WPR09TA001

NTSB accident investigation · Eurocopter AS350B3 · Blaine, WA · October 2, 2008

Accident · No injuriesFinal report
Date
October 1, 2008, 18:40 local (Oct 2, 2008, 01:40 UTC)
Place
Blaine, WA
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N172AEEurocopter AS350B3
Defining event
Landing-flare/touchdown: Hard landing
Weather
Visual (VMC) · Night/dark
Status
Completed · report March 23, 2009
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
United States Customs and Border Protection, Federal Aviation Administration
FAA report
20081001846439A
Case key
69157

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, which resulted in a hard landing. Contributing to the accident were the flight instructor's delayed remedial action and inadequate supervision of the flight.

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.

Performance/control parameters: prop/rotor parametersAircraft › Aircraft oper/perf/capability · Not attained/maintainedEurocopter AS 350 B3: 2 casesAll aircraft: 182 casesProbable cause
Action: delayed actionPersonnel issues › Action/decision · Instructor/check pilotEurocopter AS 350 B3: 5 casesAll aircraft: 894 casesProbable cause
Attention/monitoring: monitoring other personPersonnel issues › Psychological · Instructor/check pilotEurocopter AS 350 B3: 4 casesAll aircraft: 200 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotEurocopter AS 350 B3: 14 casesAll aircraft: 9,295 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 an annual helicopter proficiency evaluation flight, the flight instructor told the commercial pilot to conduct manual governor operations and the flight instructor then positioned the governor switch from "auto" to "man" while on the downwind leg to the runway. After performing a left 360-degree turn, the commercial pilot initiated a normal approach to the runway with the intention of performing a run-on landing. The commercial pilot stated that as the helicopter descended through 20 feet above ground level (agl), he attempted to increase throttle and collective to arrest the rate of descent when it "felt like the bottom fell out" and the helicopter landed hard on the asphalt runway surface in a slight nose high attitude. The flight instructor reported that he heard the aural low rotor RPM horn sound and noticed the rotor RPM was slowing through 350 rpm as the helicopter was descending through about 20 feet agl. The instructor stated that before he could react to correct the situation the helicopter struck the ground. Examination of the helicopter by a Federal Aviation Administration inspector revealed that the tail boom was partially bent and one of the main rotor blades was damaged. No preimpact mechanical anomalies with the helicopter were reported by either pilot.

Factual narrative

On October 1, 2008, about 1840 Pacific daylight time, a Eurocopter AS350 B3 helicopter, N172AE, was substantially damaged during a hard landing at the Blaine Municipal Airport, Blaine, Washington. The helicopter was registered to the US Department of Homeland Security and operated by the Customs and Border Protection (CBP) as a Public Use flight. The commercial pilot and flight instructor were not injured. Visual meteorological conditions prevailed and no flight plan was filed for the local training flight. The flight originated from Bellingham, Washington at 1815. In written statements provided by the CBP, the pilot and flight instructor reported that they were conducting a series of practice emergency procedures during an annual proficiency evaluation flight. After the completion of two landings, the instructor announced that they were going to conduct manual governor operations and positioned the governor switch from "auto" to "man" while on the downwind leg to runway 32. After performing a left 360-degree turn, the pilot initiated an approach to the runway with the intention of performing a slide-on landing. While on final approach to the runway, the pilot stated he felt like he was slightly high and increased the rate of descent "to intercept a flatter approach profile." At an altitude of about 80 feet above ground level (agl), the pilot increased throttle and slightly raised the collective to maintain a "flatter approach profile." Shortly after, he noticed the rotor rpm (NR) starting to slowly decay below the green arc and applied throttle. While NR continued to decay, the low rotor RPM warning horn sounded as NR approached 360 rpm. The pilot continued to increase throttle as NR stabilized at 350 rpm at an altitude of about 40 feet agl. The pilot stated that as the helicopter descended through 20 feet agl, he attempted to increase throttle and collective to arrest the rate of descent when it "felt like the bottom fell out" and the helicopter landed hard on the asphalt runway surface in a slight nose high attitude. The flight instructor reported that he heard the aural low rotor RPM horn sound and noticed the rotor RPM was slowing through 350 rpm as the helicopter was descending through about 20 feet agl. The instructor stated that he positioned his left hand over the left collective twist grip, however, "before I could react to correct the situation," the helicopter struck the ground. The instructor added that he "believes he saw throttle twisting in the decreasing RPM direction" prior to him placing his hand on the twist grip. Examination of the helicopter by a Federal Aviation Administration (FAA) inspector, who responded to the accident site, revealed that the tail boom was partially bent and one of the main rotor blades was damaged. No mechanical anomalies with the helicopter were reported by the commercial pilot or flight instructor.

Aircraft

Registration
N172AE
Reported as
Eurocopter AS350B3
Category
Helicopter
Serial number
3839
Airframe hours
1,590.5
Engine
Turbomeca Arriel 2B, 847 horsepower, turbo shaft
Damage
Substantial damage
Flight
Public aircraft · Public use
Operator
United States Customs and Border Protection
Registered owner
U S Department of Homeland Security
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · August 28, 2008 · 98.4 hours before
Departed
BLI · Bellingham, WA
Flight plan
Unknown
Airport
4W6 · Blaine Municipal Airport, runway 32, 2,539 × 40 ft, asphalt

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
51
Injuries
None
Certificates
Airline transport, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Helicopter, Airplane
Medical
Class 2, With waivers/limitations
Last flight review
March 6, 2008
Seat
Left
Flight hours
8,000 total · 1,009 in this make and model · 6,050 as pilot in command · 57 in the last 90 days · 17 in the last 30 days · 2 in the last 24 hours
Role
Pilot
Age
48
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 2, With waivers/limitations
Last flight review
September 12, 2008
Seat
Right
Flight hours
6,300 total · 1,100 in this make and model · 3,500 as pilot in command · 85 in the last 90 days · 20 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night/dark
Wind
Variable at 3 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
57 °F, dew point 54 °F
Altimeter
29.86 inHg
Observed at
BLI, 14 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.