CEN22FA100

NTSB accident investigation · Bell 407 · Houma, LA · January 14, 2022

Accident · FatalClass 3 · FieldFinal report
Date
January 14, 2022, 10:01 local (16:01 UTC)
Place
Houma, LA
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N167RLBell 407
Defining event
Enroute-cruise: Medical event
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
Rolls Royce, Bell, Rotorcraft Leasing Company, LLC, FAA FSDO
FAA report
20220114001679A
Case key
104527

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 pilot’s sudden loss of consciousness for undetermined reasons during cruise flight, which resulted in a loss of control and impact with terrain.

Findings · 1

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.

Impairment/incapacitationPersonnel issues › Physical · Flight crewBell 407: 1 caseAll aircraft: 40 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 and passenger departed in the helicopter on the on-demand passenger flight. Cockpit imagery indicated that, while enroute, the pilot experienced a sudden loss of consciousness. The helicopter departed controlled flight and impacted terrain. Examination of the helicopter revealed no mechanical anomalies that would have precluded normal operation. Autopsy of the pilot was limited due to extensive traumatic injury. While the pilot’s cardiovascular system showed no evidence of natural disease, an arrhythmia or other electrical disorder would not leave evidence on autopsy; thus, the cause of the pilot’s sudden incapacitation could not be determined. Varying levels of ethanol were detected in the pilot’s liver, lung, kidney, and muscle tissue. Butanol and propanol were also detected in some tissues. Given the differing ethanol tissue concentrations, the state the body was recovered, and the presence of butanol and propanol in some tissues, it is likely that the identified ethanol was from sources other than ingestion.

Factual narrative

On January 14, 2022, about 1001 central standard time, a Bell 407, N167RL, was destroyed when it was involved in an accident near Houma, Louisiana. The commercial pilot and a passenger sustained fatal injuries. The helicopter was operated as a Title 14 Code of Federal Regulations Part 135 on-demand passenger flight. The helicopter was equipped with an Appareo Vision 1000, which captured cockpit imagery of the accident flight. The recorded video indicated that the flight was proceeding normally until about 10:00:50, when the pilot’s head began to fall back in a motion not consistent with scanning for traffic or with directed attention. The helicopter was traveling at a speed of about 123 knots and an altitude about 1,220 ft mean sea level. The pilot’s movements after this time appeared to be undirected and solely in response to the g-forces resulting from aircraft motion. The pilot’s head began to move toward the right and upward until the end of the recording. The pilot’s motion remained consistent with an undirected response to aircraft motion. The view outside the windscreen was consistent with a nose-down, inverted attitude just before the end of the recording. A witness near the accident site stated that he saw the helicopter descend into terrain in a nose-down attitude and did not see any parts separate from the helicopter while it was airborne. The 30-year-old male pilot held a second-class Federal Aviation Administration (FAA) medical certificate with a limitation for corrective lenses. At the time of the most recent exam, he reported no medications or medical conditions. No significant medical concerns were identified. Department of Veterans Affairs disability records showed that the pilot had a history of migraines and tinnitus, but had no diagnosis of traumatic brain injury. According to the autopsy, the pilot’s cause of death was massive total body trauma and the manner of death was accident. The examination was limited by extensive trauma. The cardiovascular system showed no evidence of natural disease. Toxicology testing performed by the FAA Forensic Sciences Laboratory detected ethanol in the pilot’s liver, lung, kidney, and muscle tissue at 0.056 grams per hectogram (gm/hg), 0.012 gm/hg, 0.055 gm/hg, and 0.039 gm/hg, respectively (grams per hectogram in tissue samples are directly comparable to grams per deciliter in blood samples). N-butanol was detected in liver, kidney, and muscle tissues, but was not detected in lung tissue. N-propanol was detected in kidney and muscle tissues but was not detected in his liver and lung tissues. The non-impairing over-the-counter antihistamine, fexofenadine, and its metabolite, azacyclonol, were detected in the pilot’s liver and muscle tissue. A postaccident examination of the helicopter revealed there was no mechanical failure or malfunction that would have precluded normal operation.

Aircraft

Registration
N167RL
Reported as
Bell 407
Category
Helicopter
Serial number
53167
Built
1997
Airframe hours
20,224.6
Engine
Rolls Royce M250-C47B, 650 horsepower, turbo shaft
Damage
Destroyed
Flight
Part 135
Operator
Rotorcraft Leasing Company, LLC
Registered owner
Rotorcraft Leasing Company, LLC
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · December 26, 2022
Departed
VEN · Venice, LA
Destination
PTN · Patterson, LA
Flight plan
Company VFR
Equipment
ADS-B, Data recorder, Satellite tracking device, Video recording device

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
30
Injuries
Fatal
Certificates
Flight instructor, Commercial
Instrument ratings
Helicopter
Medical
Class 2, With waivers/limitations
Last flight review
November 13, 2021
Seat
Right
Toxicology
Performed
Flight hours
1,951.5 total · 29.8 in this make and model · 1,951.5 as pilot in command · 86.2 in the last 90 days · 59.6 in the last 30 days · 5 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
10° at 6 knots
Visibility
6 statute miles
Temperature
61 °F, dew point 48 °F
Altimeter
30.07 inHg
Observed at
HUM

Docket · 9

The files NTSB released with the investigation on October 14, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 21.0 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.