Aircraft Accident/Incident Report

Brooklyn, New York 11226
Tuesady, May 4, 2004 18:20 EDT

NTSB Narrative Summary Released at Completion of Accident

The helicopter was hovering at 1,000 to 1,200 feet, during an electronic news gathering flight, when it experienced a loss of hydraulic system power. The pilot stated he did not have any specific recollection regarding the beginning of the accident sequence. He said that he felt the helicopter was not responding to his control inputs, "the way it should be." He also did not recall reporting any specific problems over the radio; however, review of communication recordings revealed that the pilot stated he experienced a "tail rotor failure." Another helicopter captured the accident sequence from its onboard video camera. The accident helicopter was observed entering a steep descent and quickly leveling off. A fairly constant, level attitude and heading were briefly maintained before the helicopter came to an unstable hover and began an approximate two revolution left rotation about its vertical axis. During the rotation, the helicopter descended and struck the roof parapet of a 4-story building, before it impacted and came to rest on the roof of an adjacent 2-story building. Examination of the helicopter's hydraulic system revealed that the hydraulic pump drive belt had been installed inside-out and failed due to an overload, leading to a full hydraulic system failure. According to Eurocopter's emergency procedures for the helicopter, the pilot action following a hydraulic system failure would be to "calmly reduce collective pitch and adjust the airspeed to between 40 and 60 knots in level flight" and then cut off the hydraulic pressure, by moving the toggle switch located on the collective pitch lever to off. The procedures further state that when the accumulators are exhausted, the control forces become significantly higher, but "not unmanageable." The helicopter could be controlled without the main and tail rotor servo actuators being hydraulically powered, but this would require the pilot to apply "non-negligible" forces that are substantially different than the forces required with the hydraulic system operating properly. The hydraulic system toggle switch was found in the "on" position. The "flat" hydraulic pump drive belt had accumulated about 440 hours, and had a service life limit of 600 hours. On May 11, 2004, Eurocopter issued a service bulletin which recommended the installation of a"Poly-V" hydraulic pump belt. The improved belt comprised multiple longitudinal "V" shapes on its inner surface that mated with similar surfaces on the hydraulic pump pulley and had a service life limit of 1,500 hours. Eurocopter recommended that all "flat" drive belts be replaced with the "Poly-V" belts.

NTSB Probable Cause Narrative

The pilot's failure to maintain control of the helicopter after a loss of hydraulic system pressure due to a failure of the hydraulic pump belt. Factors in this accident were the pilot's misidentification of a hydraulic failure, the pilot's subsequent failure to perform the appropriate emergency procedure, and the improper installation of the hydraulic pump belt by maintenance personnel.

Event Information

Type of Event Accident
Event Date 5/4/2004
Event Day of the Week Tuesday
Time of Event 1820
Event Time Zone Eastern Daylight Time
Event City Brooklyn
Event State NEW YORK
Event Country --
Zipcode of the event site 11226
Event Date Year 2004
Event Date Month 5
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 403839N
Event Location Longitude 0735711W
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 --
Degrees magnetic from airport --
Airport Elevation --
Weather Briefing Completeness Unknown
Investigator's weather source Weather Observation Facility
Time of the weather observation 1829 Eastern Daylight Time
Direction of event from weather observation facility (degrees) 105
Weather Observation Facility ID JFK
Elevation of weather observation facility 13
Distance of event from weather observation facility (units?) 9
Time Zone of the weather observation EDT
Lighting Conditions Day
Lowest Ceiling Height 25000
Lowest Non-Ceiling Height 6500
Sky/Lowest/Cloud Conditions Few
Sky Condition for Lowest Ceiling Broken
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 15
Dew Point at event time (in degress fahrenheit) -3
Wind Direction (degrees magnetic) 310
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 14
Wind Velocity Indicator --
Wind Gust Indicator Gusting
Wind Gust (knots) 20
Altimeter Setting at event time (in. Hg) 29.96
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Serious
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor 1
Injury Total None --
Injury Total Serious 2
Injury Total All 3
Investigating Agency NTSB
NTSB Docket Number (internal use) 19076
NTSB Notification Source NTSB
NTSB Notification Date May 4 2004 12:00AM
NTSB Notification Time 1825
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Jan 31 2006 7:35AM
User who most recently changed record NTSB\JOHB
Basic weather conditions Visual Meteorological Cond
FAA District Office Farmingdale

Aircraft Involved

Aircraft #1

Aircraft Registration Number N4NY
NTSB Number NYC04FA117
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? --
Damage Destroyed
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Eurocopter
Aircraft Model AS-350BA
Aircraft Series Identifier --
Aircraft Serial Number 2121
Certified Max Gross Weight 4630
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 Continuous Airworthiness
Date of Last Inspection Apr 1 2004 12:00AM
Airframe hours since last inspection 48
Airframe Hours 8377
ELT Installed No
ELT Activated --
ELT Aided Location of Event Site --
ELT Type --
Aircraft Owner Name Horsham Valley Airways Inc.
Aircraft Owner Street Address 450 Caredean Drive
Aircraft Owner City Horsham
Aircraft Owner State PA
Aircraft Owner Country USA
Aircraft Owner Zipcode 19044
Operator is an individual? No
Operator Name Helinet Aviation
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address 16425 Hart Street
Operator City Van Nuys
Operator State CA
Operator Country USA
Operator Zip code 91406
Operator Code --
Owner has at least one certificate None
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 --
Indicates Domestic or International Flight --
Operator carrying Pax/Cargo/Mail --
Type of Flying (Per_Bus / Primary) Other Work Use
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code TEB
Departure City Teterboro
Departure State NJ
Departure Country USA
Departure Time 1630
Departure Time Zone EDT
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 Hover
Report sent to ICAO? No
Evacuation occurred No
Date of most recent change to record Oct 15 2005 5:39PM
User who most recently changed record MUZD
Since inspection or accident Last Inspection
Event Location Runway Number and Location NA
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --