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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

November 16, 1990 · Aerospatiale AS-350-B · N350CB

Kahului, HI

Overview

Report Status
Probable Cause
Event Type
Accident
Date
November 16, 1990
Injury Outcomes
2 injuries (2 minor injuries), 5 uninjured
Location
Kahului, HI
Aircraft
Aerospatiale AS-350-B
Tail Number
N350CB
Operator
Hawaii Helicopters
Injuries
Minor
Aircraft Damage
Substantial
NTSB Number
LAX91LA034

The purpose of the planned 5 min long night flight was to reward one of the operator's customer's employees for their sales performance record. The flight involved a view of the city. The pilot had earlier made a similar flight, and during takeoff he had turned off the helicopter's landing light to 'amplify the visual effect' of the runway lights. The helicopter's manufacturer had designed the light switch to be located adjacent to the hydraulic test switch. Upon depression of the light switch the helicopter's light turned off. Upon depression of the hydraulic test switch the hydraulic boost system deactivated, the controls stiffened, and a warning horn sounded. During the aerial taxi for takeoff, between 25 and 50 feet above ground level, the pilot inadvertently mistook and depressed the hydraulic test switch for the light switch, and the warning horn activated. When the pilot released the collective control to silence the horn, the collective lowered and the helicopter descended until touching down hard on the taxiway.

NTSB Probable Cause

THE PILOT'S INADVERTENT DEACTIVATION OF THE HELICOPTER'S HYDRAULIC BOOST SYSTEM AND HIS IMPROPER REMEDIAL ACTION THEREAFTER TO THE INFLIGHT SITUATIONS WHICH HE CREATED. A CONTRIBUTING FACTOR WAS RELATED TO THE MANUFACTURER'S INADEQUATE LOCATION AND DESIGN (SHAPE) OF THE HYDRAULIC TEST SWITCH.

Full Narrative

THE PURPOSE OF THE PLANNED 5 MIN LONG NIGHT FLIGHT WAS TO REWARD ONE OF THE OPERATOR'S CUSTOMER'S EMPLOYEES FOR THEIR SALES PERFORMANCE RECORD. THE FLT INVOLVED A VIEW OF THE CITY. THE PILOT HAD EARLIER MADE A SIMILAR FLT, & DURING TAKEOFF HE HAD TURNED OFF THE HELICOPTER'S LANDING LIGHT TO 'AMPLIFY THE VISUAL EFFECT' OF THE RUNWAY LIGHTS. THE HELICOPTER'S MANUFACTURER HAD DESIGNED THE LIGHT SWITCH TO BE LOCATED ADJACENT TO THE HYDRAULIC TEST SWITCH. UPON DEPRESSION OF THE LIGHT SWITCH THE HELICOPTER'S LIGHT TURNED OFF. UPON DEPRESSION OF THE HYD TEST SWITCH THE HYD BOOST SYSTEM DEACTIVATED, THE CONTROLS STIFFENED & A WARNING HORN SOUNDED. DURING THE AERIAL TAXI FOR TAKEOFF, BETWEEN 25 & 50 FT AGL, THE PILOT INADVERTNETLY MISTOOK & DEPRESSED THE HYD TEST SWITCH FOR THE LIGHT SWITCH, & THE WARNING HORN ACTIVATED. WHEN THE PILOT RELEASED THE COLLECTIVE CONTROL TO SILENCE THE HORN THE COLLECTIVE LOWERED & THE HELICOPTER DESCENDED UNTIL TOUCHING DOWN HARD ON THE TAXIWAY.

Flight

Event TypeAccident
Event Time20:30 HST
Nearest AirportKAHULUI (0nm N)
Runway0
Runway Length0
Runway Width0
Flight Plan FiledNone
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftAerospatiale AS-350-B
Tail NumberN350CB
Aircraft CategoryHeli
DamageSubstantial
OperatorHawaii Helicopters
Operating RulePart 91
Engines1
Engine TypeTurboshaft
Engine DetailsTurbomeca · ARRIEL 1B · Turboshaft · 650
Seats7

People & Injuries

Injury Summary2 injuries (2 minor injuries), 5 uninjured
Fatal0
Serious0
Minor2
Uninjured5
Total7
Crew 1Age 50 · Second Class

Conditions

ConditionsVMC
LightDark Night
Wind45° @ 10 kt
Visibility15 sm
CeilingNone
Temperature / Dew Point0 C
Altimeter0
Weather SourcePILO

Appendix: Source Data