Aircraft Accident/Incident Report

Lahaina, Hawaii 96761
Thursday, January 5, 2006 9:45 HST

NTSB Narrative Summary Released at Completion of Accident

The pilot reported that he heard the main rotor low speed warning horn, and saw that the rotor speed was decreasing. He entered into an autorotation to make a forced landing and tried to regain engine torque and rotor speed, but was unsuccessful and the low rotor horn sounded again. He lowered the collective and flared for landing. The helicopter came down in trees, with the main rotor blades contacting the treetops. The helicopter was equipped with an on board video recording system that also recorded audio channels. Sound spectrum analysis of the audio recording confirmed the main rotor system speed decay consistent with the pilot's report. The power plant mechanical components: Hydro-Mechanical Unit (HMU), Digital Engine Control Unit (DECU), Engine Back-up Control Ancillary Unit (EBCAU), and Anticipator System Collective Potentiometer (XPC) were tested individually and no abnormalities were found within any component. Visual inspection of the DECU-XPC wiring harness showed very little external damage. Further examination and testing of the wiring harness revealed a loss of internal shielding continuity and shorts between a wire and the shielding. No evidence of lightning strike damage was found in any of the wiring. Faults in the manufacturing assembly of one of the XPC harness backshells were also discovered. Further examination and testing revealed the insulation breakdown was a result of wire damage due to a tight bend in the harness, located about 80 and 90 cm from the rear of the connector (potentiometer side). It was discovered that the AS350B3 and EC130B4 XPC cables (a part of the aircraft wire harness) had been manufactured with extra length to accommodate multiple installation configurations. The length of the accident helicopter's harness was longer than necessary, and it had been bent in a tight radius during aircraft production to accommodate the extra length in during installation. The wiring faults resulted in a gradual, intermittent decay of the XPC signal to the DECU. A review of the DECU design with the manufacturer confirmed that the DECU logic would not detect the XPC signal shift error, such as occurred in this event, which would cause an uncommanded and undetected loss of rotor speed. The aircraft flight manual only contains emergency procedures for a decrease in main rotor speed below 360 rpm when it corresponds with an engine failure. The aircraft flight manual does not address an intermittent XPC signal failure. As a result of the investigation, on March 13, 2009, Eurocopter issued Alert Service Bulletin No. 76.00.18, which called for a modification to eliminate the potential for NR drop in flight - Slow drift in the XPC anticipator (collective pitch signal) on AS350B3 and EC130B4 helicopters.

NTSB Probable Cause Narrative

An intermittent electrical continuity failure and short of the DECU-XPC wiring harness, which resulted in an uncommanded and an initially undetected engine deceleration and a resulting loss of main rotor rpm. Also causal was the manufacturer's inadequate installation of the wiring harness at the time of manufacture.

Event Information

Type of Event Accident
Event Date 1/5/2006
Event Day of the Week Thursday
Time of Event 945
Event Time Zone Hawaii Standard Time
Event City Lahaina
Event State HAWAII
Event Country --
Zipcode of the event site 96761
Event Date Year 2006
Event Date Month 1
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 205726N
Event Location Longitude 1563513W
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 10
Degrees magnetic from airport --
Airport Elevation --
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 854 Hawaii Standard Time
Direction of event from weather observation facility (degrees) 285
Weather Observation Facility ID PHOG
Elevation of weather observation facility --
Distance of event from weather observation facility (units?) 10
Time Zone of the weather observation HST
Lighting Conditions Day
Lowest Ceiling Height --
Lowest Non-Ceiling Height 1000
Sky/Lowest/Cloud Conditions Scattered
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 15
Air Temperature at event time (in degrees celsius) 23
Dew Point at event time (in degress fahrenheit) 16
Wind Direction (degrees magnetic) 20
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) 30.17
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 6
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 25866
NTSB Notification Source FAA
NTSB Notification Date Jan 5 2006 12:00AM
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Sep 30 2009 11:46AM
User who most recently changed record lema
Basic weather conditions Visual Meteorological Cond
FAA District Office WP-HNL-FSDO

Aircraft Involved

Aircraft #1

Aircraft Registration Number N11QD
NTSB Number LAX06FA080
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 EUROCOPTER
Aircraft Model EC 130B4
Aircraft Series Identifier --
Aircraft Serial Number 3363
Certified Max Gross Weight 5350
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 7
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection 100 Hour
Date of Last Inspection Dec 1 2005 12:00AM
Airframe hours since last inspection 38
Airframe Hours 4836
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Nevada Helicopter Leasing LLC
Aircraft Owner Street Address 1349 Galleria Dr. Suite 200
Aircraft Owner City Henderson
Aircraft Owner State NV
Aircraft Owner Country USA
Aircraft Owner Zipcode 89014
Operator is an individual? No
Operator Name Helicopter Consultants of Maui, Inc.
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address --
Operator City Kahului
Operator State HI
Operator Country USA
Operator Zip code 96732
Operator Code HOMA
Owner has at least one certificate Yes - certificate holder
Other Operator of large aircraft? No
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 OGG
Departure City Kahului
Departure State HI
Departure Country USA
Departure Time 930
Departure Time Zone HST
Destination Same as Local Flt dest & departure same, accident can occur anywhere
Destination Airport Code OGG
Destination City --
Destination State --
Destination Country USA
Specific Phase of Flight Cruise - normal
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Aug 18 2009 11:47AM
User who most recently changed record coos
Since inspection or accident Last Inspection
Event Location Runway Number and Location N/A
Runway Length --
Runway Width --
Sight Seeing flight Yes
Air Medical Flight No
Medical Flight --