Pilot Debrief

HUGHES 369F near Moyock, NC — 2009-02-24

Final reportERA09LA173
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Date
2009-02-24
Location
Moyock, NC, USA
Airport
NC61
Aircraft
HUGHES 369F
Registration
N5205C
Category
Helicopter
Highest injury
Fatal
Fatalities
1
Phase of flight
Approach

Probable cause

The flight instructor's failure to verify that the helicopter's skid was clear of an obstruction while demonstrating a one-skid and toe-in landing maneuver. Contributing to the accident was the flight instructor's decision to practice this maneuver at an unauthorized landing site.

Contributing factors

Contributing to the accident was the flight instructor's decision to practice this maneuver at an unauthorized landing site.

NTSB narrative

The purpose of the accident flight was to provide familiarization training in the MD-530 to an experienced and qualified helicopter pilot, recently hired by the company, before that new pilot’s deployment to Iraq. The certificated flight instructor (CFI) chose to demonstrate one-skid and toe-in landings/confined area landing technique on a ship simulator. The maneuver was beyond basic familiarization procedures and the site chosen by the flight instructor was not approved for familiarization training. The student pilot stated that the CFI did a circling pattern around the simulators to make sure that they were clear. Then he started an approach to the top rail. When they got close to touching down the student leaned forward and looked at the toe of the skid and saw it was under the top rail. He was reaching for the press to talk button to tell the CFI when the helicopter flipped over the railing and into a stairwell.

Analysis

Primary failure mode
Human factors
First missed decision gate
CFI chose an unapproved site for training maneuvers beyond basic familiarization.

NTSB coding

Evidence available

  • Photos
  • 12 docket documents
View NTSB final reportView NTSB docket

Docket documents12

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