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Accidents · NTSB ANC22FA041 · Final report

Bell 407 accident near Kalea, Hawaii, June 9, 2022

On June 9, 2022 at about 3:26 am local time, a 1997 Bell 407 (helicopter), registered N402SH, was substantially damaged in an accident during maneuvering near Kalea, Hawaii. It was an aerial observation flight under charter and air-taxi rules (Part 135). 3 people were seriously injured and 3 people had minor injuries. The weather was visual conditions (good weather).

The NTSB's probable cause their words, unchanged

The in-flight separation of the tail boom as a result of abnormal loading and fracture of the upper-left tail boom attachment bolt due to a gap between the upper-left longeron and aft fuselage bulkhead.

Source: NTSB aviation accident database, copy made October 5, 2026. Docket and reports at the NTSB.

What the record shows

Date
June 9, 2022 · about 3:26 am local time
Place
Kalea, Hawaii · map
Type
Accident
Injuries
3 people were seriously injured and 3 people had minor injuries.
Weather
visual conditions (good weather)
Aircraft
Bell 407, built 1997 · all 407s on the register
Registration
N402SH · no longer on the register · serial 53118
Damage
Substantial damage
Flight
Aerial observation flight · charter and air-taxi rules (Part 135)

The NTSB's narrative final · quoted from the NTSB record

The pilot reported the first part of the air tour flight around the island was normal. About 35 minutes into the flight, during cruise flight at 1,500 ft above ground level (agl), the helicopter experienced a violent upset, followed by an uncontrolled spin to the right. The helicopter entered a rapid descent, its airspeed decreased, and it continued to spin uncontrollably. The pilot attempted to recover control of the helicopter, but it impacted a lava field and came to rest on its left side. Postaccident examination of the helicopter revealed the tail boom separated in flight. Further examination revealed there were no malfunctions or failures with the rotor systems, flight control systems, and engine before the tail boom separation. Examination of the tail boom revealed the upper-left tail boom attachment bolt was not present in the wreckage and was not found. Circumferential gouge and impression marks within the upper-left attachment bolt holes indicated the bolt was installed before the accident but that it had fractured and migrated out. After the bolt fractured, the structural load increased on the remaining three tail boom attachment points. As a result, multiple origin fatigue cracks, as well as fatigue cracking originating from a single corrosion pit, initiated on the lower-left attachment fitting. Once the fatigue cracks grew to a critical length, all three remaining attachment fittings failed in overload, resulting in the tail boom separation. The examined tail boom attachment fittings and attachment hardware met manufacturing requirements, which were not a factor in this accident. Due to the missing upper-left attachment hardware, the fracture mode and the duration of crack growth of the upper-left bolt could not be determined. The presence of sealant at the faying surface between the upper-left longeron and aft fuselage bulkhead indicated there was a small gap between those two structures. This gap was likely introduced during the replacement of the upper-left longeron and aft fuselage bulkhead, per manufacturer technical bulletins (TB), about 8,050 flight hours before the accident. The manufacturer reported a previous occurrence (on a different Bell 407) of a fractured upper-left attachment bolt that was attributed to abnormal loading of the bolt due to a gap and misalignment between the upper-left longeron and aft fuselage bulkhead. Similarly, the gap between the two structures on the accident helicopter likely applied abnormal loads on the upper-left attachment bolt that, over time, resulted in crack initiation on the bolt shank and the subsequent bolt failure. Due to structural deformation caused by the accident, it could not be determined if any axial misalignment was present between the upper-left longeron, the aft fuselage bulkhead, and the tail boom. A 300-hour recurring inspection, which included a torque check of the four tail boom attachment bolts and visual inspection of the fittings, occurred about 114 flight hours before the accident and resulted in no anomalous findings. It is unlikely the bolt had fractured or had a crack of sufficient size to fail during this last torque check. Therefore, it is likely the upper-left attachment point continued to carry load during the last 300-hour torque check and that the multiple-origin fatigue cracking on the lower-left attachment fitting had not yet initiated. However, it is possible that the fatigue crack had already initiated from the single corrosion pit on the lower-left attachment fitting at the time of the last 300-hour recurring inspection, but that it was too small to visually detect. In summary, examination of the wreckage revealed the accident occurred due to the in-flight separation of the tail boom during cruise flight, which resulted in the pilot’s inability to control the helicopter. The tail boom separated due to the abnormal loading and fracture of the upper-left longeron attachment hardware. The presence of a gap between the upper-left longeron and the aft fuselage bulkhead, introduced during the accomplishment of manufacturer technical bulletins, likely led to the hardware failure.

The complete narrative as the NTSB published it. The NTSB's docket holds the report as a PDF and any photographs, statements and other documents from the investigation.

The factual record from the NTSB's investigation tables, in plain English

What happened, in order

  1. Loss of control in flight during maneuvering
  2. Collision with terrain or object (not controlled flight into terrain) during maneuvering
  3. Part(s) separation from AC during maneuvering defining event

The NTSB's findings

  • Personnel issues › Task performance › Maintenance › Installation › Maintenance personnel
  • Aircraft › Aircraft structures › Fuselage › Rotorcraft tail boom › Failure
  • Aircraft › Aircraft structures › Fuselage › Fuselage attach fittings sys › Fatigue/wear/corrosion

Pilot

  • Certificate: commercial pilot
  • Ratings: instrument: helicopter; rotorcraft: helicopter
  • Flight time: 7,320 hours in all; 1,758 in this make and model; 144 in the last 90 days; 19 in the last 30 days; 7,000 as pilot in command
  • Last flight review: June 2, 2022
  • Medical certificate: Class 2 (with waivers/limitations)
  • Seat: rgt
  • Injury: serious injuries

The aircraft

  • Last inspection: approved inspection programme
  • Seats: 7
  • Landing gear: fixed
  • Engine: Allison 250-C47 (turboshaft); 0 hours total
  • Operator: K&S Helicopters INC

The flight

  • Departed from: PHKO Kona HI at 3:01 am

Weather at the time

  • Light: daylight
  • Wind: from 250° at 9 knots
  • Visibility: 10 statute miles
  • Sky: overcast at 7,000 ft; a few clouds at 4,900 ft
  • Temperature: 81°F (27°C), dew point 70°F (21°C)
  • Altimeter: 29.98 inHg
  • Observation at 5:53 pm from PHKO, 49 miles away

Weather report (METAR): PHKO 090353Z 25009KT 10SM FEW049 OVC070 27/21 A2998 RMK AO2 SLP152 T02720206

Injuries

FatalSeriousMinorNone
Flight crew1
Passengers23

Documents from the investigation the NTSB's docket: the evidence folder behind the report

45 documents, released by the NTSB on October 31, 2022. View them here, or download them; the NTSB redacts some personal details before release, and this site shows the NTSB's own titles rather than its file names.

#DocumentWhat it is
1 Airworthiness Group Chair Factual Report PDF, 24 pages View Download
2 Airworthiness Group Chair Factual Report Addendum PDF, 19 pages View Download
3 Airworthiness Group Chair Factual Report Addendum - Attachment 1 PDF, 2 pages View Download
4 Airworthiness Group Chair Factual Report Addendum - Attachment 2 PDF, 11 pages View Download
5 Airworthiness Group Chair Factual Report Addendum - Attachment 3 PDF, 3 pages View Download
6 Airworthiness Group Chair Factual Report Addendum - Attachment 4 PDF, 22 pages View Download
7 Bell Tb 407-07-78 Original Release (Aft Fueslage Bulkhead) PDF, 17 pages View Download
8 Bell Tb 407-12-96 Rev A (Upper-left Longeron) PDF, 30 pages View Download
9 Bell Tb 407-17-125 (Two-piece Upper-left Longeron) PDF, 43 pages View Download
10 Bell Asb 407-10-93 (Tail Boom Attachment Hardware) PDF, 13 pages View Download
11 Bell Asb 407-11-95 Rev D (Inspection of Upper-left Longeron) PDF, 37 pages View Download
12 Bell Asb 407-22-128 (Tail Boom Attachment Hardware Torque Check) PDF, 10 pages View Download
13 FAA Ad 2012-18-09 (Tail Boom Attachment Hardware) PDF, 7 pages View Download
14 FAA Ad 2015-05-04 (Upper-left Longeron) PDF, 7 pages View Download
15 FAA Ad 2022-27-08 (Tail Boom Attachment Hardware Torque Check) PDF, 10 pages View Download
16 Tc Ad CF-2022-68 (Tail Boom Attachment Hardware Torque Check) PDF, 2 pages View Download
17 Materials Laboratory Factual Report 22-071 PDF, 32 pages View Download
18 Materials Laboratory Factual Report 22-071 Errata PDF, 3 pages View Download
19 Weather Factual Report PDF, 18 pages View Download
20 Weather - Attachment 1 data file Download
21 Weather - Attachment 2 data file Download
22 Weather - Attachment 3 data file Download
23 Weather - Attachment 4 GIF file Download
24 Weather - Attachment 5 GIF file Download
25 Weather - Attachment 6 GIF file Download
26 Weather - Attachment 7 zip file Download
27 Weather - Attachment 8 PDF, 77 pages View Download
28 Survival Factors Specialist's Factual Report PDF, 26 pages View Download
29 Survival Factors - Attachment 1 - Pilot Interview PDF, 21 pages View Download
30 Survival Factors - Attachment 2 - Pax Statements PDF, 7 pages View Download
31 Survival Factors - Attachment 3 - Ems Pilot Statement PDF, 3 pages View Download
32 Survival Factors - Attachment 4 - Timeline PDF, 2 pages View Download
33 Survival Factors - Attachment 5 - Injury Chart PDF, 2 pages View Download
34 Pilot/operator Aircraft Accident Report, NTSB Form 6120.1 - Pilot PDF, 9 pages View Download
35 Flight Manifest PDF, 1 page View Download
36 Automatic Dependent Surveillance Broadcast Data data file Download
37 Paradise Company Track Data PDF, 1 page View Download
38 Paradise Company Track Data Kmz File map file Download
39 Statement of Party Representatives to NTSB Investigation - Paradise Helicopters PDF, 1 page View Download
40 Statement of Party Representatives to NTSB Investigation - Rolls Royce PDF, 1 page View Download
41 Maintenance Records PDF, 17 pages View Download
42 Maintenance Records - Addendum PDF, 4 pages View Download
43 Garmin Gtn 650 Specialist's Factual Report PDF, 4 pages View Download
44 Release of Aircraft Wreckage, NTSB Form 6120.15 PDF, 1 page View Download
45 K&s Helicopters, Inc (Paradise Helicopters) Party Submission PDF, 8 pages View Download

The same docket at the NTSB · documents without a copy here are fetched from the NTSB when you open them.

Everything on this page comes from the NTSB's public records. The narrative, probable cause and findings are the NTSB's own words; the coded tables behind the report are written out in plain English, with pilots' ages, home towns and medical details left out. The documents and photographs are the NTSB's docket, shown as the NTSB released them. This site's own text never names anyone involved. A preliminary report can change; the final report usually follows one to two years later, and the page is refreshed when it does.