Aircraft Accident/Incident Report

Santa Rosa Bch, Florida 32459
Wednesday, October 20, 2004 CDT

NTSB Narrative Summary Released at Completion of Accident

The emergency medical services (EMS) airplane was on a positioning flight when it crashed in instrument conditions in the Choctawatchee Bay. Personnel from the Walton County, Florida, Emergency Operations Center, stated that at 0021 they received a call from a hospital in DeFuniak Springs, requesting the Airheart One helicopter to transport a patient to Pensacola, Florida. The dispatcher then contacted the pilot of Airheart One and advised him of the request. The pilot stated he would have to check the weather and get back to him. At 0035, the pilot called back and stated they would take the flight. At 0041, the paramedic on Airheart One called via radio and reported they were airborne with three persons on board, 2 hours 20 minutes of fuel, and an estimated time en route to the hospital of 10 minutes. At 0043, the paramedic reported that due to weather they were returning to base. The dispatcher did not talk with the flight after this. At 0050, the dispatcher cleared the Airheart One call, believing that they were back at base due to the short flight time. At 0610, the relief pilot that was coming on duty called the Emergency Operations Center and advised that Airheart One was not at base. Search and rescue operations were initiated and the wreckage of the helicopter was located in Choctawhatchee Bay about 0820. A witness, who was fishing on the northwest side of the Highway 331 bridge reported that between 0030 and 0100, he observed a helicopter flying from south to north parallel to the bridge on the east side. The weather was lightning and thunder and it was just starting to drizzle and rain. He observed the helicopter either fly into a big cloud or fly behind the big cloud. He then saw lightning. He then saw the helicopter making a "U Turn" toward the east and then descend at a 45-degree angle to the water. He observed the helicopter by the red light on the belly. He left shortly after this because of the rain. Recorded radar data from Eglin Air Force Base showed that the flight departed the Walton County Sheriff's Department heliport and was first observed on radar at 0040:37 while at 300 feet, 1/10 of a mile east-southeast of the heliport. The flight climbed to 900 feet, while proceeding north bound, across the bay, flying parallel to Highway 331 Bridge. The flight then descended to between 700 and 800 feet. At 0042:18, the flight initiated a turn to the east and at 0042:49, the last radar contact was recorded when the flight was at 700 feet, flying on an east-southeast heading. This position was about 3/4 mile to the east-northeast of the crash site. The 2353 Destin-Ft. Walton Beach Airport, automated surface weather observation was visibility 7 statute miles, ceiling 800 feet broken with remarks lightning distant north, ceiling 700 variable 1300. The airport is located 16.2 nautical miles west of the accident site. The Destin 0053 weather was visibility 7 statute miles, ceiling 600 feet broken, 1,500 feet overcast., remarks lightning distant southeast. The 2355 surface weather observation taken at the Valparaiso/Okaloosa-Eglin AFB was visibility 7 statute, clouds 800 feet scattered, ceiling 2,000 feet overcast with thunderstorm, remarks thunderstorm northeast and east moving southeast. The airport is located 20 nautical miles west-northwest of the accident site. Weather radar data obtained from the Eglin AFB Doppler Weather Radar System show that weak weather echoes were present in the area of the accident at the time of the accident. Additionally, an intense to extreme weather echo was present about 10 nautical miles north of the accident site. At the time of the accident Airmet IFR MIAS WA 200145 was in effect for the accident area. The Airmet called for occasional ceilings below 1,000 feet, visibility below 3 miles, precipitation, mist, and fog. The Airmet was issued at 2045 on October 19, 2004, and was valid until 0300 on October 20, 2004. The helicopter operator's operations manual states that the pilot-in-command is responsible for obtaining a weather briefing. The manual establishes weather minimums for night visual flight rules EMS helicopter operations. The minimums are visual ground light reference, enough to properly control the helicopter, and for local flights within 30 nautical miles of base the cloud ceiling should be a minimum of 800 feet agl and visibility greater than 2 miles. For preflight planning the cloud ceiling should be 1,000 feet agl and visibility should be 3 miles. Metro Aviation, Inc. uses a commercial, computer based, weather service at the Santa Rosa Beach base. The system was online at the time of the accident and received data 6 hours before and 6 hours after the accident. The radar and text data on the system was current and the system had been used to check weather throughout the day of the accident. The exact weather products accessed by the accident pilot could not be identified. Post crash examination of the helicopter showed no evidence of precrash mechanical failure or malfunction of the helicopter structure, flight control system, electrical system, hydraulic system, main rotor system and transmission, tail rotor system, and powerplants and drive shafts. There was no evidence of lightning strike on the helicopter. Postmortem examination of the pilot and 2 medical crewmembers and testing of toxicology samples showed no evidence that could be considered causal to the accident.

NTSB Probable Cause Narrative

The pilot's spatial disorientation and in-flight loss of control of the helicopter after encountering night instrument meteorological conditions resulting in collision with water during the resultant uncontrolled descent. A factor in the accident was the pilot's decision to attempt the flight when instrument meteorological conditions were forecasted for the area.

Event Information

Type of Event Accident
Event Date 10/20/2004
Event Day of the Week Wednesday
Time of Event 43
Event Time Zone Central Daylight Time
Event City Santa Rosa Bch
Event State FLORIDA
Event Country --
Zipcode of the event site 32459
Event Date Year 2004
Event Date Month 10
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 302465N
Event Location Longitude 0860852W
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 --
Investigator's weather source Weather Observation Facility
Time of the weather observation 53 Central Daylight Time
Direction of event from weather observation facility (degrees) 265
Weather Observation Facility ID KDTS
Elevation of weather observation facility 23
Distance of event from weather observation facility (units?) 17
Time Zone of the weather observation CDT
Lighting Conditions Night/Dark
Lowest Ceiling Height 600
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions --
Sky Condition for Lowest Ceiling Broken
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 7
Air Temperature at event time (in degrees celsius) 26
Dew Point at event time (in degress fahrenheit) 24
Wind Direction (degrees magnetic) --
Variable Wind Indicator Variable
Wind Speed (knots) 6
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 29.93
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Fatal
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
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) 19255
NTSB Notification Source FAA Atlanta Comm Center
NTSB Notification Date Oct 20 2004 12:00AM
NTSB Notification Time 800
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Feb 28 2006 12:35PM
User who most recently changed record NTSB\JOHB
Basic weather conditions Instrument Meteorological Cond
FAA District Office Birmingham

Aircraft Involved

Aircraft #1

Aircraft Registration Number N916SH
NTSB Number MIA05FA008
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed Company VFR
Flight plan Was Activated? Yes
Damage Destroyed
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Eurocopter Deutschland
Aircraft Model BO-105 CBS5
Aircraft Series Identifier --
Aircraft Serial Number S-769
Certified Max Gross Weight 5512
Aircraft Category Helicopter
Aircraft Registration Class --
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 Fixed
Aircraft, Type of Last Inspection AAIP
Date of Last Inspection Sep 1 2004 12:00AM
Airframe hours since last inspection 110
Airframe Hours 8846
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Metro Aviation, Inc.
Aircraft Owner Street Address 1400 Airport Road
Aircraft Owner City Shreveport
Aircraft Owner State LA
Aircraft Owner Country USA
Aircraft Owner Zipcode 71137
Operator is an individual? No
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 HDNA
Owner has at least one certificate --
Other Operator of large aircraft? --
Certified for Part 133 or 137 Operation --
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 Yes
Departure Airport Code --
Departure City Santa Rosa Bch
Departure State FL
Departure Country USA
Departure Time 41
Departure Time Zone CDT
Destination Same as Local Flt --
Destination Airport Code --
Destination City DeFuniak Spgs
Destination State FL
Destination Country USA
Specific Phase of Flight Cruise
Report sent to ICAO? Yes
Evacuation occurred No
Date of most recent change to record Dec 19 2005 1:27PM
User who most recently changed record KENJ
Since inspection or accident Time of Accident
Event Location Runway Number and Location NA
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight Yes
Medical Flight Medical Emergency