the stationary swashplate. Upon completion of the maintenance, a cotter pin is required to be installed in the link's attachment nut to secure it. The cotter pin, and the respective nut, were observed missing at the accident site. During the recent maintenance, a mechanic had failed to reinstall the cotter pin into the nut, and it backed off during flight. This maintenance oversight-related failure resulted in the pilot's complete loss of cyclic control.

NTSB Probable Cause Narrative

Company maintenance personnel's failure to secure an attachment nut to a control link. While maneuvering, the parts separated and resulted in the total cyclic control system failure and impact into rough terrain.

Event Information

Type of Event Accident
Event Date 4/20/2000
Event Day of the Week Thursday
Time of Event 715
Event Time Zone Mountain Standard Time
Event City GREEN VALLEY
Event State ARIZONA
Event Country --
Zipcode of the event site 85614
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
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 655 Mountain Standard Time
Direction of event from weather observation facility (degrees) 10
Weather Observation Facility ID TUS
Elevation of weather observation facility 2643
Distance of event from weather observation facility (units?) 23
Time Zone of the weather observation MST
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) 10
Air Temperature at event time (in degrees celsius) 55
Dew Point at event time (in degress fahrenheit) 25
Wind Direction (degrees magnetic) 130
Variable Wind Indicator Unknown
Wind Speed (knots) 10
Wind Velocity Indicator Unknown
Wind Gust Indicator Not Gusting
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 30
Density Altitude (feet) --
Intensity of Precipitation Unknown
METAR weather report --
Event Highest Injury Minor
On Ground, Fatal Injuries 0
On Ground, Minor Injuries 0
On Ground, Serious Injuries 0
Injury Total Fatal --
Injury Total Minor 1
Injury Total None --
Injury Total Serious --
Injury Total All 1
Investigating Agency NTSB
NTSB Docket Number (internal use) 10909
NTSB Notification Source FAA
NTSB Notification Date Apr 20 2000 12:00AM
NTSB Notification Time 916
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Nov 1 2001 7:36AM
User who most recently changed record NTSB\MONR
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N61869
NTSB Number LAX00TA163
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed Company VFR
Flight plan Was Activated? --
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Hughes
Aircraft Model OH-6A
Aircraft Series Identifier OH-6A
Aircraft Serial Number 69-16002
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 AAIP
Date of Last Inspection Apr 19 2000 12:00AM
Airframe hours since last inspection 2
Airframe Hours 7603
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name U.S. BORDER PATROL AIR OPS.
Aircraft Owner Street Address 9C BUTTERFIELD TRAIL
Aircraft Owner City EL PASO
Aircraft Owner State TX
Aircraft Owner Country
Aircraft Owner Zipcode 79906
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 No
Departure Airport Code TUS
Departure City TUCSON
Departure State AZ
Departure Country
Departure Time 600
Departure Time Zone MST
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 Oct 17 2001 10:40AM
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 --