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Accidents · NTSB WPR14LA038 · Final report

Eurocopter France AS 350 accident near Kailua Kona, Hawaii, October 30, 2013

On October 30, 2013 at about 3:20 am local time, a 2000 Eurocopter France AS 350 (helicopter), registered N985EW, was substantially damaged in an accident during approach (VFR pattern final) near Kailua Kona, Hawaii (Kona International Arpt airport). It was an instructional flight under general aviation rules (Part 91). 1 person had minor injuries; 1 other was unhurt. The weather was visual conditions (good weather).

The NTSB's probable cause their words, unchanged

The pilot receiving instruction’s failure to maintain main rotor rpm while practicing manual throttle control and the flight instructor’s delayed remedial action, which resulted in a hard landing.

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

What the record shows

Date
October 30, 2013 · about 3:20 am local time
Place
Kailua Kona, Hawaii · Kona International Arpt · map
Type
Accident
Injuries
1 person had minor injuries; 1 other was unhurt.
Weather
visual conditions (good weather)
Aircraft
Eurocopter France AS 350 B3, built 2000 · all AS 350s on the register
Registration
N985EW · no longer on the register · serial 3332
Damage
Substantial damage
Flight
Instructional flight · general aviation rules (Part 91)

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

During the flight, the flight instructor moved the governor switch from the "automatic" to the "manual" position, which disengaged the full authority digital engine control governor, so that the pilot receiving instruction could practice manual throttle control using the twist grip on the collective. This was the first time that the pilot had flown this make and model of helicopter in the manual mode. When the pilot performed left and right 360-degree hovering turns, he found it difficult to rotate the twist grip but was able to manipulate it and maintain main rotor rpm (NR) within normal limits. The instructor then asked the pilot to perform a left, closed traffic pattern back to the departure airport. The pilot and the instructor reported that the takeoff, transition into cruise flight on the downwind leg, and initial descent were uneventful. The pilot reported that the helicopter was on final approach below 400 feet above ground level (agl) when he noticed that the NR was decreasing. He rotated the twist grip to increase power, but the NR continued to decrease. The low NR audio warning then sounded, and the instructor joined the pilot on the controls. The two pilots lowered the collective to enter an autorotation. The pilot said that the NR never recovered to the normal range even though the twist grip was rotated to its maximum (full-open) position. The flight instructor reported that the helicopter was about 200 to 300 feet agl when the NR began to decrease rapidly. The instructor stated that he took the controls and attempted to roll on more throttle but found that the throttle was already fully open. He said that he lowered the collective in an attempt to conserve NR. Both pilots reported that they pulled up on the collective to cushion the landing but that insufficient NR was remaining to slow the descent. The helicopter landed hard, slid forward on the taxiway, and yawed about 90 degrees left. The instructor reported that, when the helicopter came to a stop, the engine was not running, and the pilot reported that he was unaware of the engine's status. Postaccident examination revealed no binding or other anomalies with the operation of the manual throttle control system or the throttle friction control wheel on the right (pilot's side) collective. Neither the helicopter's vehicle engine multifunction display nor its digital engine control unit recorded any faults for the accident flight. The engine was installed in a test cell, started, and tested in both automatic and manual governor modes, and no anomalies or uncommanded shutdowns were experienced, and the engine's performance met the manufacturer's specifications. Given the engine's satisfactory performance during the postaccident test run and the lack of mechanical anomalies with the manual throttle control system, it is likely that the pilot receiving instruction mismanaged the twist grip throttle control during the approach, which led to a decay in NR. The instructor apparently did not notice the decay in NR until the low NR audio warning sounded, at which point, the helicopter was at too low an altitude to correct the situation.

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. Miscellaneous/other during approach (VFR pattern final) defining event

The NTSB's findings

  • cause Aircraft › Aircraft oper/perf/capability › Performance/control parameters › Prop/rotor parameters › Not attained/maintained
  • cause Personnel issues › Task performance › Use of equip/info › Use of policy/procedure › Instructor/check pilot
  • cause Personnel issues › Action/decision › Action › Delayed action › Instructor/check pilot
  • cause Personnel issues › Task performance › Use of equip/info › Use of equip/system › Student/instructed pilot

Flight instructor

  • Certificate: flight instructor, commercial pilot
  • Ratings: single-engine land; instructor: helicopter; instructor: instrument helicopter; instrument: helicopter; rotorcraft: helicopter
  • Flight time: 15,500 hours in all; 1,500 in this make and model; 25 in the last 90 days; 12 in the last 30 days
  • Medical certificate: Class 2
  • Seat: left
  • Injury: minor injuries

Pilot

  • Certificate: flight instructor, commercial pilot
  • Ratings: multi-engine land; single-engine land; instructor: airplane single-engine; instructor: helicopter; instructor: instrument airplane; instructor: instrument helicopter; instrument: airplane; instrument: helicopter; rotorcraft: helicopter
  • Flight time: 5,760 hours in all; 6 in this make and model; 4,588 as pilot in command; 1,292 on instruments
  • Last flight review: October 25, 2012
  • Medical certificate: Class 2
  • Seat: rgt
  • Injury: no injuries

The aircraft

  • Airframe total time: 2,634 hours
  • Last inspection: continuous airworthiness programme, October 29, 2013
  • Maximum gross weight: 4,960 lb
  • Landing gear: fixed
  • Engine: Turbomeca Arriel 2B (turboshaft); 3,500 hours total
  • Operator: Air Medical Resource Group

The flight

  • Departed from: KOA Kailua Kona HI at 2:59 am
  • Destination: KOA Kailua Kona HI
  • A second pilot was aboard

Weather at the time

  • Light: daylight
  • Wind: from 240° at 11 knots
  • Visibility: 10 statute miles
  • Sky: broken clouds at 9,000 ft; scat at 2,400 ft
  • Temperature: 82°F (28°C), dew point 70°F (21°C)
  • Altimeter: 29.95 inHg
  • Observation at 2:53 am from KOA

Injuries

FatalSeriousMinorNone
Flight crew11

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

23 documents, released by the NTSB on July 29, 2014. 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 Pilot/operator Aircraft Accident Report, NTSB Form 6120.1 PDF, 9 pages View Download
2 Flight Instructor Statement PDF, 1 page View Download
3 Pilot Receiving Instruction Statement PDF, 3 pages View Download
4 Record of Conversation - Flight Instructor PDF, 1 page View Download
5 Record of Conversation - Pilot Receiving Instruction PDF, 1 page View Download
6 Kona Airport Diagram PDF, 1 page View Download
7 Stepper Motor Engine Fuel Diagram PDF, 1 page View Download
8 Kona Airport Operations Photos of Accident Scene PDF, 7 pages View Download
9 American Eurocopter Vemd Summary Report PDF, 5 pages View Download
10 American Eurocopter Vemd Examination Attendance Sheet PDF, 1 page View Download
11 Turbomeca Arriel 2B Engine Exam PDF, 5 pages View Download
12 Eurocopter Information Notice Rotor Flight Controls PDF, 12 pages View Download
13 BEA Accredited Representative Letter PDF, 1 page View Download
14 BEA Factual Review Comments PDF, 1 page View Download
15 Air Medical Resource Group Draft Review Acknowledgement PDF, 3 pages View Download
16 Statement of Party Representatives to NTSB Investigation PDF, 1 page View Download
17 Release of Aircraft Wreckage, NTSB Form 6120.15 PDF, 3 pages View Download
18 Pilots Recent Flight Times, Hire Dates PDF, 2 pages View Download
19 Turbomeca Permission to Use Report PDF, 2 pages View Download
20 Photo 1 – Overhead Auto to Manual Switch PDF, 1 page View Download
21 Photo 2 – Right Seat Collective PDF, 1 page View Download
22 Photo 3 – Left Seat Collective PDF, 1 page View Download
23 Photo 4 – Engine at the Time of Removal PDF, 1 page 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.