CEN16CA393

NTSB accident investigation · Bell 230 · Fargo, ND · September 30, 2016

Accident · No injuriesData collectionFinal report
Date
September 29, 2016, 22:00 local (Sep 30, 2016, 03:00 UTC)
Place
Fargo, ND
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N903SHBell 230
Defining event
Landing: Collision during takeoff/land
Weather
Visual (VMC) · Night
Status
Completed · report January 18, 2017
Report
Approved by Office Director
NTSB office
Central Region
Parties
Federal Aviation Administration
FAA report
20160929019709A
Case key
94151

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 the ground obstacle during the landing with gusting winds present.

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.

Action: incorrect action performancePersonnel issues › Action/decision · PilotBell 230: 2 casesAll aircraft: 1,386 casesProbable cause
Attention/monitoring: monitoring environmentPersonnel issues › Psychological · PilotBell 230: 1 caseAll aircraft: 809 casesProbable cause
Wind: gustsEnvironmental issues › Conditions/weather/phenomena · Effect on operationBell 230: 1 caseAll aircraft: 1,199 casesProbable cause
Object/animal/substance: poleEnvironmental issues › Physical environment · Awareness of conditionBell 230: 1 caseAll aircraft: 142 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 he performed his approach into the wind. On short final he could feel periodic gusts of wind. The pilot executed the standard approach to the helipad and the helicopter encountered another gust that picked the helicopter's nose up as it was moving over the pad. He maneuvered the helicopter to center it over the pad when he heard a sound like "metal on metal as if the tail rotor had hit something a couple times." The pilot felt no initial feedback in the controls, he felt the helicopter yaw to the left, and the helicopter continued to yaw to the left with his full application of right pedal. He lowered the collective and rolled off the throttle to enter a hovering autorotation and attempted to land it as level as possible. The helicopter landed hard. The operator reported substantial ground damage occurred to the tail rotor gearbox and tail rotor blades and a review of images revealed damage to the tailboom. A nearby fence and light were reported to be damaged. The operator's accident report indicated that there were no mechanical malfunctions with the helicopter.

Factual narrative

The pilot reported that he performed his approach into the wind. On short final he could feel periodic gusts of wind. The pilot executed the standard approach to the helipad and the helicopter encountered another gust that picked the helicopter's nose up as it was moving over the pad. He maneuvered the helicopter to center it over the pad when he heard a sound like "metal on metal as if the tail rotor had hit something a couple times." The pilot felt no initial feedback in the controls, he felt the helicopter yaw to the left, and the helicopter continued to yaw to the left with his full application of right pedal. He lowered the collective and rolled off the throttle to enter a hovering autorotation and attempted to land it as level as possible. The helicopter landed hard. The operator reported substantial ground damage occurred to the tail rotor gearbox and tail rotor blades and a review of images revealed damage to the tailboom. A nearby fence and light were reported to be damaged. The operator's accident report indicated that there were no mechanical malfunctions with the helicopter.

Aircraft

Registration
N903SH
Reported as
Bell 230 (NO SERIES)
Category
Helicopter
Serial number
23002
Built
1994
Airframe hours
9,012.4
Engines
Allison 250-C30 SER, 650 horsepower, turbo shaftAllison 250-C30 SER, 650 horsepower, turbo shaft
Damage
Substantial damage
Flight
Positioning · Part 91
Operator
Sanford Health, doing business as Sanford AirMed
Registered owner
Sanford Health
Airworthiness certificate
Standard, Normal
Last inspection
September 6, 2016
Departed
KFAR · Fargo, ND
Destination
ND48 · Fargo, ND
Flight plan
Company VFR
Airport
ND48 · Sanford Health, runway H1, 30 × 30 ft, concrete
Equipment
Onboard weather

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
52
Injuries
None
Certificate
Commercial
Airplane ratings
Multi-engine land
Instrument ratings
Helicopter
Medical
Class 2, With waivers/limitations
Last flight review
May 3, 2016
Seat
Right
Restraint
4-point
Flight hours
2,209.1 total · 197.6 in this make and model · 1,589 as pilot in command

Weather

Conditions
Visual (VMC) · Night
Wind
100° at 10 knots, gusting 20
Visibility
7 statute miles
Lowest ceiling
None
Temperature
55 °F, dew point 45 °F
Altimeter
30.37 inHg
Turbulence
Light
Observed at
KFAR, 3 nm away

Docket · 1

The files NTSB released with the investigation on November 30, 2016, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.4 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.