CEN15LA423

NTSB accident investigation · Bell 206B · Woodville, TX · September 24, 2015

Accident · Serious injuriesLimited investigationFinal report
Date
September 24, 2015, 10:40 local (15:40 UTC)
Place
Woodville, TX
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N648CABell 206B
Defining event
Maneuvering: Fuel contamination
Weather
Visual (VMC) · Day
Status
Completed · report January 21, 2016
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA, Rolls Royce
Case key
92057

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 loss of engine power due to water contamination in the fuel system. Contributing to the accident were the pilot’s inadequate preflight inspection of the fuel tanks and the operator’s inadequate inspection of the fuel supply truck that did not detect water contamination.

Findings · 4

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
Fluids: fuelAircraft › Fluids/misc hardware · Inadequate inspectionBell 206B: 15 casesAll aircraft: 1,695 casesProbable cause
Inspection: preflight inspectionPersonnel issues › Task performance · PilotBell 206B: 5 casesAll aircraft: 551 casesProbable cause
Oversight: equipment monitoringOrganizational issues › Support/oversight/monitoring · OperatorBell 206B: 1 caseAll aircraft: 7 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 reported that the helicopter was filled with 80 gallons of herbicide and about 20 gallons of fuel before departure. He then departed from the support fuel truck and made a climbing right turn, during which the engine lost power. The pilot lowered the helicopter's nose in an attempt to regain rotor rpm; however, the helicopter did not have sufficient altitude to regain rotor rpm, and it subsequently impacted terrain. A postaccident examination of the airframe and engine revealed water contamination throughout the fuel system. Fuel samples taken from the support fuel truck also contained water contamination. The loss of engine power is consistent with water contamination in the fuel system.

Factual narrative

On September 24, 2015, about 1040 central daylight time, a Bell 206B helicopter, N648CA, experienced a loss of engine power and made a forced landing to a field near Woodville, Texas. The commercial rated pilot, sole occupant, was seriously injured and the helicopter sustained substantial damage. The helicopter was registered to and operated by Chem-Air LLC, Shreveport, Louisiana, under the provisions of 14 Code of Federal Regulations Part 137 as an aerial application flight. Visual meteorological conditions prevailed at the time of the accident and no flight plan was filed. The local flight originated about 1035 from the company support truck. The operator reported that the pilot was conducting an aerial application flight over a heavily wooded area. He had been conducting aerial application operations since 0630. The helicopter was filled with 80 gallons of herbicide and about 20 gallons of fuel. After departure from the support truck the pilot made a climbing right turn when the helicopter's engine experienced a loss of power. The helicopter was above a group of tall pine trees, which the pilot was able to avoid and then he lowered the nose of the helicopter in attempt to regain rotor rpm. The pilot was unable to attain sufficient altitude to regain rotor rpm and the helicopter impacted terrain. During the forced landing, the helicopter came to rest on its right side. The helicopter sustained substantial damage to the fuselage, tailboom and rotor blades. On October 6, 3015, a Federal Aviation Administration (FAA) inspector, along with technical representatives from Bell Helicopter and Rolls Royce, examined the wreckage. Damage to the airframe, drive system, main rotor, tail rotor and flight controls was consistent with impact forces and no pre-impact anomalies were observed in any of the systems. There was no evidence of engine mechanical failure or malfunction. The engine and airframe were tested for water contamination in multiple locations. Water detecting paste, Kolor Kut, was used on the fluid samples. Water was found in the helicopter fuel tank, airframe fuel filter, engine fuel filter, and in the engine's fuel spray nozzle supply line. Water was also found in the lower right portion of the intact crash resistant fuel tank. The airframe fuel filter contained mostly orange/brown colored water (as confirmed by Kolor Kut) and a small amount of fuel. The fuel filter canister was full of fluid and the paper filter was relatively clean, but the bottom of canister contained dirt and particulates. The engine fuel filter mostly contained clear water with drops of fuel. The fuel spray nozzle supply line, which effectively traps and protects the fuel being fed to the engine, was loosened and the contents examined. The captured fluid smelled of jet fuel, but exhibited a division line which is typical of a fuel/water mixture. The division line indicated about a 1/3 fuel and 2/3 water ratio. The support fuel truck was tested for water contaminationat three locations. No water was found at the pump sump, the lowest part in the truck's fuel supply system. Water was observed in the fuel filter sump; the filter was removed and did not appear to be bulging from water absorption. Water was observed in the truck's fuel nozzle; the fuel sample was yellow in color.

Aircraft

Registration
N648CA
Reported as
Bell 206B (B)
Category
Helicopter
Serial number
3626
Built
1982
Airframe hours
15,907.1
Engine
Allison 250-C20 SER, 400 horsepower, turbo shaft
Damage
Substantial damage
Flight
Aerial application · Part 137
Operator
Chem-Air LLC
Registered owner
Chem-Air LLC
Airworthiness certificate
Standard, Normal
Last inspection
Continuous airworthiness · September 18, 2015
Departed
Woodville, TX
Destination
Woodville, TX
Equipment
Handheld GPS

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
48
Injuries
Serious
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Helicopter
Medical
Class 2, Without waivers/limitations
Last flight review
February 4, 2015
Seat
Right
Flight hours
13,490 total · 354 in the last 90 days · 121 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
90° at 6 knots
Visibility
7 statute miles
Lowest ceiling
None
Temperature
77 °F

Docket · 4

The files NTSB released with the investigation on December 7, 2015, on NTSB’s docket system: statements, records, photos and specialists’ reports. 9.8 MB in all.