Serious incident Eurocopter AS 350B N358NT,
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ASN Wikibase Occurrence # 370374
 
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Date:Thursday 19 February 2004
Time:18:59 LT
Type:Silhouette image of generic AS50 model; specific model in this crash may look slightly different    
Eurocopter AS 350B
Owner/operator:Heli Usa Inc
Registration: N358NT
MSN: 1016
Year of manufacture:1978
Total airframe hrs:4426 hours
Engine model:Turbomeca Aeriel 1B
Fatalities:Fatalities: 0 / Occupants: 6
Aircraft damage: Minor
Category:Serious incident
Location:Las Vegas, NV -   United States of America
Phase: En route
Nature:Unknown
Departure airport:Grand Canyon-National Park Airport, AZ (GCN/KGCN)
Destination airport:Las Vegas-McCarran International Airport, NV (LAS/KLAS)
Investigating agency: NTSB
Confidence Rating: Accident investigation report completed and information captured
Narrative:
The helicopter experienced an in-flight loss of tail rotor control due to the fatigue fracture and failure of the tail rotor pitch change lever (SN MA 3671). The purpose of this part is to translate forward and aft movement from the tail rotor controls to change the pitch of the tail rotor. The operator had removed the component from the helicopter prior to the arrival of Federal Aviation Administration inspectors, and so the condition of the part as installed could not be determined. Following the incident, the operator discovered a crack on an additional lever (SN MA 3010) in their fleet. The Safety Board Materials Laboratory determined that the fatigue cracks in the two levers were not due to material or manufacturing defects, but were caused by improper installation of the component on the tail rotor gear box. Service Bulletin (SB) No. 65.00.42 was issued in response to cracks found in other levers where the cracks were determined to have been caused by improper installation of the tail rotor gear box pitch control lever bolt. The condition of the incident lever and the second one were found to be identical to the prior cases that triggered the issuance of the service bulletin. The tail rotor gearbox assembly had 3,148.5 hours. The lever is an on-condition part, which is inspected during overhaul of the tail rotor gear box. The overhauls are completed at a normal interval of 3,000 hours; the manufacturer allows a tolerance of 10 percent over the recommended overhaul schedule. When the tail rotor gearbox assembly was submitted for overhaul, a tail rotor pitch change lever different from the one involved in the incident was submitted for inspection. There are no tracking requirements on this part and the time and history of the tail rotor pitch change lever involved in the incident could not be determined.

Probable Cause: the tail rotor pitch change lever failed in fatigue due to improper installation by company maintenance personnel.

Accident investigation:
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Investigating agency: NTSB
Report number: LAX04IA133
Status: Investigation completed
Duration: 1 year and 11 months
Download report: Final report

Sources:

NTSB LAX04IA133

Location

Revision history:

Date/timeContributorUpdates
25-Mar-2024 10:01 ASN Update Bot Added

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