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NTSB of the Week

Date: October 8, 2023 | Location: Croydon, New Hampshire | Aircraft: Bell 407 | Local Registration: N802JR | Accident Number: ERA24FA003

On October 8, 2023, about 1932 eastern daylight time, a Bell 407, N802JR, was involved in an accident near Croydon, New Hampshire. The commercial pilot with 13,780 hours was fatally injured.

Two days prior, the pilot was conducting visual powerline patrols in the region of the accident site. Due to poor weather at the operator’s base, the pilot elected to land on private property that had a large field and was known to company pilots as a safe area to land should weather prevent their return to base. The pilot was then picked up by car and ended his shift later that afternoon.

The accident pilot did not have any scheduled flights for October 7th and was off duty most of the day on October 8th. On the day of the accident, about 1700, management personnel from the operator contacted the accident pilot and detailed an aerial photo mission to be conducted the following day at Quonset State Airport (OQU). The accident flight was to be a positioning flight from the off-airport landing site the pilot had landed at on October 6th to OQU, about 115 miles south. According to a family member of the pilot, on the day of the accident, he played golf with friends and planned to reposition the helicopter after golf.

An onboard image recorder captured the accident flight. The video revealed that after a normal preflight inspection and run-up, the pilot initiated a near-vertical (straight-up) takeoff. Shortly after takeoff, the pilot stated aloud that it was too dark, and the helicopter began flying in an uncoordinated manor.

The pilot continued the climb and accelerated forward, and the helicopter entered multiple unusual attitudes, with the primary flight display (PFD) indicating that the helicopter was in an extreme nose-down, right-bank attitude. The PFD displayed multiple visual warnings prompting the pilot to correct the unusual attitude. The pilot made large cyclic applications during the maneuvers, continued to verbally express confusion, and the engine torque/power was increased to its maximum. The helicopter then entered a descending right turn for 15-20 seconds. Shortly before impact, an aural alert for terrain was sounded, red chevrons on the PFD continued to display, and the helicopter’s spotlight began illuminating the dark forest below. The video stopped recording about one second after trees were observed in the pilot’s windscreen.

Postaccident examination of the helicopter revealed no evidence of preimpact mechanical malfunctions or failures that would have precluded normal operation.

Based upon the flight track data, onboard image recorder data, and astronomical data, the pilot initiated a visual flight rules flight into dark nighttime conditions over featureless terrain, which likely prevented the pilot from using visual references to the horizon. The pilot’s expressed confusion and large cyclic applications were likely the result of the pilot experiencing spatial disorientation.

The onboard image recorder captured the pilot increasing the instrumentation and display lighting during the preflight inspection and he did not dim the instrumentation lighting before or during flight. Guidance from the FAA Helicopter Flying Handbook advises pilots to dim cockpit lighting for night operations to better identify outside terrain and hazard details. The guidance further outlined that taking off with cockpit lights that are too bright could cause reflections or glare off the windscreen, further reducing a pilot’s ability to fly by reference to the horizon outside. The pilot’s cockpit lighting settings likely contributed to the spatial disorientation.

The pilot had available for his use an autopilot and stability augmentation system (HeliSAS) to help prevent the helicopter from entering unusual attitudes, in addition to helping the pilot exit an unusual attitude; however, the SAS mode was not engaged and remained in a standby mode for the entire flight. The SAS could have been engaged at the airspeed and altitudes through which the pilot was flying during accident flight.

Review of the pilot’s experience found that an overwhelming majority of the pilot’s flight experience in the last 12 months was during daylight. Although, the operator did not record, nor where they required to record night currency, the pilot’s actions regarding lighting settings, his statement that it was “too dark,” and the ultimate loss of control due to spatial disorientation, likely indicate the pilot was not sufficiently current/proficient to fly the helicopter at night.

Probable Cause and Findings

The National Transportation Safety Board determines the probable cause(s) of this accident to be: The pilot’s loss of control during the initial climb in dark night conditions due to spatial disorientation, which resulted in a steep banking descent into trees and terrain. Contributing to the accident was the pilot’s lack of recent night flight experience, improper cockpit lighting settings, and his failure to use the helicopter’s stability augmentation system before and during the unusual attitude.

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Last Week’s NTSB of the Week

Date: February 14, 2024 | Location: Lewistown, Montana | Aircraft: Enstrom 280FX | Local Registration: N899JS | Accident Number: WPR24LA090

On February 14, 2024 in Lewistown, Montana, the airplane rated pilot reported that he departed the airport traffic pattern in an Enstrom 280FX helicopter, N899JS, with the intention of practicing helicopter maneuvers at about 200 ft. above ground level (agl) near sundown.

The pilot reported that he felt a loud bang while maneuvering and realized he had “impacted the ground” without warning and the helicopter immediately rolled onto its left side. The helicopter sustained substantial damage to the fuselage and tailboom.

The pilot reported that he encountered a “VFR white out” in “flat light” conditions while maneuvering over snow-covered terrain. He also reported that he was not maintaining a safe altitude. The pilot reported that he had accumulated 59.5 total flight hours in rotorcraft; however, the pilot did not possess a helicopter rating. The pilot reported that there were no preaccident mechanical failures or malfunctions with the helicopter that would have precluded normal operation.

Probable Cause and Findings

The National Transportation Safety Board determines the probable cause(s) of this accident to be: The pilot’s failure to maintain clearance from terrain. Contributing to the accident was the pilot’s encounter with low light conditions and snow-covered terrain.

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