LAX92FA136

NTSB accident investigation · Aerospatiale AS-350D · Ft. Grant, AZ · March 5, 1992

Accident · FatalField investigationFinal report
Date
March 4, 1992, 19:15 local (Mar 5, 1992, 02:15 UTC)
Place
Ft. Grant, AZ
Injuries
2 fatal, 1 serious
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N350AHAerospatiale AS-350D
Weather
Instrument (IMC) · Night/dark
Status
Completed · report July 26, 1993
Report
Approved by Office Director
FAA report
19920304005089A
Case key
27409

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

1) The pilot inadequately evaluating the enroute weather conditions, and, 2) the pilot making the inflight decision to continue VFR flight into adverse weather conditions. Factors in this accident were the inability of the pilot to see the mountainous terrain due to the ambient light conditions, clouds, and snow.

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 collision with terrain/waterCruise - normal
Light condition - dark nightFactor
Weather condition - cloudsFactor
Weather condition - snowFactor
Weather evaluation - inadequatePilot in commandCause
In-flight planning/decision - poorPilot in commandCause
Vfr flight into imc - attemptedPilot in commandCause
Terrain condition - mountainous/hilly

Analysis

After receiving the request for a medical evacuation mission, the crew checked weather with an FAA fss to determine if the mission would be accepted. Ground clutter on the weather radar prevented a complete weather brief for enroute mountainous areas. The pilot got weather for his departure point. The pilot told fss '...I think I can meander my way through the mountains on that one.' The pilot accepted the mission. After takeoff the pilot was told by FAA departure control there was 'weather' on his route of flight 'but the intensity is unknown.' Radar service was terminated and the crew continued. The surviving crewmember stated that as the flight progressed, everything got 'black.' He said he could not see outside the aircraft. He said about 5 minutes before the crash, the pilot told the crew '...we are going inadvertent.' Meaning, they were going into the clouds and he would be flying by instruments. The survivor said he heard the 'altitude buzzer,' followed by the impact.

Aircraft

Registration
N350AH
Reported as
Aerospatiale AS-350D
Category
Helicopter
Serial number
1478
Airframe hours
2,183
Engine
Lycoming LTS 101-600A3, 615 horsepower, turbo shaft
Damage
Destroyed
Flight
Other work use · Part 91
Operator
Southwest Helicopters
Registered owner
Don Redman
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · February 7, 1992 · 34 hours before
Departed
38E · Tucson, AZ
Destination
NONE · Safford, AZ
Flight plan
Company VFR

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
32
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Right
Toxicology
Performed
Flight hours
5,750 total · 250 in this make and model · 5,700 as pilot in command

Weather

Conditions
Instrument (IMC) · Night/dark

FAA reports on this event · 1

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