MIA03LA162

NTSB accident investigation · Piper PA-25-235 · West Palm Beach, FL · August 16, 2003

Accident · Serious injuriesLimited investigationFinal report
Date
August 16, 2003, 11:46 local (15:46 UTC)
Place
West Palm Beach, FL
Injuries
1 serious, 2 minor
Phase of flight
Initial climb
Aircraft
N8785LPiper PA-25-235N341ZGRobinson R22 Beta
Weather
Visual (VMC) · Day
Status
Completed · report October 27, 2005
Report
Approved by Office Director
Parties
FAA Flight Standards District Office
FAA report
20030816022631A
Case key
57767

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 poor judgment by the pilot-in-command of the airplane for his initiation of takeoff after the helicopter pilot had announced intention to perform a 180-degree autorotation to the runway, and the failure of both pilots to maintain visual lookout resulting in the in-flight collision.

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.

Midair collisionTakeoff - initial climb
Judgment - poorPilot in commandCause
Visual lookout - not maintainedPilot in commandCause
Visual lookout - not maintainedFlightcrew of other aircraftCause
Aircraft control - not possiblePilot in command
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - swampy
Midair collisionHover
Judgment - poorPilot of other aircraftCause
Visual lookout - inadequateFlightcrewCause
Visual lookout - inadequatePilot of other aircraftCause
Aircraft control - not possiblePilot in command(cfi)
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - runway

Analysis

The CFI and student in the Robinson helicopter had been flying for approximately 46 minutes and the CFI elected to finish the training session with her demonstration of a 180-degree autorotation. The pilot of the Piper airplane had been towing gliders earlier and after landing following another tow, the next glider was connected. An occupant of the helicopter announced on the common traffic advisory frequency (CTAF), "North County traffic helicopter one Zulu Gulf is turning left downwind at (500) feet for practice one eighty autorotation North County." The pilot of the Piper airplane reported seeing the helicopter just starting the downwind leg and made an announcement on the CTAF announcing his takeoff. The transmissions recorded on the CTAF did not include ground communications. Witnesses noted the helicopter on the downwind leg while the airplane began the takeoff roll. The helicopter was then observed to make a left turn and was noted by the pilot of the glider being towed to be slightly above and behind to his left and was paralleling the flight path of the airplane. The airplane and helicopter collided; following which, the airplane continued straight ahead for a short distance before descending nose and left-wing low into a marsh. The helicopter impacted the ground. Postaccident examination of both aircraft revealed the main rotor of the helicopter contacted the left main landing gear tire and section of leading edge of the left wing of the airplane. The airport did not have a memorandum of agreement with any operators at the airport pertaining to helicopter and fixed wing operations to runway 8L.

Factual narrative

On August 16, 2003, about 1146 eastern daylight time, a Piper PA-25-235 (Piper), N8785L, registered to Barry Aviation, Inc., and operated by Barry Aviation Florida, Inc., and a Robinson R22 Beta (Robinson), N341ZG, registered to and operated by Ocean Helicopters, Inc., collided in-flight at the North Palm Beach County General Aviation Airport, West Palm Beach, Florida. Visual meteorological conditions prevailed at the time and no flight plan was filed for the Piper airplane, which was towing a glider when the collision occurred. No flight plan was filed for the Robinson helicopter that was operating in accordance with 14 CFR Part 91 as an instructional flight. Both aircraft were substantially damaged, and the commercial-rated pilot of the Piper airplane sustained serious injuries; the pilot of the glider was not injured. The certified flight instructor (CFI) and pilot-rated student of the Robinson helicopter both sustained minor injuries. The flight of the Piper airplane was originating at the time of the accident; the flight of the Robinson helicopter originated about 1058, from the North Palm Beach County General Aviation Airport.

The pilot of the Piper airplane reported that he had towed gliders in the accident airplane earlier that day, and after landing following another glider tow, the next glider was connected. He kept the engine running and monitored the radio while the glider pilot was getting ready. The individuals who were handling the wings signaled for him to take up the slack in the tow cable. He leaned his head out the window to confirm the line was taught, the glider canopy was secure, and looked for the rudder wag from the glider. He closed his window, and checked for traffic in his entire field of view. He reported hearing radio calls for aircraft using runway 8R, but did not hear any radio calls for conflicting traffic for runway 8L during the entire taxi back from the previous landing and hook-up process. He did see a helicopter just starting the downwind leg for runway 8L. He made a radio call stating, "North County traffic, tow plane and glider departing 8L off the grass, North County." He began the takeoff roll and shortly before crossing the intersection of runways 13 and 31 while at an altitude of approximately 100 feet, he noticed off the left side a orange helicopter closing and descending at a high rate of speed. He felt an impact and vibration, and saw debris come off the aircraft. His aircraft and the helicopter separated quickly, and he tried to maintain control of the airplane but it entered a left bank upon impact. He pulled the towline release handle, and the airplane was "uncontrollable in sustained flight." He was unable to counter the left rolling tendency with full right aileron applied. He attempted to maintain flying speed by keeping the nose down and the wings level. Before impact with terrain, the airplane was in a nose low left turn; he closed his eyes before impact.

As requested by the NTSB, the student pilot of the glider being towed completed a NTSB "Witness Statement" form. He reported either in the NTSB Witness Statement form or in a sworn statement that he did not have a radio with him before entering the glider, but when he got in the glider to "strap up and run my checklist and attach the tow rope I heard no radio calls by any aircraft." At the completion of the checklist he looked left, right, and behind him to check for traffic; he did not see a helicopter or any other aircraft in the air. He looked again for traffic after signaling to the wing walkers, then signaled the tow plane that he was ready for takeoff. The pilot of the tow plane gave a return signal then made a radio call announcing the takeoff. The takeoff roll commenced and he reported that the helicopter first came into view when the tow plane and glider were airborne and climbing. He reported he first observed the helicopter when it was on a midfield downwind leg, and it continued on the downwind leg and flew out of his line of sight. The tow plane and glider continued climbing and the helicopter reappeared at a slightly higher altitude above and behind to his left and was "parallel to the left of tow plane." The helicopter descended with forward motion while the tow plane and glider continued straight ahead. The helicopter and tow plane then "slowly drifted into one another's flight paths", he never saw either the tow plane or helicopter bank away from the other aircraft before the collision. The helicopter "continued to overtake and descend on our aircraft on the left side. It descended down beside Mr. Barry's aircraft and clipped his left wing." He saw "black debris fly out from the two aircraft and the helicopter basically just plummeted to the ground." He reported that as the blade hit the wing he immediately released the towline from the glider. He estimated the impact occurred between 50 and 100 feet in altitude at the intersection of runway 8L and 13. He noted that the tow plane immediately banked to the left but continued to climb for "quite a distance." He (student pilot) landed the glider on runway 8L but continued to watch the tow plane continue to climb. The tow plane then "all of a sudden it did a sharp turn to the left, went into a spin, spun around about 360 degrees and nose-dived into the ground into a marshy area." He noted that the empennage was approximate 15 degrees short of vertical for approximately a second or two after the impact then snapped and fell back.

The CFI of the helicopter reported she had been flying with a student since 11 o'clock that morning, and decided to finish the flight training with her demonstrating a 180-degree autorotation to him. When the flight was 1/2 way down the runway on the downwind leg, she made a radio call announcing that she was on a left downwind for runway 8L and was setting up for a "180-degree autorotation." As she entered the autorotation abeam the hold short line of runway 13, she looked at the glider-tow set up and confirmed that they were still stationary at the beginning of runway 8L. She continued the autorotation flying to the "tarmac strip (a combination of runway 13-31, and taxiway F)." She leveled the helicopter off at about 10 to 15 feet above ground level after having completed a flair and bringing in power to recover to a hover. The next thing she knew, "there was a sudden, at this moment incomprehensible 'crash' and the helicopter hit the ground." As she looked up, she observed the tow plane nose dive into the swamp to the left of the runway. Both she and the student exited the wreckage and walked away. As they were walking towards the fixed-base operator building, the tow plane pilot's son came by in a golf cart, offered them a ride, and "apologized for the incident."

The pilot-rated student in the helicopter reported that after having flown with the CFI on the day of the accident for approximately 40 minutes, she took control of the helicopter in order to demonstrate a 180-degree autorotation to him. She entered the left downwind to runway 8L, and made a radio call on the UNICOM frequency announcing her intention of making a 180-degree autorotation landing on runway 8L. At the point she made her radio call, the tow plane and glider were "sitting at the staging area of the runway 8L and were not moving." She entered the autorotation and began the 180-degree turn. During the maneuver the CFI and himself continued to observe the airspace around them. She performed the autorotation and at the completion of the flare, leveled the helicopter at 10 to 15 feet, restored power, and entered a hover. While hovering for approximately 5 to 7 seconds, "we were struck from behind", and the helicopter crashed to the ground and rolled onto its left side. He looked out the front of the helicopter which was pointed directly down runway 8L, and noted the tow plane and glider "go over the top of the helicopter." The

Aircraft · 2

Registration
N8785L
Reported as
Piper PA-25-235
Category
Airplane
Serial number
25-5471
Airframe hours
5,994
Engine
Lycoming O-540-B2B5, 235 horsepower, reciprocating
Damage
Substantial damage
Flight
Other work use · Part 91
Operator
Barry Aviation Florida, Inc.
Registered owner
Barry Aviation, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · July 30, 2003 · 13.53 hours before
Departed
F45 · West Palm Beach, FL
Destination
F45 · West Palm Beach, FL
Airport
F45 · North Palm Beach County, runway 8L, 2,000 × 75 ft, grass/turf

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.

Registration
N341ZG
Reported as
Robinson R22 Beta
Category
Helicopter
Serial number
2246
Airframe hours
1,730.3
Engine
Lycoming O-320-B2C, 160 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Registered owner
Ocean Helicopters, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · July 25, 2003 · 21.5 hours before
Departed
F45 · West Palm Beach
Destination
F45 · West Palm Beach, FL
Airport
F45 · North Palm Beach County, runway 8L, 2,000 × 75 ft, grass/turf

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 · 3

As NTSB recorded them. NTSB leaves out names.

Role
Pilot, aircraft N8785L
Age
54
Injuries
Serious
Certificates
Airline transport, Commercial
Airplane ratings
Single-engine sea, Multi-engine land, Single-engine land, Multi-engine sea
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Last flight review
May 18, 2003
Seat
Front
Flight hours
5,700 total · 5,100 as pilot in command · 46 in the last 90 days · 22 in the last 30 days
Role
Flight instructor, aircraft N341ZG
Age
37
Injuries
Minor
Certificates
Flight engineer, Commercial
Instrument ratings
Helicopter
Medical
Class 2, Valid Medical--no waivers/lim.
Last flight review
May 27, 2003
Seat
Left
Flight hours
366 total · 366 in this make and model · 305 as pilot in command · 133 in the last 90 days · 36 in the last 30 days · 5 in the last 24 hours
Role
Student pilot, aircraft N341ZG
Age
54
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--w/ waivers/lim
Last flight review
August 11, 2003
Seat
Right
Flight hours
129 total · 66 in this make and model · 35 as pilot in command · 12 in the last 90 days · 6 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
110° at 10 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
86 °F, dew point 75 °F
Altimeter
30.05 inHg
Observed at
KPBI

FAA reports on this event · 1

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