ANC21LA083

NTSB accident investigation · Mcdonnell Douglas Helicopter 369E · Delta Junction, AK · September 7, 2021

Accident · Minor injuriesClass 4 · LimitedFinal report
Date
September 6, 2021, 17:40 local (Sep 7, 2021, 01:40 UTC)
Place
Delta Junction, AK · Healy Lake
Injuries
1 minor, 1 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N125KWMcdonnell Douglas Helicopter 369E
Defining event
Takeoff: Roll over
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 4 - Basic report with no Prelim publish
NTSB office
Alaska Regional Office
Parties
FAA
FAA report
20210906014469A
Case key
103817

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

The pilot’s inability to maintain lateral control during the takeoff, which resulted in dynamic rollover. Contributing to the accident was the pilot’s decision to utilize an unsuitable landing area for flight operations.

Findings · 4

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Performance/control parametersAircraft › Aircraft oper/perf/capability · Not attained/maintainedMcdonnell Douglas Helicopter 369E: 2 casesAll aircraft: 1,269 casesProbable cause
Runway/land/takeoff/taxi surfaceEnvironmental issues › Physical environment · Ability to respond/compensateMcdonnell Douglas Helicopter 369E: 1 caseAll aircraft: 253 cases

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The pilot was transporting personnel from a remote helipad that was constructed of a plastic, floating dock. She was unaware that the helicopter’s right skid had slid under a portion of the plastic dock. As she raised the collective to depart, she felt the helicopter roll to the right, and she attempted to correct the lateral rolling motion by lowering the collective. The helicopter continued to roll and came to rest on its right side. Subsequently, the helicopter sustained substantial damage to the main rotor system. The pilot reported no preimpact mechanical failures or malfunctions with the helicopter that would have precluded normal operation.

Aircraft

Registration
N125KW
Reported as
Mcdonnell Douglas Helicopter 369E
Category
Helicopter
Serial number
0336E
Built
1989
Engine
Rolls-Royce 250-C20B, 420 horsepower, turbo shaft
Damage
Substantial damage
Flight
Business · Part 135
Registered owner
Aurora Aviation Services Inc
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · September 5, 2021
Equipment
Unknown

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
24
Injuries
None
Certificates
Flight instructor, Airline transport
Instrument ratings
Helicopter
Medical
Class 1, Without waivers/limitations
Last flight review
July 25, 2021
Seat
Left
Restraint
4-point
Flight hours
1,921 total · 25 in this make and model · 1,852 as pilot in command · 67 in the last 90 days · 16 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
90° at 5 knots
Visibility
10 statute miles
Temperature
48 °F, dew point 37 °F
Altimeter
29.96 inHg
Observed at
PABI, 26 nm away
METAR
PABI 070153Z 09005KT 10SM SCT022 SCT027 09/03 A2996 RMK AO2 SLP157 T00940028

Docket · 2

The files NTSB released with the investigation on March 21, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.8 MB in all.

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.