WPR24LA239

NTSB accident investigation · Mcdonnell Douglas Helicopter 369 · Mesa, AZ · July 9, 2024

Accident · No injuriesClass 4 · LimitedFinal report
Date
July 9, 2024, 09:35 local (16:35 UTC)
Place
Mesa, AZ
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N540HHMcdonnell Douglas Helicopter 369
Defining event
Landing-flare/touchdown: Dynamic rollover
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 4 - Basic report with no Prelim publish
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
FAA report
20240709008379A
Case key
194670

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 receiving instruction’s failure to maintain helicopter control during autorotation, which resulted in a dynamic rollover. Contributing to the accident was the delayed remedial action from the flight instructor.

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.

Use of equip/info: aircraft controlPersonnel issues › Task performance · Student/instructed pilotMD Helicopters 369FF: 4 casesAll aircraft: 9,295 casesProbable cause
Action: delayed actionPersonnel issues › Action/decision · Instructor/check pilotMD Helicopters 369FF: 2 casesAll aircraft: 894 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

The flight instructor reported that, the pilot receiving instruction entered a smooth and established autorotation. About 75 ft above ground level, the pilot receiving instruction began to slow the helicopter into a near- vertical decent. The flight instructor took the controls, leveled the helicopter, and it then contacted the ground. One of the skids dug into the sand, and the helicopter proceeded to roll over. During the accident sequence, the helicopter sustained substantial damage to the tail boom, horizontal stabilizer, vertical stabilizer, and the fuselage. The operator reported that there were no preaccident failures or malfunctions that precluded normal operation.

Aircraft

Registration
N540HH
Reported as
Mcdonnell Douglas Helicopter 369 (FF)
Category
Helicopter
Serial number
0186FF
Built
2012
Airframe hours
468.5
Engine
Rolls Royce 250-C30, 557 horsepower, turbo shaft
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
MD Helicopters
Registered owner
Bank of Utah Trustee
Airworthiness certificate
Special, Experimental (Special)
Last inspection
100 hour · January 18, 2024 · 35.9 hours before
Departed
FFZ · Mesa, AZ
Destination
FFZ · Mesa, AZ
Flight plan
Company VFR
Equipment
Electronic multifunction display, ADS-B, Electronic primary flight display

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
54
Injuries
None
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land
Instrument ratings
Helicopter
Medical
Class 2, Waiver time limited special
Last flight review
March 3, 2024
Seat
Left
Restraint
4-point
Flight hours
6,000 total · 3,000 in this make and model · 30 in the last 90 days · 10 in the last 30 days · 4 in the last 24 hours
Role
Pilot
Age
999
Injuries
None
Certificates
Flight instructor, Foreign
Airplane ratings
Single-engine land
Instrument ratings
Helicopter
Medical
Unknown, Unknown
Last flight review
June 24, 2024
Seat
Right
Restraint
4-point
Flight hours
172 total · 42 in this make and model · 16 as pilot in command · 21 in the last 90 days · 4 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
170° at 7 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
100 °F, dew point 52 °F
Altimeter
29.85 inHg
Observed at
KIWA, 6 nm away
METAR
KIWA 091647Z 17007KT 10SM CLR 38/11 A2985

Docket · 3

The files NTSB released with the investigation on November 19, 2024, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.8 MB 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.