Aircraft Accident/Incident Report

Camp Butler
Friday, July 17, 2009 8:30 UTC

NTSB Narrative Summary Released at Completion of Accident

The helicopter arrived at a military gunnery range with two pilots and two door gunners onboard. The gunnery range included an east-west track, approximately 1 mile long, with four targets just to the north of the track and three targets just to the south of it. Each target was to be engaged as it came into range, with gunfire coming from both sides of the helicopter. After engaging all of the targets along the track, the helicopter was to reverse course and commence another firing run. A total of eight tracks were flown prior to the accident: four in each direction. All of the eastbound tracks were flown by the copilot, seated in the left seat, and all the westbound tracks were flown by the pilot in command (PIC), seated in the right seat. After the completion of each track, the pilots transferred control of the helicopter and the new pilot at the controls executed the course reversal. After the copilot had completed the final eastbound track, he transferred the controls to the PIC. The PIC then began a left-turn course reversal approximately 100 feet above the ground. The next thing the PIC remembered was that, while in the turn and “like a hazy dream,” he saw the copilot’s finger moving toward the instrument panel and, after that, “being dragged, shaken, and bumped along the ground.” The PIC stated that despite his hazy recollection, he remembered that the helicopter was operating properly, with no warnings, cautions, or changes in sound. He further noted that even though the copilot appeared to be pointing at something, the copilot did not speak or otherwise indicate that anything was wrong. There was no indication of hostile fire. Observations at the accident site revealed that the helicopter was traveling westward at terrain impact. The initial impact point, at the eastern edge of a dried-up pond, was 17 meters in width, indicated by imprints of both skids. About 1 meter east feathered dirt indicated a spinning tail rotor. The second point of impact was on the western edge of the same dried-up pond. The distance between the first point of impact and the main wreckage was about 44 meters. The tail boom came to rest about 20 meters to the south, and about 24 meters east of that was the tail rotor. After the wreckage was secured, it was shipped to the United States where examination revealed that the helicopter had impacted the ground in a descending left turn. Main rotor blade damage indicated flailing at impact, at operational rpm. Tail rotor blade damage also indicated that the rotor was under power at impact. Flight control continuity could not be confirmed from the cockpit to the flight control surfaces; however, continuity was confirmed at the tail rotor pitch change mechanism. The engine did not exhibit any preimpact mechanical anomalies, and interior compressor blade scoring on the engine shroud indicated that it was operating at impact. The ENGINE OUT warning light was illuminated at some point during impact sequence; however, an expected RE-IGN P RST caution light was not concurrently illuminated for unknown reasons. It is possible that the ENGINE OUT warning light illuminated as the helicopter was decelerating while in ground contact. With no indication of mechanical failure or hostile fire, and with the PIC observing the copilot pointing to something on the instrument panel, it was possible that the PIC's attention was sufficiently diverted to allow the helicopter's inadvertent descent into terrain.

NTSB Probable Cause Narrative

The pilot’s failure to maintain terrain clearance during a low-level course reversal.

Event Information

Type of Event Accident
Event Date 7/17/2009
Event Day of the Week Friday
Time of Event 830
Event Time Zone Coordinated Universal Time? Same as GMT
Event City Camp Butler
Event State --
Event Country --
Zipcode of the event site --
Event Date Year 2009
Event Date Month 7
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 331400N
Event Location Longitude 0445500E
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 Unknown
Time of the weather observation 900 Coordinated Universal Time? Same as GMT
Direction of event from weather observation facility (degrees) 300
Weather Observation Facility ID NOAA
Elevation of weather observation facility --
Distance of event from weather observation facility (units?) 20
Time Zone of the weather observation UTC
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) 38
Dew Point at event time (in degress fahrenheit) --
Wind Direction (degrees magnetic) 340
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 15
Wind Velocity Indicator --
Wind Gust Indicator Gusting
Wind Gust (knots) 25
Altimeter Setting at event time (in. Hg) 29.75
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 1
Injury Total All 4
Investigating Agency NTSB
NTSB Docket Number (internal use) 27823
NTSB Notification Source Department of State
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Dec 8 2010 1:32PM
User who most recently changed record kenj
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N974BW
NTSB Number ERA09FA419
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed Company VFR
Flight plan Was Activated? --
Damage Destroyed
Aircraft Fire Ground
Aircraft Explosion Unknown
Aircraft Manufacturer's Full Name MD HELICOPTER INC
Aircraft Model 530 (369FF)
Aircraft Series Identifier --
Aircraft Serial Number 0139FF
Certified Max Gross Weight 3100
Aircraft Category Helicopter
Aircraft Registration Class --
Aircraft is a homebuilt? No
Flight Crew Seats 2
Cabin Crew Seats --
Passenger Seats 2
Total number of seats on the aircraft 4
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection 100 Hour
Date of Last Inspection May 25 2009 12:00AM
Airframe hours since last inspection --
Airframe Hours 2662
ELT Installed No
ELT Activated Unknown
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name AVIATION WORLDWIDE SERVICES LLC
Aircraft Owner Street Address PO BOX 849
Aircraft Owner City MOYOCK
Aircraft Owner State NC
Aircraft Owner Country USA
Aircraft Owner Zipcode 27958-0849
Operator is an individual? No
Operator Name PRESIDENTIAL AIRWAYS
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address PO BOX 849
Operator City MOYOCK
Operator State NC
Operator Country USA
Operator Zip code 27958-0849
Operator Code P4YA
Owner has at least one certificate Yes - certificate holder
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) Instructional
Second Pilot on Board Yes
Departure Point Same as Event No
Departure Airport Code NONE
Departure City Camp Butler
Departure State --
Departure Country IZ
Departure Time --
Departure Time Zone --
Destination Same as Local Flt dest & departure same, accident can occur anywhere
Destination Airport Code NONE
Destination City Camp Butler
Destination State --
Destination Country IZ
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jan 13 2014 4:16PM
User who most recently changed record broda
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 --