ATL90GA023

NTSB accident investigation · Sikorsky SK-70 · Marathon, FL · November 3, 1989

Accident · FatalFinal report
Date
November 2, 1989, 21:30 local (Nov 3, 1989, 02:30 UTC)
Place
Marathon, FL
Injuries
1 fatal, 2 minor, 3 uninjured
Damage
Destroyed
Phase of flight
Maneuvering
Aircraft
N23576Sikorsky SK-70
Weather
Visual (VMC) · Night/dark
Status
Completed · report September 5, 1991
Report
Approved by Office Director
Case key
8152

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

Failure of the pilot to maintain the proper altitude over the ocean water. Factors related to the accident were: continued operation of the helicopter with a known partial deficiency of the radio altimeter/warning system, darkness, the pilot's lack of visual perception, failure of the copilot to adequately monitor the helicopter's altitude above the water, and insufficient management standards to identify inordinate flight risks.

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.

In flight collision with terrain/waterManeuvering
Light condition - dark nightFactor
Flight/nav instruments,altimeter,radio - failure,partialFactor
Operation with known deficiencies in equipment - continuedFactor
Insuff standards/requirements,operation/operatorOther govt organizationFactor
Terrain condition - water
Proper altitude - not maintainedPilot in commandCause
Visual/aural perceptionPilot in commandFactor
Monitoring - inadequateCopilot/second pilotFactor

Analysis

The helicopter was on a night law enforcement mission ovr the ocean nr Marathon, FL. After tkof, the PIC noted the radaraltimeter needle, which activated the low alt warning, was not functional, though the digital display & coplt's radar altimeter were operating normally. After entering the mission area, the PIC bgn random mnvrs with the alt varying btn 200 & 300 ft abv the water. There was an estd 1000 ft ovc sky cond with no visible hrzn. Both plts were wearing night vision goggles. The coplt operated the search light & was to monitor the insts. While mnvrg to keep a boat in view, the helicopter bgn dscndg & contacted the water. Immediately, the cabin filled with water. All of the occupants egressed successfully fm the helicopter, except the coplt, who presumably drowned. The PIC & 2 of the otr crewmembers were not injured; the remaining 2 rcvd minor injuries. An agency opns handbook discussed hazards/incidents, but no mission risk assessment program was in place for management to adequately identify the level of risk associated with the opn.

Aircraft

Registration
N23576
Reported as
Sikorsky SK-70
Category
Helicopter
Serial number
81-23576
Airframe hours
2,016
Engine
GE T700-GE-700, 1,560 horsepower, turbo shaft
Damage
Destroyed
Flight
Public aircraft · Part 91
Registered owner
U.S. States Customs Service
Last inspection
Continuous airworthiness · September 24, 1989 · 2 hours before
Departed
HST · Homestead Afb, FL
Destination
HST
Flight plan
Company VFR

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
46
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Right
Toxicology
Performed
Flight hours
4,758 total · 490 in this make and model · 4,503 as pilot in command · 73 in the last 90 days · 31 in the last 30 days

Weather

Conditions
Visual (VMC) · Night/dark
Wind
Variable at 9 knots
Visibility
10 statute miles
Lowest ceiling
1,000 ft broken
Temperature
75 °F, dew point -0 °F
Altimeter
29.00 inHg