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Tue, Mar 27, 2018

NTSB Issues Preliminary Report For Liberty Helicopters Accident

Pilot Said He Provided Safety Briefing That Included Emergency Evacuation Procedure

The NTSB issued its preliminary report Monday for the agency’s investigation of the March 11, 2018, crash of a Liberty Helicopters AS350B2 into the East River, New York. Five of the six people aboard the helicopter died in the accident, and the Airbus helicopter was substantially damaged when it impacted the water and subsequently rolled inverted.

The preliminary report contains no analysis and does not discuss probable cause.  The information in the report is preliminary and subject to change as the NTSB’s investigation progresses.

According to the report, after he arrived at 65NJ on the day of the accident, he performed a preflight inspection of the helicopter and made sure it was fueled. The first group of passengers from FlyNYON was scheduled to arrive at 1100. The pilot then completed multiple 15- to 30- minute flights that day but could not recall how many.

About 1845, he received a text message from FlyNYON operations personnel scheduling the accident flight. When the FlyNYON van arrived, the pilot checked his passengers' harnesses and put their life vests on. He pointed out where the cutting tool was located on their harness and explained how to use it. He then seated the passengers and secured their harness tethers to hard points on the helicopter. After the passengers were seated, loading personnel assisted them with putting on the helicopter's restraints (For the purpose of this report, "restraint" refers to the seabelt and shoulder harness installed by the helicopter manufacturer, and "harness" refers to the system provided by FlyNYON).

Before he started the helicopter, the pilot provided a safety briefing that included which of the passengers was going to remove their restraints and which would remain buckled in their restraints during the flight. He asked the passengers to confirm what sights they wanted to see, and they put their headsets on. He finished the safety briefing and again explained how to use the cutting tool to cut the seatbelts. He told them where the fire extinguisher was and told them that if there was an emergency he would tell the passengers to get back into their seats. He confirmed their points of interest and did a communications check through the headsets. The passengers could hear him and radio traffic, but they did not have microphones and could not speak to the pilot or each other.

As they were flying along the eastern side of Central Park, the front seat passenger turned sideways, slid across the double bench seat toward the pilot, leaned back, and extended his feet to take a photograph of his feet outside the helicopter. As the pilot initiated a right pedal turn to begin to head south, the nose of the helicopter began to turn right faster than he expected, and he heard a low rotor rpm alert in his headset. He then observed engine pressure and fuel pressure warning lights and believed he had experienced an engine failure. He lowered the collective pitch control to maintain rotor rpm and let the nose continue to turn to the right.

Central Park came into view and he briefly considered landing there but thought there were "too many people." He continued the turn back toward the East River and made his first distress call to air traffic control. He yelled to the passengers to get back in their seats. Due to the helicopter's airspeed, he was not sure he could make it to the East River and reduced rotor rpm so he could "glide better." Once he was in an established autorotative glide, he attempted to restart the engine but was unsuccessful. He waited 1 or 2 seconds and tried the starter again, but there were no positive indications of a successful engine restart on the instrumentation. He checked the fuel control lever and found that it was still in its detent for normal operation. When he was sure he could clear the buildings and make it to the river, he activated the floats at an altitude of about 800 ft agl.

At this point he was "committed to impact," and, when he reached down for the emergency fuel shutoff lever, he realized that it was in the off position. He also noted that a portion of the front seat passenger's tether was underneath the lever.

As the helicopter continued to descend through 600 ft agl, he positioned the fuel shutoff lever to the "on" position and attempted to restart the engine. He observed positive indications on the engine instruments immediately. As the helicopter descended through 300 ft, he realized that the engine "wasn't spooling up fast enough," and, given the helicopter's proximity to the surface, he had to continue the autorotation. He again reached for the fuel shutoff lever and positioned it back to "off." Passing through between 100 and 50 ft, he began the cyclic flare in an extended glide configuration, but he "did not get a lot of rpm back." He performed a flare reduction at 10 to 15 ft. He pulled the collective pitch control up "as far as it would go." The helicopter then impacted the water at 5° to 10° nose-up attitude.

After impacting the water, the chin bubble on the pilot's side began to fill with water, which quickly covered the floor. He kept his restraint on and reached down for the front seat passenger's carabiner attachment to the helicopter. He turned the knurled screw "two or three rotations"; by that time, the helicopter was "listing past a 45° roll." He then decided to egress the helicopter, and by the time he unbuckled his restraint, he was fully under water. He used two hands to grab the door frame and pull himself out. He surfaced about 4 ft away from the nose of the helicopter and crawled up onto the belly. He stood up and waved for help but could not see anything.

Examination of the emergency float system revealed that the three floats installed on the left landing gear skid appeared to be more inflated than the floats on the right landing gear skid.

Examination of the seats and restraint systems revealed that the five passengers onboard the helicopter were provided with airframe manufacturer-installed restraints, as well as a full body harness. The harness system was not installed by the helicopter manufacturer and was comprised of off-the-shelf components consisting of a nylon fall-protection harness that was attached at the occupants' back by a locking carabiner to a lanyard. The lanyard was composed of multiple woven fabric loops, and the opposite end of the lanyard was secured by another locking carabiner to a hard point on the helicopter. A small pouch was attached to the harness and contained a cutting tool.

(Image provided with NTSB Preliminary Report. Harald Reichel, an Aerospace Engineer with the NTSB’s Office of Aviation Safety, examines the engine of a Liberty Helicopters’ helicopter that went down in the East River March 11)

FMI: Report

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