WPR09LA125

NTSB accident investigation · Eurocopter AS 350 B2 · Cave Creek, AZ · February 23, 2009

Accident · No injuriesLimited investigationFinal report
Date
February 22, 2009, 19:55 local (Feb 23, 2009, 02:55 UTC)
Place
Cave Creek, AZ
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N353PEurocopter AS 350 B2
Defining event
Landing-flare/touchdown: Hard landing
Weather
Visual (VMC) · Night
Status
Completed · report May 12, 2009
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
FAA report
20090222003919A
Case key
73379

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 misjudged landing flare. Contributing to the accident was the brownout condition created by the dust cloud that interfered with the pilot's perception of proximity to the ground, and the glare interference from the parked fire vehicles headlights with the pilot's night vision goggles.

Findings · 4

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Light condition: glareEnvironmental issues › Conditions/weather/phenomena · Effect on personnelEurocopter AS 350 B2: 1 caseAll aircraft: 109 casesProbable cause
Performance/control parameters: landing flareAircraft › Aircraft oper/perf/capability · Not attained/maintainedEurocopter AS 350 B2: 2 casesAll aircraft: 1,285 casesProbable cause
Perception/orientation/illusionPersonnel issues › Psychological · PilotEurocopter AS 350 B2: 1 caseAll aircraft: 8 casesProbable cause
Ceiling/visibility/precip: obscurationEnvironmental issues › Conditions/weather/phenomena · Effect on personnelEurocopter AS 350 B2: 2 casesAll aircraft: 45 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

During a night time positioning flight to a traffic accident to pick up a patient, the pilot obtained landing zone information by radio from first responders. The first responders informed the pilot that there were numerous obstructions surrounding the dirt parking lot landing zone. The pilot performed an aerial reconnaissance of the parking lot to visually identify obstacles and asked ground personnel if the landing area had been watered down. The ground personnel replied that the landing area was not wetted down; however, it "looked damp." The pilot proceeded to initiate his approach to the dirt parking lot and observed dust starting to circulate around the helicopter. Shortly after, the pilot encountered a brownout about 15 to 20 feet above ground level (agl). He then reduced power in an effort to land quicker and reduce the dust volume. As the helicopter descended through about 10 feet agl, the pilot lost visual reference through his night vision goggles due to lights from adjacent emergency service vehicles. The pilot attempted to look outside through the windows underneath his NVGs as he slightly adjusted the collective. Subsequently, the helicopter landed hard, adjacent to an office building and fire truck, forward and to the left of the pilot's original intended landing area. Examination of the helicopter revealed that the tail boom and fuselage were structurally damaged.

Factual narrative

On February 22, 2009, about 1955 mountain standard time, a Eurocopter AS 350 B2 helicopter, N353P, was substantially damaged during a hard landing near Cave Creek, Arizona. The helicopter was registered to and operated by PHI Inc. of Lafayette, Louisiana, under the provisions of Title 14 Code of Federal Regulations Part 91. The commercial pilot and two medical crew members were not injured. Night visual meteorological conditions prevailed and a company visual flight rules flight plan was filed for the repositioning flight. The local flight originated from the Phoenix Deer Valley Airport, Phoenix, Arizona, at 1945 with an intended destination of Cave Creek. In a written statement, the pilot reported that he was dispatched to the site of a traffic accident to provide patient transport. Upon arriving to the dispatched area, he obtained the landing area information from the crew of a fire engine located adjacent to the landing zone. The fire engine crew reported to the pilot that there were power lines on the north and west sides, a flag pole on the eastern side, and trees to the immediate south of the 150-foot by 200-foot dirt parking lot. The pilot then performed an aerial reconnaissance of the parking lot to visually identify the obstacles and asked the fire engine crew if the landing area had been watered down. The fire engine crew told the pilot that it was not wetted down and "looked damp." The pilot proceeded to initiate his approach to the dirt parking lot from the south. While descending through about 30 feet above ground level (agl), the pilot noticed dust starting to circulate around the immediate area of the helicopter. As the descent continued through about 15 to 20 feet agl, the pilot stated he experienced a "brownout" and told the crew they were "going to the ground." The pilot then reduced power "to get down quicker and lower [the] dust volume." As the helicopter descended through about 10 feet agl, the pilot stated he lost visual reference through his night vision goggles (NVG) due to the lights from the adjacent fire trucks. The pilot attempted to look outside through the windows underneath his NVGs as he slightly adjusted the collective. Subsequently, the helicopter landed hard on the right landing skid followed by the left and came to rest upright adjacent to an office building and fire truck. In a written statement, the flight nurse, who was seated behind the pilot, reported that prior to the approach to landing she was instructed by the pilot to "watch for dust" and that they "will go to the ground if need be." As the approach to landing continued, she could see the ground outside her right window and dust "starting to appear and surround the aircraft." The flight nurse stated that the helicopter was drifting forward and to the left within close proximity to a building structure and fire engine, before hitting the ground with one skid followed by the other. Examination of the helicopter by a Federal Aviation Administration(FAA) inspector revealed that the tail boom and fuselage were structurally damaged.

Aircraft

Registration
N353P
Reported as
Eurocopter AS 350 B2
Category
Helicopter
Serial number
3885
Engine
Turbomeca ARRIEL 1D1, 712 horsepower, turbo shaft
Damage
Substantial damage
Flight
Positioning · Part 91
Operator
Phi Inc
Registered owner
Phi Inc
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · December 3, 2008 · 51 hours before
Departed
DVT · Phoenix, AZ
Destination
Cave Creek, AZ
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
58
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Helicopter
Medical
Class 2, Without waivers/limitations
Seat
Right
Flight hours
8,106 total · 753 in this make and model · 7,480 as pilot in command · 20 in the last 90 days · 3 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night
Wind
30° at 5 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
70 °F, dew point 36 °F
Altimeter
30.10 inHg
Observed at
DVT, 12 nm away

Docket · 6

The files NTSB released with the investigation on March 23, 2009, on NTSB’s docket system: statements, records, photos and specialists’ reports. 958 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.