6.0 Within 2 Miles 8.0 Beyond 3 Miles. Aircraft TypdModel

Transcription

1 f The Accident Occurred On Approach, Takeoff Or Within 3 Miles Of An Airport, Complete The Following nformation Proximity To Airport: 1.dOnAirport 3.0 Within 1/2 Mile 5.0 Within1 Mile 7.0 Within 3 Miles 2. 0 Within 114 Mile ~ 4.0 Within 34 Mile Airport Name Airport ldent RunwaylLanding Surface And Conditions: a P!U t9' rzz a 5. Condition: 4. Surffacs: Ped 6.0 Within 2 Miles 8.0 Beyond 3 Miles wv 9.0 HoverlManeuver 10. n Altitude Of nfliaht Occurrence feet MSL Registration Mark b) 44%Y Aircraft Manufacturer &bin/ao/.c/ Aircraft TypdModel &v Serial Number ~. Cart Max Gross W Amateur Built 2. d o Landing Gear 1.0 TricycleFixed 2.0 TricycleRetractable 3.0 TailwheelFixed Stall Warning System 4.0 TailwheelRetractable TailwheelRetractable Mains 8. OSkilWheel 6.0 Amphibian 9. Specify FREquipped 7 No. 9f Seats F i g ht'ca bin Crew Pax?*XS Engine Manufacturer Engine($) Engine No. 1 Date of Mfg. BimLqq Typa 91 Maintenance Program 1.0 Annual 2.0 Manufacturer's nspection Program 3.0 Other Approved nspection Program (AAP) 4. J Continuous Airworthiness $0 syo /=/& Mfg. Serial No. L 2 W77,&49 1. heciprocatingcarburetor 3. 0 Turbo Prop 5.0 Turbo Fan 2.0 ReciprocatingFuel njected 4.0 TurboJet 6. Turbo Shaft TotalTime System Used 1. &Horsepower 1.0 None 2. Lbs. Thrust 2. Specify tma Sku!nspection Time Since Overhaul ~ 9y Hours Hours Hour Engine ModdlSerias Engine Rated Power Type Of Fire Extinguishing Hours Hours Hour Hours Hours Hour Hours Hours Hour l.b Annual tj (M;DN 2.G loohour TiLe zzklnspection 3.0 AAlP Hour: AirframeTotal Time 2 Name 3 DES NTSB Form (11187) This form replaces NTSB Forms (Rev and (Rev

2 Operator (Certificate Number) Operator Designator (4 Letter Designator) Regulation Flight Conductor Under 1.0 FAR 91 (only) 4.nFAR121 7.OFAR n FAR 91 D 5. n FAR FAR FAR FAR rj FAR 137 Right pur 1. ersonal 6. OAerial Observation 2.0 Business 7.0 Other Work Use 3. nlnstructional 8. Public Use Operator Authority FAR Domestic 2.0 Flag 3.0 Supplemental FAR OOn Demand FAR Rotorcraft External Load FAR OLarge Aircraft FAR Foreign FAR 121,125,127,129,135 Revenue Operations 1.0 Scheduled n Scheduled 3.0 Domestic 4.0 nternational 5.0 Passenger 6.0 Cargo!Second Pilot nformation Second Pilot Responsibilities At The Time 01 Accident 1 0 CoPilot 2 Dual Student 3 0 Safety Pilot 4 0 Check Pilot 5 None (PilotRated Passenger) Pilot Name Pilot Certificate No. Address Nationality Certificste(s) 1 9Student 3 0 Commercial 5 OFlight nstructor 7 0 Military 9 None 2 OPrivate 4 3 Airline Transport 6 OFlightEngineer 8 Foreign 10 Specify ~

3 ~ Rating(r) 1.0 None 6.0 Helicopter 2.0 Single Engine Land 7.0 Glider 3.0 Single Engine Sea 8.0 Free Balloon 4.0 Multiengine Land 9.0 Airship 5. Multiengine Sea Gyroplane Type RatingdStudent Endorsements Medical Certificate 1.0 None 3.0 Class2 2.0 Class Class3 Degree01 njury 1.0 None 3.0 Serious 2.0 Minor 4.0 Fatal Date 01 Last Medical (WDW Limitations nstrument Rating(r) 1.0 None 2.0 Airplane 3.0 Helicopter Date 01 Biennial flight Review Or Equivalent (MDY) Waivers Seat Occupied :.n Le% 3.0 Center 5.0 Rear 2.0 Right 4.0 Front nstructor R.ting(r). 1.0 None 6.0 nstrument Airplane 2.0 Airplane S.E. 3.0 Airp1aneM.E. 7.0 nstrument Helicopter 8.0 Ground nstructor 4. Helicopter 9. Specify 5.fl Glider BFRAiraaft 1. Make (2. Model Date Of Birth Seat Belt Available Seat Ba US4 Shoulder Harness Available Shoulder Harness USOd Source Of Pilot flight Time nformation 1.0 Pilot Logbook 4.0 Company 2.0 Operators Estimate 5. Specify 3.0 FAARecords Name Passenger DegreeOllnjury Non Non Seat Address (City& State) Crew Revenue Revenue Occupant FAA Fatal SeriousMinor Non Last Departure Poi t 1. Airport D %c 1. Airport D 4.0 VFFUFR 2. Cityplace s ~W 2.0 VFR 5.0 Company (VFR) 3. State Cf+ 3.0 FR 6.0 Military (VFR) f Weather Was nvolved, State li Weather Briefing Was Obtained Or f Weather Reports Were Checked And How t Was Accomplished ud Fuel On Board At Last Takeoff Gallons W C C PPP* or Pounds Other Services, f Any, Prior To Departure Fuel Type Specify 5.0 JetA Automotive Soucs Of Weather nfomration (PilotlOperator, Weather Observation) Light Condition VisibilityShi Temp (V 1 0 Dawn 3 0 Dusk 5.0 Dark Night lesmi... 2 dylight 4.0 Bright Night "lanee

4 Feet Setting.Fi/ "Hg Kctear ScatteredFeetAGL 4.0 Overcast ~ 5.0 Partial Obscuration AGL 3. 0 Moderate 4. 0 Severe 5. 0 Extreme 6. 0 Clear Air 7. 0 n Clouds t 2.0 Yes ListThe Name OfThe Part. Manufacturer.Part No.. Serial No. And Describe The Failure On Part Hours At Overhaul Hours Collision Accident nformation For Other Aircraft Registration mark Aircraft Manufacturer Aircraft Type/Model DegreeOfAircraft Dama ge 1.0 Destroyed 3.0 Minor 2.0 Substantial 4.0 None Registered Aircraft Owner Address Pilot Name hddress Pilot Certificate No. Assistance Received 1. Outside Personis) 3.0 Slide 5.0 Ladder l 2.0 Auxiliary Lighting 4.0 Rope Method Of Exit (StwApproximate Number Of Persons Using Each Of The Followina) " 1 1. Main Door 2. Auxiliary Door 3. Emeraencv Exit 1 Page 4

5 . Additb~l Riaht Crew Mrmkn. '. & & 4. e ~? tpi'? ~ For Each Additional Flight Crew Member, Exclusive 01 Cabin Attenents Complete The following nformation: Name FAA Certificate No. Addre& ~ Certificate(s) 1 Q Student 3 0 Commercial 5 0 Flight nstructor 2 0 Private 4 0 AirlineTransport 6 0 FlightEngmeer RatingdEndorsements. ~ 7 0 Foreign 8 Specify Ti& Time This Accident Csrtificate(si 1 Yame Total Flight lime Flight TimeThis Accidmt FAACertificate No. Address 77 Total Right Time Flight lime This Aircraft

6

7 Statement of Pilot Gary M. Lampert took a short flight from San Carlos Airport (SQL) to Palo Alto Airport (PAO) and upon entering Palo Alto's airspace, requested an autorotation to runway 30. The tower cleared the autorotation but advised that observe separation from the fixedwing aircraft landing before me. To maintain scparatim, had to reducs airspeed sabstantially. At 1100 feet indicated, would have overflown the entire field so ''Ofred my airspeed until approximately 600 feet, then nosed the helicopter forward to gain the 65 knots of airspeed. Everything was uneventful passing through 200 feet until realized that was not going to hit my mark on "30" but rather my descent would have put me in the water that abuts the runway. then attempted a normal landing by quickly applying power via rolling the throttle "on" and pulling collective. was shocked to find that their was a lack of power, almost like the flooding of an automobile but the engine was nonetheless still at idle. quickly realized that this was no practice auto but would be a full autorotation. gain more airspeed to get me over the water and when felt had made it, flared to reduce downward descent and forward airspeed. The tail rotor ''stinger" hit the levy at the Southeast end of the runway and was "pushed into the tail rotor blades. lost the entire tail section and was catapulted forward and up. maintained control as best as could and continued the auto. Just prior to impact, pulled collective again and the engine fired up putting power to the main rotor blades. Because of the centrifical force, the helicopter began spinning to the right. All could do was keep it level and try to soften the impact. The Helicopter came down hard and level, splitting the skids but landing upright. The main rotor blades never impacted the boom and the rotor was still spinning when the aircraft came to a rest. turned off the engine and fuel, applied rotor brake and exited the helicopter with my passenger without any physical harm or further damage. a/ Dated: 2300