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ATL89FA220 · Aerospatiale AS 350D

28 Sept 1989 · Chamblee, GA, United States

Dooley Helicopters Aerospatiale AS 350D · Accident: airframe, component or system failure on approach

From Rome, GA to DeKalb Peachtree Airport (PDK)

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Event

NTSB case
ATL89FA220
Event typeAccident: someone killed or seriously injured, or the aircraft substantially damaged (NTSB definition). Incident: an occurrence that affected or could have affected safety, short of that. Glossary
Accident
InvestigationHow far the investigation had got when the record was published: preliminary, ongoing, final or completed. Unknown where the source does not say. Glossary
Completed
API-reported fatalities
1 · all aircraft and ground
Ground fatalities
0
OperationWhat kind of flying it was, grouped by the rules it flew under: airline (US Part 121), air taxi and commuter (Part 135), general aviation (Part 91 and similar), military or government. Glossary
General aviation
WeatherVisual meteorological conditions (VMC): good enough to fly by looking outside. Instrument conditions (IMC): cloud or low visibility, flying by instruments. Glossary
Instrument Meteorological Cond

Aerospatiale AS 350D

Aircraft type
Aerospatiale AS-350
Category
Helicopter
RegistrationThe aircraft's tail number, such as N12345 or G-ABCD. Registrations are reissued, so the same one years apart can be a different aircraft. Glossary
N57689
Onboard fatalities
Unknown
Route
From Rome, GATo DeKalb Peachtree Airport (PDK), Chamblee, GA
Aircraft age
Not recorded
Flight rulesThe regulations the flight operated under: in the US, Part 91 (general aviation), Part 121 (airlines), Part 135 (air taxi and commuter) and others; for flights abroad, the NTSB's coarser commercial or non-commercial code. Glossary
Part 91: General Aviation
Phase of flightThe stage of the flight when things started to go wrong: standing, taxi, takeoff, initial climb, en route, maneuvering, approach or landing. Glossary
Approach
First occurrenceThe single coded event the NTSB judges best describes what happened (records from 2008 on). Older records name the first occurrence in the sequence instead. Glossary
Airframe, component or system failure
DamageDestroyed: beyond practical repair. Substantial: damage that affects the structure, performance or handling and normally needs major repair. Minor: less than that. Glossary
Destroyed

Cause areas

  • Maintenance, lubrication › Inadequate
  • Rotorcraft flight control, swashplate assembly › Failure, total

Approximate · Coordinates as recorded by the NTSB; no uncertainty radius is established.

NTSB narrative

AS THE HELICOPTER APPROACHED THE AIRPORT, IT WAS OBSERVED TO PITCH UP & YAW UNCONTROLLABLY. ACCORDING TO WITNESSES, THE ROTOR SYSTEM SLOWED AS THE HELICOPTER DESCENDED TO IMPACT ON A CITY GOLF COURSE. AN INVESTIGATION REVEALED THAT THE MAIN ROTOR SWASHPLATE BEARING HAD FAILED FROM INADEQUATE LUBRICATION. THE STATIONARY SWASHPLATE VENTING HOLE HAD NOT BEEN BLOCKED OFF IN ACCORDANCE WITH AEROSPATIALE SVC BULLETIN #62.02. THE PURPOSE OF THE SVC BULLETIN WAS TO PREVENT LEAKAGE OF THE LUBRICANT. THE SWASHPLATE BEARING HAD BEEN LUBRICATED 249 HRS PRIOR TO THE ACCIDENT. PRIORITY AD 89-21-01 WAS ISSUED TO REDUCE THE LUBRICATION INTERVAL FROM 400 TO 100 HOURS & TO BLOCK THE VENT HOLE IN THE STATIONARY SWASHPLATE. THE FUEL FLOW CONTROL LEVER & FUEL SHUT-OFF CONTROL WERE FOUND IN THE CLOSED POSITION (AS IF THE PLT HAD SHUT DOWN THE ENG BEFORE THE ACDNT).

Probable cause

FAILURE OF THE MAIN ROTOR SWASHPLATE BEARING DUE TO LACK OF LUBRICANT.

Verbatim NTSB analysis and probable cause from the NTSB dataset

Sources

NTSB record ATL89FA220
Event ID
20001213X29293
Case number
ATL89FA220
Dataset
historical-pre2008
Source SHA-256
89e2df6d848e7ab3b42e7d7c7a03ff403303057a26ca04c95b3ea67201c3ce74
Source notes (4)
  • Unreviewed is an editorial label, not an investigation status. API-sourced is not report-checked or human-reviewed. Explicit event totals are used without summing aircraft injury tables; onboard allocation is withheld. Unknown values remain unknown. The operation category is mapped from the NTSB-reported FAR part and has not been reviewed.
  • Filled from the NTSB case API where the bulk record had no value: investigation status. Values present in the bulk record are kept.
  • The date is the local date, which is the same as the UTC date the NTSB stores.
  • API snapshot SHA-256: 54e30774fda9b59069a7235f7a1d62a45fca18c72cec1fe7c55258e24bfbcd42; retrieved 2026-09-21T03:08:17.779Z.