SEA06LA124

NTSB accident investigation · Hughes 369D · Salt Lake City, UT · June 20, 2006

Accident · No injuriesLimited investigationFinal report
Date
June 20, 2006, 10:30 local (16:30 UTC)
Place
Salt Lake City, UT
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N88SEHughes 369D
Weather
Visual (VMC) · Day
Status
Completed · report January 31, 2007
Report
Approved by Office Director
Parties
Salt Lake City FSDO
FAA report
20060620012249A
Case key
63983

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 NTSB’s determination of the probable cause, and any contributing factors.

A loss of rotor rpm for undetermined reasons, resulting in a hard landing on top of the commercial building over which the helicopter was working.

Analysis

While placing an air conditioning unit on top of a commercial building, the pilot heard the main rotor pitch droop, and confirmed that the rotor rpm was beginning to decrease. He then confirmed the throttle was open in the full flight position, moved the load away from the personnel on the roof, and lowered the collective. The low rotor audio sounded, and the rotor rpm continued to decrease, so the pilot hit the load release switch and autorotated to an emergency landing on top of the roof. After a hard touchdown, the aircraft bounced, touched down again, and then balanced on the right skid before very slowly rolling onto its right side. The load he was placing on the roof weighed less than one-half of what the helicopter was capable of lifting under the ambient conditions, and neither an engine/airframe inspection nor a test run of the engine were able to establish any anomalies or the initiating factor in the rotor droop event.

Factual narrative

On June 20, 2006, approximately 1030, mountain daylight time, a Hughes 369D helicopter, N88SE, rolled over onto its side after autorotating to a hard landing to the top of a commercial building in Salt Lake City, Utah. The airline transport pilot, who was the sole occupant, was not injured, but the aircraft, which is owned by Pathfinder Leasing LLC, sustained substantial damage. The 14 CFR Part 133 long-line external load flight, which initially departed Bountiful, Utah, about 0840, was being operated in visual meteorological conditions.

According to the pilot, who had already lifted 20 of 24 air conditioning units into place on top of the 30 foot tall building, just before placing the twenty-first unit on top of the building, he heard what he believed was a main rotor pitch droop. He then quickly looked at the main rotor rpm on the tachometer, which confirmed that the rotor rpm was beginning to decrease. He then confirmed the throttle was open in the full flight position, moved the load away from the personnel on the roof, and lowered the collective. The low rotor audio sounded, and the rotor rpm continued to decrease, so the pilot hit the load release switch and autorotated to an emergency landing on top of the roof. After touchdown, the aircraft bounced, touched down again, and then balanced on the right skid before very slowly rolling onto its right side.

According to the pilot's calculations, the ambient conditions on the day of the accident allowed for loads up to 1,000 pounds, and it was determined that the load he was lifting was no greater than 425 pounds.

A post-accident inspection of the airframe and engine did not reveal any malfunction or anomalies that would have contributed to a reduction in engine or rotor rpm. The engine was shipped to the Rolls-Royce inspection/test run facility in Indianapolis, Indiana, where it underwent an FAA-supervised test run. During all portions of the test run regime, the engine performed at or above all required specifications, and at full throttle produced power 11.9 percent above required output.

At the end of the investigative process, no clear determination of the source of the rotor droop event could be established.

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 powerHover - out of ground effect
Reason for occurrence undeterminedCause
Hard landingEmergency landing
Terrain condition - other

Aircraft

Registration
N88SE
Reported as
Hughes 369D
Category
Helicopter
Serial number
800775D
Airframe hours
4,610
Engine
Allison 250-C20B, 420 horsepower, turbo shaft
Damage
Substantial damage
Flight
External load · Part 133
Registered owner
Pathfinder Leasing LLC
Airworthiness certificate
Standard, Utility
Last inspection
100 hour · May 1, 2005
Departed
KBTF · Bountiful, UT
Destination
KBTF · Salt Lake City, UT
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
42
Injuries
Minor
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 1, Without waivers/limitations
Last flight review
May 1, 2006
Seat
Left
Flight hours
8,821 total · 905 in this make and model · 6,779 as pilot in command · 134 in the last 90 days · 39 in the last 30 days · 4 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
300° at 5 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
73 °F
Altimeter
30.11 inHg

Docket · 1

The files NTSB released with the investigation on November 9, 2006, on NTSB’s docket system: statements, records, photos and specialists’ reports. 397 KB in all.

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 N88SE · 1

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