Aircraft Accident/Incident Report

Marathon, Florida 33050
Thursday, November 2, 1989 21:30 EST

NTSB Narrative Summary Released at Completion of Accident

THE HELICOPTER WAS ON A NIGHT LAW ENFORCEMENT MISSION OVR THE OCEAN NR MARATHON, FL. AFTER TKOF, THE PIC NOTED THE RADARALTIMETER NEEDLE, WHICH ACTIVATED THE LOW ALT WARNING, WAS NOT FUNCTIONAL, THOUGH THE DIGITAL DISPLAY & COPLT'S RADAR ALTIMETER WERE OPERATING NORMALLY. AFTER ENTERING THE MISSION AREA, THE PIC BGN RANDOM MNVRS WITH THE ALT VARYING BTN 200 & 300 FT ABV THE WATER. THERE WAS AN ESTD 1000 FT OVC SKY COND WITH NO VISIBLE HRZN. BOTH PLTS WERE WEARING NIGHT VISION GOGGLES. THE COPLT OPERATED THE SEARCH LIGHT & WAS TO MONITOR THE INSTS. WHILE MNVRG TO KEEP A BOAT IN VIEW, THE HELICOPTER BGN DSCNDG & CONTACTED THE WATER. IMMEDIATELY, THE CABIN FILLED WITH WATER. ALL OF THE OCCUPANTS EGRESSED SUCCESSFULLY FM THE HELICOPTER, EXCEPT THE COPLT, WHO PRESUMABLY DROWNED. THE PIC & 2 OF THE OTR CREWMEMBERS WERE NOT INJURED; THE REMAINING 2 RCVD MINOR INJURIES. AN AGENCY OPNS HANDBOOK DISCUSSED HAZARDS/INCIDENTS, BUT NO MISSION RISK ASSESSMENT PROGRAM WAS IN PLACE FOR MANAGEMENT TO ADEQUATELY IDENTIFY THE LEVEL OF RISK ASSOCIATED WITH THE OPN.

NTSB Probable Cause Narrative

FAILURE OF THE PILOT TO MAINTAIN THE PROPER ALTITUDE OVER THE OCEAN WATER. FACTORS RELATED TO THE ACCIDENT WERE: CONTINUED OPERATION OF THE HELICOPTER WITH A KNOWN PARTIAL DEFICIENCY OF THE RADIO ALTIMETER/WARNING SYSTEM, DARKNESS, THE PILOT'S LACK OF VISUAL PERCEPTION, FAILURE OF THE COPILOT TO ADEQUATELY MONITOR THE HELICOPTER'S ALTITUDE ABOVE THE WATER, AND INSUFFICIENT MANAGEMENT STANDARDS TO IDENTIFY INORDINATE FLIGHT RISKS.

Event Information

Type of Event Accident
Event Date 11/2/1989
Event Day of the Week Thursday
Time of Event 2130
Event Time Zone Eastern Standard Time
Event City MARATHON
Event State FLORIDA
Event Country --
Zipcode of the event site 33050
Event Date Year 1989
Event Date Month 11
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 0
Degrees magnetic from airport 0
Airport Elevation 0
Weather Briefing Completeness Full
Investigator's weather source Witness
Time of the weather observation 0
Direction of event from weather observation facility (degrees) 0
Weather Observation Facility ID
Elevation of weather observation facility 0
Distance of event from weather observation facility (units?) 0
Time Zone of the weather observation
Lighting Conditions Night/Dark
Lowest Ceiling Height 1000
Lowest Non-Ceiling Height 0
Sky/Lowest/Cloud Conditions Unknown
Sky Condition for Lowest Ceiling Broken
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 24
Dew Point at event time (in degress fahrenheit) -18
Wind Direction (degrees magnetic) 0
Variable Wind Indicator Variable
Wind Speed (knots) 9
Wind Velocity Indicator Unknown
Wind Gust Indicator Not Gusting
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 29
Density Altitude (feet) 1600
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 2
Injury Total None 3
Injury Total Serious --
Injury Total All 3
Investigating Agency NTSB
NTSB Docket Number (internal use) 2364
NTSB Notification Source --
NTSB Notification Date Nov 3 1989 12:00AM
NTSB Notification Time 915
Fiche Number and/or location -used to find docket information 42903
Date of most recent change to record Dec 13 2000 1:11PM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N23576
NTSB Number ATL90GA023
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 SIKORSKY
Aircraft Model SK-70
Aircraft Series Identifier SK-70
Aircraft Serial Number 81-23576
Certified Max Gross Weight 20250
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 7
Number of Engines 2
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection Sep 24 1989 12:00AM
Airframe hours since last inspection 2
Airframe Hours 2016
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name U.S. STATES CUSTOMS SERVICE
Aircraft Owner Street Address BUILDING 240
Aircraft Owner City HOMESTEAD AFB
Aircraft Owner State FL
Aircraft Owner Country
Aircraft Owner Zipcode 33039
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 None
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) Public Use
Second Pilot on Board Yes
Departure Point Same as Event No
Departure Airport Code HST
Departure City HOMESTEAD AFB
Departure State FL
Departure Country
Departure Time 1915
Departure Time Zone EST
Destination Same as Local Flt dest & departure same, accident can occur anywhere
Destination Airport Code HST
Destination City
Destination State
Destination Country
Specific Phase of Flight Maneuvering
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jan 2 2001 10:30AM
User who most recently changed record dbo
Since inspection or accident --
Event Location Runway Number and Location 0
Runway Length 0
Runway Width 0
Sight Seeing flight No
Air Medical Flight No
Medical Flight --