ERA22FA160

NTSB accident investigation · MD Helicopters 369 · Loxahatchee, FL · March 18, 2022

Accident · FatalClass 3 · FieldFinal report
Date
March 18, 2022, 14:32 local (18:32 UTC)
Place
Loxahatchee, FL
Injuries
2 fatal
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N650AGMD Helicopters 369
Defining event
Maneuvering: Controlled flight into terr/obj (CFIT)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO, Rolls_Royce, MD Helicopters
FAA report
20220318020749A
Case key
104799

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 clearance from power lines while maneuvering at low altitude.

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.

Performance/control parameters: altitudeAircraft › Aircraft oper/perf/capability · Not attained/maintainedMD Helicopters 369HM: 1 caseAll aircraft: 1,310 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 held a commercial pilot certificate with airplane ratings but did not possess a helicopter rating at the time of the accident. He did have a logbook endorsement for solo student flight with helicopters with the prohibition of carrying passengers. The passenger was a pilot-rated for single-engine land airplanes and did not have any helicopter experience. According to automatic dependent surveillance-broadcast data, the helicopter departed an airport and flew north over swampy, state land. The data further showed the helicopter flying at altitudes from 25 to 75 ft above ground level (agl) and at speeds between 83 to 100 knots before colliding with high-voltage power lines. The helicopter came to rest in a swampy field about 250 ft from the power lines. The power lines were measured at 80 ft agl. Examination of the wreckage did not reveal any preimpact mechanical malfunctions. The circumstances of the accident are consistent with the pilot’s failure to maintain clearance from power lines while maneuvering at low altitude.

Factual narrative

HISTORY OF FLIGHT On March 18, 2022, at 1432 eastern daylight time, an MD Helicopters 369HM, N650AG, was destroyed after it impacted power lines near Loxahatchee, Florida. The commercial pilot and pilot-rated passenger were fatally injured. The helicopter was operated by the commercial pilot under the provisions of Title 14 Code of Federal Regulations Part 91 as a personal flight. According to automatic dependent surveillance-broadcast (ADS-B) data obtained from the Federal Aviation Administration, the helicopter departed Antiquers Aerodrome (FD08), Delray Beach, Florida, about 1359 and flew north over swampy, state land. The data showed the helicopter flying at altitudes from 25 to 75 ft above ground level (agl), and at speeds between 83 to 100 knots, before colliding with high-voltage power lines. The power lines were measured at 80 ft agl. The data ended at 1432. PERSONNEL INFORMATION The pilot held a commercial pilot certificate with ratings for airplane single-engine land, airplane single-engine sea, and instrument airplane. He did not possess a rotorcraft-helicopter rating at the time of the accident. He had a logbook endorsement for solo student flight in helicopters with the prohibition of carrying passengers. The commercial pilot was issued a FAA second-class medical certificate on October 28, 2021. He reported 1,200 hours of total flight experience at that time. The pilot-rated passenger held a private pilot certificate with a rating for airplane single-engine land and an instrument rating. The pilot-rated passenger did not have any helicopter experience. WRECKAGE AND IMPACT INFORMATION The wreckage was located in a swampy field. Power lines were observed on the ground near the wreckage. The wreckage path began where the power lines were located and continued for about 250 ft on a 270° magnetic course. The wreckage was laying on its right side and oriented about a 320° heading. The skids were separated from the helicopter, and all four main rotor blades were fractured off the hub. One main rotor blade could not be located in the swamp. Power line impression marks were found on the landing light housing and the skid brackets. The tail rotor was located about 30 ft from the main wreckage. Parts from the engine cowling, tail section and engine were found scattered in the wreckage path. The instrument panel was intact. Examination of the engine and airframe did not reveal any preimpact mechanical malfunctions. The maintenance logbooks could not be located. MEDICAL AND PATHOLOGICAL INFORMATION Toxicology testing performed by the FAA’s Forensic Services Laboratory did not reveal any evidence of drugs or alcohol. An autopsy was performed on the pilot by the Office of the Medical Examiner, District 15, West Palm Beach, Florida. The report listed the cause of death as multiple blunt force injuries.

Aircraft

Registration
N650AG
Reported as
MD Helicopters 369 (HM)
Category
Helicopter
Serial number
1090203M
Built
1971
Engine
Rolls Royce, turbo shaft
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Departed
FD08 · Delary Beach, FL
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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
65
Injuries
Fatal
Certificate
Commercial
Airplane ratings
Single-engine sea, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Seat
Right
Restraint
3-point
Toxicology
Performed
Flight hours
1,200 total

Weather

Conditions
Visual (VMC) · Day
Wind
140° at 12 knots
Visibility
10 statute miles
Temperature
84 °F, dew point 68 °F
Altimeter
30.04 inHg
Observed at
KPBI, 15 nm away

Docket · 8

The files NTSB released with the investigation on September 20, 2023, on NTSB’s docket system: statements, records, photos and specialists’ reports. 29.1 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.