ERA22LA007

NTSB accident investigation · Bell Helicopter Textron Canada 429 · Batavia, NY · October 7, 2021

Accident · No injuriesClass 4 · LimitedFinal report
Date
October 6, 2021, 21:16 local (Oct 7, 2021, 01:16 UTC)
Place
Batavia, NY
Injuries
4 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N505TJBell Helicopter Textron Canada 429
Weather
Visual (VMC) · Night
Status
Completed
Report
Approved by Office Director
Investigation class
Class 4 - Basic report with no Prelim publish
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20211006017429A
Case key
104073

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 disengage the autopilot prior to climbing out of a fog bank.

Findings · 5

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: directional controlAircraft › Aircraft oper/perf/capability · Not attained/maintainedBell Helicopter Textron Canada 429: 2 casesAll aircraft: 3,958 casesProbable cause
Auto flight system: autopilot systemAircraft › Aircraft systems · Incorrect use/operationBell Helicopter Textron Canada 429: 1 caseAll aircraft: 28 casesProbable cause
Ceiling/visibility/precip: fogEnvironmental issues › Conditions/weather/phenomena · Contributed to outcomeBell Helicopter Textron Canada 429: 1 caseAll aircraft: 78 cases

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 reported that he decided to perform a practice approach to the runway using night vision goggles. He set up the approach and activated the autopilot. About 200 ft above the ground, the helicopter inadvertently entered a fog bank and the pilot lost visual reference to the runway. He attempted to perform a climbing right turn but forgot to deactivate the autopilot. The autopilot initiated a descent into the fog, the pilot maintained a level attitude, and shortly thereafter the helicopter impacted the ground and bounced. The pilot attempted to initiate a climb; however, the helicopter impacted the ground a second time, which resulted in substantial damage to the fuselage. The pilot reported no preimpact mechanical malfunctions or failures with the helicopter that would have precluded normal operation.

Aircraft

Registration
N505TJ
Reported as
Bell Helicopter Textron Canada 429
Category
Helicopter
Serial number
57029
Built
2010
Airframe hours
2,860
Engines
Pratt & Whitney PW207D1, 550 horsepower, turbo shaftPratt & Whitney PW207D1, 550 horsepower, turbo shaft
Damage
Substantial damage
Flight
Positioning · Part 135
Operator
Mercy Flight Inc
Registered owner
Mercy Flight Inc
Airworthiness certificate
Standard, Normal
Last inspection
Continuous airworthiness · September 28, 2021
Departed
ROC · Rochester, NY
Destination
Same as departure
Flight plan
Company VFR
Airport
GVQ · Genesee County, runway 10/28, 5,499 × 100 ft, asphalt
Equipment
Onboard weather, Electronic primary flight display, Electronic multifunction display, Data recorder, Satellite tracking device, Auto-pilot, 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
54
Injuries
None
Certificates
Flight engineer, Private, Commercial
Airplane ratings
Single-engine land
Instrument ratings
Helicopter
Medical
Class 2, With waivers/limitations
Last flight review
April 23, 2021
Seat
Right
Restraint
4-point
Flight hours
3,583 total · 621 in this make and model · 3,583 as pilot in command · 25 in the last 90 days · 9 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night
Wind
Calm
Lowest ceiling
None
Temperature
50 °F, dew point 48 °F
Observed at
GVQ

Docket · 3

The files NTSB released with the investigation on January 4, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.0 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.