Salty Approach Airport
Aircraft Accident/Incident Report

North Captiva Island, Florida 33945
Monday, August 17, 2009 EDT

NTSB Narrative Summary Released at Completion of Accident

The emergency medical services (EMS) helicopter was on a night, over-water flight in visual meteorological conditions when the accident occurred. The pilot and two medical crewmembers were en route to pick up a patient on a barrier island. The pilot flew over the water with the autopilot engaged (altitude acquisition mode), at an altitude of 1,000 feet. While en route, the pilot unsuccessfully attempted to contact the fire department on the island to obtain landing zone information. When the helicopter was approximately 3 minutes from landing, the pilot selected 500 feet using the autopilot and the helicopter initiated a descent to that altitude. Unable to contact the fire department, the pilot likely became preoccupied with the task as well as the visual acquisition of the landing. The descent-power setting, which was manually controlled by the pilot, was not adequate to capture the selected altitude, and maintain 60 knots. As designed, the helicopter likely continued its descent with the autopilot engaged until it impacted the water. The pilot observed an amber indication on the primary flight display just before impact, which indicated the autopilot was engaged, and confirmed this most likely scenario. A post-accident examination of the helicopter revealed no pre-impact mechanical anomalies. After the impact, the dispatcher initiated a re-boot of her computer, rather than a search for the helicopter, when the helicopter's movement stopped on her screen. However, the fire department on scene initiated a search, and the crewmembers were rescued within a short timeframe. Had the crewmembers sustained serious injuries during the accident, the dispatcher's failure to initiate a search may have reduced the survivability of the accident.

NTSB Probable Cause Narrative

The pilot's failure to arrest the helicopter's descent, which resulted in controlled flight into terrain.

Event Information

Type of Event Accident
Event Date 8/17/2009
Event Day of the Week Monday
Time of Event 31
Event Time Zone Eastern Daylight Time
Event City North Captiva Island
Event State FLORIDA
Event Country --
Zipcode of the event site 33945
Event Date Year 2009
Event Date Month 8
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 263608N
Event Location Longitude 0821216W
Event Location Airport Salty Approach Airport
Event Location Nearest Airport ID FL90
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 6
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 53 Eastern Daylight Time
Direction of event from weather observation facility (degrees) 90
Weather Observation Facility ID FMY
Elevation of weather observation facility 17
Distance of event from weather observation facility (units?) 19
Time Zone of the weather observation EDT
Lighting Conditions Night/Dark
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) 25
Dew Point at event time (in degress fahrenheit) 23
Wind Direction (degrees magnetic) 60
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 4
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.07
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury None
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor --
Injury Total None 3
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 27963
NTSB Notification Source FAA Southern Region ROC
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Jan 26 2011 3:43PM
User who most recently changed record gots
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N911LZ
NTSB Number ERA09LA464
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 None
Aircraft Explosion None
Aircraft Manufacturer's Full Name EUROCOPTER DEUTSCHLAND GMBH
Aircraft Model EC-145
Aircraft Series Identifier --
Aircraft Serial Number 9040
Certified Max Gross Weight 7903
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 5
Number of Engines 2
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection 100 Hour
Date of Last Inspection Aug 14 2009 12:00AM
Airframe hours since last inspection --
Airframe Hours 2979
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name LEE COUNTY DIVISION OF PUBLIC SAFETY
Aircraft Owner Street Address 14752 BEN C PRATT/ 6 MILE CYPRESS
Aircraft Owner City FORT MYERS
Aircraft Owner State FL
Aircraft Owner Country USA
Aircraft Owner Zipcode 33912-4406
Operator is an individual? No
Operator Name LEE COUNTY DIVISION OF PUBLIC SAFETY
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address 14752 BEN C PRATT/ 6 MILE CYPRESS
Operator City FORT MYERS
Operator State FL
Operator Country USA
Operator Zip code 33912-4406
Operator Code L1CA
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) Positioning
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code FMY
Departure City Fort Myers
Departure State FL
Departure Country USA
Departure Time 15
Departure Time Zone EDT
Destination Same as Local Flt --
Destination Airport Code FL90
Destination City N Captiva Isl.
Destination State FL
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jan 26 2011 3:43PM
User who most recently changed record gots
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 Yes
Medical Flight Medical Emergency