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ERA19FA191 · Agusta A109 E

10 Jun 2019 · New York, NY, United States

N200bk Agusta A109 E · Accident: loss of visual reference while maneuvering

From East 34th Street Heliport (6N5) to Linden Airport (LDJ)

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Event

NTSB case
ERA19FA191
Event typeAccident: someone killed or seriously injured, or the aircraft substantially damaged (NTSB definition). Incident: an occurrence that affected or could have affected safety, short of that. Glossary
Accident
InvestigationHow far the investigation had got when the record was published: preliminary, ongoing, final or completed. Unknown where the source does not say. Glossary
Completed
API-reported fatalities
1 · all aircraft and ground
Ground fatalities
0
OperationWhat kind of flying it was, grouped by the rules it flew under: airline (US Part 121), air taxi and commuter (Part 135), general aviation (Part 91 and similar), military or government. Glossary
General aviation
WeatherVisual meteorological conditions (VMC): good enough to fly by looking outside. Instrument conditions (IMC): cloud or low visibility, flying by instruments. Glossary
Instrument Meteorological Cond

Agusta A109 E

Aircraft type
Agusta A109
Category
Helicopter
RegistrationThe aircraft's tail number, such as N12345 or G-ABCD. Registrations are reissued, so the same one years apart can be a different aircraft. Glossary
N200BK
Operator
N200bk
Onboard fatalities
Unknown
Route
From East 34th Street Heliport (6N5), New York, NYTo Linden Airport (LDJ), Linden, NJ
Aircraft age
About 19 years (built 2000)
Flight rulesThe regulations the flight operated under: in the US, Part 91 (general aviation), Part 121 (airlines), Part 135 (air taxi and commuter) and others; for flights abroad, the NTSB's coarser commercial or non-commercial code. Glossary
Part 91: General Aviation
Phase of flightThe stage of the flight when things started to go wrong: standing, taxi, takeoff, initial climb, en route, maneuvering, approach or landing. Glossary
Maneuvering · low-altitude flying
Defining eventThe single coded event the NTSB judges best describes what happened (records from 2008 on). Older records name the first occurrence in the sequence instead. Glossary
Loss of visual reference
DamageDestroyed: beyond practical repair. Substantial: damage that affects the structure, performance or handling and normally needs major repair. Minor: less than that. Glossary
Destroyed

Cause areas

  • Environmental issues › Conditions/weather/phenomena
  • Personnel issues › Action/decision
  • Personnel issues › Psychological
  • Personnel issues › Task performance

Approximate · Coordinates as recorded by the NTSB; no uncertainty radius is established.

NTSB narrative

After dropping off a passenger during a routine weekly commuting flight, the noninstrument-rated pilot of the helicopter remained at the fixed-base operator (FBO) for about 2 hours, reviewing weather information before departing on the planned repositioning flight, which was the last flight leg of the commute. Before he departed, the pilot informed FBO staff that he saw a “twenty-minute window to make it out.” Had the pilot remained at the heliport, the helicopter owner would have incurred hourly, overnight, and landing fees depending on the length of stay. The extent to which those fees or other factors, such as the pilot’s obligation to reposition the helicopter as part of the normal commute, influenced his decision to depart could not be determined.

The pilot departed into marginal visual flight rules (MVFR) conditions, and soon after takeoff, encountered instrument meteorological conditions (IMC). Although the pilot communicated that he was attempting to return to the departure heliport; shortly thereafter, he transmitted to heliport staff that he “didn’t know where he was.” Flight track data depicted an erratic flight path after takeoff, during which the helicopter climbed above the reported cloud base of 500 ft above ground level, and witness video recordings showed the helicopter flying in and out of clouds. About 8 minutes after takeoff, the helicopter descended rapidly and impacted the roof of a building. Examination of the airframe and engines revealed no evidence of any preimpact anomalies.

The pilot’s decision to depart into MVFR conditions and the helicopter’s subsequent encounter with IMC were conducive to the development of spatial disorientation, and the helicopter’s erratic flight path and rapid descent were consistent with a loss of control due to spatial disorientation.

Probable cause

The non-instrument-rated pilot’s decision to initiate the flight into marginal visual flight rules and instrument meteorological conditions, which resulted in spatial disorientation and a subsequent loss of control.

Verbatim NTSB analysis and probable cause from the NTSB dataset

Sources

NTSB record ERA19FA191
Event ID
20190610X53445
Case number
ERA19FA191
Dataset
full-current
Source SHA-256
5cf380f0061817c0331a6b2d8cc7e0ee3a79bea469a1001dc5c10e56f35f5ab3
Source notes (4)
  • Unreviewed is an editorial label, not an investigation status. API-sourced is not report-checked or human-reviewed. Explicit event totals are used without summing aircraft injury tables; onboard allocation is withheld. Unknown values remain unknown. The operation category is mapped from the NTSB-reported FAR part and has not been reviewed.
  • Filled from the NTSB case API where the bulk record had no value: investigation status, cause areas. Values present in the bulk record are kept.
  • The date is the local date, which is the same as the UTC date the NTSB stores.
  • API snapshot SHA-256: aa81fdd05f46b757430348041fe1a4e534aac978a319c61a54800ce6c318f21f; retrieved 2026-09-15T06:59:47.499Z.