ERA20CA106

NTSB accident investigation · Aerospatiale AS350 · Tampa, FL · February 18, 2020

Accident · No injuriesData collectionFinal report
Date
February 18, 2020, 15:50 local (20:50 UTC)
Place
Tampa, FL
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Emergency descent
Aircraft
N188FSAerospatiale AS350
Defining event
Autorotation: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report August 25, 2020
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA / FSDO
FAA report
20200218002449A
Case key
100970

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 flight instructor's inadvertent throttle reduction below idle, which resulted in a total loss of engine power and subsequent impact with terrain following a power-off autorotation.

Findings · 2

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.

Use of equip/info: use of equip/systemPersonnel issues › Task performance · Instructor/check pilotAirbus Helicopters AS350B2: 1 caseAll aircraft: 1,391 casesProbable cause
Engine fuel and control: fuel controlling systemAircraft › Aircraft power plant · Unintentional use/operationAirbus Helicopters AS350B2: 1 caseAll aircraft: 59 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 flight instructor in the helicopter reported that he directed the pilot receiving instruction to conduct an autorotation with a 180° turn, followed by a power recovery. Abeam the departure end of runway, he moved the throttle lever from the "fly" position to idle. While conducting the maneuver, the pilot overshot the runway and aligned the helicopter with the parallel taxiway. Upon realizing that the helicopter was not in the correct position, the pilots chose to abort the maneuver and perform a go-around. While the pilot continued to fly the helicopter, the instructor inadvertently moved the throttle lever from idle aft toward the "off" position and then forward to the "fly" position. The engine experienced a total loss of power, and the instructor adjusted the throttle to no avail. As the helicopter descended, the pilot requested that the instructor "get on the controls." The instructor took the controls, conducted a power-off autorotation, and landed the helicopter on the taxiway. The helicopter skidded about 180 ft, departed the taxiway onto adjacent grass, and came to rest in a drainage ditch. The instructor reported that there were no preaccident mechanical failures or malfunctions with the helicopter that would have precluded normal operation. The Federal Aviation Administrator inspector who examined the helicopter reported that the left antivibrator mount beam had sustained substantial damage.

Factual narrative

The flight instructor of the helicopter reported that, he directed the airplane rated pilot to conduct an autorotation with a 180° turn, followed with a power recovery. Abeam the departure end of runway, he moved the throttle lever from the FLY position to IDLE. While conducting the maneuver, the student pilot overshot the runway and aligned the helicopter with the parallel taxiway. Upon realizing the unacceptable position, they elected to abort the maneuver and perform a go-around. While the student pilot continued to fly the helicopter, the instructor inadvertently moved the throttle lever from IDLE, aft, towards the OFF position, then forward, to the FLY position. The engine experienced a total loss of power and the instructor adjusted the throttle to no avail. As the helicopter continued the descent, the student pilot requested that the instructor "get on the controls". The instructor left the throttle in the full power position, took the controls and conduct a power-off autorotation. The helicopter landed on the taxiway, skidded about 180 feet, departed the taxiway, onto the adjacent grass and came to rest in a drainage ditch.The flight instructor reported that there were no preaccident mechanical failures or malfunctions with the helicopter that would have precluded normal operation. The Federal Aviation Administrator inspector who examined the helicopter at the accident site reported damage to the left anti-vibrator mount beam.

Aircraft

Registration
N188FS
Reported as
Aerospatiale AS350 (B2)
Category
Helicopter
Serial number
7863
Built
2014
Airframe hours
2,627.3
Engine
SAFRAN/Turbomeca Arriel 1D1, 72,195 horsepower, turbo shaft
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Hillsborough County Sheriffs Office
Registered owner
Hillsborough County Sheriffs Office
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · October 9, 2019
Departed
TPF · Tampa, FL
Destination
VDF · Tampa, FL
Airport
VDF · Tampa Executive, runway 18, 3,219 × 75 ft, asphalt
Equipment
ADS-B, Electronic multifunction display, Video recording 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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Flight instructor
Age
56
Injuries
None
Certificates
Airline transport, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 2, With waivers/limitations
Last flight review
June 20, 2019
Seat
Left
Restraint
4-point
Flight hours
12,088 total · 1,226 in this make and model · 11,023 as pilot in command · 49 in the last 90 days · 11 in the last 30 days · 2 in the last 24 hours
Role
Student pilot
Age
32
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
September 25, 2009
Seat
Right
Restraint
4-point
Flight hours
225 total · 104 in this make and model · 118 as pilot in command · 67 in the last 90 days · 23 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
160° at 5 knots, gusting 14
Visibility
10 statute miles
Lowest ceiling
4,900 ft overcast
Temperature
84 °F, dew point 66 °F
Altimeter
30.09 inHg
Observed at
VDF

Docket · 6

The files NTSB released with the investigation on March 31, 2020, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.5 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.