- Date
- February 16, 1997, 19:44 local (Feb 17, 1997, 03:44 UTC)
- Place
- Santee, CA
- Injuries
- 1 fatal, 1 serious
- Damage
- Substantial damage
- Phase of flight
- Maneuvering
- Aircraft
- N5200YMcDonnell Douglas 369D
- Weather
- Visual (VMC) · Night/dark
- Status
- Completed · report February 15, 2000
- Report
- Approved by Office Director
- FAA report
- 19970216001659A
- Case key
- 43613
From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.
On this page
Probable cause
Spatial disorientation and temporary visual impairment that led to a loss of aircraft control as result of difficulty to light adaptivity. Contributing was the crew coordination and inadequate night flight recurrency training.
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.
Analysis
The sheriff's pilot and qualified observer attempted a takeoff from a hover at a remote canyon in night visual meteorological conditions. The crew was using the helicopter's search light within the previous 15 minutes and the pilot's eyes were not dark adapted. The searchlight was turned off by the observer during the takeoff and the pilot became disoriented. The helicopter descended vertically, struck the ground, and bounced over 100 feet rearward. The public-use agency's training program did not provide for night recurrent emergency procedure training, recurrent night physiology training, or crew resource management training for night flight.
Factual narrative
History of the Flight
On February 16, 1997, about 1944 hours Pacific standard time, a McDonnell Douglas, 369D (MD 369), N5200Y, operated by the San Diego Sheriff's Department Aviation Division (ASTREA) collided with the terrain during a night takeoff from a field near Santee, California. The helicopter was substantially damaged. The pilot received serious injuries, and the observer was fatally injured. The flight was destined for Gillespie Field, El Cajon, California. Night visual meteorological conditions prevailed at the time.
At 1848, the ASTREA aircrew was at Gilliespie Field when they received a request from the Oceanside Police Department asking for assistance to search for a missing child. At 1851, the aircrew departed Gilliespie Field and headed north towards the search area.
At 1901, the helicopter was over Escondido, California, when the aircrew received a radio transmission canceling their response to search for the missing child. The pilot reversed course and headed back towards Gilliespie Field. As the helicopter approached the airport, the aircrew noticed a campfire in the Sycamore Canyon Area located about 3.7 miles north of the airport. The aircrew elected to investigate the fire and descended into the canyon terminating the approach to an out-of-ground effect hover. The observer illuminated the campfire area with helicopter's searchlight. The aircrew determined the activity around the campfire was normal and did not make contact with the persons on the ground.
During the investigation of the campfire, the pilot noticed a reflection in some nearby trees. The aircrew then hovered over to the reflection at tree top level and discovered a vehicle. The aircrew circled the vehicles several times illuminating it with the search light and saw two men come out of the vehicle. The pilot landed the helicopter and the observer exited. The pilot remained in the helicopter allowing it to continue to operate.
The observer returned to the helicopter after completing law enforcement work with the vehicle occupants. The aircrew was in contact with a sheriff's ground patrol unit at the time however, the ground unit was unable to access the remote area. The aircrew decided to return to Gilliespie Field to meet with the ground patrol and complete the law enforcement work.
The pilot executed a takeoff from a hover and climbed to 500 feet above ground level (agl) in a right climbing spiral at which time he saw three lights he thought were motorcycles. (Motorcycles are not permitted in the canyon area.) The pilot aborted the climb and headed in a southeasterly direction towards the lights in a "slow descent." About 3/4 mile from the lights, at 200 feet agl and 20 to 30 knots forward airspeed, the aircrew identified the lights as belonging to bicycles.
The pilot then aborted the approach and planned a spiraling climb back to 500 feet agl. The pilot indicated that the searchlight was turned off by the observer during the attempted takeoff from the out-of-ground effect hover. After adding power, the pilot noticed the helicopter was continuing to descend. According to the pilot, he added more power but the helicopter did not respond and began to yaw back and forth. The pilot indicated he applied forward cyclic, but "nothing happened." The pilot further stated, "We hit the ground and instantly began violent spinning." According to the pilot, after the helicopter came to rest the engine was still running and he had to use the emergency fuel shutoff valve to turn it off.
The three cyclists on the ground witnessed the helicopter accident. Inspectors from the Federal Aviation Administration's (FAA) San Diego Flight Standards District Office interviewed the cyclists. The cyclists told the FAA inspectors they observed the helicopter on the ground about 3/4 mile away. They watched the helicopter takeoff in a near vertical ascent to approximately 100 to 150 feet agl.
The helicopter then turned left and headed towards the cyclists shining the landing light on them. The cyclists thought the helicopter was going to land across the dirt road in that they were traveling and check them out. The helicopter was then observed to turn right while hovering at an out-of-ground effect and start to descend. According to the FAA, all three cyclists described the initial rate of descent as slow and rapidly increasing.
The cyclists then took cover and watched as the helicopter descended and contacted the ground. They indicated that about 25 to 30 feet above the ground the tailboom dropped about 10 degrees [tail low]. The tail rotor struck the ground and the tailboom bent up into the main rotor blades. The main rotor blades severed the tailboom. The helicopter rolled onto its right side and the rotor blades struck the ground flipping the helicopter onto its left side. The helicopter appeared to cartwheel across the ground coming to rest about 75 feet east of the dirt road.
The cyclists heard the engine continue to run at high speed for 90 to 120 seconds. After the engine noise stopped one of the three cyclists went for help while the other two approached the helicopter. The cyclists aided the pilot and observer egress from the helicopter's wreckage. The pilot pointed out a first aid kit and a hand held VHF radio. The cyclists administered first aid to the more serious injured observer while the pilot called for help on the radio.
The cyclists indicated that they had ridden in the canyon area in the past and observed sheriff's helicopter operations in the area before. The three cyclists told the FAA inspectors that there were no unusual engine sounds and that they heard no other sounds indicating a problem with the helicopter before the collision with the ground.
Aircrew Information
Pilot
The pilot was employed by the San Diego County Sheriff's Department on June 15, 1979, as a deputy sheriff. In September 1986, he joined ASTREA and was trained as an observer. He started the Sheriff's Department flight training syllabus October 1989, and completed the training on September 16, 1991, with the issue of an FAA pilot certificate. He then was assigned pilot duties within ASTREA. The pilot suffered an on-the-job injury in April 1993, and was removed from pilot flight status until June 1996.
The pilot holds a commercial pilot certificate with a Rotorcraft-Helicopter rating. The most recent second-class medical certificate was issued on September 30, 1996, and contained the limitation that correcting lenses be worn while exercising the privileges of his airman certificate.
The pilot was off duty the day before the accident and had reported to work about 1330 to work the night shift to 2400.
The pilot indicated in his written accident report that his total aeronautical experience consists of about 1,095 flight hours, of which about 950 were accrued in the MD 369 series helicopters. The pilot had accrued about 144 hours of night flight experience, of which 56 were in the past 90 days.
The pilot, represented by counsel, was interviewed by Safety Board investigators after the accident. Present during the interview was an ASTREA Sheriff's Deputy who performed collateral duties as unit safety officer. The pilot was asked questions specific to the history of the accident flight and his aeronautical training. The pilot stated that during his initial training with the Sheriff's Department he did not perform any night autorotations, or any autorotations other than hovering autorotations, in the MD 369 series helicopters. The pilot indicated he was sent to Western Helicopters, Rialto, California, for recurrent training at which time he accomplished day autorotations in the MD 369. The pilot stated that he has not had any night emergency training.
During the interview, the pilot was asked if he had received any additional night training administered by the Sheriff's Department. The pilot indic
Aircraft
- Registration
- N5200Y
- Reported as
- McDonnell Douglas 369D
- Category
- Helicopter
- Serial number
- 1198D
- Airframe hours
- 4,806
- Engine
- Allison 250-C20B, 430 horsepower, turbo shaft
- Damage
- Substantial damage
- Flight
- Public aircraft · Part 91
- Registered owner
- San Diego Sheriff'S Dept
- Airworthiness certificate
- Standard, Normal
- Last inspection
- 100 hour · February 10, 1997 · 10 hours before
- Departed
- SEE · El Cajon, CA
- 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
- 45
- Certificate
- Commercial
- Medical
- Class 2, Valid Medical--w/ waivers/lim
- Seat
- Left
- Flight hours
- 1,095 total · 950 in this make and model · 950 as pilot in command · 188 in the last 90 days · 44 in the last 30 days · 1 in the last 24 hours
Weather
- Conditions
- Visual (VMC) · Night/dark
- Wind
- Calm
- Visibility
- 12 statute miles
- Lowest ceiling
- None
- Temperature
- 54 °F
- Altimeter
- 30.00 inHg
- Observed at
- KSE, 4 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.