LAX91LA289

NTSB accident investigation · Hughes 369D · Napa, CA · July 5, 1991

Accident · No injuriesLimited investigationFinal report
Date
July 5, 1991, 06:30 local (13:30 UTC)
Place
Napa, CA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N18KJHughes 369D
Weather
Instrument (IMC) · Day
Status
Completed · report March 10, 1993
Report
Approved by Office Director
FAA report
19910705026199A
Case key
27271

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 the proper altitude. Contributing to the accident was the pilot's improper in flight decision to fly in the below VFR weather conditions and his misjudged weather evaluation.

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.

In flight encounter with weatherCruise
Weather condition - fogFactor
In-flight planning/decision - improperPilot in commandFactor
Vfr flight into imc - inadvertentPilot in command
Weather evaluation - misjudgedPilot in commandFactor
In flight collision with terrain/waterManeuvering - turn to reverse direction
Terrain condition - water,glassy
Proper altitude - not maintainedPilot in commandCause

Analysis

The 70-hour student helicopter pilot held an airline transport pilot certificate (airplanes). The pilot departed on a business flight between his home and his office. At the time of takeoff the pilot was aware there was a 500 foot ceiling and the visibility was one mile. After flying for five minutes the pilot encountered decreasing visibility (1/16 mile) and ground fog. The pilot reversed course and collided with the underlying terrain. The accident pilot's flight instructor had authorized the pilot to only fly the helicopter in VFR conditions.

Aircraft

Registration
N18KJ
Reported as
Hughes 369D
Category
Helicopter
Serial number
200649
Engine
Allison 250-C20B, 420 horsepower, turbo shaft
Damage
Substantial damage
Flight
Business · Part 91
Operator
Nova Group, Inc
Last inspection
Unknown · January 2, 2000
Departed
Petaluma, CA
Destination
Napa, CA

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
39
Certificate
Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Flight hours
2,800 total · 70 in this make and model · 2,565 as pilot in command · 138 in the last 90 days · 60 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Day
Wind
Calm

FAA reports on this event · 1

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