Aircraft Accident/Incident Report

Winslow, Washington 98110
Monday, September 11, 1995 5:30 PDT

NTSB Narrative Summary Released at Completion of Accident

The helicopter pilot took off at night on a positioning flight for an emergency medical service (EMS) operation. There were reports of a low overcast layer varying from 1,000 feet above ground level to the surface. The majority of the witnesses reported that the helicopter was flying low as it traveled over the ground and continued over water toward a nearby island. Subsequently, the helicopter collided with the water and sank. Several of the witnesses reported that the engine sounded normal until the helicopter crashed. Some witnesses reported a 'popping' sound or a 'laboring' sound from the engines; however, after the engines were recovered at a later date, no evidence of a preimpact mechanical failure or malfunction was found. Local residents reported that the water condition at the time of the accident was 'calm' or 'glassy.' Several small pieces of the fuselage and main rotor blades were found floating on the surface of the water. Examination revealed that 3 of the main rotor blades had separated approximately three feet out from the attach points. The fourth blade separated approximately seven feet out from the attach point; however, the blade was bent and cracked chordwise approximately three feet out from the attach point. Using side scan sonar, wreckage was found over a distance of approximately 600 feet. The landing gear was found in the extended position, and the engine power levers were found in the flight position. Also, torsional evidence was found on the tail rotor driveshaft.

NTSB Probable Cause Narrative

the pilot failed to maintain sufficient altitude/clearance above the surface of water, while flying over calm water conditions at night. Factors relating to the accident were: darkness, low ceiling, fog, glassy (calm) water conditions, and the lack of visual cues for visual perception of altitude.

Event Information

Type of Event Accident
Event Date 9/11/1995
Event Day of the Week Monday
Time of Event 530
Event Time Zone Pacific Daylight Time
Event City WINSLOW
Event State WASHINGTON
Event Country --
Zipcode of the event site 98110
Event Date Year 1995
Event Date Month 9
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude
Event Location Longitude
Event Location Airport
Event Location Nearest Airport ID
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation --
Weather Briefing Completeness Unknown
Investigator's weather source Weather Observation Facility
Time of the weather observation 545 Pacific Daylight Time
Direction of event from weather observation facility (degrees) 100
Weather Observation Facility ID BFI
Elevation of weather observation facility 18
Distance of event from weather observation facility (units?) 9
Time Zone of the weather observation PDT
Lighting Conditions Night/Dark
Lowest Ceiling Height 0
Lowest Non-Ceiling Height 0
Sky/Lowest/Cloud Conditions Unknown
Sky Condition for Lowest Ceiling Overcast
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 0
Air Temperature at event time (in degrees celsius) 14
Dew Point at event time (in degress fahrenheit) 13
Wind Direction (degrees magnetic) 10
Variable Wind Indicator Unknown
Wind Speed (knots) 5
Wind Velocity Indicator Unknown
Wind Gust Indicator Unknown
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 30
Density Altitude (feet) --
Intensity of Precipitation Unknown
METAR weather report --
Event Highest Injury Fatal
On Ground, Fatal Injuries 0
On Ground, Minor Injuries 0
On Ground, Serious Injuries 0
Injury Total Fatal 3
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 3
Investigating Agency NTSB
NTSB Docket Number (internal use) 2147
NTSB Notification Source --
NTSB Notification Date Sep 11 1995 12:00AM
NTSB Notification Time 709
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Dec 7 2000 4:36PM
User who most recently changed record dbo
Basic weather conditions Unknown
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N1WC
NTSB Number SEA95FA214
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed Company VFR
Flight plan Was Activated? --
Damage Destroyed
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Agusta
Aircraft Model A109A II
Aircraft Series Identifier A109A II
Aircraft Serial Number 7278
Certified Max Gross Weight 5730
Aircraft Category Helicopter
Aircraft Registration Class U.S. Registered/U.S. Soil
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 4
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection 100 Hour
Date of Last Inspection Sep 10 1995 12:00AM
Airframe hours since last inspection 1
Airframe Hours 3909
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name SIGNET LEASING
Aircraft Owner Street Address 7 ST. PAUL ST, BOX 2373
Aircraft Owner City BALTIMORE
Aircraft Owner State MD
Aircraft Owner Country
Aircraft Owner Zipcode 21203
Operator is an individual? --
Operator Name HOSPITAL AIR TRANSPORT
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address 6987 PERIMETER RD
Operator City SEATTLE
Operator State WA
Operator Country
Operator Zip code 98108
Operator Code PITA
Owner has at least one certificate Yes - certificate holder
Other Operator of large aircraft? No
Certified for Part 133 or 137 Operation Unknown
Operator Certificate Number --
Indicates whether an air carrier operation was scheduled or not --
Indicates Domestic or International Flight --
Operator carrying Pax/Cargo/Mail --
Type of Flying (Per_Bus / Primary) Positioning
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code BFI
Departure City SEATTLE
Departure State WA
Departure Country
Departure Time 526
Departure Time Zone PDT
Destination Same as Local Flt crash at destination city
Destination Airport Code
Destination City
Destination State WA
Destination Country
Specific Phase of Flight Cruise
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jan 2 2001 10:34AM
User who most recently changed record dbo
Since inspection or accident --
Event Location Runway Number and Location 0
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight Yes
Medical Flight --