Pilot Debrief

MD HELICOPTER 369A near Darby, MT — 2013-04-02

Final reportWPR13LA178
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Date
2013-04-02
Location
Darby, MT, USA
Airport
NONE
Aircraft
MD HELICOPTER 369A
Registration
N369HW
Category
Helicopter
Highest injury
Serious
Fatalities
0
Phase of flight
Approach

Probable cause

The pilot's failure to arrest the landing descent due to his incorrect use of the throttle, which resulted in a hard landing.

NTSB narrative

The pilot reported that he purchased the turbine-powered helicopter about 5 weeks before the accident and departed from his private airstrip for a brief local personal flight. During the approach for landing, when the helicopter was about 200 to 300 ft above ground level (agl), he added some power, and the engine responded normally. Shortly thereafter, he conducted a height-velocity check with satisfactory results. The pilot then slowed the helicopter to a descending hover with the engine running at an unspecified speed above flight idle. The pilot stated that, when the helicopter was about 10 ft agl, he increased the throttle setting, but the engine did not respond. He added collective to slow the descent, but the helicopter landed hard. Postaccident on-scene examination and system testing did not reveal evidence of any mechanical anomalies that would have resulted in a loss of engine power. The engine was tested in its as-removed condition and satisfactorily met all operational test and power calibration criteria with no anomalies or deficiencies noted. Review of the helicopter manufacturer's operating manual revealed that, during all phases of normal flight, the throttle should be in the full open (normal) position and should not be moved by the pilot. With the throttle in the full open position, a governor automatically increases and decreases engine power to maintain rotor rpm as the pilot raises and lowers the collective. According to the manufacturer, when the throttle is not in the full open position, the governor will not maintain rotor rpm, and full power will not be available. The pilot's statement that he increased the throttle setting about 10 feet agl indicates that he was manipulating the throttle contrary to the operating manual procedures, and this is likely the reason he was unsuccessful in stopping the helicopter's descent.

Analysis

Primary failure mode
Engine power loss
First missed decision gate
Pilot could have aborted the landing when engine did not respond at 10 feet agl.

NTSB coding

Evidence available

  • 9 docket documents
View NTSB final reportView NTSB docket

Docket documents9

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