Aircraft Accident/Incident Report

Haena, Hawaii 96713
Sunday, March 11, 2007 12:59 HST

NTSB Narrative Summary Released at Completion of Accident

The helicopter pilot reported that he was conducting a Part 135 air tour flight with 4 passengers on board the helicopter. The helicopter was about 1,500 feet above ground level with about 80 - 85 knots of airspeed when within a split-second he heard two loud "bangs." The nose of the helicopter pitched down and the helicopter yawed to the right. He applied left pedal but without effect. He attempted to "get more forward airspeed," but each time he did the helicopter nosed over and yawed to the right. The right yaw developed into a tight spin, and he realized that he "lost his tail rotor." The pilot executed an autorotation to a clearing located at a campground. The helicopter impacted the trees at the western edge of the clearing during the autorotation. The helicopter impacted the terrain on its right, front side. Inspection of the helicopter revealed that the tail rotor output shaft and the tail rotor blades separated from the tail rotor gearbox. The tail rotor assembly was inspected at the National Transportation Safety Board's Materials Laboratory. The inspection revealed that the tail rotor blade assembly fractured through the root fitting in the general area that coincided with a hole for the blade retention bolt. The root fitting contained a 1-inch nominal diameter longitudinal hub bore with a tapered (conical) hole bottom. A relief radius was located between the hub bore and the conical hole bottom. The inspection revealed crack arrest marks typical of a fatigue cracking that emanated from multiple origins at the relief radius between the hub bore and conical hole bottom. The relief radius measured approximately 0.001 inch, much less than specified by the engineering drawing (0.12 inch and 0.15 inch). On April 26, 2007, McDonnell Helicopters, Inc. (MDHI) issued mandatory Service Bulletin (SB) 369D-204, 369E-099, 369F-084, 369H-247, titled "Tail Rotor Blade Assembly, One Time Inspection." According to MDHI SB, before further flight, the tail rotor should be removed from helicopter models 369 (Army YOH-6A), 369 (Army OH-6A), 369H, 369HM, 369HS, 369HE, 369D, 369E, 369F, and 369FF. The hub bore should be visually examined with a flashlight. If the relief radius does not contain a smooth transition between the bore and conical bottom hole, the root fitting should be removed from service. On April 27, 2007, the Federal Aviation Administration issued emergency Airworthiness Directive (AD) 2007-09-51 that mandated inspection of the root fittings per the MDHI SB.

NTSB Probable Cause Narrative

The fatigue failure of the tail rotor blade root fitting due to a manufacturing defect which resulted in the separation of the tail rotor system and loss of tail rotor control. A contributing factor to the accident were the trees that the helicopter struck during the autorotation.

Event Information

Type of Event Accident
Event Date 3/11/2007
Event Day of the Week Sunday
Time of Event 1259
Event Time Zone Hawaii Standard Time
Event City Haena
Event State HAWAII
Event Country --
Zipcode of the event site 96713
Event Date Year 2007
Event Date Month 3
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 221314N
Event Location Longitude 1593312W
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 1153 Hawaii Standard Time
Direction of event from weather observation facility (degrees) 130
Weather Observation Facility ID PHLI
Elevation of weather observation facility 153
Distance of event from weather observation facility (units?) 17
Time Zone of the weather observation HST
Lighting Conditions Day
Lowest Ceiling Height 3700
Lowest Non-Ceiling Height 2800
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) 8
Air Temperature at event time (in degrees celsius) 23
Dew Point at event time (in degress fahrenheit) 18
Wind Direction (degrees magnetic) 10
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 4
Wind Velocity Indicator --
Wind Gust Indicator Unknown
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 29.94
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report METAR PHLI 102353Z 01004KT 8SM -RA SCT028 OVC037 2
Event Highest Injury Fatal
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal 1
Injury Total Minor --
Injury Total None 1
Injury Total Serious 3
Injury Total All 4
Investigating Agency NTSB
NTSB Docket Number (internal use) 23901
NTSB Notification Source FAA
NTSB Notification Date Mar 11 2007 12:00AM
NTSB Notification Time --
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Jul 30 2008 9:00AM
User who most recently changed record NTSB\johb
Basic weather conditions Visual Meteorological Cond
FAA District Office FAA Honolulu FSDO

Aircraft Involved

Aircraft #1

Aircraft Registration Number N911VC
NTSB Number CHI07MA083
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 McDonnell Douglas
Aircraft Model 369FF
Aircraft Series Identifier --
Aircraft Serial Number 0049FF
Certified Max Gross Weight 3100
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 Feb 1 2007 12:00AM
Airframe hours since last inspection 43
Airframe Hours 7799
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Smoky Mountain Helicopters, Inc.
Aircraft Owner Street Address 2979 Barley Mill Rd.
Aircraft Owner City Yorklyn
Aircraft Owner State DE
Aircraft Owner Country USA
Aircraft Owner Zipcode 19736
Operator is an individual? No
Operator Name Inter-Island Helicopter Inc.
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address P.O. Box 156
Operator City Hanapepe
Operator State HI
Operator Country USA
Operator Zip code 96716
Operator Code --
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 PAK
Departure City Hanapepe
Departure State HI
Departure Country USA
Departure Time 1210
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 Jul 9 2008 5:35PM
User who most recently changed record BOWL
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 --