N1WC

HISTORY OF FLIGHT

On September 11, 1995, at 0530 Pacific daylight time, an Agusta A109A II, N1WC, registered to Signet Leasing and operated by Hospital Air Transport as a 14 CFR Part 91 positioning flight, collided with the water approximately one mile off the shoreline of Bainbridge Island, near Winslow, Washington. Visual and instrument meteorological conditions prevailed at the time and a company visual flight rules flight plan was filed. The helicopter sank in approximately 750 feet of water and was destroyed. The commercial pilot and two flight nurses were fatally injured. The helicopter had departed from Boeing Field, Seattle, Washington, at 0526, and was en route to pick up a woman in labor on Bainbridge Island to transport her to a hospital in Seattle.

At approximately 0500, an individual from the Bainbridge Fire Department reported that he heard over his radio that the Bainbridge Island Fire Department was dispatched to a woman in labor. Approximately 10 minutes later, he heard a call go out to Airlift Northwest to check on their availability.

At 0526, the air traffic controller, on duty at Boeing tower, reported that the pilot notified the tower that he (the pilot) was at "pad two" for departure westbound. The controller cleared the pilot for takeoff to the west. The controller reported that he notified the pilot that the wind was from 40 degrees at six knots, and the altimeter was 30.15" Hg. The controller stated that the takeoff appeared normal and that there was no further contact with Boeing tower.

At 0540, the dispatcher from Airlift Northwest called the tower and reported that they had not had any communications with the pilot. The controller then checked with Seattle Tracon, who also reported that they had had no contact with the pilot.

Statements prepared by EMT/firefighter personnel on Bainbridge Island, reported that they had heard the helicopter approaching the island. One individual reported that the engines and the rotors sounded normal before a sudden "boom" followed by complete silence was heard. Two other individuals reported hearing the helicopter approach, as it normally does from the east, and then there was a loud "thump" or "muffled explosion" heard.

At 0538, the Bainbridge Island Police Department was notified by a citizen who stated that they heard what sounded like "a boat hit something in the water." The Bainbridge Fire and Police were dispatched for a possible water rescue outside of Eagle Harbor. Rescue personnel reported that as they were leaving the docks, they notified the crew of the outgoing 0535 ferry boat of the water rescue. The responding individual on the ferry boat reported that they were half-way across the channel, and that they did not observe anything unusual. The individuals on the rescue boat reported that as they were heading out of the harbor, the water was glassy calm, and that they could see across the Puget Sound to the east at Seattle. As the search continued, the fog began to settle closer to the surface.

During the search, the rescue teams were notified that an Airlift Northwest helicopter was overdue. The search continued and at approximately 0640, the outgoing 0620 ferry boat notified the Coast Guard of the possible crash site. It was reported that there was a strong odor of fuel and an oil slick was present, along with floating debris on the water surface. Search personnel responded to the site and recovered the bodies of the two flight nurses and assisted in retrieving the floating debris.

Excerpts from witness statements from individuals located on Bainbridge Island reported:

"Was awakened by approaching helicopter, then heard a muffled explosion. Did not hear any unusual power changes to believe engine trouble prior to impact. The weather at the time was haze or light fog. I could see no horizon looking ESE toward Duwamish Head (west Seattle, Elliott Bay) or west Seattle."

"Was awakened by the familiar sound of a helicopter coming from Seattle toward Bainbridge Island. The sound became louder, which is typical of the helicopters I've heard before. I estimated hearing the sound for only a few seconds before I heard a very distinct collision sound. It was fairly loud, not an explosion, but rather like a car hitting a tree. The engine sound disappeared simultaneously with the collision. The water was flat calm, no waves at all. It was quite foggy, not very light yet, and my vision was very limited. I estimate I could see several hundred yards (maybe a half mile or so), but could not see the lights from Seattle."

"Heard loud engine noise followed by a "whump" sound typical of a boat hull hitting a wave. Then all was silent. Went to window. The morning was still dark and a thick cloud ceiling hung about 300-500 feet over the water. I recall seeing lights of downtown Seattle, of the Duwamish Head and of Yeomalt Point (northeast of Winslow, Bainbridge Island) under the overcast. The sound heard prior to the impact was not the typical beat of the Airlift Northwest helicopter, but rather a louder, harsher "popping" sound lasting about two seconds. The noise continued until the sound of the hull striking the water."

"Heard the helicopter coming for 2 or 3 minutes. It was running perfectly at high rpm with no change whatsoever in rpm. Then there was a significant "pop" - not an explosion - and then silence. The weather was foggy that morning."

Excerpts of witness statements from individuals located near Seattle reported:

"Something wrong with the sound. Assumed flying low because of the overcast or fog."

"Heard aircraft directly overhead approximately 150-200 feet above ground level. Engine did not sound intermittent. When I saw it, it was 50 feet above ground level over Puget Sound. Watched with binoculars and saw anti-collision lights, strobes working and helicopter was straight and level, then it disappeared. No explosion or erratic attitude. Presumed it was controlled flight into water. Fog was at 200 feet above ground level. Helicopter was under it. It was dark and water very smooth."

"Heard loud, deep roar that seemed laboring while moving very slowly. Very loud after passing over the house at a very low level. Didn't sound like other helicopters that flew over the house. Weather was foggy."

"Helicopter at or about 500 feet above water level and fast and low. Base of overcast at 1,000 feet. Helicopter exhibited no obvious problems. The engine sounded fine and exterior lights were on."

"Heard helicopter and looked out window. Helicopter was approximately 340 feet above ground level flying full speed NNW. Watched until over Alki Point lighthouse (west Seattle). Helicopter was descending slightly to about 300 feet. Observed medical helicopters before and this sounded 100% normal with no mechanical problem."

"Heard helicopter approach and sounded lower than any previous heard before. Shook the house. Ground fog at time of the flight and visibility was less than 1,000 feet."

PERSONNEL INFORMATION

At the time of the accident, the pilot held a commercial pilot's certificate with rotorcraft and rotorcraft instrument ratings. The pilot's total flight time was estimated at 3,056 hours, with 51 total flight hours in the Agusta A109A. Flight records provided by personnel from Hospital Air Transport, indicated that the pilot had been an Aeromedical Evacuation/Maintenance Test Pilot for the Army military service until he was retired from active service. The pilot's records indicate that the last military flight was dated July 1993. There was no flight time reported until the pilot was hired by Hospital Air Transport on July 1, 1995. The pilot was qualified as pilot-in-command in the Agusta A109A on July 21, 1995, after completing 15 hours of flight time, which included eight hours for instrument proficiency. During the 90 days prior to the accident, the pilot had completed 51 total flight hours, with 14 hours during night-time operations. There was no actual instrument flight time indicated after the July 21, training flights.

METEOROLOGICAL INFORMATION

Just prior to, and at the time of the accident, witnesses reported varying weather conditions. The witnesses who made reference to the weather conditions on both the Seattle and Bainbridge Island side of Puget Sound, reported a dark night with overcast and foggy conditions. Depending upon the witness location, the weather varied from 1,000 feet above ground level and low level visibility across the Puget Sound to the other shore; to ground level fog and visibility less than 1,000 feet.

At 0526, the time the helicopter took off from Boeing Field, the controller reported the wind from 40 degrees at six knots. The altimeter setting was reported as 30.15" Hg.

At 0445, Boeing Field, the nearest weather reporting facility, was reporting a measured overcast at 1,300 feet. Visibility was reported as ten miles. The temperature was 59 degrees, and the dew point was 56 degrees. The wind was calm and the altimeter was 30.15" Hg.

At 0545, Boeing Field was reporting scattered clouds at 1,000 feet, and a measured overcast ceiling at 1,500 feet. Visibility was reported as seven miles. The temperature was 58 degrees, and the dew point was 56 degrees. The wind was from 30 degrees at five knots. The altimeter was reported as 30.16" Hg.

WRECKAGE AND IMPACT INFORMATION

The helicopter collided with the water of Puget Sound approximately one mile off the shoreline from Bainbridge Island. Side-scan sonar located the wreckage at approximately 750 foot depth. Several pieces (large and small) of wreckage debris were scattered over a field of approximately 600 feet, by 150 feet.

Floating debris was recovered on the day of the accident by the Bainbridge Police and Fire Departments. The debris was moved to a secured location for parts identification and wreckage reco...