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Cases › ERA20FA056 · Part 135 fatal · Class 3

Bell 407Survival Flight, LLC

Headland, AL, USA · 2019-12-25·N663SF

1
fatal
0
serious
Fatal
highest injury
Substantial
damage

What happened

NTSB summary, verbatim

According to the flight nurse and paramedic, the flight was normal until the helicopter suddenly rolled to the left as they approached the helipad during landing. The pilot made no attempt to correct the roll, and the helicopter rolled onto its side and the main rotors contacted the ground. The pilot was immediately observed to be unresponsive and not breathing, and the flight nurse and paramedic began CPR as quickly as they could extricate the pilot from the cockpit. Autopsy of the pilot revealed severe coronary artery disease that placed him at significant increased risk for sudden death from an acute coronary event. Given the pilot's sudden inability to pilot the helicopter safely, the recognition by certified medical personnel that he was unresponsive and not breathing immediately following the accident, and the fact that he did not suffer enough blunt force trauma to have caused immediate cardiac arrest, it is most likely that the accident occurred because the pilot became incapacitated from an acute cardiac event.

Photographs

6the aircraft, and what the investigators found
Wreckage and site documentation · 6 photographs from the docket

Photographs are NTSB docket attachments — works of the US government, in the public domain. Captions are the Board’s own.

Probable cause

the Board's determination
Pilot incapacitation by a sudden cardiac event related to severe coronary artery disease, which resulted in a loss of helicopter control.

Occurrence sequence

3 stepsNTSB coding · CICTT taxonomy
  1. 1 · Approach
    Medical event
    defining event
  2. 2 · Approach
    Loss of control in flight
  3. 3 · Uncontrolled descent
    Collision with terr/obj (non-CFIT)

Findings

1 causal · 0 contributing
  • CAUSE
    Personnel issues › Physical › Impairment/incapacitation › Cardiovascular — Pilot

NTSB analysis

from the final report

According to the flight nurse and paramedic, the flight was normal until the helicopter suddenly rolled to the left as they approached the helipad during landing. The pilot made no attempt to correct the roll, and the helicopter rolled onto its side and the main rotors contacted the ground. The pilot was immediately observed to be unresponsive and not breathing, and the flight nurse and paramedic began CPR as quickly as they could extricate the pilot from the cockpit. Autopsy of the pilot revealed severe coronary artery disease that placed him at significant increased risk for sudden death from an acute coronary event. Given the pilot's sudden inability to pilot the helicopter safely, the recognition by certified medical personnel that he was unresponsive and not breathing immediately following the accident, and the fact that he did not suffer enough blunt force trauma to have caused immediate cardiac arrest, it is most likely that the accident occurred because the pilot became incapacitated from an acute cardiac event.