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NTSB investigation record

LAX00GA025

Completed

McDonnell Douglas 500N· N904PD

Date
October 25, 1999
Location
San Jose, CA
Conditions
VMC
Record
Completed

Primary finding

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.

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