Individually Owned: 150,657
Corporate Owned: 137,281
Aircraft Accident/Incident Report
Mesa, Arizona 85213
Saturday, November 4, 1989 9:15 MST
NTSB Narrative Summary Released at Completion of Accident
INVESTIGATION DISCLOSED THAT THE TAIL ROTOR SEPARATED FROM THE HELICOPTER IN FLIGHT. THE TAIL ROTOR ASSEMBLY WAS SENT TO THE MANUFACTURER FOR ANALYSIS. ON TAIL ROTOR BLADE 'A' THE BOLT, NUT AND ASSOCIATED HARDWARE THAT ATTACHED THE PITCH CHANGE LINK TO THE BLADE GRIP WERE MISSING. THE BOLT BUSHING WAS WORN BEYOND THE SERVICE LIMITS THAT MANDATED REPLACEMENT. ON BLADE 'B' THE ATTACHING BOLT, NUT AND HARDWARE WERE DETERMINED TO BE THE WRONG SIZE. IN ADDITION, THE WRONG SPACER WAS ATTACHED TO THE BOLT. FOUR MORE WASHERS THAN ALLOWED WERE UNDER THE TRAILING EDGE BLADE RETAINING BOLT NUT. ACCORDING TO THE PREFLIGHT INSPECTION REQUIREMENTS, THE DISCREPANCIES ON THE BLADE 'A' BUSHING AND THE INCORRECT HARDWARE ON THE BLADE 'B' PITCH CHANGE LINK SHOULD HAVE BEEN DETECTED DURING THE DAILY INSPECTION EVENT.
NTSB Probable Cause Narrative
THE INFLIGHT SEPARATION OF THE TAIL ROTOR DUE TO IMPROPER MAINTENANCE PROCEDURES AND THE INSTALLATION OF INCORRECT ATTACHMENT HARDWARE ON THE TAIL ROTOR BLADE PITCH CHANGE LINKAGES.
Event Information
| Type of Event | Accident |
| Event Date | 11/4/1989 |
| Event Day of the Week | Saturday |
| Time of Event | 915 |
| Event Time Zone | Mountain Standard Time |
| Event City | MESA |
| Event State | ARIZONA |
| Event Country | -- |
| Zipcode of the event site | 85213 |
| Event Date Year | 1989 |
| Event Date Month | 11 |
| 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 | Witness |
| 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) | 0 |
| Air Temperature at event time (in degrees celsius) | -- |
| Dew Point at event time (in degress fahrenheit) | -8 |
| 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) | 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 | FAA |
| NTSB Docket Number (internal use) | 2195 |
| NTSB Notification Source | -- |
| NTSB Notification Date | Nov 4 1989 12:00AM |
| NTSB Notification Time | 1040 |
| Fiche Number and/or location -used to find docket information | 41956 |
| Date of most recent change to record | Dec 13 2000 1:12PM |
| User who most recently changed record | dbo |
| Basic weather conditions | Visual Meteorological Cond |
| FAA District Office | -- |
Aircraft Involved |
|
|---|---|
Aircraft #1 |
|
| Aircraft Registration Number | N138US |
| NTSB Number | LAX90DUJ05 |
| Missing Aircraft Indicator | N |
| Federal Aviation Reg. Part | Part 137: Agricultural |
| Type of Flight Plan filed | None |
| Flight plan Was Activated? | -- |
| Damage | Destroyed |
| Aircraft Fire | None |
| Aircraft Explosion | None |
| Aircraft Manufacturer's Full Name | BELL |
| Aircraft Model | UH-1E |
| Aircraft Series Identifier | UH-1E |
| Aircraft Serial Number | 154944 |
| Certified Max Gross Weight | 9500 |
| 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 | Annual |
| Date of Last Inspection | May 30 1989 12:00AM |
| Airframe hours since last inspection | 300 |
| Airframe Hours | 6866 |
| ELT Installed | No |
| ELT Activated | Unknown |
| ELT Aided Location of Event Site | Unknown |
| ELT Type | -- |
| Aircraft Owner Name | PHILLIP D. BARNES |
| Aircraft Owner Street Address | P.O. BOX 769 |
| Aircraft Owner City | QUEEN CREEK |
| Aircraft Owner State | AZ |
| Aircraft Owner Country | |
| Aircraft Owner Zipcode | 85242 |
| Operator is an individual? | -- |
| Operator Name | GILMAN D. CHRISTOPHER |
| Operator Same as Owner? | No |
| 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 | GCGG |
| Owner has at least one certificate | Yes - certificate holder |
| Other Operator of large aircraft? | No |
| Certified for Part 133 or 137 Operation | Agriculture |
| Operator Certificate Number | -- |
| Indicates whether an air carrier operation was scheduled or not | Unknown |
| Indicates Domestic or International Flight | Unknown |
| Operator carrying Pax/Cargo/Mail | Unknown |
| Type of Flying (Per_Bus / Primary) | Aerial Application |
| Second Pilot on Board | No |
| Departure Point Same as Event | No |
| Departure Airport Code | NONE |
| Departure City | QUEEN CREEK |
| Departure State | AZ |
| Departure Country | |
| Departure Time | 730 |
| Departure Time Zone | MST |
| Destination Same as Local Flt | dest & departure same, accident can occur anywhere |
| Destination Airport Code | NONE |
| Destination City | |
| Destination State | |
| Destination Country | |
| Specific Phase of Flight | Maneuvering |
| 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 | -- |