Gillespie Field Airport
Aircraft Accident/Incident Report

El Cajon, California 92020
Tuesady, October 3, 2000 14:30 PDT

NTSB Narrative Summary Released at Completion of Accident

While positioning the helicopter from the ground to a storage cart, the pilot lost directional, made a hard landing, and the tail boom struck the ground. Prior to the loss of directional control, the pilot saw something depart the tail section. He attributed the loss of directional control to a tail rotor failure. He initiated an autorotation over the landing cart. He maneuvered away from the cart in order to land on the ground and prevent a partial landing on the cart. The on-scene investigation revealed the aft drive shaft coupling was detached from the tail rotor drive shaft. Three bolts retain the coupling. One bolt was found attached to the coupling, another bolt was found on the ground, and the third bolt, and two of the retaining nuts, were not located. Neither bolt exhibited stripped threads or deformation. The last maintenance performed on the helicopter was by the previous owner. A track and balance of the tail rotor system was performed about 48 flight hours prior to the accident. According to the manufacturer's maintenance instructions, the balancing is accomplished by placement of washers under the nuts that are used to secure the bolts that attach to the aft drive shaft coupling. These are the same nuts that were not located at the accident site. Maintenance instructions also specify that the bolts in this area should be checked for proper torque and safety after an inspection.

NTSB Probable Cause Narrative

Improper torquing procedure of the aft tail rotor drive shaft coupling by maintenance personnel after tracking the tail rotor.

Event Information

Type of Event Accident
Event Date 10/3/2000
Event Day of the Week Tuesday
Time of Event 1430
Event Time Zone Pacific Daylight Time
Event City EL CAJON
Event State CALIFORNIA
Event Country --
Zipcode of the event site 92020
Event Date Year 2000
Event Date Month 10
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude --
Event Location Longitude --
Event Location Airport GILLESPIE FIELD AIRPORT
Event Location Nearest Airport ID SEE
Indicates whether the acc/inc occurred off or on an airport On Airport
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation 387
Weather Briefing Completeness Not pertinent
Investigator's weather source Weather Observation Facility
Time of the weather observation 1453 Pacific Daylight Time
Direction of event from weather observation facility (degrees) 0
Weather Observation Facility ID SEE
Elevation of weather observation facility 387
Distance of event from weather observation facility (units?) 0
Time Zone of the weather observation PDT
Lighting Conditions Day
Lowest Ceiling Height 2200
Lowest Non-Ceiling Height 1500
Sky/Lowest/Cloud Conditions Scattered
Sky Condition for Lowest Ceiling Overcast
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) 68
Dew Point at event time (in degress fahrenheit) 61
Wind Direction (degrees magnetic) 260
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) 29
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 2
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 10926
NTSB Notification Source --
NTSB Notification Date Oct 12 2000 12:00AM
NTSB Notification Time 1000
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Nov 6 2001 9:00AM
User who most recently changed record NTSB\MONR
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N189ND
NTSB Number LAX01LA009
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? --
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Aerospatiale
Aircraft Model AS350BA
Aircraft Series Identifier AS350BA
Aircraft Serial Number 2152
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 6
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Mar 2 2000 12:00AM
Airframe hours since last inspection 73
Airframe Hours 5764
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name VORTEX HELICOPTERS, LLC
Aircraft Owner Street Address #2 READ'S WAY SUITE 220
Aircraft Owner City NEW CASTLE
Aircraft Owner State DE
Aircraft Owner Country
Aircraft Owner Zipcode 19720
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) Positioning
Second Pilot on Board No
Departure Point Same as Event Yes
Departure Airport Code SEE
Departure City
Departure State
Departure Country
Departure Time 1430
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 Landing
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Oct 19 2001 4:45AM
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 --