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Aviation safety reports, made easier to study

NTSB Reports is an independent research and search tool for public aviation accident and incident records. It brings NTSB aviation reports, structured fields, docket files, extracted figures, photos, videos, and update history into one searchable interface.

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NTSB Report

October 7, 1990 · Enstrom F28-C · N88RA

Mesquite, TX

Overview

Report Status
Probable Cause
Event Type
Accident
Date
October 7, 1990
Injury Outcomes
2 injuries (1 fatality, 1 serious injury)
Location
Mesquite, TX
Aircraft
Enstrom F28-C
Tail Number
N88RA
Operator
Dr Donald Gillum
Injuries
Fatal
Aircraft Damage
Destroyed
NTSB Number
FTW91FA002

THE HELICOPTER HAD DEPARTED THE RANCH FOR A LOCAL AREA PLEASURE FLIGHT WHEN AT APPROXIMATELY 300 FEET AGL A LOSS OF POWER OCCURRED. IT WAS OVER A HEAVILY WOODED AREA. THE PILOT ATTEMPTED TO EXTEND THE GLIDE BY PULLING IN COLLECTIVE PITCH AND MAKING A RIGHT TURN (QUARTERING TAILWIND) TO THE ONLY AVAILABLE CLEAR AREA. THE MAIN ROTOR RPM CONTINUED TO DECAY AND THE HELICOPTER DESCENDED VERTICALLY OUT OF CONTROL TO IMPACT ONTO THE OPEN FIELD. THE SKIDS COLLAPSED AND THE HELICOPTER ROLLED RIGHT. POST-ACCIDENT EXAMINATION OF THE WRECKAGE REVEALED THAT A MISALIGNED P-LEAD WIRE IN THE MAGNETO HAD CHAFED AND ARCED. ADDITIONALLY, BOTH P-LEAD CAPS WERE FOUND LOOSE. THE DIRECTOR OF MAINTENANCE FOR THE OPERATOR STATED THAT HE AND HIS MECHANIC DID NOT ADJUST THE MAGNETO TIMING BECAUSE IT WAS TO HARD TOO REACH ON THE HELICOPTER. THE ENGINE WAS TEST RUN WITHOUT DUPLICATION OF THE POWER LOSS.

NTSB Probable Cause

INSTALLATION ERROR OF COMPANY MAINTENANCE PERSONNEL. FACTORS WERE THE UNSUITABLE TERRAIN, THE TAILWIND, THE INABILITY OF THE PILOT TO MAINTAIN MAIN ROTOR RPM, AND THE INADEQUATE ANNUAL INSPECTION BY COMPANY MAINTENANCE PERSONNEL.

Full Narrative

THE HELICOPTER HAD DEPARTED THE RANCH FOR A LOCAL AREA PLEASURE FLIGHT WHEN AT APPROXIMATELY 300 FEET AGL A LOSS OF POWER OCCURRED. IT WAS OVER A HEAVILY WOODED AREA. THE PILOT ATTEMPTED TO EXTEND THE GLIDE BY PULLING IN COLLECTIVE PITCH AND MAKING A RIGHT TURN (QUARTERING TAILWIND) TO THE ONLY AVAILABLE CLEAR AREA. THE MAIN ROTOR RPM CONTINUED TO DECAY AND THE HELICOPTER DESCENDED VERTICALLY OUT OF CONTROL TO IMPACT ONTO THE OPEN FIELD. THE SKIDS COLLAPSED AND THE HELICOPTER ROLLED RIGHT. POST-ACCIDENT EXAMINATION OF THE WRECKAGE REVEALED THAT A MISALIGNED P-LEAD WIRE IN THE MAGNETO HAD CHAFED AND ARCED. ADDITIONALLY, BOTH P-LEAD CAPS WERE FOUND LOOSE. THE DIRECTOR OF MAINTENANCE FOR THE OPERATOR STATED THAT HE AND HIS MECHANIC DID NOT ADJUST THE MAGNETO TIMING BECAUSE IT WAS TO HARD TOO REACH ON THE HELICOPTER. THE ENGINE WAS TEST RUN WITHOUT DUPLICATION OF THE POWER LOSS.

Flight

Event TypeAccident
Event Time14:47 CDT
Nearest Airport0nm N
Runway0
Runway Length0
Runway Width0
Flight Plan FiledNone
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftEnstrom F28-C
Tail NumberN88RA
Aircraft CategoryHeli
DamageDestroyed
OperatorDr Donald Gillum
Operating RulePart 91
Engines1
Engine TypeReciprocating
Engine DetailsLycoming · HIO-360-E1AD · Reciprocating · 205
Seats2

People & Injuries

Injury Summary2 injuries (1 fatality, 1 serious injury)
Fatal1
Serious1
Minor0
Uninjured0
Total2
Crew 1Age 42 · Second Class

Conditions

ConditionsVMC
LightDaylight
Wind220° @ 10 kt
Visibility20 sm
CeilingBroken clouds 10000 ft
Temperature / Dew Point68 F
Altimeter29.00 inHg
Observation Time19:50
Weather SourceWFAC

Appendix: Source Data