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NTSB Report

November 23, 2001 · Mcdonnell Douglas 369HS · N4265D

Pacific Ocean, PO

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
November 23, 2001
Injury Outcomes
1 injury (1 minor injury), 1 uninjured
Location
Pacific Ocean, PO
Aircraft
Mcdonnell Douglas 369HS
Tail Number
N4265D
Injuries
Minor
Aircraft Damage
Destroyed
NTSB Number
LAX02LA032

As the pilot began to lift the fish spotting helicopter off a helipad on a tuna fishing vessel, it rolled off the right side of the ship. The rotor blades hit the side of the ship and the helicopter entered the water inverted and sank. The operator stated that the probable cause was that the right side tiedowns and the APU cable were not removed by the shipboard helper prior to the pilot attempting to liftoff. The pilot reported to the operator that he believed he had checked the tiedowns before getting in the helicopter's left seat, but that it was also hard to see the right-hand side of the aircraft on the pad. The operator also noted that the shipboard helper is a Chinese national who does not speak English well and that communications between the two may not have been good.

NTSB Probable Cause

A dynamic roll over due to the pilot's inadequate preflight inspection and failure to ensure that all tiedowns were removed. A factor in the accident may have been the lack of clear communications between the pilot and the shipboard helper assigned as the helicopter ground crewman.

Full Narrative

On November 23, 2001, at 1409 local ship time, a MDHI 369HS helicopter, N4265D, rolled over on takeoff from a fishing vessel in international waters of the Pacific Ocean near Rabul, Papua New Guinea. The helicopter was operated by Hoffman Helicopters, Inc., of Tamuning, Guam, for fish spotting operations from a tuna fishing vessel under 14 CFR Part 91 of the Federal Aviation Regulations. The helicopter was destroyed when it rolled off the ship's right side, sank, and was not recovered. The commercial pilot sustained minor injuries and the observer was not injured. Visual meteorological conditions prevailed for the local aerial observation flight, which was originating at the time of the accident. According to the operator's written report of the event, the helicopter rolled off the right side of the fishing vessel as the pilot began to liftoff the helipad. The rotor blades hit the side of the ship and the helicopter entered the water inverted and sank. The operator stated that the probable cause was that the right side tiedowns and the APU cable were not removed by the shipboard helper prior to the pilot attempting to liftoff. The pilot reported to the operator that he believed he had checked the tiedowns before getting in the helicopter, but that it was also hard to see the right-hand side of the aircraft on the pad. The operator also noted that the shipboard helper is a Chinese national who does not speak English well and that communications may not have been good. In the operator's written accident report, he noted that a Allison T63-A-720 engine was installed in the helicopter. According to Allison, the T63-A-720 is an engine type produced for the military and has a close equivalency to a 250-C20C civilian engine. The Federal Aviation Administration Type Certificate Data Sheet for the 250 series Rolls Royce Allison engines notes that certain military engines are eligible for use under the Civil Type Certificate if the civilian model is stamped on the data plate next to the military model designation, and, certain modifications are made prior to civilian use. The engine sank with the airframe and no determination could be made regarding the status of the engine installed in the helicopter. Review of the MDHI 369 series Type Certificate Data Sheet disclosed that the model 369HS should be equipped with a Rolls Royce Allison 250-C18A or 250-C18C engine; however, an acceptable alternate engine is the Rolls Royce Allison 250-C20. Comparison of the data for the 250-C20C and 250-C20 engines revealed differences in horsepower output, gas producer rpm, and temperature limits, among others.

Flight

Event TypeAccident
Event Time14:09
Nearest Airport0nm
Flight Plan FiledNone
Flight Plan ActivatedNo
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftMcdonnell Douglas 369HS
Tail NumberN4265D
Aircraft CategoryHeli
DamageDestroyed
Operating RulePart 91
Engines1
Engine TypeTurboshaft
Engine DetailsAllison · T63-A-720 · Turboshaft · 370
Seats2

People & Injuries

Injury Summary1 injury (1 minor injury), 1 uninjured
Fatal0
Serious0
Minor1
Uninjured1
Total2
Crew 1Age 45 · Second Class · Minor

Conditions

ConditionsVMC
LightDaylight
WindCalm
Visibility30 sm
CeilingNone
Temperature / Dew Point0 C
Altimeter0
Weather SourcePILO

Appendix: Source Data