SEA08FA022

NTSB accident investigation · Hughes 269C · Baker City, OR · November 8, 2007

Accident · FatalField investigationFinal report
Date
November 8, 2007, 12:45 local (20:45 UTC)
Place
Baker City, OR
Injuries
1 fatal
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N381MCHughes 269C
Weather
Visual (VMC) · Day
Status
Completed · report November 10, 2008
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20071108826399A
Case key
67062

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 failure to maintain main rotor rpm while maneuvering.

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 flightManeuvering
Rotor rpm - not maintainedPilot in commandCause
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - ground

Analysis

According to witnesses, after departing the airport, the helicopter turned to the north, climbed to an altitude that was reported to be as low as 100 above ground level (agl) and as high as 800 feet agl. As it approached the accident site location, the helicopter's tail reportedly lowered, it slowed, rotated or turned slightly to the east, and then descended rapidly toward the terrain. Witnesses reported that near the beginning of the descent, the main rotor blades either slowed their rotation significantly or "stopped turning." One witness stated that almost immediately after observing the change in rotation speed of the main rotor blades, "…the helicopter just dropped out of the sky." Examination of the wreckage disclosed evidence of coning of the main rotor blades. No evidence was found of any flight control malfunction or loss of engine power.

Factual narrative

History of flight

On November 8, 2007, approximately 1245 Pacific standard time, a Schweizer 269C helicopter, N381MC, impacted the terrain about one and one-half mile north of Baker City Municipal Airport, Baker City, Oregon. The private pilot, who was the sole occupant, was killed in the accident sequence, and the helicopter, which was owned and operated by Baker Aircraft, was substantially damaged. The 14 CFR Part 91 solo instructional/proficiency flight, which departed Baker City Municipal Airport about five minutes prior to the accident, was being operated in visual meteorological conditions. No flight plan had been filed.

According to witnesses, after departing Baker City Municipal Airport, the helicopter turned to the north, climbed to an altitude that was reported to be as low as 100 above ground level (agl) and as high as 800 feet agl. The helicopter then paralleled Interstate Highway 84 as it proceeded to the north. As it approached Chandler Lane (Highway 203), its tail reportedly lowered, it slowed, rotated or turned slightly to the east, and then descended rapidly toward the terrain. Witnesses reported that near the beginning of the descent, the main rotor blades either slowed their rotation significantly or "stopped turning." One witness stated that almost immediately after observing the change in rotation speed of the main rotor blades, "…the helicopter just dropped out of the sky."

Personnel information

The 59-year-old pilot held a commercial pilot certificate with an airplane single engine land (ASEL) rating and an instrument rating for airplanes. His last medical, a Second Class, was issued on March 1, 2007. He had accumulated about 2,050 hours of flight time, with about 62 hours in helicopters, 60 of which were accumulated in the 90 days prior to the accident. According to a representative of Baker Aircraft, the pilot was in the process of developing his proficiency for an upcoming flight check during which he hoped to qualify for a commercial helicopter rating.

According to the pilot’s logbook he flew five flights in N381MC on the day prior to the accident, for a total of 5.8 hours. Four of those flights were during daylight hours, and one, lasting 1.3 hours, was logged as night time. On the morning of the accident, the pilot flew a 1.5-hour dual instructional flight, which ended around 1000.

Aircraft information

The accident helicopter, a Schweizer 269C, serial number 1240, was manufactured in 1986. It was owned and operated by Elkhorn Aviation, Inc., doing business as Baker Aircraft. Its last 100-hour inspection was completed on October 28, 2007, and at the time of the accident, it had accumulated 4,324 hours. The helicopter had been flown on two prior flights on the day of the accident. The first was the training flight involving the deceased pilot, and the second was another training flight of 1.5 hours duration. The helicopter’s fuel system was then topped off with 16.65 gallons of aviation fuel prior to the accident flight.

Meteorological information

According to the 1253 automated aviation weather surface observation (METAR), the winds were from 230 degrees magnetic at four knots. The sky was clear, with a visibility of eight statute miles. The temperature was 13 degrees Celsius, and the dew point was two degrees Celsius. The altimeter setting was 30.03 inches of mercury. There were no reports of gusting winds or turbulence.

Wreckage and impact information

The helicopter impacted flat level open terrain about one-tenth of a mile south of Chandler Lane/Highway 203, and about four-tenths of a mile east of Interstate Highway 84. The altitude of the site was approximately the same as that of the airport, 3,370 feet mean sea level (MSL). The initial ground impact scar consisted of two parallel indentations about 65 inches apart and about 50 inches long. The indentations, both of which were about one inch deep and two inches wide, ran on an east/west magnetic heading. The northerly indentation had created a ridge about one-half inch in height along its northern edge, and near its westerly end was found about the aft 18 inches of the left skid. This portion of the skid was still connected to its lateral support leg and diagonal brace, both of which had separated from the airframe. Lying alongside of the aft portion of the skid was the aft skid oleo/vertical support leg. Another section of the left skid, about 16 inches long, was lying about two feet northeast of the aforementioned section, and the forward oleo/vertical support leg was located about two feet further northeast. The primary wreckage came to rest about 20 feet north of the initial impact point. The only other readily identifiable object located at the initial impact point was the cylindrical body of the fuel gasculator unit, along with its associated wire screen filter.

The primary wreckage, which included the pilot/passenger compartment, right skid, engine/transmission section, and the main rotor shaft and blades, was lying on its right side facing to the east. The bottom of the helicopter’s structure, along with the engine induction and exhaust pipes, had been crushed directly upward into the structure above them. The forward portion of the left skid was found lying about three feet north of the primary wreckage. The Plexiglas pilot/passenger compartment enclosure/bubble had fractured into small pieces, and the instrument pedestal had been thrown forward out of the compartment, and remained only partially attached by its associated electrical wiring. The transmission and main rotor shaft were still attached to the primary structure, but the main rotor shaft housing had fractured just above the flange that attaches it to the transmission housing.

The shroud was removed from the drive belt/clutch pulley system, and it was determined that the arms that support the driven pulley and the tensioner/clutch pulley had fractured. All eight drive belts were still in their respective groves on all three pulleys, and there was no evidence of in-flight slippage of any of the belts. The electrically-driven jackscrew in the actuator that controls the engagement of the driven pulley, by causing the tensioner/clutch pulley to increase tension on the drive belts, was found in the fully retracted (driven pulley fully engaged) position. The clutch engagement toggle switch on the instrument console was found in its center "HOLD" position, with the switch guard open.

The scroll was removed from the induction fan, and circumferential rubbing/scaring was found along about 45 percent of the interior of the scroll structure. In addition, much of the area of the aft (non-attached) end of most of the fan blades had been burnished to a bright shine due to their rotational contact with the scroll.

All three main rotor blades were still attached to the rotor hub, and all three were still attached to their pitch change links. The drag-link dampeners attached to the root of the blades had been pulled out of their housings on two of the blades. The flight control torque tubes were traced from the rotor head to the point where they entered the crushed structure of the pilot/passenger compartment, and no evidence of malfunction, anomaly, or failure was evident in either the tubes or their interconnect ends. One main rotor blade, which suffered very little direct impact damage, was relatively straight along about two-thirds of its span. It then was bent downward about 10 degrees, before bending upward again about 10 degrees, and then continuing relatively straight to its tip. The second blade, which had been ripped open span-wise along its most outboard 18 inches by contact with the terrain, showed the upward curvature and upper skin compression creases consistent with coning along its entire span. The third blade, which had been bent downward about 45 degrees about one foot outboard of the hub by terrain contact, also showed signatures consistent

Aircraft

Registration
N381MC
Reported as
Hughes 269C
Category
Helicopter
Serial number
S1240
Airframe hours
4,324
Engine
Lycoming HIO-360-D1A, 190 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Baker Aircraft, doing business as Baker Aircraft
Registered owner
Elkhorn Aviation Inc.
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · October 1, 2007
Departed
KBKE · Baker City Muni, OR
Destination
KBKE

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
59
Injuries
Fatal
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
November 1, 2006
Seat
Left
Toxicology
Performed
Flight hours
2,050 total · 62 in this make and model · 1,909 as pilot in command · 70 in the last 90 days · 50 in the last 30 days · 8 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
230° at 4 knots
Visibility
8 statute miles
Lowest ceiling
None
Temperature
55 °F, dew point 36 °F
Altimeter
30.29 inHg
Observed at
KBKE, 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.