- Date
- September 27, 2013, 19:38 local (23:38 UTC)
- Place
- Bloomsburg, PA
- Injuries
- 1 fatal, 1 uninjured; on the ground: 1 fatal
- Damage
- Minor damage
- Phase of flight
- Standing
- Aircraft
- N631DPEnstrom F-28C
- Defining event
- Standing-engine(s) operating: AC/prop/rotor contact w person
- Weather
- Visual (VMC) · Day
- Status
- Completed · report August 14, 2014
- Report
- Approved by Office Director
- NTSB office
- Eastern Region Aviation
- FAA report
- 20130927018949A
- Case key
- 88152
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 NTSB’s determination of the probable cause, and any contributing factors.
The relieved pilot’s failure to maintain clearance from the rotating main rotor blades after he exited the helicopter.
Findings · 2
NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings.
Analysis
The pilot/owner had just taken control of the helicopter from another pilot. As the relieved pilot was walking away from the helicopter and between the 10- and 11-o'clock position forward of the helicopter, he came into contact with a rotating main rotor blade. The pilot/owner stated that, when exiting the helicopter, it was the company's practice to disengage the rotor drive system and secure the collective control. In this condition, the rotor blades droop below the normal height, and the drooping is most pronounced in the 9- to 12-o'clock position of the rotor disk. According to the helicopter manufacturer representative, the main rotor height can vary depending on how the helicopter landing gear was serviced. In addition, depending on the position of the cyclic, the main rotor can descend lower than 6 feet when the main rotor is operating. It is likely that the pilot/owner unintentionally moved the cyclic, which resulted in the rotor blade descending, and, in combination with the rotor droop, the main rotor blade would have been low enough to strike the relieved pilot's head.
Factual narrative
The factual narrative932 words
On September 27, 2013, at 1938 eastern daylight time, an Estrom F-28C, N631DP, received minor damage when a relieved pilot, who was walking from the helicopter, was fatally injured after coming into contact with a rotating main rotor blade, near Bloomsburg, Pennsylvania. The airline transport pilot, seated at the controls in the helicopter, was the sole occupant and was not injured. The helicopter was registered to and operated by Heritage Rotors, LLC, under the provisions of Title 14 Code of Federal Regulations Part 91 as a local sightseeing flight at a local fair. Day visual meteorological conditions prevailed, and no flight plan had been filed. The flight was originating at the time of the accident. According to the pilot/owner's written statement in the NTSB Pilot/Operator Aircraft Accident/Incident Report, he "approached the left side of the helicopter and rested on the seat and looked into the helicopter… [he] was looking down onto the pilot seat considering the location of the pilot seat belt, the headset, and the general condition of the interior. At this point, nothing in the cockpit was touched and was exactly as [the relieved pilot] had left it. It was at this moment that [the pilot] heard a 'thud.'" According to local law enforcement personnel, the pilot/owner seated in the left front seat of the helicopter had just taken over from the pilot who was walking away from the helicopter when the accident occurred. The pilot in the helicopter stated to local law enforcement immediately after the accident that he saw the previous pilot walking away, thought he had walked beyond the main rotor blades, and looked down to fasten his seatbelt. While he was fastening his seatbelt, he heard the main rotor blades strike something, looked up, and saw the relieved pilot on the ground. The local law enforcement report stated that the relieved pilot was located between the 10 and 11 o'clock position forward of the helicopter. In addition, the helipad was located in a level, grassy area near the entrance to the fair grounds. According to Federal Aviation Administration records, the relieved pilot held a commercial pilot certificate for airplane single-engine and multiengine land, airplane single-engine sea, instrument airplane and helicopter, glider, and rotorcraft helicopter. He reported on his last insurance application that he accumulated 3,900 hours of total flight time, of which, 600 hours were in the same make and model as the accident helicopter. His most recent second-class medical certificate was issued in December 2012. At that time, the pilot reported a height of 71 inches. According to the helicopter flight manual, the main rotor could droop to a minimum height of 72 inches. According to the FAA records, the helicopter was manufactured in 1980 and registered to the operator in 2010. According to the pilot/owner, the most recent annual inspection was performed on July 2, 2013. At the time of the accident, the helicopter had accumulated 2198hours of total flight time. According to the helicopter manufacturer training guide, the helicopter was equipped with a crew compartment that consisted of "pilot and passenger/co-pilot seating, instrument panel, radio console, and pilot and co-pilot flight controls mounted to the aluminum floor structure and enclosed in the fiberglass cabin shell. The co-pilot controls are removable and a seat cushion for the third passenger is inserted into the space vacated when the co-pilot collective is removed." The pilot/owner, reported that there were no mechanical anomalies or malfunctions with the helicopter that would have precluded normal operation prior to the accident. He further reported that he and the relieved pilot both "conducted every aspect of [the] operation purposely for our safety and that of our patrons and neighbors." In addition, he stated that when exiting the helicopter, it is the company's practice to "disengage the rotor drive system and secure the collective control by means of the friction lock…In this condition, the rotor blades 'droop' below the normal height. This drooping is non-symmetrical and most pronounced in the 9 – 12 o'clock position of the rotor [disk]." In the Operator/Owner Recommendation section of the NTSB Pilot/Operator Aircraft Accident/Incident Report, the pilot/owner stated that he "cannot conceive why [the relieved pilot] would knowingly approach the aircraft in a position he knew well to be the lowest point of the rotor system. This was not our practice and absolutely not his habit." The weather conditions reported at an airport about 26 nautical miles northwest of the accident location around the time of the accident included calm wind. According to the helicopter manufacturer representative, the main rotor height can vary depending on how the helicopter landing gear was serviced. In addition, depending on the position of the cyclic, the main rotor can descend lower than six feet when the main rotor is operating. According to the FAA Helicopter Flying Handbook, "The cyclic pitch control is usually projected upward from the cockpit floor, between the pilot's legs or between the two pilot seats in some models. This primary flight control allows the pilot to fly the helicopter in any direction of travel: forward, rearward, left, and right…The purpose of the cyclic pitch control is to tilt the tip-path plane in the direction of the desired horizontal direction. The cyclic controls the rotor disk tilt versus the horizon, which directs the rotor disk thrust to enable the pilot to control the direction of travel of the helicopter. The rotor disk tilts in the same direction the cyclic pitch control is moved. If the cyclic is moved forward, the rotor disk tilts forward; if the cyclic is moved aft, the disk tilts aft, and so on."
Sequence of events
The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident.
Aircraft
- Registration
- N631DP
- Reported as
- Enstrom F-28C
- Category
- Helicopter
- Serial number
- 492-2
- Built
- 1980
- Airframe hours
- 2,198
- Engine
- Lycoming HIO-360-E1AD, 205 horsepower, reciprocating
- Damage
- Minor damage
- Flight
- Other work use · Part 91
- Operator
- Heritage Rotors LLC
- Registered owner
- Heritage Rotors LLC
- Airworthiness certificate
- Standard, Normal
- Last inspection
- Annual · July 2, 2013
- Departed
- Bloomsburg, PA
- Destination
- Bloomsburg, PA
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
- 50
- Injuries
- None
- Certificates
- Flight engineer, Flight instructor, Airline transport
- Airplane ratings
- Single-engine land, Multi-engine land
- Instrument ratings
- Airplane, Helicopter
- Medical
- Class 2, Without waivers/limitations
- Last flight review
- November 30, 2011
- Seat
- Right
- Restraint
- None
- Flight hours
- 20,000 total · 4,500 in this make and model · 13,500 as pilot in command · 158 in the last 90 days · 30 in the last 30 days · 1 in the last 24 hours
Weather
- Conditions
- Visual (VMC) · Day
- Wind
- Calm
- Visibility
- 10 statute miles
- Lowest ceiling
- None
- Temperature
- 61 °F, dew point 52 °F
- Altimeter
- 30.19 inHg
- Observed at
- IPT, 26 nm away
Docket · 7
The files NTSB released with the investigation on May 21, 2014, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.2 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.