N5200Y

Substantial
Fatal

McDonnell Douglas 369D S/N: 1198D

Accident Details

Date
Monday, February 17, 1997
NTSB Number
LAX97GA105
Location
SANTEE, CA
Event ID
20001208X07417
Coordinates
32.790538, -116.960746
Aircraft Damage
Substantial
Highest Injury
Fatal
Fatalities
1
Serious Injuries
1
Minor Injuries
0
Uninjured
0
Total Aboard
2

Probable Cause and Findings

Spatial disorientation and temporary visual impairment that led to a loss of aircraft control as result of difficulty to light adaptivity. Contributing was the crew coordination and inadequate night flight recurrency training.

Aircraft Information

Registration
N5200Y
Make
MCDONNELL DOUGLAS
Serial Number
1198D
Year Built
1982
Model / ICAO
369D

Registered Owner (Historical)

Name
PHOENIX HELI LEASE INC
Address
4655 E IVY ST
Status
Deregistered
City
MESA
State / Zip Code
AZ 85205-3223
Country
United States

Analysis

History of the Flight

On February 16, 1997, about 1944 hours Pacific standard time, a McDonnell Douglas, 369D (MD 369), N5200Y, operated by the San Diego Sheriff's Department Aviation Division (ASTREA) collided with the terrain during a night takeoff from a field near Santee, California. The helicopter was substantially damaged. The pilot received serious injuries, and the observer was fatally injured. The flight was destined for Gillespie Field, El Cajon, California. Night visual meteorological conditions prevailed at the time.

At 1848, the ASTREA aircrew was at Gilliespie Field when they received a request from the Oceanside Police Department asking for assistance to search for a missing child. At 1851, the aircrew departed Gilliespie Field and headed north towards the search area.

At 1901, the helicopter was over Escondido, California, when the aircrew received a radio transmission canceling their response to search for the missing child. The pilot reversed course and headed back towards Gilliespie Field. As the helicopter approached the airport, the aircrew noticed a campfire in the Sycamore Canyon Area located about 3.7 miles north of the airport. The aircrew elected to investigate the fire and descended into the canyon terminating the approach to an out-of-ground effect hover. The observer illuminated the campfire area with helicopter's searchlight. The aircrew determined the activity around the campfire was normal and did not make contact with the persons on the ground.

During the investigation of the campfire, the pilot noticed a reflection in some nearby trees. The aircrew then hovered over to the reflection at tree top level and discovered a vehicle. The aircrew circled the vehicles several times illuminating it with the search light and saw two men come out of the vehicle. The pilot landed the helicopter and the observer exited. The pilot remained in the helicopter allowing it to continue to operate.

The observer returned to the helicopter after completing law enforcement work with the vehicle occupants. The aircrew was in contact with a sheriff's ground patrol unit at the time however, the ground unit was unable to access the remote area. The aircrew decided to return to Gilliespie Field to meet with the ground patrol and complete the law enforcement work.

The pilot executed a takeoff from a hover and climbed to 500 feet above ground level (agl) in a right climbing spiral at which time he saw three lights he thought were motorcycles. (Motorcycles are not permitted in the canyon area.) The pilot aborted the climb and headed in a southeasterly direction towards the lights in a "slow descent." About 3/4 mile from the lights, at 200 feet agl and 20 to 30 knots forward airspeed, the aircrew identified the lights as belonging to bicycles.

The pilot then aborted the approach and planned a spiraling climb back to 500 feet agl. The pilot indicated that the searchlight was turned off by the observer during the attempted takeoff from the out-of-ground effect hover. After adding power, the pilot noticed the helicopter was continuing to descend. According to the pilot, he added more power but the helicopter did not respond and began to yaw back and forth. The pilot indicated he applied forward cyclic, but "nothing happened." The pilot further stated, "We hit the ground and instantly began violent spinning." According to the pilot, after the helicopter came to rest the engine was still running and he had to use the emergency fuel shutoff valve to turn it off.

The three cyclists on the ground witnessed the helicopter accident. Inspectors from the Federal Aviation Administration's (FAA) San Diego Flight Standards District Office interviewed the cyclists. The cyclists told the FAA inspectors they observed the helicopter on the ground about 3/4 mile away. They watched the helicopter takeoff in a near vertical ascent to approximately 100 to 150 feet agl.

The helicopter then turned left and headed towards the cyclists shining the landing light on them. The cyclists thought the helicopter was going to land across the dirt road in that they were traveling and check them out. The helicopter was then observed to turn right while hovering at an out-of-ground effect and start to descend. According to the FAA, all three cyclists described the initial rate of descent as slow and rapidly increasing.

The cyclists then took cover and watched as the helicopter descended and contacted the ground. They indicated that about 25 to 30 feet above the ground the tailboom dropped about 10 degrees [tail low]. The tail rotor struck the ground and the tailboom bent up into the main rotor blades. The main rotor blades severed the tailboom. The helicopter rolled onto its right side and the rotor blades struck the ground flipping the helicopter onto its left side. The helicopter appeared to cartwheel across the ground coming to rest about 75 feet east of the dirt road.

The cyclists heard the engine continue to run at high speed for 90 to 120 seconds. After the engine noise stopped one of the three cyclists went for help while the other two approached the helicopter. The cyclists aided the pilot and observer egress from the helicopter's wreckage. The pilot pointed out a first aid kit and a hand held VHF radio. The cyclists administered first aid to the more serious injured observer while the pilot called for help on the radio.

The cyclists indicated that they had ridden in the canyon area in the past and observed sheriff's helicopter operations in the area before. The three cyclists told the FAA inspectors that there were no unusual engine sounds and that they heard no other sounds indicating a problem with the helicopter before the collision with the ground.

Aircrew Information

Pilot

The pilot was employed by the San Diego County Sheriff's Department on June 15, 1979, as a deputy sheriff. In September 1986, he joined ASTREA and was trained as an observer. He started the Sheriff's Department flight training syllabus October 1989, and completed the training on September 16, 1991, with the issue of an FAA pilot certificate. He then was assigned pilot duties within ASTREA. The pilot suffered an on-the-job injury in April 1993, and was removed from pilot flight status until June 1996.

The pilot holds a commercial pilot certificate with a Rotorcraft-Helicopter rating. The most recent second-class medical certificate was issued on September 30, 1996, and contained the limitation that correcting lenses be worn while exercising the privileges of his airman certificate.

The pilot was off duty the day before the accident and had reported to work about 1330 to work the night shift to 2400.

The pilot indicated in his written accident report that his total aeronautical experience consists of about 1,095 flight hours, of which about 950 were accrued in the MD 369 series helicopters. The pilot had accrued about 144 hours of night flight experience, of which 56 were in the past 90 days.

The pilot, represented by counsel, was interviewed by Safety Board investigators after the accident. Present during the interview was an ASTREA Sheriff's Deputy who performed collateral duties as unit safety officer. The pilot was asked questions specific to the history of the accident flight and his aeronautical training. The pilot stated that during his initial training with the Sheriff's Department he did not perform any night autorotations, or any autorotations other than hovering autorotations, in the MD 369 series helicopters. The pilot indicated he was sent to Western Helicopters, Rialto, California, for recurrent training at which time he accomplished day autorotations in the MD 369. The pilot stated that he has not had any night emergency training.

During the interview, the pilot was asked if he had received any additional night training administered by the Sheriff's Department. The pilot indicated he had flown night patrol with another pilot in August 1996. The pilot further stated that on September 11, 1996, he had night training at Gilliespie Field and in Sycamore Canyon. He indicated the training covered night low level flying and night takeoff and landings in unlit areas.

The pilot agreed during his interview to answer questions to test his aeronautical knowledge. The questions covered basic helicopter aerodynamics and night physiology topics found in FAA Advisory Circulars (AC); AC 61-13B, "Basic Helicopter Handbook" and AC 67-2, "Medical Handbook For Pilots." Both publications are applicable to FAA certification of commercial helicopter pilots. The pilot was able to answer less than half the questions. He was unable to demonstrate rotorcraft aeronautical knowledge concerning effective translational lift, transverse flow effect, and translating tendency. The pilot was also unable to correctly answer questions involving dark adaptation, anatomy of the eye, and autokinesis.

Observer

The observer was employed by the San Diego County Sheriff's Department in May 1988. In March 1995, he joined ASTREA and was trained as an observer. The observer held a private pilot certificate with an airplane rating for single engine land prior to joining ASTREA, and was working towards a commercial pilot certificate. The observer had accrued about 874 hours flight experience as a civil pilot and about 1,312 flight hours as an observer.

The observer was off duty the 3 days before the accident. He reported to work at 1330 to work the night shift to 2400.

Crew Training and Management Oversight

The Safety Board reviewed the pilot's training records to determine what training he received from his employer after he obtained his commercial pilot certificate. On March 13, 1992, and March 10, 1993, the pilot attended emergency procedure training at Western Helicopters, Inc. Rialto. The pilot was also evaluated by ASTREA on March 12, 1993. During this internal evaluation, the pilot flew for 1.0 ho...

Data Source

Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# LAX97GA105