LAX94LA146

NTSB accident investigation · Hughes 269C · Merced, CA · March 2, 1994

Accident · Minor injuriesLimited investigationFinal report
Date
March 2, 1994, 14:50 local (22:50 UTC)
Place
Merced, CA
Injuries
2 minor
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N9593FHughes 269C
Weather
Visual (VMC) · Day
Status
Completed · report November 14, 1994
Report
Approved by Office Director
FAA report
19940302003469A
Case key
28683

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 misjudgement of the descent rate and his delayed throttle application.

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
Proper descent rate - misjudgedPilot in commandCause
Throttle/power control - delayedPilot in commandCause
Nose overLanding - flare/touchdown
Terrain condition - softFactor

Analysis

The pilot was on a flight test for a CFI certificate with an FAA inspector. The inspector directed the pilot/applicant to perform a practice 180-degree autorotation, terminating with a power recovery. Upon entry, at 650 feet agl, the needles split, the rotor rpm was in the green, and the engine stabilized at 2,000 RPM. During the maneuver, the inspector noted that the helicopter was apparently going to overshoot the termination point. About 50 feet agl, the pilot began deceleration and the aircraft began to settle. At that point, the inspector still had not heard the engine rpm increase. Concerned that the throttle had not been rolled on, he took the controls and attempted to open the throttle. In spite of his efforts, the helicopter continued to settle, touched down hard about 100 feet beyond the termination point, bounced once, pitched forward, and then impacted a second time. The helicopter then rolled tail over nose finally coming to rest on its right side. A postaccident inspection failed to identify any discrepancies in the engine or power controls.

Factual narrative

On March 2, 1994, at 1450 Pacific standard time, a Hughes 269C, N9593F, sustained substantial damage during a practice autorotation at Merced, California. The helicopter was owned and operated by Moore Helicopter Services, Inc., of Stockton, California, and was on a local area Federal Aviation Administration (FAA) flight test conducted under 14 CFR Part 91. Visual meteorological conditions prevailed at the time and no flight plan had been filed for the operation. The certificated commercial pilot/CFI applicant and the FAA operations inspector on board received minor injuries. The flight originated on the day of the mishap at about 0930 from the Stockton Metro airport.

In a verbal statement, the FAA operations inspector on board the accident helicopter reported that he had directed the pilot to perform a practice autorotation with a 180-degree turn, terminating with a power recovery to approximately a three-foot hover. The inspector told the pilot to plan for a termination point identified by the "x" on a closed runway that intersected with runway 30, the active runway at the time of the maneuver.

The pilot entered the autorotation while downwind at 650 feet above ground level (agl) for the closed runway abeam the planned point of termination by lowering the collective and rolling off the throttle. The needles split, the rotor rpm was in the green, and the engine rpm stabilized at 2,000. The maneuver progressed normally, although the inspector had noted that the helicopter was apparently going to overshoot the planned termination point. At 200 feet agl, the pilot announced to the inspector that he was going to overshoot his planned touchdown point.

The inspector said the pilot had begun deceleration at about 50 feet agl and was beginning to settle while in a slightly nose- high attitude. The inspector noticed that the pilot had gone through his deceleration and he had not heard the engine rpm increase. At that point, the inspector took the controls and attempted to roll on the throttle so as to apply enough collective to cushion the impact; however, in spite of his efforts, the helicopter continued to settle. The helicopter touched down hard on soft, muddy ground about 100 feet beyond the planned termination point with about 10 knots forward airspeed. The helicopter bounced once, pitched forward, and then impacted a second time. The helicopter rolled tail over nose and came to rest on its right side.

A postaccident inspection conducted by FAA airworthiness inspectors failed to identify any discrepancies related to the helicopter's engine or power controls.

Aircraft

Registration
N9593F
Reported as
Hughes 269C
Category
Helicopter
Serial number
540307
Airframe hours
3,344
Engine
Lycoming HIO-360-O1A, 190 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
William C. Moore, doing business as Moore Helicopter Services
Registered owner
William C. Moore
Airworthiness certificate
Standard, Normal
Last inspection
Annual · March 1, 1994 · 9 hours before
Destination
SCK · Stockton, CA
Airport
MCE · Merced Municipal/Macready

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
28
Certificate
Commercial
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Right
Flight hours
163 total · 112 in this make and model · 112 as pilot in command · 10 in the last 90 days · 7 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
8 statute miles
Lowest ceiling
None
Temperature
77 °F, dew point 45 °F
Altimeter
30.00 inHg
Observed at
MCE

FAA reports on this event · 1

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