CEN10LA556

NTSB accident investigation · Robinson Helicopter R44 II · Duluth, MN · September 17, 2010

Accident · Minor injuriesLimited investigationFinal report
Date
September 17, 2010, 00:23 local (05:23 UTC)
Place
Duluth, MN
Injuries
1 minor
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N145DMRobinson Helicopter R44 II
Defining event
Initial climb: Controlled flight into terr/obj (CFIT)
Weather
Visual (VMC) · Night/dark
Status
Completed · report April 12, 2011
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA-Minneapolis FSDO
FAA report
20100917046489A
Case key
77387

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 failure to identify and arrest the helicopter's descent due to spatial disorientation.

Findings · 3

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.

Action: lack of actionPersonnel issues › Action/decision · PilotRobinson Helicopter R44 II: 6 casesAll aircraft: 792 casesProbable cause
Light condition: darkEnvironmental issues › Conditions/weather/phenomena · Effect on operationRobinson Helicopter R44 II: 8 casesAll aircraft: 448 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

According to the pilot, he lifted the helicopter into a hover and subsequently established a 600 foot-per-minute rate of climb at 60 knots airspeed to depart the area. As the helicopter climbed out, he reported a sinking feeling in the seat and noticed that the vertical speed indicator displayed a descent. The pilot increased the engine power but the helicopter continued to descend. The pilot could not discern his exact height above the water because of the night lighting conditions and thought that the helicopter was higher off the water than it was; as a result, he did not flare prior to impact. A witness reported that the liftoff and initial climb also appeared normal and that the helicopter appeared to be level and remain in controlled flight the entire time. A postaccident examination of the airframe and engine revealed no mechanical malfunctions or failures that would have precluded normal operation. The witness commented that the conditions were dark at the time of the accident, but there was a distinguishable horizon. The light wind reported at the time of the accident and lack of convective activity in the area is inconsistent with a downdraft or microburst condition.

Factual narrative

On September 17, 2010, about 0023 central daylight time, a Robinson R44 II helicopter, N145DM, piloted by a commercial pilot, was destroyed during an in-flight collision with the waters of Island Lake near Duluth, Minnesota. The flight was being conducted under 14 Code of Federal Regulations Part 91 without a flight plan. Night visual meteorological conditions prevailed. The pilot sustained minor injuries. The flight departed from a beach on Island Lake and was on the initial climbout at the time of the accident. The intended destination was Duluth International Airport (DLH), Duluth, Minnesota, which was located about 10 miles south of the accident site. The pilot reported that he had flown from DLH to the beach site on Island Lake in order to show the helicopter to some prospective clients. After spending several hours, he decided to return to DLH. The pilot stated that he lifted off into a hover, and subsequently established a 600 foot-per-minute rate of climb at 60 knots airspeed to depart the area. As he climbed out, he reported a "sinking feeling in the seat all of a sudden," and noticed that the vertical speed indicator "started to dip down indicating a descent." His flight instruments indicated that the helicopter was at 60 knots airspeed and in level flight; "everything checked out." He increased engine power, but was still descending. The pilot referenced the flight instruments a second time and noted that "all indications showed level and 60 [knots]." He recalled thinking that the helicopter might have encountered a "microburst of some type." He added that he could not tell the helicopter's exact height above the water because of the night lighting conditions. The helicopter hit the water at about 60 knots. The pilot commented that he thought the helicopter was still higher off the water and, as a result, did not flare prior to impact. A witness reported that the start and warm up were unremarkable. In addition, the liftoff and initial climb also appeared normal. He stated, "If the entire event took 10 seconds, only the last 2, showed concern as we could see the distance between the [helicopter's navigation] lights and the reflection in the water markedly become closer, ultimately converging." He noted that the helicopter appeared to be level and remain in controlled flight the entire time. A post accident examination of the helicopter did not reveal any anomalies consistent with a pre impact failure or malfunction. Weather conditions recorded at DLH, located about 10 miles south of the accident site, at 2355, included: Scattered clouds at 11,000 feet above ground level (agl), 10 miles visibility, and winds from 180 degrees at 4 knots. At 0055, conditions included: Broken clouds at 10,000 feet agl, 10 miles visibility, and wind from 240 degrees at 7 knots. The moon set at 0058, about 35 minutes after the accident. It was in a waxing gibbous phase, with 73 percent of the visible disk illuminated. The witness commented that the "nightwas dark, but there was a distinguishable horizon." He did not feel that the conditions were "adverse" for the pilot's return flight. The pilot informed Federal Aviation Administration (FAA) inspectors that he had executed a similar type of night departure in June; although, the night of the accident was darker. The pilot did not hold an instrument rating. However, he was reportedly working toward the rating and he had accumulated about 30 hours of instrument flight time.

Aircraft

Registration
N145DM
Reported as
Robinson Helicopter R44 II
Category
Helicopter
Serial number
11004
Airframe hours
1,175
Engine
Lycoming IO-540 SER, 300 horsepower, reciprocating
Damage
Destroyed
Flight
Business · Part 91
Operator
Lake Superior Helicopters
Registered owner
Jauss Aviation Inc
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · September 3, 2010 · 8 hours before
Departed
PVT · Duluth, MN
Destination
DLH · Duluth, MN
Airport
DLH · Duluth International

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
Minor
Certificates
Flight instructor, Commercial
Medical
Class 2, Without waivers/limitations
Last flight review
May 5, 2010
Seat
Right
Flight hours
1,600 total · 300 in this make and model · 65 in the last 90 days

Weather

Conditions
Visual (VMC) · Night/dark
Wind
240° at 7 knots
Visibility
10 statute miles
Lowest ceiling
10,000 ft broken
Temperature
48 °F, dew point 45 °F
Altimeter
29.95 inHg
Observed at
DLH, 11 nm away

Docket · 2

The files NTSB released with the investigation on November 9, 2010, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.3 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.