Aircraft Accident/Incident Report

Kapaau, Hawaii 96755
Tuesady, July 12, 2005 6:45 HST

NTSB Narrative Summary Released at Completion of Accident

The helicopter's tail rotor blade assembly and tail rotor gearbox separated while in cruise flight. The pilot transported three passengers to a remote landing site located adjacent to a stream and rock dam. He had off-loaded the passengers and had departed the landing zone when the tail rotor assembly separation took place. The pilot indicated that while cruising over a valley at 500 feet above ground level and at 90 knots, he experienced a high frequency vibration that lasted about 5 seconds. This was followed by a "bang," whereupon the helicopter violently reacted by yawing left and pitching nose down, and with a right rollover 90 degrees. The pilot recovered from the unusual attitude after slowing to about 60 knots, and performed an autorotative descent to an uneventful landing. Two of the three passengers that accompanied the pilot on the flight to the landing zone reported that the pilot was not certain of how to land the helicopter at the landing zone, as it was his second time landing in that area. One passenger instructed the pilot to land with the tail boom facing down stream, but the other told him to land with the tail boom facing up stream. The pilot followed the latter instructions and accidentally placed the tail rotor guard on a rock in the stream. The passengers stated that after they disembarked, they noticed the tail rotor blades were turning in the water. They attempted to notify the pilot, but were unsuccessful. The separated components were not located during the course of the investigation. Laboratory examination of the aft end of the tail boom revealed that the gearbox and tail rotor assembly separated from the tail boom due to a loss of clamp-up force in one or possibly both of the aft attachment bolt and nut assemblies for the tail rotor gearbox. At the right aft attachment location for the gearbox, thread damage localized to only a part of the outermost thread of the right nut plate indicated that the right aft attachment bolt unscrewed from the nut plate. The presence of fatigue cracking in the left and right nut plates also indicates insufficient clamp-up. The aft attachment bolts for the gearbox should have lock wire that secure them to the gearbox; however, since all parts containing the lock wire are missing, there is no way to determine if the lock wire was in place. According to maintenance records, a 100-hour inspection was performed 12 days (40.7 hours time in service) before the accident. As part of the inspection procedures, the aft attachment bolts for the gearbox are checked for proper torque. The mechanics that performed the inspection and checked the torque provided statements indicating that the torque was checked and the bolts were safety wired following the inspection. One possible source for excessive vibration could be an inadequately balanced drive shaft from a tail rotor blade strike.

NTSB Probable Cause Narrative

the in-flight separation of the tail rotor system as a result of a loss of clamp force and fatigue fracturing of the attachment nut plates. The cause of the loss of clamp force was likely due to an inadvertent tail rotor blade strike during the previous landing, which resulted in an imbalance and a high frequency vibration that both induced fatigue in the nut plates and caused one bolt to back out. The pilot's unfamiliarity with the landing area and his poor decision to land with the tail boom facing upstream were factors.

Event Information

Type of Event Accident
Event Date 7/12/2005
Event Day of the Week Tuesday
Time of Event 645
Event Time Zone Hawaii Standard Time
Event City Kapaau
Event State HAWAII
Event Country --
Zipcode of the event site 96755
Event Date Year 2005
Event Date Month 7
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 201048N
Event Location Longitude 1554406W
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 4000
Lowest Non-Ceiling Height 2500
Sky/Lowest/Cloud Conditions Scattered
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) 16
Dew Point at event time (in degress fahrenheit) --
Wind Direction (degrees magnetic) 45
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 15
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) --
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report PHKO 121653Z 08004KT 10SM CLR 24/21 A3006 RMK AO2
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 1
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 20800
NTSB Notification Source FAA
NTSB Notification Date Jul 12 2005 12:00AM
NTSB Notification Time --
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Dec 28 2006 9:08AM
User who most recently changed record NTSB\johb
Basic weather conditions Visual Meteorological Cond
FAA District Office Honolulu, HI

Aircraft Involved

Aircraft #1

Aircraft Registration Number N4064F
NTSB Number LAX05FA229
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 Eurocopter
Aircraft Model AS350BA
Aircraft Series Identifier --
Aircraft Serial Number 3087
Certified Max Gross Weight 4630
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 6
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection 100 Hour
Date of Last Inspection Jun 1 2005 12:00AM
Airframe hours since last inspection 40.7
Airframe Hours 7373.8
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Sunshine Helicopters Inc
Aircraft Owner Street Address 1 Kahului Airport Rd. #107
Aircraft Owner City Kahului
Aircraft Owner State HI
Aircraft Owner Country USA
Aircraft Owner Zipcode 93732
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 SSHL
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 --
Indicates Domestic or International Flight --
Operator carrying Pax/Cargo/Mail --
Type of Flying (Per_Bus / Primary) Positioning
Second Pilot on Board No
Departure Point Same as Event Yes
Departure Airport Code --
Departure City Kapaau
Departure State HI
Departure Country USA
Departure Time 640
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? --
Evacuation occurred --
Date of most recent change to record Oct 19 2006 6:13PM
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 --