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Aviation accident LAX00GA025

2 fatal · McDonnell Douglas 500N · 1999-10-25 · SAN JOSE, CA, USA

Event

NTSB number
LAX00GA025
Event ID
20001212X19976
Type
Accident
Date
1999-10-25
Location
SAN JOSE, CA, USA
Coordinates
37.339271, -121.899223

Injuries

Highest injury
FATL
Fatal
2
Serious
0
Minor
0
Uninjured
0
Total aboard
2

Aircraft

Make
McDonnell Douglas
Model
500N
Registration
N904PD
FAR Part
091
Engines
1
Damage
DEST

Conditions

Light
DAYL
Weather
VMC

Probable cause

The pilot's in-flight loss of control due to the failure and separation of the forward thruster control cable telescoping sleeve ball swivel fitting, which resulted in a stuck thruster and the entry into an uncontrollable yaw/spin. Also causal was the mechanics improper maintenance actions during diagnostics to determine the cause of a yaw control anomaly in that he failed to remove an access panel over the FS113 splitter to fully and completely examine the thruster control cable. Factors in the accident were: (1) the incomplete emergency procedures/system explanations in the RFM for a stuck thruster condition; (2) the pilot's negative transfer of emergency procedures from the HH-60, which likely induced him to make incorrect inputs to throttle, collective, and the anti-torque controls during the onset of the stuck thruster condition; and (3) MDHI and the cable manufacturer's failure to expeditiously diagnose and correct the stress corrosion cracking problem in the forward thruster cable ball swivel fitting.

Source

Authoritative
NTSB CAROL
Machine
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