LAX04TA248

NTSB accident investigation · Bell 206B · Lancaster, CA · June 23, 2004

Accident · Minor injuriesFinal report
Date
June 23, 2004, 11:15 local (18:15 UTC)
Place
Lancaster, CA
Injuries
2 minor
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N305FDBell 206B
Weather
Visual (VMC) · Day
Status
Completed · report December 28, 2004
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20040623015499A
Case key
59503

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 misjudged autorotative flare and the flight instructor's delayed remedial action and inadequate supervision of the flight.

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.

Hard landingLanding - flare/touchdown
Autorotation - simulatedPilot in command
Flare - misjudgedPilot in commandCause
Remedial action - delayedPilot in command(cfi)Cause
Supervision - inadequatePilot in command(cfi)Cause
Roll overLanding - flare/touchdown

Analysis

The helicopter landed hard and rolled on its side during a practice autorotation. The CFI and pilot-undergoing-instruction (PUI) were practicing a 180-degree autorotation. The PUI rolled out onto final at 400 feet agl. The PUI said that about 70 feet agl he leveled the helicopter, rolled in throttle, and started his flare. About 50 feet agl, he leveled in the flare because the helicopter "did not feel like it was building energy" and was not as effective in the flare. The rotor rpm was at 100 percent. He noted that there seemed to be not enough engine power to recover. He leveled the aircraft to get out of the flare and raised the collective. The low rotor horn sounded shortly after. The helicopter landed hard, bounced, spun around, hit the ground again, and rolled over on its right side. The Los Angeles City Fire Department "flare autorotations" procedure states "At approximately 75 feet from the ground, you begin your flare by applying a smooth pressure on the cyclic, flaring the ship at the right altitude and leveling the ship from a flare require quick but smooth movement of the cyclic...You will lost some altitude coming out of the flare but the ship should be level by the time you reach 10 feet." An engine teardown was conducted, with no anomalies found. The fuel control and governor bench tested to specifications.

Factual narrative

On June 23, 2004, about 1115 Pacific daylight time, a Bell 206B, N305FD, collided with terrain and rolled on its side near Lancaster, California. The Los Angeles City Fire Department was operating the helicopter under the provisions of 14 CFR Part 91, as a public-use flight. Both of the certified flight instructor rated pilots sustained minor injuries; the helicopter sustained substantial damage. The instructional cross-country flight departed Van Nuys Airport, Van Nuys, California, about 1045, destined for the General William J Fox Airfield, Lancaster. Visual meteorological conditions prevailed, and a company visual flight rules (VFR) flight plan had been filed.

In a written statement, the pilot-undergoing-instruction (PUI) stated that prior to the flight, both he and the acting certified flight instructor (CFI) checked the weather, calculated performance limitations, and reviewed preflight information and training goals. Upon reaching Lancaster, they checked the wind direction and speed, and verified it with each other. While practicing a turning (180-degree) autorotation, the PUI established the helicopter on final from 400 feet above ground level (agl).

The PUI stated, in a telephone interview, while on final he experienced a momentary decay in rotor rpm, which he attributed to a wind shift. He then made a slight altitude adjustment, as he was a little high. About 70 feet agl, he leveled the helicopter, rolled in throttle, and started his flare. About 50 feet agl, he leveled in the flare because the helicopter "did not feel like it was building energy" and was not as effective in the flare. The rotor rpm was at 100 percent. He noted that there seemed to be not enough engine power to recover.

He leveled the aircraft to get out of the flare and raised the collective. The low rotor horn sounded shortly after. The helicopter landed hard, bounced, spun around, hit the ground again, and rolled over on its right side. Damage was incurred to the helicopter's main rotor and drive shaft, tail rotor and drive shaft, skids, transmission mount, and fuselage.

Both pilots had their hands on the controls at the time of the accident.

An engine teardown was conducted and no mechanical anomalies were discovered. The fuel control and governor bench tested to specifications.

The Los Angeles City Fire Department "flare autorotations" procedure states "At approximately 75 feet from the ground, you begin your flare by applying a smooth pressure on the cyclic. Flaring the ship at the right altitude and leveling the ship from a flare require quick but smooth movement of the cyclic. You will lost some altitude coming out of the flare but the ship should be level by the time you reach 10 feet."

Aircraft

Registration
N305FD
Reported as
Bell 206B
Category
Helicopter
Serial number
4541
Airframe hours
1,169.7
Engine
Rolls-Royce 250-C20-J, 420 horsepower, turbo shaft
Damage
Substantial damage
Flight
Instructional · Public use
Registered owner
Los Angeles City Fire Department
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · April 20, 2004 · 69.9 hours before
Departed
VNY · Van Nuys, CA
Destination
WJF · Lancaster, CA
Flight plan
Company VFR

Flight crew · 2

As NTSB recorded them. NTSB leaves out names.

Role
Flight instructor
Age
51
Injuries
Minor
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land
Medical
Class 2, Valid Medical--w/ waivers/lim
Last flight review
April 24, 2004
Seat
Left
Flight hours
2,900 total · 1,000 in this make and model · 2,800 as pilot in command · 75 in the last 90 days · 20 in the last 30 days · 0 in the last 24 hours
Role
Student pilot
Age
40
Injuries
Minor
Certificates
Flight instructor, Commercial
Medical
Class 2, Valid Medical--no waivers/lim.
Last flight review
May 10, 2003
Seat
Right
Flight hours
756 total · 300 in this make and model · 656 as pilot in command · 58 in the last 90 days · 15 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Variable at 3 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
91 °F, dew point 34 °F
Altimeter
30.00 inHg
Observed at
WJF, 6 nm away

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.