ERA21LA262

NTSB accident investigation · Mcdonnell Douglas Helicopter 369E · Swan Lake, NY · June 18, 2021

Accident · Serious injuriesClass 3 · LimitedFinal report
Date
June 18, 2021, 08:45 local (12:45 UTC)
Place
Swan Lake, NY
Injuries
2 serious
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N371EEMcdonnell Douglas Helicopter 369E
Defining event
Maneuvering-hover: Low altitude operation/event
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
MD Helicopters, FAA/FSDO, Rolls Royce
FAA report
20210618015959A
Case key
103303

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

The pilot's failure to maintain adequate clearance from the power transmission tower structure during powerline maintenance work, which resulted in the helicopter's main rotor striking the lifeline support bracket for the tower catwalk and the subsequent loss of control and collision with terrain.

Findings · 3

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.

Object/animal/substance: poleEnvironmental issues › Physical environment · Effect on equipmentMcdonnell Douglas Helicopter 369E: 1 caseAll aircraft: 142 casesProbable cause
Performance/control parametersAircraft › Aircraft oper/perf/capability · Not attained/maintainedMcdonnell Douglas Helicopter 369E: 2 casesAll aircraft: 1,269 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 positioned the helicopter near one of the power transmission tower structures as the lineman, seated on a platform that was attached externally on the skids, began the maintenance. The pilot and the lineman both reported that they then heard a bang, and the helicopter began to shake violently. The pilot maneuvered the helicopter away from the tower and descended through the tree branches. The helicopter came to rest upright in a heavily wooded area. A microscopic postaccident examination of one main rotor blade tip revealed witness marks consistent with metal impact, and a support bracket for the tower catwalk displayed impact damage. A postaccident examination of the airframe and engine revealed no evidence of any preimpact mechanical malfunctions or failures that would have precluded normal operation of the helicopter. A postaccident examination of the tower revealed that, unlike the majority of the towers being maintained, it was equipped with a catwalk which had a lifeline support bracket protruding from the top of it for the tower catwalk. Given this information, it is likely that the pilot did not note this hazard and that main rotor blade tip impacted the tower structure and resulted in the subsequent loss of control.

Factual narrative

On June 18, 2021, around 0845 eastern daylight time, a McDonnell Douglas Helicopter 369E, N371EE, was substantially damaged when it was involved in an accident near Swan Lake, New York. The pilot and lineman sustained serious injuries. The helicopter was being operated by Haverfield Corporation as a Title 14 Code of Federal Regulations Part 133 rotorcraft external load operation. The helicopter was performing maintenance work to electric power transmission equipment. The pilot visually confirmed there was adequate clearance to work as he approached the tower and positioned the helicopter near one of the tower structures. The lineman, seated on a platform attached externally on the skids, removed the safety voltage detector to make room for his shunt and started the maintenance. The pilot described that during this process it felt a “bang came from behind them” and the helicopter began to shake violently while various cockpit alarms sounded. He stated that he had “limited control authority” as he pulled away from the tower and looked for a safe area to land. He descended the helicopter through the tree branches while attempting to keep it level. The lineman reported that as he began the maintenance, he heard a “bang” and then repeated “bang” noises and felt the helicopter shaking as it pulled away from the tower. He attempted to turn around to see if they had struck something but was unable to do so given the force that was pushing him onto the platform. His equipment began to fly off the platform and he tucked himself into a ball on the platform when he saw that the helicopter was descending through the trees. The helicopter impacted trees and came to rest upright in a heavily wooded area. The tailboom remained attached to the fuselage with left bending and crushing deformation forward of the empennage. A photo of the powerline tower being worked on revealed damage to a lifeline support bracket for the tower catwalk (see figure). Figure - Tower where lineman was working with close-up view of damage. A postaccident microscopic examination of one main rotor blade tip showed witness marks consistent with metal impact. The tail rotor assembly exhibited little to no damage. The examination revealed no evidence of any preimpact failure or malfunction of the helicopter’s controls or engine that would have precluded normal operation. A postaccident examination of the tower revealed that, unlike most of the towers being maintained, it was equipped with a catwalk which had a lifeline support bracket protruding from the top of it for the tower catwalk. Review of the helicopter technical description as well as a diagram of the tower at which the upset occurred revealed that there was a negative vertical and lateral clearance from the main rotor blades to the lifeline support bracket for the tower catwalk.

Aircraft

Registration
N371EE
Reported as
Mcdonnell Douglas Helicopter 369E
Category
Helicopter
Serial number
0371E
Built
1989
Airframe hours
17,907.7
Engine
Allison 250-C20-B, 420 horsepower, turbo shaft
Damage
Substantial damage
Flight
External load · Part 133
Operator
Haverfield International
Registered owner
TVPX Aircraft Solutions, Inc
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · May 28, 2021 · 74.4 hours before
Departed
MSV · Monticello, NY
Flight plan
Company VFR
Equipment
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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
36
Injuries
Serious
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land
Instrument ratings
Helicopter, Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
January 30, 2021
Seat
Left
Restraint
4-point
Flight hours
3,851 total · 1,567 in this make and model · 3,677 as pilot in command · 140 in the last 90 days · 26 in the last 30 days · 5 in the last 24 hours
Role
Cabin crew
Injuries
Serious
Seat
Rear
Restraint
5-point

Weather

Conditions
Visual (VMC) · Day
Visibility
10 statute miles
Lowest ceiling
None
Temperature
63 °F, dew point 48 °F
Altimeter
30.04 inHg
Observed at
MSV, 3 nm away
METAR
KMSV 181256Z AUTO VRB03KT 10SM CLR 17/09 A3004 RMK AO2 SLP170 T01720094

Docket · 8

The files NTSB released with the investigation on June 8, 2023, on NTSB’s docket system: statements, records, photos and specialists’ reports. 17.1 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.