Lapaz Regional Hospital Helpt Airport
Aircraft Accident/Incident Report

Parker, Arizona 85344
Tuesady, March 16, 2010 9:30 MST

NTSB Narrative Summary Released at Completion of Accident

The pilot of the helicopter told the lead mechanic that the main rotor blade needed to be balanced. Two mechanics showed up on the morning of the accident and installed the balancing equipment. A test flight was flown. The two men performed the necessary work, which required a second adjustable wrench on the top of the rotor head to hold the bolt while the nut below was removed and later torqued back on. When the work was finished, the men gathered their tools. The pilot asked the lead mechanic if they had gathered all their tools and the mechanic replied "yes." The three men got on the helicopter for a test hover to check their work. As the main rotor speed reach 100 percent, the three occupants heard a "bang." As the helicopter hovered, the two mechanics thought the balancing equipment readings were worse than the first flight, and the vibrations in the aircraft had increased. The pilot landed the helicopter so that the mechanics could make additional adjustments. The mechanics discovered that they were missing the adjustable wrench that had been used on the top of the main rotor head. Postaccident examination revealed that one main rotor blade, the tail boom, and the lower vertical stabilizer had received damage from the unaccounted for wrench.

NTSB Probable Cause Narrative

The mechanics' failure to account for all the tools following a maintenance procedure and the pilot's failure to perform a preflight check before a maintenance test flight.

Event Information

Type of Event Accident
Event Date 3/16/2010
Event Day of the Week Tuesday
Time of Event 930
Event Time Zone Mountain Standard Time
Event City Parker
Event State ARIZONA
Event Country --
Zipcode of the event site 85344
Event Date Year 2010
Event Date Month 3
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 340812N
Event Location Longitude 1141708W
Event Location Airport Lapaz Regional Hospital Helpt
Event Location Nearest Airport ID AZ47
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 450
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 952 Mountain Standard Time
Direction of event from weather observation facility (degrees) --
Weather Observation Facility ID BLH
Elevation of weather observation facility --
Distance of event from weather observation facility (units?) --
Time Zone of the weather observation MST
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) 21
Dew Point at event time (in degress fahrenheit) 4
Wind Direction (degrees magnetic) 50
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 5
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.31
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) 26837
NTSB Notification Source FAA ROC
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Apr 14 2010 2:02PM
User who most recently changed record coos
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N4282
NTSB Number WPR10CA164
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? --
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name EUROCOPTER
Aircraft Model AS 350 B3
Aircraft Series Identifier --
Aircraft Serial Number 4282
Certified Max Gross Weight 4960
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 AAIP
Date of Last Inspection Feb 3 2010 12:00AM
Airframe hours since last inspection --
Airframe Hours 819
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type Unknown
Aircraft Owner Name CFS AIR LLC
Aircraft Owner Street Address 10 RIVERVIEW DR
Aircraft Owner City DANBURY
Aircraft Owner State CT
Aircraft Owner Country USA
Aircraft Owner Zipcode 06810-6268
Operator is an individual? No
Operator Name Omniflight Helicopters inc.
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address --
Operator City Addison
Operator State TX
Operator Country USA
Operator Zip code 75001
Operator Code --
Owner has at least one certificate None
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 --
Indicates Domestic or International Flight --
Operator carrying Pax/Cargo/Mail --
Type of Flying (Per_Bus / Primary) Other Work Use
Second Pilot on Board No
Departure Point Same as Event Yes
Departure Airport Code AZ47
Departure City Parker
Departure State AZ
Departure Country USA
Departure Time --
Departure Time Zone MST
Destination Same as Local Flt crash at destination city
Destination Airport Code AZ47
Destination City Parker
Destination State AZ
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Apr 14 2010 2:02PM
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 No
Air Medical Flight No
Medical Flight --