Accident Eurocopter AS 350BA Ecureuil N6094H,
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ASN Wikibase Occurrence # 30181
 
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Date:Friday 21 April 2000
Time:09:30
Type:Silhouette image of generic AS50 model; specific model in this crash may look slightly different    
Eurocopter AS 350BA Ecureuil
Owner/operator:Sunshine Helicopters Inc
Registration: N6094H
MSN: 2694
Year of manufacture:1993
Total airframe hrs:10066 hours
Fatalities:Fatalities: 0 / Occupants: 6
Aircraft damage: Substantial
Category:Accident
Location:Iao Valley, 7 miles SW of Kahului, Maui, HI -   United States of America
Phase: En route
Nature:Unknown
Departure airport:OGG
Destination airport:
Investigating agency: NTSB
Confidence Rating: Accident investigation report completed and information captured
Narrative:
The pilot attempted a run on landing after a loss of engine power over rough terrain. The helicopter bounced back into the air after initial touchdown and came to a sudden stop after a skid caught in a ditch. The pilot saw the engine oil pressure light illuminate followed by an illuminated generator light and the sound of the low rotor rpm audio. He informed his passengers that he was making a precautionary landing and briefed them on emergency procedures. After entering autorotation, he unsuccessfully attempted to restart the engine. He continued to the preselected landing zone, and after clearing obstacles, landed in an open area. One passenger seated in the back recalled smelling fuel about 15 seconds prior to the low rpm audio warning. During the on-scene inspection of the fuel system, the T-fitting was partially attached to the ignition solenoid housing. It was further noted that the safety wire was not a field installation. Maintenance personnel indicated that they had not done fieldwork in this area, and the last overhaul was conducted at the manufacturer's facilities in June 1999. The engine was later examined at the manufacturer's facility. Prior to removal of the ignition solenoid valve, T-fitting, and start drain components, manufacturer representatives confirmed that the safety wire, a swedged unit, was installed at their facility during the last overhaul. A visual inspection of the T-fitting and ignition solenoid valve revealed that the threads of both units were covered in a black substance with metallic particles sticking to the threads. The O-ring on the T-fitting was flattened with material missing from it. A metallurgical examination of the ignition solenoid valve and T-fitting was conducted. The T-fitting is made from steel, and the ignition solenoid valve is made from an aluminum alloy. The O-ring is located in a recessed groove that provides sealing between the threaded portion of the ignition solenoid valve and T-fitting. An energy dispersive x-ray spectroscopy (EDS) test indicated that the black substance found on the threads of both components contained peaks of aluminum. It also revealed that the inside threaded portion of the ignition solenoid valve housing exhibited deterioration consistent with fretting. An examination of the chamfer area of the ignition solenoid housing was outside of the manufacturer's design specifications. The chamfer area is the recessed groove in the ignition solenoid housing and is designed to guide the O-ring into position and prevent it from being pinched between the T-fitting and ignition solenoid valve once installed. The O-ring would not have seated properly during installation due to the chamfer area being outside of design specification limits. This would have prevented adequate clamping forces to be applied and may have allowed the lock nut to loosen. The engine was the placed in a test cell for an acceptance run. The engine started and ran for approximately 20 minutes while a range of acceptance tests were conducted. No discrepancies were noted with the engine run-up.
Probable Cause: Failure of the manufacturer to ensure proper quality control of the ignition solenoid housing chamfer area, which allowed for insufficient clamping forces between the ignition solenoid housing and T-fitting, and the eventual separation of the T-fitting, loss of fuel, and loss of engine power.

Accident investigation:
cover
  
Investigating agency: NTSB
Report number: LAX00LA167
Status: Investigation completed
Duration:
Download report: Final report

Sources:

NTSB: https://www.ntsb.gov/_layouts/ntsb.aviation/brief.aspx?ev_id=20001212X20862&key=1
FAA register: 2. FAA: http://registry.faa.gov/aircraftinquiry/NNum_Results.aspx?omni=Home-N-Number&nNumberTxt=6094H

History of this aircraft

Other occurrences involving this aircraft
17 June 2014 N6094H Sunshine Helicopters 0 Kahului, HI sub
Heavy landing

Revision history:

Date/timeContributorUpdates
27-Sep-2008 01:00 ASN archive Added
26-Jun-2014 00:53 Dr. John Smith Updated [Cn, Location, Country, Source, Damage, Narrative]
26-Jun-2014 01:05 Dr. John Smith Updated [Time, Operator, Total fatalities, Total occupants, Other fatalities, Location, Phase, Nature, Departure airport, Destination airport, Source, Narrative]
21-Dec-2016 19:16 ASN Update Bot Updated [Time, Damage, Category, Investigating agency]
21-Dec-2016 19:20 ASN Update Bot Updated [Time, Damage, Category, Investigating agency]
12-Dec-2017 18:32 ASN Update Bot Updated [Operator, Nature, Departure airport, Destination airport, Source, Narrative]
09-Jun-2023 10:20 Ron Averes Updated [[Operator, Nature, Departure airport, Destination airport, Source, Narrative]]

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