Aircraft Accident/Incident Report

Kihei, Hawaii 96753
Monday, May 16, 2005 11:45 HST

NTSB Narrative Summary Released at Completion of Accident

The pilot performed an autorotation to a rocky shoreline following a partial loss of engine power during cruise flight. The helicopter's tail rotor blades impacted the ground when the helicopter slid aft on the slippery rocks following a successful landing. Post accident examination of the helicopter revealed the fuel system had been contaminated. Two days prior to the accident flight, the helicopter was examined after a fuel sample was found contaminated; however, the entire fuel system, specifically, the fuel tank, was not examined and cleaned. According to the manufacturer, if the helicopter experiences a fuel contamination, the corrective action is to "inspect and clean the fuel cell and start pump inlet screens if large amounts of foreign material are found in the engine driven fuel pump filter (or the optional airframe fuel filter if installed)." The accident helicopter was not equipped with the optional airframe fuel filter. Following the accident, the fuel tank cells were examined and contamination was noted in the tank and the fuel pump inlet screen and outlet. The contaminated fuel was introduced to the fuel system 2 days prior to the accident. The fuel came from a remotely located fuel tank that had a broken fuel tank cover, which allowed water and contaminants to enter the tank. The person who fueled the helicopter from the contaminated tank was not trained in the company's policy to conduct a daily quality assurance check, and had not sumped the tank, filters, and hoses.

NTSB Probable Cause Narrative

the partial loss of engine power due to fuel contamination. The fuel contamination was due to the failure of the maintenance personnel to ensure that the helicopter's fuel system had been thoroughly cleaned after a known previous contamination event, and the failure of company line personnel to follow the daily quality assurance checks on the company's remote based fuel supply.

Event Information

Type of Event Accident
Event Date 5/16/2005
Event Day of the Week Monday
Time of Event 1145
Event Time Zone Hawaii Standard Time
Event City Kihei
Event State HAWAII
Event Country --
Zipcode of the event site 96753
Event Date Year 2005
Event Date Month 5
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 204700N
Event Location Longitude 1563200W
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 Pilot
Time of the weather observation
Direction of event from weather observation facility (degrees) --
Weather Observation Facility ID --
Elevation of weather observation facility --
Distance of event from weather observation facility (units?) --
Time Zone of the weather observation --
Lighting Conditions Day
Lowest Ceiling Height --
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions Clear
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 29
Dew Point at event time (in degress fahrenheit) 18
Wind Direction (degrees magnetic) 45
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 25
Wind Velocity Indicator --
Wind Gust Indicator Gusting
Wind Gust (knots) 35
Altimeter Setting at event time (in. Hg) 30.08
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) 19755
NTSB Notification Source FAA
NTSB Notification Date May 16 2005 12:00AM
NTSB Notification Time 1300
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record May 30 2006 1:54PM
User who most recently changed record NTSB\JOHB
Basic weather conditions Visual Meteorological Cond
FAA District Office Honolulu, Hawaii

Aircraft Involved

Aircraft #1

Aircraft Registration Number N611WA
NTSB Number LAX05LA176
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
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 Hughes
Aircraft Model 369D
Aircraft Series Identifier --
Aircraft Serial Number 590517D
Certified Max Gross Weight 1570
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 May 1 2005 12:00AM
Airframe hours since last inspection 12.3
Airframe Hours 7824.4
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name WindWard Aviation
Aircraft Owner Street Address 333 Dairy Road; Suite 103
Aircraft Owner City Kahului
Aircraft Owner State HI
Aircraft Owner Country USA
Aircraft Owner Zipcode 96732
Operator is an individual? No
Operator Name --
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address --
Operator City --
Operator State --
Operator Country --
Operator Zip code --
Operator Code --
Owner has at least one certificate --
Other Operator of large aircraft? --
Certified for Part 133 or 137 Operation External Load
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) Personal
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code OGG
Departure City Kahului
Departure State HI
Departure Country USA
Departure Time 1109
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 Cruise
Report sent to ICAO? Yes
Evacuation occurred No
Date of most recent change to record Mar 27 2006 4:06PM
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 No
Air Medical Flight No
Medical Flight --