SEA06LA096

NTSB accident investigation · Schweizer 269C · Boise, ID · May 15, 2006

Accident · No injuriesLimited investigationFinal report
Date
May 15, 2006, 15:35 local (21:35 UTC)
Place
Boise, ID
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N2096WSchweizer 269C
Weather
Visual (VMC) · Day
Status
Completed · report October 3, 2006
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20060515030499A
Case key
63697

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 reduction of the throttle to idle at a high density altitude during a practice autorotation, which resulted in the engine stoppage. Factors contributing to the accident included the instructor pilot's improper planning by not adhering to the flight manual's warning to avoid reducing the throttle to the idle position at high density altitudes, and the uneven terrain.

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 engine power(total) - nonmechanicalEmergency landing
Throttle/power control - improper use ofPilot in command(cfi)Cause
Procedures/directives - not followedPilot in command(cfi)Factor
Emergency procedure - simulated
In flight collision with terrain/waterDescent - emergency
Terrain condition - rough/unevenFactor

Analysis

During an instructional flight, in which a practice autorotation was to be demonstrated, the instructor pilot instructed the student to reduce the throttle to idle to simulate an engine failure at altitude. During the course of the maneuver and after the throttle had been reduced to idle the instructor became aware that the engine had failed. An autorotation was completed to the ground into the wind to a grass field with a slight up slope, which resulted in the helicopter sliding backwards approximately 15 feet before the tail boom, which flexed up was impacted by the main rotor. The helicopter suffered damage to the tail boom, all three main rotor blades, and the tail rotor drive shaft. A subsequent engine run, which was overseen by two FAA inspectors, revealed no anomalies which would have precluded normal operations. The inspectors did note that while the idle rpm and idle mixture were adjusted poorly for altitude and temperature, this did not result in the loss of engine power; the instructor pilot's failure to follow the cautions in the helicopter's flight manual did result in the loss of power.

Factual narrative

On May 15, 2006, approximately 1535 mountain daylight time, a Schweizer 269C helicopter, N2096W, sustained substantial damage following a hard landing while performing an autorotation near Boise, Idaho. The certified helicopter instructor pilot and his student were not injured. The helicopter was registered to and operated by Aviation Specialties Limited of Boise. Visual meteorological conditions prevailed for the local instructional flight, which was operated in accordance with 14 CFR Part 91, and a flight plan was not filed. The helicopter departed from the Boise Air Terminal/Gowen Field (BOI), about 1415.

According to the Pilot/Operator Aircraft Accident/Incident Report (NTSB Form 6120.1) submitted to the NTSB investigator-in-charge (IIC), the instructor pilot reported that approximately 1.3 hours into the flight, at an altitude of 3,900 feet mean sea level (msl) or 1,000 feet above ground level (agl), the instructor pilot, who was occupying the left seat and in control of the helicopter, instructed the student, who occupied the right seat, to reduce the throttle to idle to simulate an engine failure at altitude. The instructor pilot stated that after the throttle was reduced to idle he entered an autorotation, maneuvered the helicopter into the wind, and then noticed the engine had failed. The instructor pilot reported that he decided not to attempt to do an engine restart in flight, and the autorotation was completed to the ground into the wind to a grass field with a slight up slope. The instructor pilot further reported that after the helicopter's skids impacted terrain, it slid backwards approximately 15 feet before the tail boom flexed up and was impacted by the main rotor. The hard landing resulted in substantial damage to the tail boom, all three main rotor blades, and the tail rotor drive shaft. There was no post accident fire. The aircraft was subsequently recovered to a secured area at the facilities of Aviation Specialties Limited, where a further examination by representatives of the Federal Aviation Administration (FAA) would be conducted.

On May 18, 2006, two FAA aviation safety inspectors from the Boise Flight Standards District Office, Boise, Idaho, participated in an engine run. The inspection revealed no anomalies which would have precluded normal operation of the engine. The inspectors reported that while the idle rpm and idle mixture were set for winter temperatures, and that while being adjusted poorly for the altitude and temperature on the day of the flight, the failure of the instructor pilot to follow the cautions in the helicopter's flight manual resulted in the loss of power. (Refer to attached inspector's statement)

According to the Schweizer Aircraft Corporation's Model 269C Helicopter Pilot's Flight Manual, page 4-23, #4-16, ENGINE IDLE AT ALTITUDE, revised 15 June 1994, this section states:

Engine idle speeds at high density altitude may be less than those set at sea level conditions.

WARNING: AVOID THROTTLE CHOPS TO FULL IDLE AT ALTITUDES ABOVE 7000 FEET, TO AVOID POSSIBILITY OF ENGINE STOPPAGE. (Refer to attached Schweizer Aircraft Corporation Pilot's Flight Manual, Normal Procedures, page 4-23)

At 1524, the weather reporting facility at BOI, reported wind 140 degrees at 13 knots, visibility 10 statute miles, sky clear, temperature 33 degrees C, and a density altitude of 5,500 feet.

Aircraft

Registration
N2096W
Reported as
Schweizer 269C
Category
Helicopter
Serial number
S 1865
Airframe hours
978
Engine
Lycoming HIO-360-DIA, 190 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Registered owner
Aviation Specialties Unlimited
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 1, 2006 · 15 hours before
Departed
BOI · Boise, ID
Airport
BOI · Boise Air Terminal/Gowen Field

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Flight instructor
Age
57
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine sea, Single-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 2, With waivers/limitations
Last flight review
January 1, 2006
Seat
Left
Flight hours
5,714 total · 293 in this make and model · 5,132 as pilot in command · 155 in the last 90 days · 61 in the last 30 days · 2 in the last 24 hours
Role
Student pilot
Age
36
Injuries
None
Certificate
Private
Medical
Class 2, Without waivers/limitations
Last flight review
January 1, 2006
Seat
Right
Flight hours
111 total · 109 in this make and model · 71 as pilot in command · 47 in the last 90 days · 18 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
140° at 13 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
91 °F, dew point 30 °F
Altimeter
30.04 inHg
Observed at
BOI, 2 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.

Other investigations on N2096W · 1

Matched to the same aircraft by N-number and date.