CEN12CA474

NTSB accident investigation · Eurocopter Deutschland MBB-BK 117 C-2 · Houston, TX · July 24, 2012

Accident · No injuriesData collectionFinal report
Date
July 24, 2012, 06:08 local (11:08 UTC)
Place
Houston, TX
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N455MHEurocopter Deutschland MBB-BK 117 C-2
Defining event
Landing: Miscellaneous/other
Weather
Visual (VMC) · Night
Status
Completed · report October 9, 2012
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA Houston FSDO
FAA report
20120724015589A
Case key
84431

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 inadequate preflight inspection, which failed to detect the unsecured cowling latches and resulted in the in-flight opening of an engine cowling.

Findings · 2

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.

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 emergency medical services helicopter was about 800 feet above ground level and landing at a rooftop hospital helipad in a congested metropolitan area when the left side engine cowling opened. The cowling partially separated and impacted the bottom of all four main rotor blades, resulting in substantial damage to the rotor blades. The pilot described the event as a brief shudder, like flying through the rotor wash of another helicopter. The pilot was unaware that any damage had occurred and landed uneventfully. A third medical crewmember boarded through the right rear door for a local flight to a suburban hospital. During engine shutdown at their destination, another medical crewmember exited the helicopter on the left side and was the first to notice the damage. The pilot stated that he failed to complete a thorough preflight inspection before the accident flight, because the crew was assigned a medical mission just after their shift started. The previous pilot, who flew the helicopter the evening before the accident, stated that he had opened the left side engine cowling to check the oil level and became distracted. He also stated that he could not remember if he had secured the cowling latches.

Factual narrative

The emergency medical service helicopter was about 800 feet above ground level and landing at a rooftop hospital helipad in a congested metropolitan area when the left side engine cowling opened. The cowling partially separated and caused substantial damage when it impacted the bottom of all four main rotor blades. The pilot described the event as a brief shudder like flying through the rotor wash of another helicopter. The pilot was then unaware that any damage had occurred and landed uneventfully. A third medical crewmember then boarded through the right rear door for a local flight to a suburban hospital. During engine shutdown at their destination, another medical crewmember exited the helicopter on the left side and was the first to notice the damage. The pilot stated he failed to complete a thorough preflight inspection because the crew was assigned a medical mission just after their shift started. The previous pilot who flew the helicopter the evening before the accident stated that he had opened the left side engine cowling to check the oil level and became distracted. He also stated he could not remember if he had secured the cowling latches.

Aircraft

Registration
N455MH
Reported as
Eurocopter Deutschland MBB-BK 117 C-2
Category
Helicopter
Serial number
9161
Airframe hours
2,305
Engines
Turbomeca ARRIEL 1E2, 708 horsepower, turbo shaftTurbomeca ARRIEL 1E2, 708 horsepower, turbo shaft
Damage
Substantial damage
Flight
Positioning · Part 91
Operator
Memorial Hermann Hospital System, doing business as Life Flight
Registered owner
Memorial Hermann Hospital System
Airworthiness certificate
Standard, Transport
Last inspection
AAIP · July 2, 2012 · 9 hours before
Departed
NONE · Katy, TX
Destination
38TE · Houston, TX
Flight plan
Company VFR
Airport
38TE · John S Dunn Helistop

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
45
Injuries
None
Certificate
Airline transport
Airplane ratings
Single-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 2, With waivers/limitations
Last flight review
November 15, 2011
Seat
Right
Flight hours
3,784 total · 597 in this make and model · 3,784 as pilot in command · 61 in the last 90 days · 21 in the last 30 days

Weather

Conditions
Visual (VMC) · Night
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
79 °F, dew point 75 °F
Altimeter
30.06 inHg
Observed at
KHOU, 7 nm away

Docket · 7

The files NTSB released with the investigation on August 10, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.5 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.