Premium research interface

The modern interface for aviation safety intelligence.

Search investigations, review source evidence, monitor watched reports, and trace long-term patterns from one calm, data-first workspace.

63k+
Reports indexed
1940-2026
Coverage
Recent
Last data refresh
Featured Report

Loading…

Loading featured report…

Loading…
Open Report

Safety trends by operating rule

Track fatal and non-fatal accident patterns across Part 91, Part 135, and Part 121 operations.

Loading trend charts…

Browse the aviation graph

Move quickly by aircraft, airport, operator, and time with indexes built for research, not wandering.

Last Data Update

By Decade

By Month

Aircraft Manufacturer

More manufacturers

Airports

More airports

Operators

More operators

About

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.

The goal is practical safety education: make it faster to find relevant investigations, compare similar events, review factual records, and understand the evidence behind probable-cause and preliminary reports.

The investigative work and source records belong to the National Transportation Safety Board and the published investigation record. This site is not affiliated with or endorsed by the NTSB.

FAQs

NTSB Report

May 16, 2006 · Aerospatiale AS350-B3 · N183AE

Santa Teresa, NM

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
May 16, 2006
Injury Outcomes
2 injuries (1 serious injury, 1 minor injury)
Location
Santa Teresa, NM
Aircraft
Aerospatiale AS350-B3
Tail Number
N183AE
Operator
Us Department of Homeland Security
Injuries
Serious
Aircraft Damage
Substantial
NTSB Number
DFW06TA127

The purpose of the instructional flight was to conduct simulated emergency governor operations. The single-engine helicopter landed hard in a near level flight attitude in a slight tail low attitude. The landing gear skids collapsed on impact causing the lower vertical fin and tail rotor assembly to make contact with the ground, bucking the tailboom at the forward attaching points. The helicopter slid on its fuselage 250 feet from the point of impact and came to rest in an upright position. The left pilot seat attenuated as designed but there was no evidence of attenuation on the right pilot seat. The crew performed an emergency engine shutdown and egressed unassisted. The wreckage of the helicopter was recovered to the facilities of the operator's secured facilities for further examination. The investigator examined the helicopter systems and tested the throttle twist grip for anomalies. The tests on the throttle twist grip simulated actions taken during the training flight. Several cycles of the governor from the "auto" mode to the "manual" mode for two minutes and back to the auto mode for 3 minutes were performed to determine if a problem would occur that would restrict manual throttle operation. The examination determined after several cycles, that the solenoid that retracted to allow manual throttle manipulation would not fully retract and created a restriction due to heat generated during the activation. The helicopter seats were examined to determine if any anomalies existed with the crash attenuating seats. The left front seat was documented as fully attenuating during the crash sequence and the right front seat had not attenuated. The seats were shipped for analysis to its manufacturer's facilities in France for further testing. The examination and testing revealed that the seats met specifications and evidence on the right seat showed that the seat attenuation was initiating but did not appear to have sustained sufficient forces to fully stroke.

NTSB Probable Cause

The flight instructor's improper supervision of the flight which resulted in a hard landing.

Full Narrative

"THIS CASE WAS MODIFIED 1/15/2008." On May 16, 2006, at 1010 mountain daylight time, a single-engine Aerospatiale AS350-B3 turbo-shaft helicopter, N183AE, registered to and operated by the U.S. Customs and Border Patrol Air Operations, was substantially damaged when it impacted the parallel taxiway to Runway 28 at the Dona Ana County Airport (K5T6) near Santa Teresa, New Mexico. The accident occurred during a differences training flight when the crew was performing emergency governor failure procedures. The certificated flight instructor received minor injuries and the commercial receiving instruction received serious injuries. Visual meteorological conditions prevailed, and a company flight plan was filed for the local training flight conducted as a Public Use Flight under 14 Code of Federal Regulations Part 91. The local flight departed El Paso International Airport (ELP), El Paso, Texas, approximately 0930. A Customs and Border Patrol Safety Officer performed an on-scene examination of the wreckage. The Safety Officer reported the helicopter landed hard in a level flight attitude, in a slightly tail-low attitude. The landing gear skids collapsed on impact causing the lower vertical fin and tail rotor assembly to make contact with the ground, bucking the tail boom at the forward attaching points. The helicopter slid on it's fuselage 250 feet from the point of impact and came to rest in an upright position. The left pilot seat attenuated as designed but there was no evidence of attenuation on the right pilot seat. The crew performed an emergency engine shutdown and egressed unassisted. A review of the instructor pilot's records revealed that the pilot had accrued a total of 2 hours in the AS350B3 variant, one hour of which was as an instructor. Eurocopter Service Letter No. 1702-71-05, dated April 12, 2006, addresses AS350B3 twist grip and FADEC configurations. This service letter specifically states for twist grip post MOD No. 073084 (accident aircraft configuration) that "training for total governor failure must be carried out with an experienced instructor." In addition, the instructor pilot stated in an interview that he told the pilots he was training, "I'm new to the aircraft too and we're learning this thing together, so if you see anything..." Simulated governor failure training starts during stabilized flight by simulating a total engine governor failure by setting the "Auto/Manu" selector to "Manu". During training, regardless of the maneuvers carried out, it is always possible to de-activate the failure simulation by resetting the selector to "Auto" (stated in Flight Manual Training Supplement and Service Letter No. 1702-71-05). The automatic governor becomes immediately active provided that the twist grip has not been reduced beyond 30 degrees ("Idle" switch activated). The instructor pilot and pilot receiving instruction both stated during interviews that they did not attempt to reset the selector to "Auto." The Service Letter further states, if the pilot does not feel sure of himself, he must not hesitate to return to "Auto" mode and then back to "Manu" mode from stabilized flight to perfect his pitch/grip coordination. Flight control in "Manu" mode must be fully mastered before carrying out a complete landing. For the landing, it is preferable to carry out a long direct final approach, to set power at rather less than that of level flight at Vy while monitoring the rotor speed (NR) and then slowly increase the grip as the speed drops until reaching hover flight. Allow the NR to decrease for the touch-down. On March 2, 2004, Eurocopter Alert Telex No. 05.00.44 was published "to prevent the risk of losing the emergency governing function due to possible seizure of the twist grip after prolonged use of the emergency governing." This Alert Telex was addressed to maintenance personnel and crews and states in section 2.B.2 to "wait at least 15 minutes between two operations of the solenoid ("AUTO/MAN" governing mode selector set to "MAN"). The wreckage of the helicopter was recovered to the facilities of the U.S. Customs and Border Patrol Air Operations, near El Paso, Texas, for further examination. An investigator from Eurocopter, along with a Federal Aviation Administration Inspector and the US Customs and Border Patrol investigator examined the helicopter systems and tested the throttle twist grip for anomalies. The tests on the throttle twist grip simulated actions taken during the training flight. Several cycles of the governor from the auto mode to the manual mode for two minutes and back to the auto made for 3 minutes were performed to determine if a problem would occur that would restrict manual throttle operation. The examination determined after several cycles, that the solenoid that retracted to allow manual throttle manipulation would not fully retract and created a restriction due to heat generated during the activation. The NTSB investigator in charge and parties to the investigation from SICMA seats and Eurocopter examined the helicopter seats to determine if the any anomalies existed with the crash attenuating seats. The left front seat was documented as fully attenuating during the crash sequence and the right front seat had not attenuated. The seats were shipped for analysis to SICMA in France for further testing. SICMA France, along with oversight from the BEA, determined that the seats met specifications and evidence on the right seat showed that the seat attenuation was initiating but did not appear to have sustained sufficient forces to fully stroke. At 0955 MDT, weather reporting facility at Dona Ana County Airport reported winds from 100 degrees at 4 knots, gusting to 10 knots, visibility 10 statute miles, a broken cloud layer at 25,000 feet, temperature 68 degrees Fahrenheit, dew point 46 degrees Fahrenheit, and a barometric pressure of 30.25 inches of Mercury.

Flight

Event TypeAccident
Event Time10:10 MDT
Nearest AirportDona Ana County Airport (0nm)
Runway28
Runway Length8500 ft
Runway Width100 ft
Flight Plan FiledCvfr
Flight Plan ActivatedYes
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftAerospatiale AS350-B3
Tail NumberN183AE
Aircraft CategoryHeli
DamageSubstantial
OperatorUs Department of Homeland Security
Engines1
Engine TypeTurboshaft
Engine DetailsTurbomeca · ARRIEL 2B · Turboshaft · 847
Seats6

People & Injuries

Injury Summary2 injuries (1 serious injury, 1 minor injury)
Fatal0
Serious1
Minor1
Uninjured0
Total2
Crew 1Age 37 · Second Class · Minor
Crew 2Age 38 · First Class · Serious

Conditions

ConditionsVMC
LightDaylight
Wind100° @ 4 kt, gusting 10 kt
Visibility10 sm
CeilingBroken clouds 25000 ft
Temperature / Dew Point68 F / 46
Altimeter30.23 inHg
Observation Time15:55
Weather SourceWFAC

Appendix: Source Data