DEN05LA053

NTSB accident investigation · Eurocopter AS 350 B3 · Pilar, NM · January 30, 2005

Accident · No injuriesLimited investigationFinal report
Date
January 29, 2005, 19:56 local (Jan 30, 2005, 02:56 UTC)
Place
Pilar, NM
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N351LGEurocopter AS 350 B3
Weather
Visual (VMC) · Night
Status
Completed · report October 3, 2006
Report
Approved by Office Director
Parties
FAA Flight Standards District Office
FAA report
20050129001409A
Case key
60931

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 pilot's failure to maintain control of the helicopter, and his improper use of night vision goggles (NVG). Contributing factors were the pilot's spatial disorientation, his self-induced pressure to return the helicopter to its home base, his lack of experience in the use of NVG's, his use of exterior lights on a dark night light, under overcast skies, and against snow-covered terrain.

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 flightCruise
Spatial disorientationPilot in commandFactor
Aircraft control - not maintainedPilot in commandCause
Self-induced pressurePilot in commandFactor
Procedures/directives - improper use ofPilot in commandCause
Lack of total experience in type operationPilot in commandFactor
Improper use of equipment/aircraftPilot in commandFactor
Light condition - dark nightFactor
In flight collision with terrain/waterCruise - normal
Terrain condition - ground

Analysis

The helicopter pilot was conducting a positioning flight in night visual meteorological conditions, wearing night vision goggles. He was following the road separating the place of departure and his destination. He could see the vehicle traffic and the surrounding terrain clearly. Approximately 15 minutes into the flight, he felt that something was wrong. The attitude indicator showed that the helicopter was in a 60-70 degree left descending turn. The altimeters and airspeed indicators showed the same trend. The pilot attempted to correct the flight attitude, but became disoriented. The helicopter impacted terrain and rolled onto its right side. A postimpact fire destroyed the helicopter.

Factual narrative

On January 29, 2005, at 1956 mountain standard time, a Eurocopter AS 350 B3, N351LG, operated by Petroleum Helicopters Inc., and piloted by a commercial pilot, was substantially damaged when it impacted terrain near Pilar, New Mexico. A postimpact fire ensued. Night visual meteorological conditions prevailed at the time of the accident. The cross-country positioning flight was being conducted under the provisions of Title 14 CFR Part 91, and a company VFR flight plan had been filed and activated. The pilot reported no injuries. The flight originated from Espanola, New Mexico, at 1941, and was en route to Taos, New Mexico.

The following is based on documents submitted by Petroleum Helicopters, Inc. (PHI). The helicopter had been returning from an emergency medical service (EMS) flight to Albuquerque when its crew encountered deteriorating weather 14 miles south of Taos. The pilot turned around and landed at Espanola Hospital. He telephoned his dispatch office and told them that darkness was approaching and he didn't have his night vision goggles (NVG). Dispatch notified the company's lead pilot at 1730 and, after checking the weather and consulting with the chief pilot, the lead pilot elected to drive to Espanola and ferry the helicopter back to Taos. When he arrived in Espanola, he told the EMS crew to drive his vehicle back to Taos and he would ferry the helicopter. The EMS pilot "highly recommended" that he not attempt the flight, but to secure and the leave the helicopter in Espanola for the night. The EMS pilot told him there was "a wall of weather" south of Taos, and weather at Espanola was "marginal VFR." The lead pilot told him he was concerned about the poor weather conditions forecast for the next three days, and he wanted to get the helicopter back to base where a scheduled 1000-hour maintenance inspection could be performed during the inclement weather. His final check of the Taos weather, recorded at 1915, revealed a 6,500-foot overcast ceiling and 10 miles visibility. The lead pilot departed Espanola Hospital at 1941 in a light drizzle, which he said soon dissipated. The flight nurse watched the helicopter for about 10 miles before it disappeared from her sight.

Although he could see the lights of Taos and the normal route would be to fly direct, the pilot --- after discussing the situation with the EMS manager --- elected to follow State Highway 68 because he could keep safe landing areas in sight. The pilot used night vision goggles (NVG). The landing and taxi lights were on. The nite sun (high-intensity searchlight mounted on the bottom of the fuselage at the tail boom junction) was pointed at the mountains to the right, and the nose searchlight was pointed at the road below. Although he had never flown NVG in these lighting conditions before, he felt it would be beneficial being so close to the mountains and road. After flying for about 15 minutes, the pilot "began to feel a strange sense ('confused and disoriented') that something was wrong." He could see the terrain through the NVG (aided), and could see traffic on the road and the Rio Grande River (unaided, i.e. looking below the NVG through the chin bubble). The attitude indicator showed an approximate 60 to 70 degree left descending turn, the airspeed indicator registered an increase in airspeed, and both the barometric and radar altimeters indicated a decrease in altitude. He corrected by applying right aft cyclic and increase collective.

The pilot said he felt the instrument panel "was getting farther away" from him. He could "see [himself] from above and behind, making the corrections and watching the instruments at the same time," but felt nothing he was doing was working. He didn't feel panicky, only a sense of urgency. Although he could still see vehicles below, he "could not get everything back into perspective." At this point, the pilot raised the NVGs, looked around at the terrain for 15 to 30 seconds, then lowered the NVGs and returned to the instruments. He felt the attitude indicator was not responding to his control inputs. He showed the helicopter to 40 to 60 knots. It felt like the helicopter was going backwards and doing a 360-degree spin.

The helicopter struck the ground and rolled over on its right side. The pilot secured the engine, and then transmitted an emergency message. Albuquerque Air Route Traffic Control Center (ARTCC) received the message at 1956. After exiting the helicopter, the pilot saw that the engine was on fire. He completely discharged the on-board fire extinguisher, and then began walking. About an hour later, he came upon State Highway 68. Shortly thereafter, a New Mexico State Police trooper found him and transported him to a hospital.

According to the operator, the pilot was instrument rated in both helicopters and airplanes. His total flight time was 6,109 hours. He had accrued 8 hours of NVG training and 47 total NVG hours. The training vendor was Aviation Specialties Unlimited, Inc., Boise, Idaho, one of a few certified by FAA to give such training.

Aircraft

Registration
N351LG
Reported as
Eurocopter AS 350 B3
Category
Helicopter
Serial number
3722
Airframe hours
899.8
Engine
Turbomeca Arriel-2B, 557 horsepower, turbo shaft
Damage
Substantial damage
Fire
On-Ground
Flight
Positioning · Part 91
Registered owner
Petroleum Helicopters Inc
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · January 1, 2005
Departed
Espanola, NM
Destination
Taos, NM
Flight plan
Company VFR

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
37
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 2, Valid Medical--no waivers/lim.
Last flight review
November 1, 2004
Seat
Right
Flight hours
6,109 total · 258 in this make and model · 5,545 as pilot in command

Weather

Conditions
Visual (VMC) · Night
Wind
220° at 6 knots
Visibility
0.75 statute miles
Lowest ceiling
200 ft overcast
Temperature
32 °F, dew point 32 °F
Altimeter
30.00 inHg
Observed at
SKX, 15 nm away

Docket · 12

The files NTSB released with the investigation on September 6, 2005, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.3 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.