# NTSB CEN09CA351: Bell 206B, N43791, Justin, TX, June 12, 2009

- Type: NTSB accident investigation
- Classification: Accident · No injuries · Data collection · Final report
- Date: June 12, 2009, 10:45 local (15:45 UTC)
- Place: Justin, TX
- Coordinates: 33.049167, -97.293334 (estimated)
- Nearby events: https://openairdocs.org/map.md?lat=33.0492&lon=-97.2933&mi=10
- Phase of flight: [Emergency descent](https://openairdocs.org/ntsb-phases/600) (OpenAirDocs' grouping)
- Defining event: [Autorotation: Landing area undershoot](https://openairdocs.org/ntsb-events/370)
- Highest injury: No injuries
- Injuries: 2 uninjured
- Status: Completed, report September 10, 2009
- Report: Approved by Office Director
- NTSB office: Central Region
- Parties: FAA
- NTSB case key (mKey): 74028
- NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=CEN09CA351
- NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/74028/pdf
- NTSB docket: https://data.ntsb.gov/Docket?ProjectID=74028
- Page: https://openairdocs.org/ntsb/CEN09CA351

## Probable cause

The instructor pilot's failure to add sufficient power early enough to compensate for the strong gusting headwinds.

## Findings

NTSB's coded findings; those marked are part of the probable cause.

- [Action: delayed action](https://openairdocs.org/ntsb-findings/02041025): Personnel issues › Action/decision · Instructor/check pilot (probable cause); cases with it: [All aircraft, 894 cases](https://openairdocs.org/ntsb-findings/02041025/cases.md)
- [Runway/land/takeoff/taxi surface](https://openairdocs.org/ntsb-findings/03023000): Environmental issues › Physical environment · Decision related to condition; cases with it: [All aircraft, 253 cases](https://openairdocs.org/ntsb-findings/03023000/cases.md)
- [Wind: gusts](https://openairdocs.org/ntsb-findings/03034045): Environmental issues › Conditions/weather/phenomena · Response/compensation (probable cause); cases with it: [All aircraft, 1,199 cases](https://openairdocs.org/ntsb-findings/03034045/cases.md)
- [Performance/control parameters: descent/approach/glide path](https://openairdocs.org/ntsb-findings/01062040): Aircraft › Aircraft oper/perf/capability · Not attained/maintained; cases with it: [All aircraft, 809 cases](https://openairdocs.org/ntsb-findings/01062040/cases.md)

## Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event best describes what happened.

- [Maneuvering: Simulated/training event](https://openairdocs.org/ntsb-events/600); cases with it: [All aircraft, 173 cases](https://openairdocs.org/ntsb-events/600/sequence.md)
- [Autorotation: Landing area undershoot](https://openairdocs.org/ntsb-events/370) (defining event); cases with it: [All aircraft, 201 cases](https://openairdocs.org/ntsb-events/370/sequence.md)
- [Autorotation: Attempted remediation/recovery](https://openairdocs.org/ntsb-events/060); cases with it: [All aircraft, 1,422 cases](https://openairdocs.org/ntsb-events/060/sequence.md)
- [Landing-flare/touchdown: Hard landing](https://openairdocs.org/ntsb-events/092); cases with it: [All aircraft, 2,102 cases](https://openairdocs.org/ntsb-events/092/sequence.md)

## Analysis

The helicopter instructor pilot was demonstrating an “extended glide” autorotation to a paved landing “lane” when the accident occurred. The autorotation was initiated at an altitude of approximately 740 feet above ground level (agl). Upon reaching an altitude of 75 feet agl, the pilot determined that he was going to land short of the paved surface so he applied power; however, lift was suddenly lost. He then noticed a raised concrete lip between the grass and the landing lane so he applied aft cyclic hoping the front of the skids would not catch on the raised pavement. The helicopter touched down in the soft terrain, slid over the rise in the pavement, and became airborne. The helicopter then touched down on the pavement, at which time the tail boom was severed. The helicopter slid about 75 feet and turned to the right about 40 degrees prior to coming to rest. Winds at the time of the accident were from 180 degrees at 9 knots, gusting to 18 knots. The autorotation was being performed to the south.

## Factual narrative

The instructor pilot was demonstrating an “extended glide” autorotation to a paved landing “lane” when the accident occurred. The autorotation was initiated at an altitude of approximately 740 feet above ground level (agl). Upon reaching an altitude of 75 feet agl, the pilot determined he was going to land short of the paved surface so he applied power; however, lift was suddenly lost. He then noticed a raised concrete lip between the grass and the landing lane so he applied aft cyclic hoping the front of the skids would not catch on the raised pavement. The helicopter touched down in the soft terrain, slid over the rise in the pavement, and became airborne. The helicopter then touched down on the pavement at which time the tail boom was severed. The helicopter slid about 75 feet and turned to the right about 40 degrees prior to coming to rest. Winds at the time of the accident were from 180 degrees at 9 knots gusting to 18 knots. The autorotation was being performed to the south

## Aircraft

- Registration: N43791 (not matched to a registry record)
- Reported make and model: BELL 206B
- Category: Helicopter
- Serial number: 4481
- Airframe hours: 4830
- Engines: ROLLS-ROYC 250-C20J 420 horsepower turbo shaft
- Damage: Substantial damage
- Flight: Instructional, Part 91
- Operator: Textron Financial Corp
- Registered owner: Textron Financial Corp
- Airworthiness certificate: Standard, Normal
- Last inspection: AAIP, May 1, 2009, 73 hours before
- Departed: 3XS7, Justin, TX
- Destination: 3XS7, Justin, TX
- Airport: 3XS7, Bell Training Facility Helipor, runway 18, asphalt

## Flight crew

As NTSB recorded them. NTSB leaves out names.

- Flight instructor; age 51; injuries: none; airline transport, flight instructor; instrument ratings: helicopter; medical: class 2, without waivers/limitations; last flight review May 18, 2009; seat: right; flight hours: 12,249 total, 1,389 in this make and model, 141 in the last 90 days, 36 in the last 30 days, 5 in the last 24 hours
- Pilot; age 55; injuries: none; commercial, private, flight instructor; airplane ratings: single-engine land; instrument ratings: helicopter, airplane; medical: class 2, with waivers/limitations; last flight review January 23, 2009; seat: left; flight hours: 4,978 total, 72 in this make and model, 3,009 as pilot in command, 12 in the last 90 days, 7 in the last 30 days

## Weather

- Conditions: Visual (VMC), Day
- Wind: 180° at 9 knots, gusting 18
- Visibility: 8 statute miles
- Lowest ceiling: none
- Temperature: 84 °F, dew point 73 °F
- Altimeter: 29.82 inHg
- Observed at: AFW, 4 nm away

## FAA reports on this event (1)

The FAA's own accident and incident reports, matched to the aircraft by N-number and date (OpenAirDocs).

- [Accident 20090612011819A](https://openairdocs.org/incident/20090612011819A), Jun 12, 2009: Bell 206B, Fort Worth, TX, Substantial damage. Flight instructor was conducting 180 autorotations when he tried to starch an autorotation landing hard and short on the grass end of the runway tail of the…

## Docket (1 files)

The files NTSB released with the investigation on July 24, 2009, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=74028. 654 KB in all.

- Pilot/Operator Aircraft Accident Report, NTSB Form 6120.1 (item 1, .PDF, 654 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40316117&FileExtension=.PDF&FileName=Pilot%2FOperator%20Aircraft%20Accident%20Report,%20NTSB%20Form%206120.1-Master.PDF

From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model.

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