Paso Robles Airport
Aircraft Accident/Incident Report

Paso Robles, California 93446
Friday, July 13, 2007 13:20 PDT

NTSB Narrative Summary Released at Completion of Accident

The certificated flight instructor (CFI), who was seated in the left seat, reported that he was demonstrating practice hydraulic-off emergency procedures, as the second pilot, who was seated in the right seat, had an upcoming check ride where he would be required to conduct such maneuvers. While on the downwind leg of the traffic pattern, the CFI configured the helicopter to an airspeed of 60 knots (kts) with the hydraulics turned off. As he maneuvered the helicopter onto final approach, the cyclic became stiff, with increasing force required to manipulate it. The control forces on the cyclic were becoming increasing harder to overcome and difficult to move, while the collective remained in the neutral position. The CFI was trying to hold the cyclic in the forward right position and was using a large amount of physical force to do so. As the helicopter slowed it began to drift to the left of the intended approach site and the CFI attempted to move the cyclic to correct the drift, but could move the control due to the stiffness. He attempted to accelerate and instructed the second pilot to restore the hydraulics, knowing that only the collective for the right-seated pilot had the hydraulics switch. The second pilot never restored the hydraulics. Seconds later the helicopter climbed to about 20 feet above ground level (agl) and the CFI had no control. The helicopter rolled to the left and impacted terrain. A review of the flight manuals revealed that the pilots followed the proper procedures to perform a practice hydraulic-off emergency procedure and maintained the correct airspeeds. The second pilot stated that he never turned the hydraulics back on because he recalled a warning in training that doing so at such a low altitude could result in the pilot unintentionally over-controlling the cyclic and the helicopter crashing. Anecdotally the Safety Board is aware of other pilots that share the same belief; however, the Rotorcraft Flight Manual does not specifically address the issue. An examination of the wreckage disclosed that the left lateral hydraulic servo was rigged out of limits (0.106 inches), though the helicopter's manufacturer stated that the anomaly would not have a noticeable affect in the capabilities or handling of the helicopter. The servo accumulators were examined and tested. Upon disassembly of the longitudinal servo, investigators observed that the liner exhibited a bulging area about 1 inch from the end, similar to mushroomed deformation. The piston was removed from the liner revealing that about 1/2 of the Teflon white piston pad was displaced from the piston seal groove. The anomaly could not be definitively attributed to a preimpact condition. Additionally, in spite of extensive analysis by the manufacturer, the significance of the anomaly is not yet fully understood at this time.

NTSB Probable Cause Narrative

a loss of control for undetermined reasons, which resulted in an uncommanded roll and subsequent collision with terrain. Contributing factors in the accident were the flying pilot's failure to request assistance from the second pilot in a timely manner and the second pilot's failure to restore the hydraulics.

Event Information

Type of Event Accident
Event Date 7/13/2007
Event Day of the Week Friday
Time of Event 1320
Event Time Zone Pacific Daylight Time
Event City Paso Robles
Event State CALIFORNIA
Event Country --
Zipcode of the event site 93446
Event Date Year 2007
Event Date Month 7
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 354022N
Event Location Longitude 1203737W
Event Location Airport Paso Robles
Event Location Nearest Airport ID PRB
Indicates whether the acc/inc occurred off or on an airport On Airport
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation 836
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 1253 Pacific Daylight Time
Direction of event from weather observation facility (degrees) --
Weather Observation Facility ID PRB
Elevation of weather observation facility 836
Distance of event from weather observation facility (units?) --
Time Zone of the weather observation PDT
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) 30
Dew Point at event time (in degress fahrenheit) 11
Wind Direction (degrees magnetic) --
Variable Wind Indicator Variable
Wind Speed (knots) 4
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.03
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 3
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 23250
NTSB Notification Source FAA
NTSB Notification Date Jul 13 2007 12:00AM
NTSB Notification Time --
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Mar 31 2008 11:52AM
User who most recently changed record NTSB\johb
Basic weather conditions Visual Meteorological Cond
FAA District Office WP-SAC-FSDO

Aircraft Involved

Aircraft #1

Aircraft Registration Number N811HP
NTSB Number LAX07GA217
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? No
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Eurocopter France
Aircraft Model AS350 B3
Aircraft Series Identifier --
Aircraft Serial Number 3404
Certified Max Gross Weight 4961
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 4
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection 100 Hour
Date of Last Inspection May 1 2007 12:00AM
Airframe hours since last inspection 45
Airframe Hours 6240
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name California Highway Patrol
Aircraft Owner Street Address 6155 Freeport Blvd Suite 100
Aircraft Owner City Sacramento
Aircraft Owner State CA
Aircraft Owner Country --
Aircraft Owner Zipcode 95822
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 None
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) Public Use
Second Pilot on Board Yes
Departure Point Same as Event Yes
Departure Airport Code PRB
Departure City Paso Robles
Departure State CA
Departure Country USA
Departure Time 1300
Departure Time Zone PDT
Destination Same as Local Flt dest & departure same, accident can occur anywhere
Destination Airport Code PRB
Destination City Paso Robles
Destination State CA
Destination Country USA
Specific Phase of Flight Maneuvering
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Mar 25 2008 9:46AM
User who most recently changed record JOHB
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 --