ANC23LA024

NTSB accident investigation · Enstrom F-28C · Anchorage, AK · March 5, 2023

Accident · No injuriesClass 3 · LimitedFinal report
Date
March 5, 2023, 14:00 local (23:00 UTC)
Place
Anchorage, AK · Frozen Lake
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N5688REnstrom F-28C
Defining event
Landing: Hard landing
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Alaska Regional Office
Parties
FAA
FAA report
20230305001809A
Case key
106823

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

On this page

Probable cause

The NTSB’s determination of the probable cause, and any contributing factors.

The pilot’s failure to maintain main rotor rpm on takeoff, which resulted in a forced run-on landing.

Findings · 3

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings.

Analysis

The pilot reported that the helicopter preflight and engine runup were normal; however, he could not maintain main rotor rpm on departure and the engine lost partial power. The pilot made a run-on landing to a snow-covered lake, which resulted in substantial damage to the tail boom. Postaccident examination of the engine revealed no evidence of any preimpact mechanical malfunctions or failures that would have precluded normal operation. Since there were no mechanical anomalies with the helicopter, it is likely the pilot allowed the main rotor rpm to decrease and exceeded the available engine power to recover from the low main rotor rpm condition. When the main rotor rpm decreases, the amount of power the engine can produce also decreases, which is likely the reason the pilot perceived a partial loss of engine power. In addition, the obstacles along the departure path prevented the pilot from lowering the collective to regain main rotor rpm, which resulted in the pilot electing to perform a run-on landing.

Factual narrative

The factual narrative970 words

On March 5, 2023, about 1400 Alaska Standard Time, an Enstrom F-28C Helicopter, N5688R, sustained substantial damage when it was involved in an accident in Anchorage, Alaska. The pilot and passengers were not injured. The helicopter was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot completed the preflight inspection and engine run-up with no anomalies noted. The helicopter departed from Lake Hood Seaplane Base (LHD), Anchorage, Alaska. The pilot reported that during takeoff, about 30 ft above the ground, the helicopter could not maintain main rotor rpm. He stated the engine lost partial power and the helicopter was too low to perform an autorotation procedure. The pilot made a run-on landing to a snow-covered lake. The helicopter sustained substantial damage to the tail boom. Review of the accident site revealed buildings and parked airplanes in front of the departure path of the helicopter. An engine examination was performed by a National Transportation Safety Board investigator after the accident. The engine started normally and responded normally to throttle inputs with cylinder head temperature indications equal across all cylinders. Both engine magnetos were fully operational. Engine compression was good on all cylinders. The bottom spark plugs were removed from the engine and no anomalies were observed with their electrodes. The turbocharger was inspected, and all gaskets and hoses were secure, with the turbocharger fan moving freely. All intake and exhaust connections were secure and undamaged with no blockages observed. The main rotor blade belt tensioner operated normally and was in the engaged position at the start of the examination. No anomalies were identified with the main rotor drive belt. The main rotor transmission moved freely by hand. The examination of the engine and airframe revealed no evidence of any preimpact mechanical malfunctions or failures that would have precluded normal operation. An annual inspection was completed May 5, 2022, to include a 100-hour inspection on the engine. The maintenance entry noted that the engine test run was satisfactory. On November 20, 2022, the helicopter main rotor blades were removed and the helicopter was placed in storage for the winter. On March 5, 2023, the main rotor blades were installed; the helicopter was run up and hover checks were satisfactory. According to the Federal Aviation Administration’s Helicopter Flying Handbook, as the main rotor rpm decreases, the amount of horsepower the engine can produce also decreases. Engine horsepower is directly proportional to its rpm, so a 10% loss in main rotor rpm due to overpitching will result in a 10% loss in the engine’s ability to produce horsepower, making recovery even slower and more difficult than it would otherwise be. With less power from the engine and less lift from the decaying rotor rpm, the helicopter will start to settle. If the pilot raises the collective to stop the settling thesituation will feed upon itself, rapidly leading to rotor stall. The pilot’s operating handbook stated in part: MAXIMUM POWER TAKEOFF FROM CONFINED AREAS Conditions may occur in which the helicopter must be operated from confined areas in which take-off distances (from hover to best rate of climb speed) are not sufficient to clear obstacles that may be in the flight path (trees, buildings, wires, etc.). In order to clear such obstacles safely, the climb portion of the take-off must utilize the best angle of climb airspeed (30 MPH safe side of height velocity curve). This angle of climb will substantially shorten the distance required to clear obstacles. To accomplish this type of take-off, hover helicopter at 3 to 5 feet altitude and 2900 RPM. Apply forward cyclic smoothly. As the helicopter begins to accelerate forward, apply collective and throttle until 36.5 inches of manifold pressure is obtained at 2900 engine RPM. Do not increase collective beyond this point (over pitching) as this will cause engine and rotor RPM to decrease. Maintain 3 to 5 feet altitude by use of cyclic control. As translational speed is reached (15-20 MPH) apply aft cyclic to seek climb angle that will maintain 30-35 MPH (refer to height ~ velocity diagram in flight manual). After clearing all obstacles at this airspeed, apply forward cyclic and readjust collective and throttle as desired for further flight. Allowing main rotor rpm to decrease below the allowable range is one of the most dangerous situations a helicopter pilot can get into. Low-rotor rpm can occur at almost any time, and it's usually the result of improperly coordinating the collective and throttle. If a pilot waits for the rotor rpm to decrease, it's too late because the helicopter is now on the back side of its power curve. As the blade tips cone upwards because of the reduction in rotor rpm, the apparent area of the rotor disc, as seen from above, decreases. With less area, the rotor disc produces less lift, and the helicopter descends. If the pilot reacts to the loss of lift by raising the collective, the extra drag on the rotor blades slows them down even more. If the pilot of a light, piston-engine helicopter lets low-rotor rpm develop, merely opening the throttle may not produce enough engine power to overcome the rapidly rising drag on the rotor blades. If the helicopter is close to the ground, lowering the collective may be the last thing on a pilot's mind, but simultaneously lowering the collective and applying full throttle is the only sure way to recover the lost rotor rpm. Low main rotor RPM is a dangerous condition that can occur when rotor RPM is not carefully monitored, or maximum power limitations are not observed. If the rotor RPM is allowed to decay too far, recovery may be impossible. In the event of a low rotor RPM condition, the pilot should simultaneously apply full power and lower the collective until normal rotor RPM is achieved.

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident.

Aircraft

Registration
N5688R
Reported as
Enstrom F-28C
Category
Helicopter
Serial number
466-2
Built
2015
Airframe hours
1,833.9
Engine
Lycoming HIO-36-E1AD, 205 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 1, 2022 · 3.2 hours before
Destination
UUO · Willow, AK
Airport
LHD · Lake Hood Seaplane
Equipment
None

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
48
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land, Single-engine sea, Multi-engine sea
Instrument ratings
Airplane
Medical
Class 2
Last flight review
January 15, 2022
Seat
Left
Flight hours
21,000 total · 900 in this make and model · 20,500 as pilot in command · 13 in the last 90 days · 11 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
80° at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
19 °F, dew point 1 °F
Altimeter
30.40 inHg
Observed at
PANC, 2 nm away
METAR
PANC 052253Z 08004KT 10SM SCT200 M07/M17 A3040 RMK AO2 SLP297 T10671167

Docket · 4

The files NTSB released with the investigation on May 16, 2024, on NTSB’s docket system: statements, records, photos and specialists’ reports. 7.4 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.