Aircraft Accident/Incident Report

Vallejo, California 94590
Thursday, March 30, 1989 17:25 PST

NTSB Narrative Summary Released at Completion of Accident

DURING AN AIR TAXI CARGO FLIGHT ENGINE POWER WAS SUDDENLY LOST & THE PILOT AUTOROTATED TO A LANDING ON A WET MARSH. AS THE AIRCRAFT CAME TO REST THE MAIN ROTORS SEVERED THE TAIL BOOM. EXAM OF THE ENGINE REVEALED THAT THE PC TUBE ASSEMBLY, P/N 6848471, HAD FAILED AT THE SCROLL FITTING FERRULE, & THIS BROKEN LINE CONDITION PRODUCED AN IMMEDIATE LOSS OF ENGINE POWER. THE PC TUBE HAD A TOTAL OF 11.8 HOURS OF USE SINCE BEING INSTALLED/MANUFACTURED. A METALLURGICAL FAILURE ANALYSIS REVEALED THAT THE PC TUBE HAD FAILED IN FATIGUE.

NTSB Probable Cause Narrative

FATIGUE FAILURE OF A DEFECTIVE PC TUBE ASSEMBLY RESULTING IN A LOSS OF ENGINE POWER. A CONTRIBUTING FACTOR WAS THE UNSUITABLE TERRAIN.

Event Information

Type of Event Accident
Event Date 3/30/1989
Event Day of the Week Thursday
Time of Event 1725
Event Time Zone Pacific Standard Time
Event City VALLEJO
Event State CALIFORNIA
Event Country --
Zipcode of the event site 94590
Event Date Year 1989
Event Date Month 3
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 0
Weather Briefing Completeness Unknown
Investigator's weather source Pilot
Time of the weather observation 0
Direction of event from weather observation facility (degrees) 0
Weather Observation Facility ID
Elevation of weather observation facility 0
Distance of event from weather observation facility (units?) 0
Time Zone of the weather observation
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) 30
Air Temperature at event time (in degrees celsius) 21
Dew Point at event time (in degress fahrenheit) --
Wind Direction (degrees magnetic) 0
Variable Wind Indicator Unknown
Wind Speed (knots) 0
Wind Velocity Indicator Calm
Wind Gust Indicator Not Gusting
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) --
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) 1862
NTSB Notification Source --
NTSB Notification Date Mar 31 1989 12:00AM
NTSB Notification Time 1635
Fiche Number and/or location -used to find docket information 41025
Date of most recent change to record Dec 13 2000 12:32PM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N5108E
NTSB Number LAX89LA141
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 HUGHES
Aircraft Model 369D
Aircraft Series Identifier 369D
Aircraft Serial Number 811075D
Certified Max Gross Weight 3000
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 2
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection 100 Hour
Date of Last Inspection Mar 20 1989 12:00AM
Airframe hours since last inspection 12
Airframe Hours 1697
ELT Installed No
ELT Activated Unknown
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name R.S. AVIATION INC.
Aircraft Owner Street Address 11347 VAN OWEN
Aircraft Owner City N. HOLLYWOOD
Aircraft Owner State CA
Aircraft Owner Country
Aircraft Owner Zipcode 91605
Operator is an individual? --
Operator Name HELINET, INC.
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address 16644 ROSCO BLVD.
Operator City VAN NUYS
Operator State CA
Operator Country
Operator Zip code 91406
Operator Code HEPA
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 Cargo
Type of Flying (Per_Bus / Primary) Unknown
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code 056
Departure City NOVATO
Departure State CA
Departure Country
Departure Time 1715
Departure Time Zone PST
Destination Same as Local Flt --
Destination Airport Code CCR
Destination City CONCORD
Destination State CA
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 0
Runway Width 0
Sight Seeing flight No
Air Medical Flight No
Medical Flight --