Falcon Field Airport
Aircraft Accident/Incident Report

Mesa, Arizona 85212
Monday, November 3, 2003 17:45 MST

NTSB Narrative Summary Released at Completion of Accident

The helicopter impacted a taxiway after a experiencing a loss of anti torque control during an emergency landing. The pilot reported a hydraulic system failure and diverted to the nearest airport. During the emergency landing, after slowing the helicopter and descending through 100 feet, the helicopter yawed to the left. The pilot attempted to apply right pedal but was met with more force than he was expecting to overcome in moving the anti torque pedals. The pilot attempted to keep the helicopter in a level attitude; however, he was unable to stop the helicopter from spinning. The helicopter touched down, and rotated on the ground until the right landing gear skid collapsed and the main rotor system impacted the ground. The helicopter came to rest on its right side. The engine continued to operate and the main rotor blades repeatedly impacted the ground until the fire department was able to shutdown the engine by directing a stream of firefighting foam into the engine intake. The pilot turned off the electrical master switch and exited the helicopter. The AS350 B3 is equipped with four servo actuators, three for the main rotor system and one for the tail rotor blade pitch control. The flight manual emergency procedures section notes that without any hydraulic pressure, the anti torque pedal operating force is very high on the helicopter. Post accident examination of the wreckage revealed the hydraulic test switch was depressed. Activation of the hydraulic test switch will dump hydraulic pressure and is used during the preflight inspection to test the hydraulic accumulator pressure. If it is depressed during flight, the hydraulic system will dump pressure and mirror a hydraulic system failure. No other anomalies were noted with the hydraulic system during post accident examinations and testing. The recommended emergency procedures for a hydraulic system failure dictates that the pilot make a flat approach over a clear landing area and land with slight forward speed.

NTSB Probable Cause Narrative

The pilot's inadvertent activation of the hydraulic test switch, which resulted in a loss of the hydraulic system pressure, and his failure to maintain directional control.

Event Information

Type of Event Accident
Event Date 11/3/2003
Event Day of the Week Monday
Time of Event 1745
Event Time Zone Mountain Standard Time
Event City Mesa
Event State ARIZONA
Event Country --
Zipcode of the event site 85212
Event Date Year 2003
Event Date Month 11
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 332739N
Event Location Longitude 1114342W
Event Location Airport Falcon Field Airport
Event Location Nearest Airport ID FFZ
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 1370
Weather Briefing Completeness Not pertinent
Investigator's weather source Weather Observation Facility
Time of the weather observation 1858 Mountain Standard Time
Direction of event from weather observation facility (degrees) --
Weather Observation Facility ID FFZ
Elevation of weather observation facility 1366
Distance of event from weather observation facility (units?) --
Time Zone of the weather observation MST
Lighting Conditions Day
Lowest Ceiling Height --
Lowest Non-Ceiling Height 10000
Sky/Lowest/Cloud Conditions Few
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 30
Air Temperature at event time (in degrees celsius) 17
Dew Point at event time (in degress fahrenheit) --
Wind Direction (degrees magnetic) 300
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 5
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury None
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor --
Injury Total None 4
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 17324
NTSB Notification Source FAA
NTSB Notification Date Oct 3 2003 12:00AM
NTSB Notification Time 1645
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Feb 24 2005 9:13AM
User who most recently changed record NTSB\JOHB
Basic weather conditions Visual Meteorological Cond
FAA District Office WP-FSDO-Scottsdale

Aircraft Involved

Aircraft #1

Aircraft Registration Number N820NA
NTSB Number LAX04LA035
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 135: Air Taxi & Commuter
Type of Flight Plan filed Company VFR
Flight plan Was Activated? No
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Eurocopter
Aircraft Model AS350 B3
Aircraft Series Identifier --
Aircraft Serial Number 3602
Certified Max Gross Weight 4961
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 4
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection Oct 15 2003 12:00AM
Airframe hours since last inspection 45.7
Airframe Hours 1143.3
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Roberts Aircraft Co.
Aircraft Owner Street Address 4390 1-80 Service Rd.
Aircraft Owner City Burns
Aircraft Owner State WY
Aircraft Owner Country USA
Aircraft Owner Zipcode 82053
Operator is an individual? No
Operator Name NATIVE AMERICAN AIR AMBULANCE INC
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address 6402 East Superstition Springs Blvd. Suite 224
Operator City Mesa
Operator State AZ
Operator Country USA
Operator Zip code 85212
Operator Code S4WA
Owner has at least one certificate --
Other Operator of large aircraft? --
Certified for Part 133 or 137 Operation --
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 Passenger Only
Type of Flying (Per_Bus / Primary) --
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code SOW
Departure City Show Low
Departure State AZ
Departure Country USA
Departure Time 1700
Departure Time Zone MST
Destination Same as Local Flt --
Destination Airport Code SDL
Destination City Scottsdale
Destination State AZ
Destination Country USA
Specific Phase of Flight Emergency descent/landing
Report sent to ICAO? Yes
Evacuation occurred No
Date of most recent change to record --
User who most recently changed record --
Since inspection or accident --
Event Location Runway Number and Location NA
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight Yes
Medical Flight Medical Emergency