ATL02LA097

NTSB accident investigation · Aerospatiale 350B · Gainesville, GA · May 13, 2002

Accident · No injuriesLimited investigationFinal report
Date
May 13, 2002, 19:00 local (23:00 UTC)
Place
Gainesville, GA
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N696CHAerospatiale 350B
Weather
Visual (VMC) · Day
Status
Completed · report September 20, 2002
Report
Approved by Office Director
Parties
Atlanta FSDO
FAA report
20020513009729A
Case key
54712

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 check airman’s failure to follow prescribed procedures that resulted in the lost of control and subsequent in-flight collision with the terrain. A factor was gusting wind conditions.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of control - in flightHover
Procedures/directives - not followedCheck pilotCause
Weather condition - gustsFactor
In flight collision with terrain/waterDescent - uncontrolled

Analysis

The helicopter collided with terrain during a demonstrated hydraulic servo-control system failure. The check airman brought the helicopter to a hover with hydraulics off. The check airman experienced a gust of wind which pitched and yawed the helicopter onto the right side of the fuselage. A Review of the Eurocopter training syllabus for the AS 350 B1/B2, states in simulated hydraulic servo-control system failures, the "HYD TEST" button should be used when conducting this procedure; and discussion and/or demonstration should be performed in cruise flight at approximately 90 knots. The Gainesville 1900 weather observation reported visibility 10 statue miles, wind direction 310 degrees, wind speed 17 knots, gust 23 knots.

Factual narrative

On May 13, 2002, at 1900 eastern daylight time, a Aerospatiale 350B, N696CH, registered to and operated by Critical Care Medflight Incorporated, collided with the ground during a demonstrated "soft touch" landing, at Lee Gilmer Memorial Airport, Gainesville, Georgia. The instructional flight operated under the provisions of Title 14 CFR Part 91 with no flight plan filed. Visual meteorological conditions prevailed at the time of the accident. The helicopter was substantially damaged, and the check airman and airline transport rated pilot were not injured. The flight departed Gainesville, Georgia, at 1900.

According to the check airman, he was conducting a pilot proficiency check ride, and was instructing the pilot on simulated hydraulic failure approaches and landings. The check airman assumed control of the helicopter to demonstrate technique items. As he brought the helicopter to a hover altitude, simulating the late stages of a normal approach with hydraulics off, a wind gust induced a left yaw and the nose pitched up. The check airman made the necessary control inputs to correct the yaw and pitch changes, but the helicopter did not respond. The check airman directed the pilot to restore hydraulic power; but before boost control authority became usable, the yaw rate became uncontrollable. The helicopter touched down on the right skid and rolled over. The rotor blades subsequently struck the ground.

According to the airline transport rated pilot, he was undergoing a check ride at the time of the accident. After making a hydraulics off run-on landing, he brought the helicopter to hover with hydraulics off as instructed by the check airman. After demonstrating the handling characteristics of the helicopter, the airline transport pilot set the helicopter down. The check airmen then stated that he would demonstrate the handling characteristics of the helicopter in the hydraulics off configuration. The check airman brought the helicopter to a hover approximately three feet above the ground. At that time the helicopters nose appeared to pitch up dramatically. This attitude was followed by a simultaneous rotation about the yaw axis. As the spin accelerated the check airman instructed the airline transport rated pilot to restore the hydraulics, which was done by depressing the switch on the collective. The rotation of the helicopter continued, and the helicopter impacted the ground coming to rest on the right side of the fuselage.

Examination of the helicopter revealed the right side of the fuselage had buckled. The right side skid was separated from the fuselage. The tail boom was separated from the airframe and the tail rotor gearbox separated from the tail boom. The hydraulic off horn silencer was found in the off position and operated normally. The hydraulic reservoir was full of hydraulic fluid. All three-rotor blades were broken off at the blade grips. The left seat was separated from the seat tracks.

A Review of the Eurocopter training syllabus for the AS 350 B1/B2, simulated hydraulic servo-control system failures, states in section A) that the "HYD TEST" button should be used when conducting this procedure. Section B states: Landing with hydraulics off will be accomplished by making a shallow (4-6 degree) approach over a clear area and landing to the ground with slight forward speed. After landing, the collective should be lowered and locked down before re-engaging hydraulic pressure. Section D, states the AEC pilot should discuss and may demonstrate the use of the emergency hydraulic cutoff switch located in the collective pitch lever to disable a yaw or main servo, which has had a slide-valve seizure. Discussion and/or demonstration should be performed in cruise flight at approximately 90 knots. Review of the flight manual section 7.7 states; "In the event of a hydraulic pressure failure, this system provides hydraulic assistance for sufficient time to enter a flight configuration with acceptable control operating loads.

The Gainesville 1900 weather observation reported visibility 10 statue miles, wind direction 310 degrees, wind speed 17 knots, gust 23 knots.

Aircraft

Registration
N696CH
Reported as
Aerospatiale 350B
Category
Helicopter
Serial number
1936
Airframe hours
2,987
Engine
Turbomeca Arriel 1B, 681 horsepower, turbo shaft
Damage
Substantial damage
Flight
Instructional · Part 91
Registered owner
Critical Care Medflight Inc
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · January 29, 2002 · 59 hours before
Departed
GVL · Gainesville, GA
Airport
GVL · Lee Gilmer Memorial, runway 29, 5,000 × 100 ft, asphalt

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Check pilot
Age
52
Injuries
None
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Helicopter, Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Last flight review
April 1, 2001
Seat
Left
Flight hours
11,800 total · 750 in this make and model · 9,600 as pilot in command · 32 in the last 90 days · 1 in the last 30 days
Role
Pilot
Age
55
Injuries
None
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 2, Valid Medical--w/ waivers/lim
Last flight review
May 22, 2001
Seat
Right
Flight hours
12,800 total · 50 in this make and model · 12,400 as pilot in command · 30 in the last 90 days · 10 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
290° at 15 knots, gusting 23
Visibility
10 statute miles
Lowest ceiling
None
Temperature
70 °F, dew point 57 °F
Altimeter
29.86 inHg
Observed at
GVL

Docket · 3

The files NTSB released with the investigation on August 28, 2002, on NTSB’s docket system: statements, records, photos and specialists’ reports. 709 KB 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.