Aircraft Accident/Incident Report

Southfield, Michigan 48037
Saturday, April 28, 1990 8:00 EDT

NTSB Narrative Summary Released at Completion of Accident

THE HELICOPTER WAS HOVERING IN PLACE DURING A ROOFTOP EQUIPMENT REMOVAL OPERATION WHEN IT ABRUPTLY DESCENDED ONTO THE STRUCTURE FROM WHICH THE LIFT WAS BEING MADE. IT THEN NOSED OVER THE STRUCTURE & IMPACTED APRX 10 FT BELOW ON THE ROOF OF THE 15TH FLOOR. THE WORKERS HEARD NO VERBAL WARNING FROM THE PILOT. ACOUSTICAL ANALYSIS OF A VIDEO REVEALED THAT DURING THE DESCENT THERE WAS A STEADY INCREASE IN ENGINE, M/R, AND T/R RPM. POST MORTEM EXAM OF THE PILOT REVEALED FOCAL ATHEROSCLEROSIS 50% LEFT AND RIGHT CORONARY ARTERY, LEFT ANTERIOR DESCENDING, AND LEFT CIRCUMFLEX. THE PILOT & CREW HAD OPERATED TOGETHER AS A TEAM FOR 18 YRS & THE CREW STATED THAT THE PILOT, WITH NO EXCEPTIONS, HAD ALWAYS NOTIFIED THEM BY RADIO WHEN UNEXPECTED OCCURRENCES CAUSED PREMATURE RELEASES.

NTSB Probable Cause Narrative

A LOSS OF CONTROL DUE TO PHYSICAL INCAPACITATION FOR UNKNOWN REASON(S).

Event Information

Type of Event Accident
Event Date 4/28/1990
Event Day of the Week Saturday
Time of Event 800
Event Time Zone Eastern Daylight Time
Event City SOUTHFIELD
Event State MICHIGAN
Event Country --
Zipcode of the event site 48037
Event Date Year 1990
Event Date Month 4
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 750 Eastern Daylight Time
Direction of event from weather observation facility (degrees) 85
Weather Observation Facility ID DET
Elevation of weather observation facility 626
Distance of event from weather observation facility (units?) 10
Time Zone of the weather observation EDT
Lighting Conditions Day
Lowest Ceiling Height 0
Lowest Non-Ceiling Height 20000
Sky/Lowest/Cloud Conditions Thin Overcast
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 7
Air Temperature at event time (in degrees celsius) 17
Dew Point at event time (in degress fahrenheit) 11
Wind Direction (degrees magnetic) 0
Variable Wind Indicator Unknown
Wind Speed (knots) 0
Wind Velocity Indicator Unknown
Wind Gust Indicator Unknown
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 29
Density Altitude (feet) 0
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 1
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 1
Investigating Agency NTSB
NTSB Docket Number (internal use) 1210
NTSB Notification Source --
NTSB Notification Date Apr 28 1990 12:00AM
NTSB Notification Time 800
Fiche Number and/or location -used to find docket information 42572
Date of most recent change to record Dec 12 2000 4:53PM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N871
NTSB Number CHI90FA118
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 133: Rotorcraft Ext. Load
Type of Flight Plan filed None
Flight plan Was Activated? --
Damage Destroyed
Aircraft Fire Ground
Aircraft Explosion Ground
Aircraft Manufacturer's Full Name SIKORSKY
Aircraft Model S-58F
Aircraft Series Identifier S-58F
Aircraft Serial Number 58-898
Certified Max Gross Weight 12500
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 2
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection Unknown
Date of Last Inspection --
Airframe hours since last inspection 0
Airframe Hours --
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name COMMAND HELICOPTERS, INC.
Aircraft Owner Street Address P.O. BOX 2187
Aircraft Owner City JOLIET
Aircraft Owner State IL
Aircraft Owner Country
Aircraft Owner Zipcode 60434
Operator is an individual? --
Operator Name
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address
Operator City
Operator State
Operator Country
Operator Zip code
Operator Code
Owner has at least one certificate Yes - certificate holder
Other Operator of large aircraft? No
Certified for Part 133 or 137 Operation External Load
Operator Certificate Number --
Indicates whether an air carrier operation was scheduled or not Unknown
Indicates Domestic or International Flight Unknown
Operator carrying Pax/Cargo/Mail Unknown
Type of Flying (Per_Bus / Primary) Other Work Use
Second Pilot on Board No
Departure Point Same as Event Yes
Departure Airport Code NONE
Departure City
Departure State
Departure Country
Departure Time 755
Departure Time Zone EDT
Destination Same as Local Flt dest & departure same, accident can occur anywhere
Destination Airport Code
Destination City
Destination State
Destination Country
Specific Phase of Flight Hover
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jan 2 2001 10:35AM
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 No
Medical Flight --