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NTSB Report

July 19, 2017 · Enstrom F 28C · N5697B

Ontario, CA

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
July 19, 2017
Injury Outcomes
1 injury (1 serious injury)
Location
Ontario, CA
Aircraft
Enstrom F 28C
Tail Number
N5697B
Injuries
Serious
Aircraft Damage
Substantial
NTSB Number
WPR17LA158

The solo student pilot reported that he entered the downwind leg to set up for the helicopter's first landing of the day. When abeam the touchdown location, he conducted the prelanding checks with no anomalies noted. Before turning onto the base leg, the pilot lowered the collective, reduced the throttle, and started to descend about 100 ft per minute. During the descent, he observed that the engine rpm was slightly above 2,900 rpm. He reduced the throttle, and the rpm reduced slightly; however, it again increased to 2,900 rpm, and the manifold pressure was about 10 inches of mercury. When the helicopter was about 400 ft above ground level, the pilot heard the engine sound increase, and he observed that the engine rpm had increased to between about 3,300 and 3,500 rpm. The helicopter was unable to reach the runway, so the pilot continued to descend it toward a pasture, and it landed hard in the dirt. A postaccident airframe and engine examination and subsequent engine run revealed no preimpact anomalies that would have precluded normal operation. The observed damage to the main rotor blades was consistent with blade coning, a condition indicative of low main rotor rpm. It is likely that the student pilot mismanaged the main rotor rpm during the descent, which resulted in a low rotor rpm and a high descent rate during landing.

NTSB Probable Cause

The student pilot's mismanagement of the main rotor rpm, which resulted in low rotor rpm, a high descent rate, and a subsequent hard landing.

Full Narrative

On July 19, 2017, about 1010 Pacific daylight time, an Enstrom F28-C rotorcraft, N5697B, descended rapidly and landed hard in a dirt pasture about 1/2-mile northeast of the Chino Airport (CNO), Ontario, California. The student pilot, sole occupant, was seriously injured and the helicopter sustained substantial damage to the tailboom and main rotor blades. The helicopter was registered to Dubois Aviation Inc and operated by the pilot as a 14 Code of Federal Regulations Part 91 solo instructional flight. Visual meteorological conditions prevailed and no flight plan was filed. The flight originated from CNO about 1005. The student pilot reported he entered the downwind leg to set up for the first landing of the day. When abeam his touchdown location, he conducted the prelanding checks with no anomalies noted. Prior to turning base he lowered the collective, reduced the throttle, and started to descend at about 100 feet per minute. During the descent, he observed the engine RPM to be slightly above 2,900 RPM, and he reduced the throttle. The RPMs reduced slightly, however, went back to 2,900 RPM, and the manifold pressure was about 10 inches of Hg. About 400 feet above the ground, he heard the engine sound increase and he observed 3,300-3,500 RPM. Unable to make the runway, he continued to descend towards a pasture and landed hard in the dirt. A postaccident airframe and engine examination revealed no preimpact anomalies that would have precluded normal operation. Flight control continuity was established from the cockpit controls to the main rotorhead. The tailrotor driveshaft was turned and rotation was observed from the tail rotor gear to the main rotor mast. The main rotor blades remained intact and exhibited signatures consistent with coning. The lower spark plugs were removed from the engine and the engine was rotated from the cooling fan. Thumb compression was obtained on all cylinders in proper firing order, and the impulse coupling was heard clicking from the left magneto. The spark plugs were reinstalled, and the engine was prepared for an engine run. The engine ran normally for several minutes at various RPMs. Normal operating pressures and temperatures were observed, and there were no fuel or oil leaks observed. The engine was shutdown normally with no anomalies noted.

Flight

Event TypeAccident
Event Time10:10 PDT
Nearest AirportChino Airport (1nm NNE)
Flight Plan FiledNone
Flight Plan ActivatedNo
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftEnstrom F 28C
Tail NumberN5697B
Aircraft CategoryHeli
DamageSubstantial
Operating RulePart 91
Engines1
Engine TypeReciprocating
Engine DetailsLycoming · HIO-360-E1AO · Reciprocating · 200
Seats3

People & Injuries

Injury Summary1 injury (1 serious injury)
Fatal0
Serious1
Minor0
Uninjured0
Total1
Crew 1Age 37 · Second Class · Serious

Conditions

ConditionsVMC
LightDaylight
Wind280° @ 7 kt
Visibility10 sm
CeilingNone
Temperature / Dew Point61 F
Altimeter30.01 inHg
Observation Time16:53
Weather SourceWFAC

Appendix: Source Data