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NTSB Report

July 19, 2004 · Agusta A119 · N928KR

Big Bear City, CA

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
July 19, 2004
Injury Outcomes
No injuries (7 uninjured)
Location
Big Bear City, CA
Aircraft
Agusta A119
Tail Number
N928KR
Operator
Agusta Aerospace
Injuries
None
Aircraft Damage
Substantial
NTSB Number
LAX04LA273

While maneuvering during an intentional low altitude and low airspeed flight over upsloping high mountainous terrain, the helicopter lost effective translational lift while turning about 50 feet above ground level and the helicopter entered an uncontrolled descent and impacted hard on the mountainside. The purpose of the sales demonstration flight was to provide the prospective buyer (county sheriff) an opportunity to evaluate the helicopter in reconnaissance type missions over mountainous terrain. To facilitate the evaluation, the demonstration pilot allowed the sheriff's pilot to fly the helicopter over a route chosen by the sheriff. The sheriff's pilot had no flying experience in the model of helicopter. The flight was unremarkable until the sheriff's pilot allowed the helicopter's main rotor speed to drop while decreasing the forward airspeed to 20 knots. The demonstration pilot did not take the controls from the sheriff's pilot in time to avert the uncontrolled descent into the 8,800-foot mean sea level terrain. At the time, the outside air temperature was about +20 degrees Celsius, and the density altitude was over 11,000 feet. According to the helicopter manufacturer's performance data for hovering out of ground effect, the helicopter was about 500 pounds too heavy to hover at this altitude at the helicopter's gross weight.

NTSB Probable Cause

the pilot-passenger's failure to maintain an adequate airspeed above translational lift and to maintain adequate main rotor rpm while performing a maneuvering turn under high density altitude conditions and over high mountainous terrain, which resulted in an uncontrolled descent. Also causal was the pilot-in-command's inadequate supervision of the pilot-passenger and his delayed initiation of remedial action.

Full Narrative

On July 19, 2004, about 1634 Pacific daylight time, an Agusta A119 (Koala), N928KR, impacted mountainous terrain during a low altitude maneuver about 10.7 nautical miles south-southeast of Big Bear City, California. Agusta Aerospace Corporation, Philadelphia, Pennsylvania, operated the helicopter, and it was substantially damaged. The commercial pilot was not injured. Five of the six passengers received minor injures, and the sixth passenger was not injured. Visual meteorological conditions prevailed, and no flight plan had been filed for the sales demonstration flight. The flight was performed under the provisions of 14 CFR Part 91, and it originated from the Rialto Municipal Airport, Rialto, California, about 1615. In the demonstration pilot's completed "Aircraft Accident Report," he indicated that the purpose of the flight was for him to provide the San Bernardino County Sheriff's Department (the potential customer) with an evaluation flight to verify the helicopter's usefulness in the sheriff's patrol and reconnaissance missions. The demonstration pilot reported that his total rotorcraft flying experience and pilot-in-command flying experience in the accident model of helicopter was 12,347 and 397 hours, respectively. The sheriff's pilot verbally reported to the National Transportation Safety Board investigator that he chose the route of flight, and the demonstration pilot found it satisfactory. To facilitate the evaluation, the demonstration pilot allowed the sheriff's pilot to handle the controls and to maneuver the helicopter over high mountainous terrain about 50 feet above the trees. The sheriff's pilot's total rotorcraft flying experience and pilot-in-command flying experience in the accident model of helicopter was 11,058 and 0 hours, respectively. According to the sheriff's department, its pilot was not qualified to perform as pilot-in-command of the accident helicopter. The demonstration pilot reported to the Safety Board investigator that the entire flight had been uneventful until the sheriff's pilot slowed the helicopter from 40 to 20 knots indicated air speed (KIAS) while making a left turn. At this time, the helicopter's airspeed decreased below that required for effective translational lift, and the main rotor rpm decreased. The demonstration pilot reported that he then joined the sheriff's pilot on the flight controls and used the remaining main rotor energy to direct the descending helicopter toward a small semi-level area for the impending impact. The demonstration pilot also stated that the sheriff's pilot had been flying with his permission, but that continued flight was not possible under the ambient +20 degrees Celsius condition, over the 8,800-foot mean sea level (msl) rising terrain. The demonstration pilot indicated that he could not arrest the descent prior to impacting the ground while descending between 300 and 500 feet per minute. During a post-accident interview by a sheriff's investigator, the sheriff's pilot indicated that during the final seconds of flight "there was insufficient power available to continue flying," and the sheriff's pilot heard the low rotor audible warning alert. The sheriff's pilot indicated that they had not experienced a mechanical malfunction or failure during the accident flight. Based upon the reported 8,800-foot msl accident site elevation and the estimated +20 degrees Celsius outside air temperature, the Safety Board investigator calculated that the density altitude was over 11,000 feet. According to the sheriff's investigator who totaled the weights of the occupants in the helicopter and also accounted for the fuel burn off during the accident flight, when the crash occurred the helicopter's weight was about 2,715 kg. The Agusta "Hovering Ceiling Out of Ground Effect" performance chart for the helicopter indicates that under the aforementioned density altitude condition, the helicopter was capable of hovering out of ground effect at a maximum weight of 2,200 kg.

Flight

Event TypeAccident
Event Time16:34 PDT
Nearest Airport0nm
Flight Plan FiledNone
Flight Plan ActivatedNo
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftAgusta A119
Tail NumberN928KR
Aircraft CategoryHeli
DamageSubstantial
OperatorAgusta Aerospace
Operating RulePart 91
Engines1
Engine TypeTurboshaft
Engine DetailsPratt & Whitney Canada · PT6B-37A · Turboshaft · 1002
Seats8

People & Injuries

Injury SummaryNo injuries (7 uninjured)
Fatal0
Serious0
Minor0
Uninjured7
Total7
Crew 1Age 58 · Second Class · None

Conditions

ConditionsVMC
LightDaylight
Wind310° @ 10 kt
Visibility30 sm
CeilingNone
Temperature / Dew Point54
Altimeter29.92 inHg
Observation Time23:55
Weather SourceWFAC

Appendix: Source Data