None Airport
Aircraft Accident/Incident Report

Boonsboro, Maryland 21713
Thursday, July 23, 2009 22:26 EDT

NTSB Narrative Summary Released at Completion of Accident

The helicopter arrived at Hagerstown Regional Airport, Hagerstown, Maryland, from Frederick Municipal Airport (FDK), Frederick, Maryland, about 1815, which was almost 2 hours later than scheduled, because of adverse weather. About 2000, the pilot and three passengers boarded the helicopter for the return flight to FDK; however, they subsequently returned to the airport terminal because of poor weather conditions. According to witnesses at the airport, the pilot checked the weather while at the terminal several times. Further, he called a fellow employee of Advanced Helicopter Concepts (the operator of the helicopter), who lived about 4 miles from FDK, twice to ask about weather conditions at the airport. About 2100, the employee informed the pilot that the weather conditions were “miserable” with severe thunderstorms in the area. Sometime between 2200 and 2215, the employee told the pilot that the rain had stopped; however, he stated that it was still foggy and windy with lightning in the area. On both occasions, the employee offered to drive the helicopter occupants back to FDK; however, the pilot declined the offers. A 2210 weather observation taken at FDK, located about 15 miles southeast of the accident site at an elevation of 303 feet above mean sea level (msl), indicated the following: visibility of 10 statute miles, thunderstorms and light intensity rain, and scattered clouds at 800 and 8,000 feet. A witness on the ground near the accident site reported that it was a “dark night” (civil twilight ended at 2101, and only 4 percent of the moon’s visible disk was illuminated) and that fog was present about 50 feet above the roadway surface. Given that the helicopter was only certified to be operated under visual flight rules, the pilot exercised poor judgment when he chose to fly back to FDK in dark night and adverse weather conditions. The helicopter took off about 2215 and was flying over an interstate highway toward FDK when it entered an area of reduced visibility. The helicopter subsequently struck an unmarked, steel guy-wire that extended perpendicularly over the interstate, near the top of a mountain, and then crashed. During the final 2 minutes of the flight, the helicopter was flying at level flight about 1,100 feet above msl as the terrain elevation rose from about 600 to 1,200 feet above msl. A witness observed the helicopter fly into clouds and reverse direction just before impact. The accident sequence is consistent with controlled flight into an obstacle that the pilot most likely did not see because of the dark night conditions and reduced visibility. The helicopter was equipped with a radar altimeter. Further, Robinson Helicopter Safety Notice SN-16 advises pilots to constantly be on alert for power lines because “flying into wires, cables, and other objects is by far the number one cause of fatal accidents in helicopters” and to “always maintain at least 500 feet AGL [above ground level], except during take-off and landing.” Safety Notice SN-26 states, “Many fatal accidents have occurred at night when the pilot attempted to fly in marginal weather...when it is dark, the pilot cannot see wires…Even when he does see it, he is unable to judge its altitude because there is no horizon for reference.”

NTSB Probable Cause Narrative

The pilot’s improper decision to depart on a visual flight rules (VFR) flight at night in adverse weather conditions in close proximity to rising mountainous terrain in a helicopter that was only certified to be operated under VFR and his subsequent failure to maintain adequate clearance with wires.

Event Information

Type of Event Accident
Event Date 7/23/2009
Event Day of the Week Thursday
Time of Event 2226
Event Time Zone Eastern Daylight Time
Event City Boonsboro
Event State MARYLAND
Event Country --
Zipcode of the event site 21713
Event Date Year 2009
Event Date Month 7
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 393229N
Event Location Longitude 0773623W
Event Location Airport NONE
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 2232 Eastern Daylight Time
Direction of event from weather observation facility (degrees) 150
Weather Observation Facility ID FDK
Elevation of weather observation facility 303
Distance of event from weather observation facility (units?) 15
Time Zone of the weather observation EDT
Lighting Conditions Night/Dark
Lowest Ceiling Height --
Lowest Non-Ceiling Height 800
Sky/Lowest/Cloud Conditions Scattered
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) 21
Dew Point at event time (in degress fahrenheit) 20
Wind Direction (degrees magnetic) 200
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 6
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 29.88
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 4
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 4
Investigating Agency NTSB
NTSB Docket Number (internal use) 27231
NTSB Notification Source NTSB Communications Center
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Aug 20 2010 7:27AM
User who most recently changed record rows
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N7189W
NTSB Number ERA09FA417
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? --
Damage Substantial
Aircraft Fire Ground
Aircraft Explosion None
Aircraft Manufacturer's Full Name ROBINSON HELICOPTER
Aircraft Model R44
Aircraft Series Identifier --
Aircraft Serial Number 0847
Certified Max Gross Weight 2500
Aircraft Category Helicopter
Aircraft Registration Class --
Aircraft is a homebuilt? No
Flight Crew Seats 1
Cabin Crew Seats --
Passenger Seats 3
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 Mar 16 2009 12:00AM
Airframe hours since last inspection 60
Airframe Hours 1730
ELT Installed Yes
ELT Activated Unknown
ELT Aided Location of Event Site No
ELT Type Unknown
Aircraft Owner Name MARSAN AVIATION INC TRUSTEE
Aircraft Owner Street Address --
Aircraft Owner City WILMINGTON
Aircraft Owner State DE
Aircraft Owner Country USA
Aircraft Owner Zipcode 19810-4902
Operator is an individual? No
Operator Name Advanced Helicopter Concepts
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address --
Operator City Frederick
Operator State MD
Operator Country USA
Operator Zip code 21701
Operator Code --
Owner has at least one certificate None
Other Operator of large aircraft? No
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) Business
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code HGR
Departure City Hagerstown
Departure State MD
Departure Country USA
Departure Time 2215
Departure Time Zone EDT
Destination Same as Local Flt --
Destination Airport Code FDK
Destination City Frederick
Destination State MD
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jul 26 2010 3:23PM
User who most recently changed record kenj
Since inspection or accident Time of Accident
Event Location Runway Number and Location N/A
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --