EUROCOPTER FRANCE AS350B2 near Las Vegas, NV — 2011-12-08
- Date
- 2011-12-08
- Location
- Las Vegas, NV, USA
- Airport
- LAS
- Aircraft
- EUROCOPTER FRANCE AS350B2
- Registration
- N37SH
- Category
- Helicopter
- Highest injury
- Fatal
- Fatalities
- 5
Probable cause
Sundance Helicopters’ inadequate maintenance of the helicopter, including (1) the improper reuse of a degraded self-locking nut, (2) the improper or lack of installation of a split pin, and (3) inadequate postmaintenance inspections, which resulted in the in-flight separation of the servo control input rod from the fore/aft servo and rendered the helicopter uncontrollable. Contributing to the improper or lack of installation of the split pin was the mechanic’s fatigue and the lack of clearly delineated maintenance task steps to follow. Contributing to the inadequate postmaintenance inspection was the inspector’s fatigue and the lack of clearly delineated inspection steps to follow.
Contributing factors
Contributing to the improper or lack of installation of the split pin was the mechanic’s fatigue and the lack of clearly delineated maintenance task steps to follow. Contributing to the inadequate postmaintenance inspection was the inspector’s fatigue and the lack of clearly delineated inspection steps to follow.
NTSB narrative
The Safety Board’s full report is available at http://www.ntsb.gov/investigations/reports_aviation.html. The Aircraft Accident Report number is NTSB/AAR-13/01. On December 7, 2011, about 1630 Pacific standard time, a Sundance Helicopters, Inc., Eurocopter AS350-B2 helicopter, N37SH, operating as a “Twilight tour” sightseeing trip, crashed in mountainous terrain about 14 miles east of Las Vegas, Nevada. The pilot and four passengers were killed, and the helicopter was destroyed by impact forces and postimpact fire. The helicopter was registered to and operated by Sundance as a scheduled air tour flight under the provisions of 14 Code of Federal Regulations (CFR) Part 135. Visual meteorological conditions with good visibility and dusk light prevailed at the time of the accident, and the flight operated under visual flight rules. The helicopter originated from Las Vegas McCarran International Airport, Las Vegas, Nevada, about 1621 with an intended route of flight to the Hoover Dam area and return to the airport. The helicopter was not equipped, and was not required to be equipped, with any on board recording devices.
NTSB coding
Evidence available
- FDR / data
- ADS-B / radar
- Photos
- 94 docket documents
Docket documentsshowing 50 of 94
- Maintenance 11 - Attatchment 14 Eurocopter Flight Manual Section 8atc
- Aircraft Performance 13 - Eurocopter responses to performance questionsform
- Human Performance 14 - Attachment 1 Interview Summariesform
- Human Performance 14 - Attachment 2 Witness Statementsform
- Human Performance 14 - Attachment 3 Sundance Director of Safety Reportform
- Human Performance 14 - Attachment 4 Toxicology Reportform
- Human Performance 14 - Factual Report of Specialistform
- Maintenance 11 - Attachment 25 Former PMI Record of Conversationform
- Operations 2 - Attachment 1 Pilot Operator Report NTSB Form 6120form
- Maintenance 11 - Attachment 4 Statement of Party Representativesinterview
- Miscellaneous - Concurring Statement Member Rosekindinterview
- Operations 2 - Attachment 4 National Park Service Incident Record of Telephone Interviewsinterview
- Operations 2 - Attachment 5 Sundance Pilot Statementsinterview
- Operations 2 - Attachment 6 Sundance Chief Pilot Statementinterview
- Statement of Party Representatives to NTSB Investigation - Sundance Helicoptersinterview
- Correspondence - Sundance Helicoptersother
- Maintenance 11 - Addendum 1other
- Maintenance 11 - Addendum Attachment 1 Record of Conversation TOPS Auditorother
- Maintenance 11 - Addendum Attachment 2 Record of Conversation TOPSother
- Maintenance 11 - Addendum Attachment 3 Record of Conversation SDH DOMother
- Maintenance 11 - Attachment 1 Eurocopter 100-hour Requirementsother
- Maintenance 11 - Attachment 10 TOPS Inspectionother
- Maintenance 11 - Attachment 11 Cotter Pin Referenceother
- Maintenance 11 - Attachment 12 Malmrose Heli Services, Inc. Vendor Questionnaireother
- Maintenance 11 - Attachment 15 N37SH 100-hour Inspection Recordother
- Maintenance 11 - Attachment 16 Torque Stripe Trainingother
- Maintenance 11 - Attachment 2 Eurocopter Standard Practices Manualother
- Maintenance 11 - Attachment 26 PMI Record of Conversationother
- Maintenance 11 - Attachment 27 PAI Record of Conversationother
- Maintenance 11 - Attachment 28 SDH Maintenance Record Statusother
- Maintenance 11 - Attachment 29 Fore Aft Servo Overhaul Recordsother
- Maintenance 11 - Attachment 3 Eurocopter Main Rotor Servo Installation Proceduresother
- Maintenance 11 - Attachment 30 SDH QAN Replacement of Flight Control Boltsother
- Maintenance 11 - Attachment 31 Eurocopter Main Rotor Servo Installationother
- Maintenance 11 - Attachment 5 SDH GOM and Operations Specificationsother
- Maintenance 11 - Attachment 6 SDH General Maintenance Manualother
- Maintenance 11 - Attachment 7 JDA Assessmentother
- Maintenance 11 - Attachment 8 DOD Auditother
- Maintenance 11 - Errataother
- Maintenance 11- Attachment 9 DOD Responseother
- Miscellaneous - BEA France Accreditation Letterother
- Miscellaneous - BEA no comments letterother
- Operations 2 - Attachment 10 Weight and Balance Sheet for the Accident Flight (N37SH)other
- Operations 2 - Attachment 11 Sundance Approved Operations Specifications (OpsSpecs)other
- Operations 2 - Attachment 12 Sundance General Operations Manual (GOM) Chapter 6 Flight Operationsother
- Operations 2 - Attachment 13 AS350B2 Rotorcraft Flight Manual (RFM) Section 4 Normal Proceduresother
- Operations 2 - Attachment 14 AS350B2 Rotorcraft Flight Manual (RFM) Section 8-4 Daily Operating Checksother
- Operations 2 - Attachment 15 AS350B2 Rotorcraft Flight Manual (RFM) Section 8-3 Flight Test Sheetsother
- Operations 2 - Attachment 16 AS350B2 Rotorcraft Flight Manual (RFM) Supplement 14other
- Operations 2 - Attachment 17 Sundance Expanded External Checks Checklistother
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