ANC11TA110

NTSB accident investigation · Bell 206 B3 · Seward, AK · September 23, 2011

Accident · No injuriesFinal report
Date
September 23, 2011, 13:30 local (21:30 UTC)
Place
Seward, AK
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N204PABell 206 B3
Defining event
Maneuvering-low-alt flying: Loss of visual reference
Weather
Visual (VMC) · Day
Status
Completed · report April 10, 2013
Report
Approved by Office Director
NTSB office
Alaska Regional Office
Parties
FAA FSDO-03
FAA report
20110923023089A
Case key
81905

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

The pilot's failure to maintain clearance from snow-covered terrain during hover in deteriorating weather and flat light conditions, which resulted in a tail rotor strike.

Findings · 6

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Ceiling/visibility/precip: whiteoutEnvironmental issues › Conditions/weather/phenomena · Contributed to outcomeBell 206-L4: 1 caseAll aircraft: 13 cases
Terrain: snowy/icy terrainEnvironmental issues › Physical environment · Contributed to outcomeBell 206-L4: 1 caseAll aircraft: 77 cases
Tail rotor: tail rotor bladeAircraft › Aircraft propeller/rotor · Damaged/degradedBell 206-L4: 1 caseAll aircraft: 31 cases
Performance/control parameters: altitudeAircraft › Aircraft oper/perf/capability · Not attained/maintainedBell 206-L4: 4 casesAll aircraft: 1,310 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotBell 206-L4: 8 casesAll aircraft: 9,295 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The commercial helicopter pilot, with two passengers aboard, was supporting a snow survey crew atop an expansive, smooth, featureless, and snow-covered glacial ice field. This operation required brief stops at various predetermined sites along a prearranged route. When the pilot departed from one site en route to the next predetermined site, deteriorating weather conditions coupled with flat light conditions hampered his ability to see the topographical features of the ice field below. As the pilot slowed the helicopter to make a precautionary landing, the helicopter “touched down early.” After the initial touchdown, the pilot hover-taxied the helicopter to an area about 20 or 30 yards beyond the initial touchdown point, then he landed the helicopter in the deep snow. After landing, the helicopter tipped backwards as the aft portion of the skids settled into the deep snow, and the tail rotor blades subsequently struck the snow. The operator reported no preaccident mechanical problems with the helicopter. Before the helicopter could be ferried from the site, a maintenance technician inspected the helicopter for damage. Finding no apparent damage, the helicopter was started, ground run, and then hovered. While hovering, a tail rotor driveshaft coupling separated, and the pilot did a hovering autorotation back to the snow-covered ice field. As a result of the tail rotor driveshaft coupling separation, the helicopter sustained substantial damage to the tail rotor drive shaft assembly. The damage to the tail rotor drive shaft occurred as the helicopter was being ferried from the site, not during the original event. Most likely the drive shaft was degraded during the first landing, but it did not separate until the ferry flight.

Factual narrative

On September 23, 2011, about 1330 Alaska daylight time, a high skid-equipped Bell 206B3 helicopter, N204PA, sustained substantial damage during a tail rotor strike while maneuvering to land on the Harding Ice Field, about 10 miles west of Seward, Alaska. The helicopter was owned and operated by Pathfinder Aviation, Homer, Alaska, as a visual flight rules (VFR) public use passenger flight, in conjunction with the National Park Service (NPS), under the provisions of 14 Code of Federal Regulations Part 135, when the accident occurred. The commercial pilot and the two passengers were not injured. Visual meteorological conditions prevailed at the time of departure, and company flight following procedures were in effect. The flight originated about 1320 from a remote site on the Harding Ice Field. According to the Pilot/Operator Aircraft Accident Report (NTSB Form 6120.1) submitted by the operator, dated October 25, along with subsequent conversations with Pathfinder Aviation’s director of operations, the purpose of flight was to transport two NPS employees to a remote snow-covered site on the Harding Ice Field to collect snow samples. The mission required brief stops at various predetermined sites along a prearranged route. The director of operations noted that when the pilot departed from the previous site, en route to the next predetermined site, weather conditions were “good VFR.” As the flight progressed towards the upper elevations of the ice field, the pilot encountered overcast layers and flat light conditions. According to the director of operations, as the pilot slowed the helicopter to make a precautionary landing, and while on approach, “the aircraft touched down early.” After the initial touchdown, the pilot hovered-taxied the helicopter to an area about 20 or 30 yards beyond the initial touchdown point, then he landed the helicopter in the deep snow. After landing, the helicopter tipped backwards as the aft portion of the skids settled into the deep snow, and the tail rotor blades subsequently struck the snow. There were no preaccident mechanical problems reported with the helicopter. In a written statement to the NTSB dated September 24, a passenger aboard the accident helicopter reported that while traveling from one landing site on the Harding Ice Field to another, visibility deteriorated rapidly, making it very difficult to discern any topographic features of the snow-covered ice field. He said that as the pilot began slowing the helicopter, he estimated the helicopter’s height above the ice to be 100 feet, and then the helicopter unexpectedly touched down. After the initial touchdown, the helicopter continued to hover momentarily, then the pilot immediately landed the helicopter, and it tipped backwards. Photos of the accident site were provided to the NTSB as part of the passenger’s written statement. The topographical features surrounding the accident site consisted of expansive, smooth, featureless, and snow-covered slopingterrain. According to Pathfinder Aviation’s director of operations, a company maintenance technician was flown by helicopter to the site to inspect the helicopter for damage before it could be ferried back to Seward. Finding no apparent damage, the helicopter was started, ground run, and then hovered. While hovering, a tail rotor driveshaft coupling separated, and the pilot did a hovering autorotation back to the snow-covered ice field. As a result, the helicopter sustained substantial damage to the tail rotor drive shaft assembly. In the recommendations section of the NTSB 6120.1 form submitted by the operator, the director of operations noted that future pilot training would include formal flat light and whiteout training, as well as added training on judgment and decision making regarding weather.

Aircraft

Registration
N204PA
Reported as
Bell 206 B3
Category
Helicopter
Serial number
1742
Airframe hours
13,347
Engine
Allison 250, 420 horsepower, turbo shaft
Damage
Substantial damage
Flight
Public aircraft - federal · Public use
Operator
Pathfinder Aviation, doing business as Pathfinder Aviation
Registered owner
Pathfinder Leasing Inc
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · August 13, 2011
Departed
PAWD · Seward, AK
Destination
Seward, AK
Flight plan
VFR

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
30
Injuries
None
Certificate
Commercial
Medical
Class 2, Without waivers/limitations
Last flight review
July 18, 2011
Seat
Right
Flight hours
1,860 total · 392 in this make and model · 1,835 as pilot in command · 160 in the last 90 days · 39 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Visibility
10 statute miles
Lowest ceiling
500 ft overcast
Temperature
43 °F

Docket · 3

The files NTSB released with the investigation on February 5, 2013, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.3 MB in all.

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.