Aircraft Accident/Incident Report

Pahoa, Hawaii 96778
Friday, January 21, 2005 15:30 HST

NTSB Narrative Summary Released at Completion of Accident

The helicopter impacted small trees during an autorotational landing that was preceded by the in-flight separation of a tail rotor blade abrasion strip. According to the pilot, the helicopter developed a "sudden vibration in the tail rotor pedals followed immediately by a loud 'crack' or 'snap', and then an extremely loud banging noise and a sharp vibration in both airframe as well as the tail rotor pedals." The pilot made an off-airport autorotational landing to a clearing, but during the landing flare, the tail section snagged a tree. Post-accident examination of the tail rotor blades revealed that the leading edge abrasion strip debonded from one of the blades. Based on the surface finish, the debonding was most probably an adhesive failure at the interface with the abrasion strip. The cause of the bond failure is unknown, but could be the result of in-service conditions, a production problem, or undetected impact damage. The adhesive is the primary means of holding the strip to the blade, but there are also two rivets on the inboard end of the blade that serve as a secondary securing method. The abrasion strip fractured at the outboard rivet and the fracture surface revealed evidence of fatigue cracking indicating that the abrasion strip was completely debonded for a period of time. In addition, dark sooty deposits were visible in the bond area on both sides of the blade. Maintenance records indicated that the helicopter underwent a 100-hour inspection approximately 62 hours prior to the accident. The inspection calls for a visual examination of the tail rotor blades to ensure no separation of the bond around the edges or at the tip end of the blade exist. The inspection process calls for a dye-penetrant inspection or tap test only if a debond is suspected. However, detection of the debond during the visual only 100-hour inspection would depend on whether the separation intersected on the strip edges. The preflight examination procedures called for the pilot to visually examine the tail rotor blades to ensure there is no debonding along the abrasion strip-to-airfoil bond line. The pilot reported that he inspected the abrasion strip prior to the accident flight, but did not notice any evidence of an abrasion strip debond. The blade accumulated 2,379.7 total hours of operation, and 1,820.6 hours since its last overhaul.

NTSB Probable Cause Narrative

the in-flight separation of the tail rotor blade abrasion strip due to a degraded adhesive bond and fatigue fracture of the metallic abrasion strip. The ultimate cause for the degraded bond is unknown.

Event Information

Type of Event Accident
Event Date 1/21/2005
Event Day of the Week Friday
Time of Event 1530
Event Time Zone Hawaii Standard Time
Event City Pahoa
Event State HAWAII
Event Country --
Zipcode of the event site 96778
Event Date Year 2005
Event Date Month 1
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 192721N
Event Location Longitude 1150117W
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 --
Investigator's weather source Weather Observation Facility
Time of the weather observation 1453 Pacific Standard Time
Direction of event from weather observation facility (degrees) 285
Weather Observation Facility ID KOA
Elevation of weather observation facility --
Distance of event from weather observation facility (units?) 45
Time Zone of the weather observation PST
Lighting Conditions Day
Lowest Ceiling Height 4500
Lowest Non-Ceiling Height 3600
Sky/Lowest/Cloud Conditions Scattered
Sky Condition for Lowest Ceiling Overcast
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 27
Dew Point at event time (in degress fahrenheit) 21
Wind Direction (degrees magnetic) 250
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 7
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 29.84
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 5
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 19550
NTSB Notification Source FAA
NTSB Notification Date Feb 3 2005 12:00AM
NTSB Notification Time 830
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Apr 25 2006 11:00AM
User who most recently changed record NTSB\JOHB
Basic weather conditions Visual Meteorological Cond
FAA District Office Federql Aviation Administration Honolulu FSDO

Aircraft Involved

Aircraft #1

Aircraft Registration Number N142MK
NTSB Number LAX05LA074
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 135: Air Taxi & Commuter
Type of Flight Plan filed Company VFR
Flight plan Was Activated? Yes
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name MDHI
Aircraft Model 369E
Aircraft Series Identifier --
Aircraft Serial Number 187E
Certified Max Gross Weight 3000
Aircraft Category Helicopter
Aircraft Registration Class --
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 Jan 1 2005 12:00AM
Airframe hours since last inspection 65.2
Airframe Hours 7592.6
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Schuman Aviation Co. Ltd
Aircraft Owner Street Address 1534 Uluhaku Pl
Aircraft Owner City Kailua
Aircraft Owner State HI
Aircraft Owner Country USA
Aircraft Owner Zipcode 96734
Operator is an individual? No
Operator Name K & S Helicopters, Inc.
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address P.O. Box 5371
Operator City Kailua-Kona
Operator State HI
Operator Country USA
Operator Zip code 96745
Operator Code K2DA
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 ITO
Departure City Hilo
Departure State HI
Departure Country USA
Departure Time 1500
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 Emergency descent/landing
Report sent to ICAO? No
Evacuation occurred No
Date of most recent change to record Feb 7 2006 4:10PM
User who most recently changed record COOS
Since inspection or accident Time of Accident
Event Location Runway Number and Location NA
Runway Length --
Runway Width --
Sight Seeing flight Yes
Air Medical Flight No
Medical Flight --