Aircraft Accident/Incident Report

Estacada, Oregon 97023
Wednesday, November 15, 1989 13:00 PST

NTSB Narrative Summary Released at Completion of Accident

THE HELICOPTER WAS BEING USE IN AN EXTERNAL LOAD OPN TO MOVE CHRISTMAS TREES FROM A FIELD TO A DROP ZONE (DZ) FOR LOADING ON A TRUCK. DURING AN APCH TO THE DZ, THE PLT DID NOT MAINTAIN SUFFICIENT ALTITUDE OR CLEARANCE TO KEEP THE LOAD CLEAR OF OBSTRUCTIONS. SUBSEQUENTLY, SHE LOST CONTROL OF THE HELICOPTER & IT TRAVELED 100 TO 200 FT BACKWARDS. IT THEN HIT THE GROUND TAIL 1ST, ROLLED OVER & WAS EXTENSIVELY DAMAGED. TREES WERE SCATTERED BETWEEN THE OBJECT & THE MAIN WRECKAGE. AN EXAM REVEALED THE PLT HAD ONLY A MANUAL MEANS OF RELEASING THE LOAD AT THE HELICOPTER. THE ELECTRICAL RELEASE SYS HAD BEEN REWIRED TO PROVIDE POWER TO THE BOTTOM HOOK ONLY. ONE OF THE GROUND PSNL RPRTD THE HOOK HAD BEEN MALFUNCTIONING. THE PLT HAD 5 HRS OF DUAL TIME & 8 HRS OF PLT-IN-COMMAND TIME IN EXTERNAL LOAD OPNS; HOWEVER, SHE DID NOT POSSESS THE REQUIRED LETTER OF COMPETENCY FOR THIS OPN.

NTSB Probable Cause Narrative

THE PILOT MISJUDGED CLEARANCE BETWEEN HER EXTERNAL LOAD AND THE OBSTRUCTION. FACTORS RELATED TO THE ACCIDENT WERE: THE OBSTRUCTION, IMPROPER MAINTENANCE AND MODIFICATION OF THE EXTERNAL LOAD LINE/HOOK BY THE OPERATOR, FAILURE OF THE PILOT TO JETTISON THE EXTERNAL LOAD, AND A FAILURE OF THE OPERATOR MANAGEMENT TO ASSURE THE PILOT HAD RECEIVED ADEQUATE TRAINING/CERTIFICATION.

Event Information

Type of Event Accident
Event Date 11/15/1989
Event Day of the Week Wednesday
Time of Event 1300
Event Time Zone Pacific Standard Time
Event City ESTACADA
Event State OREGON
Event Country --
Zipcode of the event site 97023
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) 30
Air Temperature at event time (in degrees celsius) 10
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 Fatal
On Ground, Fatal Injuries 0
On Ground, Minor Injuries 0
On Ground, Serious Injuries 0
Injury Total Fatal 1
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 1
Investigating Agency NTSB
NTSB Docket Number (internal use) 1993
NTSB Notification Source --
NTSB Notification Date Nov 15 1989 12:00AM
NTSB Notification Time 1351
Fiche Number and/or location -used to find docket information 41189
Date of most recent change to record Dec 13 2000 1:13PM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N9592F
NTSB Number SEA90LA016
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 133: Rotorcraft Ext. Load
Type of Flight Plan filed None
Flight plan Was Activated? --
Damage Destroyed
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name HUGHES
Aircraft Model 269C
Aircraft Series Identifier 269C
Aircraft Serial Number 440296
Certified Max Gross Weight 2150
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 3
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection 100 Hour
Date of Last Inspection Oct 1 1989 12:00AM
Airframe hours since last inspection 80
Airframe Hours 3180
ELT Installed No
ELT Activated Unknown
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name JOHN INMAN
Aircraft Owner Street Address 12405 SW RIVER RD
Aircraft Owner City HILLSBORO
Aircraft Owner State OR
Aircraft Owner Country
Aircraft Owner Zipcode 97123
Operator is an individual? --
Operator Name HELICOPTER ENTERPRISES
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address 628 ELLIS AVE.
Operator City LAKE OSWEGO
Operator State OR
Operator Country
Operator Zip code 97034
Operator Code
Owner has at least one certificate Yes - certificate holder
Other Operator of large aircraft? No
Certified for Part 133 or 137 Operation External Load
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) Other Work Use
Second Pilot on Board No
Departure Point Same as Event Yes
Departure Airport Code NONE
Departure City
Departure State
Departure Country
Departure Time 1245
Departure Time Zone PST
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 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 --