Aircraft Accident/Incident Report

Waimea, Hawaii 96796
Friday, December 8, 1989 15:30 HST

NTSB Narrative Summary Released at Completion of Accident

THE CERTIFICATED AIR LINE TRANSPORT PILOT WAS CONDUCTING A HELICOPTER SIGHTSEEING FLIGHT WITH 4 PASSENGERS WHEN THE ENGINE SUDDENLY LOST POWER. THE PILOT MADE AN EMERGENCY AUTOROTATION TO THE BOTTOM OF A SMALL RIVER BOTTOM. WHILE LANDING, THE HELICOPTER ROLLED OVER. EXAMINATION OF THE ENGINE SHOWED THAT THE FUEL CONTROL PC TUBE TO THE POWER TURBINE GOVERNOR HAD FRACTURED, CAUSING THE ENGINE TO GO TO A FLIGHT IDLE CONDITION. THIS TUBE WAS FOUND TO EXCEED THE SPECIFIED REQUIRED LENGTH OF MANUFACTURE. DURING INSTALLATION, THE TUBE WAS BENT BY COMPANY MAINTENANCE PERSONNEL TO FIT. METALLURGICAL EXAM DISCLOSED A FRACTURE DUE TO FATIGUE NEAR THE FUEL CONTROL END. THIS FATIGUE WAS INTRODUCED BY BENDING STRESSES IN THE TUBE.

NTSB Probable Cause Narrative

THE IMPROPER INSTALLATION OF THE PC TUBE BY COMPANY MAINTENANCE PERSONNEL, WHICH RESULTED IN FATIGUE FAILURE OF THE TUBE DUE TO INDUCED BENDING STRESSES.

Event Information

Type of Event Accident
Event Date 12/8/1989
Event Day of the Week Friday
Time of Event 1530
Event Time Zone Hawaii Standard Time
Event City WAIMEA
Event State HAWAII
Event Country --
Zipcode of the event site 96796
Event Date Year 1989
Event Date Month 12
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) 15
Air Temperature at event time (in degrees celsius) 24
Dew Point at event time (in degress fahrenheit) -18
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) 0
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 5
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 2335
NTSB Notification Source --
NTSB Notification Date Dec 8 1989 12:00AM
NTSB Notification Time 1815
Fiche Number and/or location -used to find docket information 42409
Date of most recent change to record Dec 18 2002 11:28AM
User who most recently changed record NTSB\GIUV
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N9161F
NTSB Number LAX90LA050
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 369HS
Aircraft Series Identifier 369HS
Aircraft Serial Number 8305115
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 5
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection 100 Hour
Date of Last Inspection Nov 19 1989 12:00AM
Airframe hours since last inspection 85
Airframe Hours 12198
ELT Installed No
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name HELI-DYNE INC.
Aircraft Owner Street Address 2508 PALM DR.
Aircraft Owner City LONG BEACH
Aircraft Owner State CA
Aircraft Owner Country
Aircraft Owner Zipcode 90806
Operator is an individual? --
Operator Name AIR KAUI, INC.
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address 4491 RICE ST.
Operator City LIHUE
Operator State HI
Operator Country
Operator Zip code 96746
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) Unknown
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code LIH
Departure City LIHUE
Departure State HI
Departure Country
Departure Time 1445
Departure Time Zone HST
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 Aug 22 2001 3:51PM
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 Yes
Air Medical Flight No
Medical Flight --