WPR15LA257

NTSB accident investigation · Hughes 369HS · Manra Island, Kiribati · September 3, 2015

Accident · FatalLimited investigationFinal report
Date
September 3, 2015, 17:52 local (17:52 UTC)
Place
Manra Island, Kiribati
Injuries
1 fatal, 1 serious
Damage
Destroyed
Phase of flight
Maneuvering
Aircraft
N9068FHughes 369HS
Defining event
Maneuvering: Low altitude operation/event
Weather
Visual (VMC) · Day
Status
Completed · report October 23, 2017
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration, Federal Aviation Administration- LAX-IFO
Case key
91916

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

A The loss of helicopter control for reasons that could not be determined asbecause the helicopter sank in the oceanwater and was not recovered.

Findings · 2

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.

Not determinedNot determined › Not determined · Unknown/Not determinedHughes 369HS: 2 casesAll aircraft: 2,247 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

According to an operator representative, the commercial pilot and passenger/spotter were conducting fish-spotting duties. The operator reported that, about 16 minutes after the helicopter departed from the fishing vessel, the fishing vessel's radio operator reported losing contact with the helicopter. Vessel personnel then located the helicopter upside down in the water and initiated rescue operations. The passenger reported that "the helicopter went wrong in the air and started rolling over and fell into the water." The passenger evacuated the helicopter and was rescued shortly after. He reported that he saw that the pilot's life vest had inflated inside the helicopter and that the pilot was struggling to exit and then stopped moving. After the passenger was transported to a hospital, he was not available for further questioning. The pilot's personal life vest, which was equipped to self-inflate when submerged in water, likely prevented him from evacuating the helicopter as it rolled over. After the accident, the operator advised its pilots not to use this type of life vest and to use the company-issued flotation life vests. The helicopter sank and was not recovered. The reason for the loss of helicopter control could not be determined.

Factual narrative

On September 3, 2015, at 1752 Coordinated Universal Time (UTC), a Hughes 369HS helicopter, N9068F, was destroyed following a forced landing into the Pacific Ocean about 300 nautical miles east of Manra Island, Republic of Kiribati. The El Salvador certificated helicopter pilot was fatally injured, the passenger sustained serious injuries. The helicopter was operated by Whirlwide Helicopters Inc., of Port Vila, Vanuatu. The local aerial observation flight was conducted under the provisions of 14 Code of Federal Regulations (CFR) Part 91, when the accident occurred. Visual meteorological conditions prevailed, and no flight plan had been filed for the flight, which originated from a tuna fishing vessel 35 minutes prior to the accident. In a written report to the NTSB, a representative from the operator stated that the pilot and passenger/spotter were conducting fish spotting duties when the accident occurred. He reported that the helicopter descended and impacted the water and rolled upside-down. The spotter was able to exit the helicopter when he observed that the pilot's life vest had deployed while inside the helicopter and the pilot was struggling to exit. He saw the pilot stop moving, but due to his injuries was unable to assist him. A nearby fishing vessel was able to recover the pilot and the passenger but the helicopter sank and was not recovered. Shortly after being rescued, the passenger, a Vietnamese national, reported to the fish master that "the helicopter went wrong in the air and started rolling over and fell into the water." After the passenger was transported to a hospital in Majuro, Marshall Islands, he was not available for further questioning. The operator reported that the flight crews are issued life vests, but that some pilots preferred to use their own vests. The accident pilot had acquired his own vest which was equipped with an auto-inflation activation system which would activate anytime the vest was submerged underwater. The pilot's body was transported to Majuro for further processing. The investigation was unable to obtain any results of any testing or examination of the pilot. The mechanism of his injuries, detailed postmortem information was not available. The pilot held a commercial helicopter pilot certificate issued by the Republic of El Salvador on May 20, 2004, and a first-class airman medical certificate issued on November 6, 2014, with the limitations that the pilot must wear corrective lenses. The pilot's logbook was not recovered for examination. The operator reported the pilot had 5,350 total flight hours with 355 hours in make and model. No personal flight records were located for the pilot. The pilot did not hold a pilot certificate issued by the United States Federal Aviation Administration, which is required to operate a US registered aircraft while in international airspace.

Aircraft

Registration
N9068F
Reported as
Hughes 369HS (HS)
Category
Helicopter
Serial number
210293S
Built
1971
Airframe hours
6,871
Engine
Allison 250-C18C, 317 horsepower, turbo shaft
Damage
Destroyed
Flight
Aerial observation · Part 91
Operator
Whirlwide Helicopters Inc
Registered owner
Whirlwide Helicopters Inc
Airworthiness certificate
Special, Restricted (Special)
Last inspection
100 hour · January 20, 2015
Departed
Manra Island, POKR
Destination
Manra Island, POKR

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
Pilot
Age
57
Injuries
Fatal
Certificate
Commercial
Instrument ratings
Helicopter
Last flight review
March 10, 2015
Seat
Left
Restraint
4-point
Flight hours
5,350 total · 355 in this make and model · 5,250 as pilot in command · 110 in the last 90 days · 35 in the last 30 days · 1 in the last 24 hours
Role
Other flight crew
Injuries
Serious
Seat
Right
Flight hours
0 total · 0 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
85° at 17 knots, gusting 5
Visibility
20 statute miles
Lowest ceiling
None
Observed at
PCIS, 379 nm away

Docket · 7

The files NTSB released with the investigation on October 6, 2017, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.5 MB in all.

Other investigations on N9068F · 2

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