FTW03LA038

NTSB accident investigation · Agusta A109E · Fort Worth, TX · November 8, 2002

Accident · No injuriesLimited investigationFinal report
Date
November 8, 2002, 10:35 local (16:35 UTC)
Place
Fort Worth, TX
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N142CFAgusta A109E
Weather
Visual (VMC) · Day
Status
Completed · report July 23, 2003
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20021108032649A
Case key
56040

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 attempted running takeoff with the power controls in the improper position.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of control - in flightTakeoff
Running takeoff - attemptedPilot in command
Throttle/power control - improperPilot in commandCause
On ground/water collision with objectTakeoff
Object - pole

Analysis

After landing on the helipad, the pilot reduced the throttles to flight idle. The pilot was then going to demonstrate to the flight crew how the helicopter could taxi and perform a running takeoff. The pilot initiated the takeoff roll, added collective, and realized the engines were not at 100 percent power. Subsequently, the helicopter became airborne, departed the heliport and came to rest on the roof of a lower level parking garage. In an interview, the pilot reported that "he attempted a rolling take-off...with an incorrect power setting (selection switch) which resulted in an emergency landing on the roof of an adjacent automobile parking garage due to insufficient engine power to maintain flight." The pilot had accumulated approximately 6,500 total helicopter flight hours, with 3,100 flight hours as a flight instructor in helicopters, and 25 total hours in the same make and model as the accident helicopter.

Factual narrative

On November 8, 2002, at 1035 central standard time, an Agusta A109E twin-engine helicopter, N142CF, sustained substantial damage following a loss of control while attempting to takeoff from the Harris Hospital Heliport, near Fort Worth, Texas. The commercial pilot, flight paramedic, and flight nurse were not injured. The helicopter was registered to North Central Texas Services, Inc., Grand Prairie, Texas, doing business as (d.b.a.) Care Flite. Visual meteorological conditions prevailed, and a company flight plan was filed for the 14 Code of Federal Regulations Part 91 positioning flight. The flight was originating from the heliport at the time of the accident and was destined for the Grand Prairie Municipal Airport, Grand Prairie.

The pilot reported that after attending a public relations event with the helicopter, the pilot was instructed by Care Flite maintenance to return to Harris Hospital, prior to proceeding to Grand Prairie for maintenance. At 1033, the helicopter landed at Harris Hospital. The pilot stated that after landing, he observed construction workers near the helipad, completed some required paperwork, and "I must have gone to flight idle with the engines." The pilot stated that the paramedic had not previously flown in an Agusta 109, so he was going to demonstrate how the helicopter could taxi and perform a running takeoff. The pilot initiated the takeoff roll, added collective, and realized the engines were not at 100 percent power. Subsequently, the helicopter became airborne, departed the heliport and came to rest on the roof of a lower level parking garage. During the accident sequence, the main rotor blades contacted a light standard, the tail rotor gearbox separated from the airframe, and the tailboom sustained structural damage.

According to the Pilot/Operator Aircraft Accident Report (NTSB Form 6120.1/2), the pilot had accumulated approximately 6,500 total helicopter flight hours, with 3,100 flight hours as a flight instructor in helicopters, and 25 total hours in the same make and model as the accident helicopter.

On November 8, 2002, in an interview with a FAA Aviation Safety Inspector, the pilot reported that "he attempted a rolling take-off from the Harris Methodist Hospital heliport with an incorrect power setting (selection switch) which resulted in an emergency landing on the roof of an adjacent automobile parking garage due to insufficient engine power to maintain flight."

Aircraft

Registration
N142CF
Reported as
Agusta A109E
Category
Helicopter
Serial number
11141
Airframe hours
200.9
Engine
Pratt & Whitney Canada PW206C, 640 horsepower, turbo shaft
Damage
Substantial damage
Flight
Positioning · Part 91
Registered owner
North Central Texas Services, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · October 30, 2002 · 9.8 hours before
Departed
TE30 · Fort Worth, TX
Destination
GPM · Grand Prairie, TX
Flight plan
Company VFR
Airport
TE30 · Harris Hospital

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
61
Injuries
None
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 2, Valid Medical--w/ waivers/lim
Last flight review
August 31, 2002
Seat
Right
Flight hours
8,500 total · 25 in this make and model · 8,400 as pilot in command · 50 in the last 90 days · 10 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
180° at 18 knots, gusting 25
Visibility
10 statute miles
Lowest ceiling
None
Temperature
70 °F

Docket · 3

The files NTSB released with the investigation on May 22, 2003, on NTSB’s docket system: statements, records, photos and specialists’ reports. 650 KB 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.

Other investigations on N142CF · 1

Matched to the same aircraft by N-number and date.