ERA16LA159

NTSB accident investigation · Eurocopter France AS350 · Jasper, GA · April 15, 2016

Accident · No injuriesLimited investigationFinal report
Date
April 15, 2016, 19:55 local (23:55 UTC)
Place
Jasper, GA
Injuries
4 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N561AMEurocopter France AS350
Weather
Visual (VMC) · Dusk
Status
Completed · report July 16, 2018
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
Air Methods Corporation, FAA/FSDO
FAA report
20160415004039A
Case key
93018

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 loss of helicopter control due to vortex ring state, which resulted in a hard landing. Contributing to the accident was the pilot’s decision to conduct the landing approach with a tailwind.

Findings · 4

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.

Performance/control parameters: descent rateAircraft › Aircraft oper/perf/capability · Not attained/maintainedEurocopter France AS350B2: 1 caseAll aircraft: 242 casesProbable cause
Wind: tailwindEnvironmental issues › Conditions/weather/phenomena · Decision related to conditionEurocopter France AS350B2: 1 caseAll aircraft: 594 casesProbable cause

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

The helicopter was approaching the helipad with a direct 11-knot tailwind gusting to 16 knots. About 250 ft above ground level, the commercial pilot lost tail rotor and cyclic authority, and the helicopter pitched forward and accelerated toward the ground. The pilot recognized the onset of vortex ring state, reduced engine power, and attempted to initiate a go-around; however, insufficient altitude remained to complete the maneuver, and the helicopter landed hard, resulting in a partial separation of the tailboom. The operator reported and postaccident examination confirmed that there were no mechanical malfunctions or failures with the helicopter before the accident.

Factual narrative

On April 15, 2016, about 1955 eastern daylight time, a Eurocopter France AS350B2, N561AM, operated by Air Methods Corporation, was substantially damaged during collision with terrain near Jasper, Georgia. The commercial pilot and three medical flight crewmembers were not injured. Visual meteorological conditions prevailed. The helicopter was operating on a company visual flight rules flight plan from Lanier Park Hospital Heliport (38GA), Gainesville, Georgia, to a helipad at Piedmont Mountainside Hospital, Jasper, Georgia. The helicopter emergency medical service flight was conducted under the provisions of 14 Code of Federal Regulations Part 135. According to a witness, the helicopter performed a circuit over the hospital prior to approaching the helipad to land. The helicopter began to descend, then about 110 ft above ground level (agl), the helicopter "bobbled up and down" and then it started to "fall quickly toward the ground." According to the operator and the pilot, the helicopter completed an orbit over the hospital helipad about 800 ft agl prior to beginning a descent for landing. The pilot initiated a downwind approach to the helipad over high tension power lines, about 250 ft agl, and then turned onto the final leg of the approach, which was on a 300° heading. He said the tail rotor became "difficult to control," and the helicopter pitched forward uncommanded, and then began a "rapid descent with forward airspeed." Believing he "might be in a vortex ring state condition," the pilot reduced the power and initiated a go-around but lacked sufficient altitude to complete the maneuver. The pilot maintained forward airspeed and raised the nose but landed hard, bounced three times, and came to rest upright. The pilot and three medical crew members then exited the helicopter without injury or assistance. The weather reported at Pickens County Airport (JZP), Jasper, Georgia, about a half-mile northwest of the accident location included wind from 120°at 11 knots, gusting to 16 knots, with 10 miles visibility. The temperature was 18° C, the dew point was -8° C, and the altimeter setting was 30.24 inches of mercury. Examination of the helicopter revealed substantial damage due to a partial separation of the taiboom. The operator reported, and examination confirmed, that there were no mechanical malfunctions or failures prior to the accident. According to representatives from Airbus Helicopters, the maximum allowable engine torque setting was for the helicopter was 100 percent continuous. The Vehicle Engine Multifunction Display (VEMD) was reviewed under federal supervision and the data indicated overtorque events at 107 percent for 2 seconds and 113 percent for 1 second. According to the FAA Rotorcraft Flying Handbook, "vortex ring state" (or "settling with power") describes an aerodynamic condition where a helicopter may be in a vertical (with regard to the air mass) descent with up to maximum engine power applied, and little or no cyclicauthority. The term "settling with power" comes from the fact that a helicopter keeps settling, even though full engine power is applied. However, when the helicopter begins to descend vertically, it settles into its own downwash, which greatly enlarges the main rotor blade tip vortices. In this vortex ring state, most of the power developed by the engine is wasted in accelerating the air in a doughnut pattern around the rotor. A vortex ring state may be entered during any maneuver that places the main rotor in a condition of high upflow and low forward airspeed, including near-vertical descents of at least 300 ft per minute, and a horizontal velocity slower than that for effective translational lift. A fully developed vortex ring state can be "characterized by an unstable condition in which the helicopter experiences uncommanded pitch and roll oscillations." The handbook also noted that "when recovering from a settling with power condition, the tendency on the part of the pilot is to first try to stop the descent by increasing collective pitch. However, this only results in increasing the stalled area of the rotor, thus increasing the rate of descent. Recovery is accomplished by increasing forward speed, and/or partially lowering collective pitch." With sufficient altitude, temporary entrance into an autorotation will also enable safe exit from the vortex ring state.

Aircraft

Registration
N561AM
Reported as
Eurocopter France AS350 (B2)
Category
Helicopter
Serial number
4381
Built
2007
Airframe hours
3,386
Engine
Turbomeca Arriel 1D1, 681 horsepower, turbo shaft
Damage
Substantial damage
Flight
Part 135
Operator
AirMethods Corporation
Registered owner
Td Aviation Finance LLC
Airworthiness certificate
Standard, Normal
Last inspection
Continuous airworthiness · April 7, 2016 · 57 hours before
Departed
38GA · Gainesville, GA
Destination
NONE · Jasper, GA
Flight plan
Company VFR
Airport
NONE · Hospital Helipad
Equipment
Satellite tracking device

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
52
Injuries
None
Certificate
Commercial
Instrument ratings
Helicopter
Medical
Class 2, With waivers/limitations
Last flight review
October 7, 2015
Seat
Front
Restraint
4-point
Flight hours
4,214 total · 1,620 in this make and model · 4,214 as pilot in command · 30 in the last 90 days · 10 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Dusk
Wind
120° at 11 knots, gusting 16
Visibility
10 statute miles
Lowest ceiling
None
Temperature
64 °F, dew point 18 °F
Altimeter
30.23 inHg
Observed at
JZP

Docket · 8

The files NTSB released with the investigation on April 4, 2018, on NTSB’s docket system: statements, records, photos and specialists’ reports. 9.2 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.