CEN14LA390

NTSB accident investigation · Bell 206B · Bennet, NE · July 26, 2014

Accident · No injuriesLimited investigationFinal report
Date
July 26, 2014, 14:30 local (19:30 UTC)
Place
Bennet, NE
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N240SJBell 206B
Defining event
Maneuvering-low-alt flying: Fuel contamination
Weather
Visual (VMC) · Day
Status
Completed · report April 27, 2015
Report
Approved by Office Director
NTSB office
Central Region
FAA report
20140726020539A
Case key
89749

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

A total loss of engine power due to fuel contamination, which resulted from the pilot’s inadequate preflight inspection. Contributing to the accident was the operator’s failure to properly maintain the fuel storage tank.

Findings · 5

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.

Fluids: fuelAircraft › Fluids/misc hardware · Fluid conditionBell 206B: 15 casesAll aircraft: 1,695 casesProbable cause
Resources: adequacy of equipmentOrganizational issues › Management · OperatorBell 206B: 1 caseAll aircraft: 4 casesProbable cause
Documentation/record keeping: testing recordsOrganizational issues › Support/oversight/monitoring · OperatorBell 206B: 1 caseAll aircraft: 1 caseProbable cause
Inspection: preflight inspectionPersonnel issues › Task performance · PilotBell 206B: 5 casesAll aircraft: 551 casesProbable cause
Airport facilities/design: fuel service/equipmentEnvironmental issues › Operating environment · Effect on operationBell 206B: 1 caseAll aircraft: 2 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.

Fuel contaminationManeuvering-low-alt flyingBell 206B: 3 casesAll aircraft: 225 casesDefining event

Analysis

The pilot reported that he refueled the helicopter from a stationary fuel tank that the operator had recently had filled. After sumping the helicopter's fuel tank and the airframe fuel filter and noting that the strained fuel was absent of debris and water, the pilot departed on the flight. About 12 to 15 minutes into the flight, the engine lost total power. The pilot made a low-altitude autorotation to a field, and the helicopter subsequently slid about 10 to 15 ft and struck a berm. No preaccident mechanical deficiencies were found that would have precluded normal operation of the engine. The pilot said that he thought the power loss was due to fuel contamination, so he sumped fuel from the helicopter and the storage tank, and the fuel from each source was dark brown with visible contaminants. Postaccident examination of a large sample of fuel drained from the storage fuel tank confirmed that the fuel was brown with visible contaminants. The tank's filter was also found to be contaminated, and sludge was observed in the bottom of the tank. Contaminated fuel was found in the helicopter's fuel tank and fuel filter bowl, and the fuel nozzle was covered with a hardened dark brown substance. Review of fueling records revealed that the fuel contractor had delivered a 1,000-gallon fuel storage tank labeled "diesel" to the fueling site and that the contractor placed 920 gallons of Jet A fuel in the tank 14 days later (5 days before the accident). It could not be determined what type of fuel was in the tank before it was filled with Jet A fuel.

Factual narrative

On July 26, 2014, at 1430 central daylight time, N240SJ, a Bell 206B helicopter, sustained substantial damage during a forced landing to a soybean field after a total loss of engine power near Bennet, Nebraska. The commercial pilot was not injured. The helicopter was registered to and operated by a private company. Visual meteorological conditions prevailed and no flight plan was filed for the local, aerial application flight conducted under 14 Code of Federal Regulations Part 137.In a telephone conversation, the pilot stated that he had flown 4 uneventful hours that day and had to stop to refuel. He said the operator had just purchased fuel, which had been placed into a stationary fuel storage tank and this was the first time he was using fuel from that tank. The pilot pumped 25 gallons of fuel into the helicopter, then sumped the airframe fuel tank and fuel filter. The pilot said the strained fuel was absent of water and debris. He then departed. About 12-15 minutes into the flight, when the helicopter was about 16 feet above the ground, at an airspeed of 80 miles per hour (mph), the turbine-engine lost total power. The pilot made an autorotation to a soybean field and slid about 10-15 feet into a berm. Due to the rocking motion from hitting the berm, the main rotor blade severed the tail boom. The pilot said that he thought the engine "flame-out" was due to fuel contamination so he sumped the helicopter's airframe fuel filter and the stationary fuel storage tank after the accident. The drained fuel from both sources was dark brown with visible contaminates. A post accident examination of the helicopter and stationary fuel storage tank was conducted on August 5, 2014, by the Federal Aviation Administration (FAA), Bell Helicopter and Rolls Royce. Examination of the stationary fuel storage tank's fueling receipt and company records revealed that on July 7, 2014, the operator's fuel contractor delivered a 1,000 gallon Flameshield tank to the remote fueling site. This tank was marked "Diesel" on the side. On July 21, 2014, the fuel contractor placed 920 gallons of Jet A fuel into the 1,000 gallon "Diesel" tank. The FAA drained a large fuel sample from the tank and it was dark brown in color with contaminates. The tank's filter was also contaminated and visible sludge was observed at the bottom of the tank. Contaminated fuel was also found in the helicopter's fuel tank and fuel filter bowl, and the fuel nozzle was covered with a hardened dark brown substance. There were no other pre-mishap mechanical deficiencies observed that would have precluded normal operation of the engine.

Aircraft

Registration
N240SJ
Reported as
Bell 206B (B)
Category
Helicopter
Serial number
2354
Built
1978
Airframe hours
7,216.4
Engine
Rolls-Royc 250-C20B, 317 horsepower, turbo shaft
Damage
Substantial damage
Flight
Aerial application · Part 137
Operator
Samaritan Air Inc
Registered owner
Samaritan Air Inc
Airworthiness certificate
Special, Restricted (Special); Standard, Normal
Last inspection
Annual · November 4, 2013
Departed
Bennet, NE
Destination
Bennet, NE

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
53
Injuries
None
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 2, With waivers/limitations
Last flight review
June 25, 2014
Seat
Right
Flight hours
4,500 total · 2,400 in this make and model · 4,500 as pilot in command · 29 in the last 90 days · 27 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Temperature
81 °F

Docket · 5

The files NTSB released with the investigation on March 30, 2015, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.7 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.