ERA20LA004

NTSB accident investigation · Bell OH 58A · Fort Meade, FL · October 3, 2019

Accident · No injuriesClass 3 · LimitedFinal report
Date
October 3, 2019, 15:03 local (19:03 UTC)
Place
Fort Meade, FL
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N911RWBell OH 58A
Defining event
Maneuvering-hover: Dynamic rollover
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20191003018719A
Case key
100372

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, which resulted in a dynamic rollover and impact with terrain.

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: aircraft controlPersonnel issues › Task performance · PilotBell OH-58A: 12 casesAll aircraft: 9,295 casesProbable cause
Performance/control parameters: lateral/bank controlAircraft › Aircraft oper/perf/capability · Not attained/maintainedBell OH-58A: 3 casesAll aircraft: 390 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 pilot was attempting to rescue a gyroplane pilot who made a forced landing in a phosphate pit and gypsum pond by having him grab the right skid of the helicopter and lift him to safety. The pilot anticipated that he would have to compensate for the change in the helicopter's center of gravity when the gyroplane pilot grabbed the skid. The gyroplane pilot’s first two attempts to grab the helicopter’s right skid were unsuccessful. The helicopter pilot stated that the gyroplane pilot’s third attempt was more aggressive than the previous two attempts and that he was not prepared for the sudden center-of-gravity shift that resulted once the gyroplane pilot grabbed the right skid. The helicopter then entered a dynamic rollover to the right and impacted the gypsum pond, resulting in substantial damage to the main rotor blades, tail rotor, and the tailboom.

Factual narrative

On October 3, 2019, about 1503 eastern daylight time, a Bell OH-58A helicopter, N911RW, sustained substantial damage when it was involved in an accident near Fort Meade, Florida. The commercial pilot and the individual being rescued were not injured. The helicopter was registered to and operated by the Polk County, Florida, sheriff's office as a Title 14 Code of Federal Regulations Part 91 public-use flight. The pilot was dispatched from Bartow Executive Airport (BOW), Bartow, Florida, about 1412 to provide aerial support for the pilot of a gyroplane who had made a forced landing in a phosphate pit and gypsum pond. The foliage in the gypsum pond was about 6 to 9 ft tall. The helicopter pilot stated that the gyroplane pilot was standing on his seat while holding onto the rotor blades. The helicopter pilot was concerned that the gyroplane pilot would sink into the gypsum, so he attempted to rescue the gyroplane pilot by having him grab the helicopter's right skid and then lifting him to safety. The helicopter pilot anticipated that he would have to compensate for the change in the helicopter's center of gravity (CG) when the gyroplane pilot grabbed the skid. During the first two attempts, the gyroplane pilot was unable to hold on to the skid because his hands were covered in gypsum. During the third attempt, the gyroplane pilot had repositioned himself closer to the helicopter's right skid, and the helicopter pilot reported that, "without hesitation and without warning, [the gyroplane pilot] jumped up in the air towards my skid, grabbing the skid in the air, causing his entire weight to be forced onto my skid.” The helicopter pilot further reported that the helicopter’s CG had “immediately changed,” which caused the helicopter to descend and make “an abrupt and violent roll” toward the right. The helicopter pilot immediately increased collective to prevent striking the gyroplane with the helicopter's skid but reported that the "roll was tremendous and without warning." The pilot tried to push the cyclic forward to increase speed and lift, but the helicopter continued to roll to the right and then impacted the gypsum pond, which resulted in substantial damage to the helicopter’s main rotor blades, tail rotor, and tailboom. The pilot reported no mechanical malfunctions at the time of the accident. The Federal Aviation Administration's Rotorcraft Flying Handbook (FAA-H-8083-21) states the following about a helicopter’s lateral roll tendency, referred to as a “dynamic rollover”: For dynamic rollover to occur, some factor has to first cause the helicopter to roll or pivot around a skid, or landing gear wheel, until its critical rollover angle is reached. Then, beyond this point, main rotor thrust continues the roll and recovery is impossible. If the critical rollover angle is exceeded, the helicopter rolls on its side regardless of the cyclic corrections made. Dynamic rollover begins when the helicopter starts to pivot around its skid or wheel. Thiscan occur for a variety of reasons, including the failure to remove a tiedown or skid securing device, or if the skid or wheel contacts a fixed object while hovering sideward, or if the gear is stuck in ice, soft asphalt, or mud. Dynamic rollover may also occur if you do not use the proper landing or takeoff technique or while performing slope operations. Whatever the cause, if the gear or skid becomes a pivot point, dynamic rollover is possible if you do not use the proper corrective technique.

Aircraft

Registration
N911RW
Reported as
Bell OH 58A (No Series)
Category
Helicopter
Serial number
72-21147
Built
1972
Airframe hours
9,829
Engine
Rolls Royce T63-A720, 420 horsepower, turbo shaft
Damage
Substantial damage
Flight
Public aircraft - local · Public use
Airworthiness certificate
None
Last inspection
AAIP · September 13, 2019
Departed
BOW · Bartow, FL
Destination
Fort Meade, FL
Flight plan
Company VFR
Equipment
Electronic primary flight display, Electronic multifunction display, ADS-B

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
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 2, With waivers/limitations
Last flight review
August 7, 2019
Seat
Right
Restraint
4-point
Flight hours
4,287 total · 2,500 in this make and model · 3,866 as pilot in command · 49 in the last 90 days · 19 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
60° at 12 knots, gusting 18
Visibility
10 statute miles
Temperature
90 °F, dew point 64 °F
Altimeter
29.95 inHg
Observed at
BOW, 17 nm away

Docket · 2

The files NTSB released with the investigation on April 12, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 6.4 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.