Aircraft Accident/Incident Report

Sunrise Beach, Missouri 65079
Sunday, May 25, 2008 19:21 CDT

NTSB Narrative Summary Released at Completion of Accident

According to the pilot, he was approaching his personal helipad when the helicopter started rotating rapidly to the right. Multiple witnesses reported that the helicopter approached the landing zone from the north and maneuvered to land, at which time the helicopter began spun to the right four or five times before impacting the water. The pilot and three passengers were able to egress from the helicopter. One passenger drowned. No passenger briefing was conducted and none of the occupants were shown how to use their seatbelts or doors as required in 14 Code of Federal Regulations Part 91.107. The victim, who was sharing a seatbelt with another passenger, had never flown in the helicopter before and was unfamiliar with the exits in the helicopter and how to operate them. According to one passenger and multiple witnesses, thunderstorms and lightning were observed at the time of the accident. Extreme weather radar echoes containing thunderstorms were recorded southwest through the east of the accident site. An analysis conducted by Safety Board meteorologists indicates that turbulence, including vertical and horizontal wind changes, would have been associated with this thunderstorm activity. The terrain would have enhanced the intensity of these parameters, resulting in an encounter of a strong convective outflow of approximately 45 knots from the south. Toxicology testing of blood drawn within an hour after the accident detected butalbital (a prescription barbiturate typically used for severe headaches) and diphenhydramine (an over-the-counter antihistamine commonly known by the trade name Benadryl). The drug levels suggest that the butalbital was likely taken more than 24 hours prior to the accident and that the diphenhydramine was likely taken much more recently (probably on the day of the accident). The pilot had a history of diabetes diagnosed in 1993, with no documentation in his Federal Aviation Administration medical records since 1994 regarding treatment or control of the disease. It is possible that the diphenhydramine, the conditions for which the detected medications were used, or complications or side effects from long-standing diabetes may have contributed to the pilot's decision to fly and/or his inability to control the helicopter in the prevailing conditions; however, the investigation could not definitively determine this. An examination of the helicopter's systems and structure revealed no preimpact anomalies.

NTSB Probable Cause Narrative

The loss of tail rotor effectiveness and the pilot's failure to regain aircraft control. Contributing to the accident was the pilot's decision to fly in known adverse weather conditions and the gusty winds generated from convective outflow. Contributing to the severity of the injuries was the pilot's failure to provide a safety briefing to his passengers in accordance with Federal Aviation Regulations.

Event Information

Type of Event Accident
Event Date 5/25/2008
Event Day of the Week Sunday
Time of Event 1921
Event Time Zone Central Daylight Time
Event City Sunrise Beach
Event State MISSOURI
Event Country --
Zipcode of the event site 65079
Event Date Year 2008
Event Date Month 5
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 381052N
Event Location Longitude 0923929W
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 1953 Central Daylight Time
Direction of event from weather observation facility (degrees) --
Weather Observation Facility ID DMO
Elevation of weather observation facility --
Distance of event from weather observation facility (units?) --
Time Zone of the weather observation CDT
Lighting Conditions Day
Lowest Ceiling Height --
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions Clear
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 26
Dew Point at event time (in degress fahrenheit) 18
Wind Direction (degrees magnetic) 180
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 8
Wind Velocity Indicator --
Wind Gust Indicator Unknown
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 29.8
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 1
Injury Total Minor --
Injury Total None 3
Injury Total Serious 1
Injury Total All 2
Investigating Agency NTSB
NTSB Docket Number (internal use) 25015
NTSB Notification Source FAA ACE ROC
NTSB Notification Date May 25 2008 12:00AM
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Mar 17 2009 10:11AM
User who most recently changed record johb
Basic weather conditions Visual Meteorological Cond
FAA District Office Kansas City FAA Flight Standards District Office

Aircraft Involved

Aircraft #1

Aircraft Registration Number N686F
NTSB Number DEN08FA092
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? No
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name McDonnell Douglas Helicopter C
Aircraft Model MD 500E
Aircraft Series Identifier 369E
Aircraft Serial Number 0524E
Certified Max Gross Weight 3000
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 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Feb 1 2008 12:00AM
Airframe hours since last inspection --
Airframe Hours 4346
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Impact Aviation
Aircraft Owner Street Address 13450 Clayton Road
Aircraft Owner City Saint Louis
Aircraft Owner State MO
Aircraft Owner Country USA
Aircraft Owner Zipcode 63131
Operator is an individual? Yes
Operator Name On File
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address On File
Operator City St. Louis
Operator State MO
Operator Country USA
Operator Zip code 63131
Operator Code --
Owner has at least one certificate None
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) Personal
Second Pilot on Board No
Departure Point Same as Event Yes
Departure Airport Code --
Departure City Sunrise Beach
Departure State MO
Departure Country USA
Departure Time 1917
Departure Time Zone CDT
Destination Same as Local Flt dest & departure same, accident can occur anywhere
Destination Airport Code --
Destination City Sunrise Beach
Destination State MO
Destination Country USA
Specific Phase of Flight Hover
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Mar 17 2009 10:14AM
User who most recently changed record johb
Since inspection or accident Last Inspection
Event Location Runway Number and Location N/A
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --