LAX95LA200

NTSB accident investigation · Eurocopter AS-355F1 · Lost Hills, CA · June 1, 1995

Accident · No injuriesLimited investigationFinal report
Date
May 31, 1995, 23:00 local (Jun 1, 1995, 06:00 UTC)
Place
Lost Hills, CA
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N5871DEurocopter AS-355F1
Weather
Visual (VMC) · Night/dark
Status
Completed · report November 6, 1995
Report
Approved by Office Director
Case key
29107

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 in-flight loss of control and failure to maintain a proper descent rate due to spatial disorientation and lack of visual cues during a dark, night approach to a unimproved landing zone, and his failure to initiate a go-around when he first lost visual reference with the ground. Factor's in the accident are the dark night lighting conditions and lack of suitable reference lights at the landing zone.

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 flightApproach - vfr pattern - final approach
Light condition - dark nightFactor
Aircraft control - not maintainedPilot in commandCause
Spatial disorientationPilot in commandCause
Visual/aural detectionPilot in commandCause
Proper descent rate - not maintainedPilot in commandCause
Go-around - not performedPilot in commandCause
In flight collision with terrain/waterDescent - uncontrolled

Analysis

On a dark moonless night, the flight was going to a sparsely populated area without ground reference lights to pickup a medical evacuation patient. The responding fire department trucks picked a landing site and illuminated the area with two fire trucks parked adjacent to the intended landing spot. The pilot said he made a high reconnisanace and then started his approach from 300 feet. He said he became spatially disoriented and Lost visual reference with the ground while looking at his instruments to correct a high rate of descent and low airspeed situation. The helicopter's nose pitched down, but the pilot stabilized the aircraft just before touching down hard. The aircraft bounced into the air about 20-30 feet, rolled to the left in an uncontrolled descent, and then collided with the ground on its left side. The helicopter spun and rolled over and came to rest on the right side. The pilot reported no mechanical failures or malfunctions.

Factual narrative

On May 31, 1995, at 2300 hours Pacific daylight time, an Eurocopter AS-355F1 helicopter, N5781D, landed hard and rolled over while attempting a night off-airport landing near Lost Hills, California. The helicopter was being positioned for an air medical transport flight, under 14 CFR Part 91, by Roger's Helicopters, Inc., dba Roger's Aviation Golden Empire, when the accident occurred. The helicopter was substantially damaged. The certificated commercial pilot and two medical technicians were not injured. The flight originated from Meadows Field, Bakersfield, California, at 2232 hours and was destined for an area 15 statute miles west of Lost Hills, California. Night visual meteorological conditions prevailed.

According to the pilot/operator report, the landing area was being illuminated by two fire trucks positioned adjacent to the area. The pilot and the two medical personnel on the helicopter reported the ambient light conditions as being dark. The pilot indicated he was unable to estimate the helicopters's height above the ground. As the pilot turned to the final approach about 200-300 feet agl, he looked down to check his flight instruments and noted that they indicated a low airspeed (below 10 mph), and also a high rate of descent (500 fpm). The pilot increased collective pitch to slow his descent, and when he looked outside the helicopter for the landing zone, he lost all visual reference to the ground.

Both the pilot and the passengers indicated the helicopter pitched nose down and banked left. The pilot corrected the left roll immediately before landing hard. After touchdown, the helicopter bounced in the air to about 20-30 feet, descended uncontrollably in a slight left roll, and struck the ground again with the rotor blades. The helicopter's fuselage then struck the ground on its left side, spun, and then rolled over and came to rest on the right side.

Aircraft

Registration
N5871D
Reported as
Eurocopter AS-355F1
Category
Helicopter
Serial number
5038
Airframe hours
3,943
Engine
Allison 250-C20F, 420 horsepower, turbo shaft
Damage
Substantial damage
Flight
Positioning · Part 91
Registered owner
Roger'S Helicopters, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · May 26, 1995 · 7 hours before
Departed
BFL · Bakersfield, CA
Flight plan
Company VFR

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
46
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Front
Flight hours
7,691 total · 80 in this make and model · 7,623 as pilot in command · 15 in the last 90 days · 3 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night/dark
Wind
270° at 7 knots
Visibility
20 statute miles
Lowest ceiling
None
Temperature
45 °F, dew point 52 °F
Altimeter
29.00 inHg