LAX03GA145 · Eurocopter France AS350B3
Eurocopter France AS350B3 · Accident: fire/explosion during landing
From Napa County Airport (KAPC) to Napa County Airport (KAPC)
Event
- NTSB case
- LAX03GA145
- 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
- 0 · all aircraft and ground
- Ground fatalities
- Unknown
- 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
- Government
- WeatherVisual meteorological conditions (VMC): good enough to fly by looking outside. Instrument conditions (IMC): cloud or low visibility, flying by instruments. Glossary
- Visual Meteorological Cond
Eurocopter France AS350B3
- Aircraft type
- Eurocopter AS350
- 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
- N341HP
- Operator
- Unknown
- Onboard fatalities
- Unknown
- Route
- From Napa County Airport (KAPC), Napa, CATo Napa County Airport (KAPC), Napa, CA
- 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
- Public Aircraft
- 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
- Landing · flare/touchdown
- 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
- Fire/explosion
- DamageDestroyed: beyond practical repair. Substantial: damage that affects the structure, performance or handling and normally needs major repair. Minor: less than that. Glossary
- Substantial
Cause areas
- Copilot/second pilot › Throttle/power control, inadvertent activation
- Fuel system, fuel control › Excessive flow/output
Approximate · Coordinates from the NTSB case API, which marks them as estimated or does not say; no uncertainty radius is established.
NTSB narrative
The pilot made a forced landing after the helicopter experienced an engine over speed and subsequent engine fire when recovering from a practice autorotation. At 600 feet and 80 knots the pilot under instruction (PUI) entered the practice autorotation after the certified flight instructor (CFI) rolled the collective twist grip to idle to simulate an engine failure. The PUI executed the practice autorotation towards the runway. During the recovery sequence the PUI inadvertently and unknowingly engaged the manual fuel control slide lock on his collective as he adjusted the collective for a power recovery, allowing the CFI to twist the collective grip past the "VOL" (fly) position. The engine and rotor RPM oversped due to excessive fuel flow to the engine, which resulted in a catastrophic failure of the turbine section. The airport tower notified the crew that the helicopter was on fire. The crew made a force landing on the runway, egressed, and fire crews arrived to extinguish the fire. The collective twist grip has two normal operating positions. The "MIN" position sets the engine at idle, while turning the grip counter clockwise to the "VOL" (flight) position stop accelerates the engine to a flight rpm setting. At the "VOL" position the DECU (Digital Engine Control Unit) controls the engine power to maintain rpm as the pilot moves the collective. A slide lock device prevents the twist grip from moving beyond the "VOL" position. The manual fuel control slide lock is only on the right pilot seat collective. The twist grip can be moved beyond the "VOL" position by moving a slide lock lever on the collective twist grip forward and rotating the twist grip beyond the "VOL" position. Once the twist grip is out of the "VOL" detent position the pilot input has priority over the DECU and the pilot is manually metering fuel to the engine; this could allow the pilot to increase the amount of fuel delivered to the engine beyond what the DECU is delivering. The slide lock is spring loaded to its retracted locked position unless moved forward, usually by the pilots thumb, approximately 5 mm. At this point it is then "latched" open allowing the twist grip to be rotated beyond the "VOL" position. Post accident examination and testing of the engine fuel control unit and the manual slide lock mechanism found no preimpact mechanical malfunctions or failures. The helicopter manufacturer is aware of four prior inadvertent manual throttle activations that resulted in engine overspeed conditions and damage to both the engines and airframe structures. The manufacturer has discontinued installing the twist grip mechanical flight stop device and replaced it with an electrical solenoid type of configuration on all production AS350-B3 helicopters. This new configuration is also available to current owners and operators as a hardware modification.
Probable cause
the pilot under instruction's inadvertent activation of the collective manual fuel slide lock, which led to engine and main rotor overspeeds due to excessive fuel flow during power application. This resulted in failures of the gas generator turbine (N1) blades, power turbine (N2) blades, and created an external engine fire. A factor in the accident was the manufacturer's inadequate design of the twist grip slide lock, which had insufficient safeguards to preclude inadvertent activation.
Verbatim NTSB analysis and probable cause from the NTSB dataset
Sources
NTSB record LAX03GA145
- Event ID
- 20030513X00645
- Case number
- LAX03GA145
- 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: local date, investigation status, coordinates. Values present in the bulk record are kept.
- The date is the local date; the NTSB stores the UTC date 2003-05-01.
- API snapshot SHA-256: f8fcd3ae29ea0fe0321a98e6e05781f78c9ed603f4ccade8f4235addbd0d54b5; retrieved 2026-09-18T21:17:49.824Z.