CEN09LA324

NTSB accident investigation · Bell 47G · Kyle, TX · May 30, 2009

Accident · Serious injuriesLimited investigationFinal report
Date
May 30, 2009, 12:00 local (17:00 UTC)
Place
Kyle, TX
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Standing
Aircraft
N4823Bell 47G
Defining event
Standing-engine(s) operating: Fire/smoke (non-impact)
Weather
Visual (VMC) · Day
Status
Completed · report January 7, 2011
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA San Antonio FSDO
FAA report
20090530008609A
Case key
73927

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

On this page

Probable cause

The ground crewmember's failure to assure that the fuel nozzle was closed before pressurizing the line. Contributing to the accident was the lack of an available fire extinguisher.

Findings · 3

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.

LoadingAircraft › Aircraft handling/service · Incorrect use/operationBell 47G-2: 1 caseAll aircraft: 35 casesProbable cause
MaintenancePersonnel issues › Task performance · Ground crewBell 47G-2: 1 caseAll aircraft: 143 casesProbable cause
Physical workspace: access to equipment/controlsEnvironmental issues › Task environment · Contributed to outcomeBell 47G-2: 1 caseAll aircraft: 10 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 pilot was belted in the left pilot seat with the helicopter’s engine and rotor system operating at ground idle. The ground crewmember was attempting to “hot refuel” the helicopter’s left fuel tank when he noticed that fuel was not flowing from the nozzle. The ground crewmember removed the nozzle from the fuel tank and placed it on the running helicopter’s chemical tank. The ground crewmember then dismounted from the helicopter and went to a kinked portion of the refueling hose. As he straightened the kinked hose, the nozzle immediately began spraying gasoline on the engine and the pilot before subsequently igniting. Fuel spray from the nozzle continued for several seconds and then stopped. The pilot exited the helicopter unassisted and extinguished the flames by slapping his body and arms with his hands. The ground crewmember assisted by pouring water on the seriously injured pilot and then calling for help. A fire extinguisher was not installed on either the helicopter or the refueling truck, and no attempts were made to extinguish the fire on the helicopter until emergency response firefighters arrived on scene.

Factual narrative

On May 30, 2009, about 1200 central daylight time, a Bell 47G-2 helicopter, N4823, sustained substantial damage after experiencing a fire during refueling operations at a remote field location near Kyle, Texas. The helicopter was being operated by Hardtime Helicopters, Inc., D’Hanis, Texas, as a visual flight rules (VFR) agricultural application flight, operating under the provisions of 14 Code of Federal Regulations (CFR) Part 137. The pilot, who was the only person onboard, sustained serious injuries. Visual meteorological conditions prevailed and no flight plan had been filed. The local flight was originating at the time of the accident. According to written statements from the operator, the pilot, and the ground crewmember, the pilot was belted in the left pilot seat with the helicopter’s engine and rotor system operating at ground idle. The removable cockpit doors were not installed. The ground crewmember was attempting to “hot refuel” the helicopter using a 35 foot long refueling hose attached to a 100 gallon fuel tank on a pickup truck which was parked next to the helicopter. The ground crewmember was standing on the forward cross tube of the helicopter with the refueling hose nozzle inserted in the helicopter’s left fuel tank when he noticed that fuel was not flowing from the nozzle. The ground crewmember removed the nozzle from the fuel tank and placed it on the operating helicopter’s chemical tank. The ground crewmember then dismounted from the helicopter and went to a kinked portion of the refueling hose. As he straightened the kinked hose, the nozzle immediately began spraying gasoline on the engine and the pilot before subsequently igniting. The fuel spray from the nozzle continued for several seconds and then stopped. The pilot exited the helicopter unassisted and extinguished the flames by slapping his body and arms with his hands. The ground crewmember assisted by pouring water on the injured pilot and then called 9-1-1 emergency. The pilot reported that there was no fire extinguisher in the helicopter and he was not aware of a fire extinguisher in the truck or in the chemical trailer attached to the truck. No attempts were made to extinguish the fire on the helicopter until emergency response firefighters arrived on-scene. Federal Aviation Administration Advisory Circular number 00-34A, Aircraft Ground Handling and Servicing, paragraph 9, g, (5), recommends that “Fuel-dispensing vehicles…..should be equipped with appropriate fire extinguishers”. However, federal aviation regulations do not require fire extinguishers to be installed on agricultural aircraft or on fuel-dispensing vehicles.

Aircraft

Registration
N4823
Reported as
Bell 47G (2)
Category
Helicopter
Serial number
M-210
Airframe hours
4,265
Engine
Lycoming VO435, 280 horsepower, reciprocating
Damage
Substantial damage
Fire
On-Ground
Flight
Aerial application · Part 137
Operator
Michael E. Mollere Lamm Ranch
Registered owner
Hardtime Helicopters Inc
Airworthiness certificate
Special, Restricted (Special)
Last inspection
Annual · July 16, 2008 · 144 hours before
Departed
HYI · Kyle, TX
Destination
HYI · Kyle, TX
Airport
HYI · San Marcos Municipal Airport

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
43
Injuries
Serious
Certificate
Commercial
Medical
Class 2, Without waivers/limitations
Last flight review
March 19, 2009
Seat
Left
Flight hours
2,200 total · 1,000 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
240° at 8 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
88 °F, dew point 57 °F
Altimeter
30.04 inHg
Observed at
KHYI, 4 nm away

Docket · 12

The files NTSB released with the investigation on November 2, 2010, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.1 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.

Other investigations on N4823 · 4

Matched to the same aircraft by N-number and date.