- Date
- July 19, 2022, 20:41 local (Jul 20, 2022, 01:41 UTC)
- Place
- Mount Vernon, IL · On helipad
- Injuries
- 3 uninjured
- Damage
- Substantial damage
- Phase of flight
- Landing
- Aircraft
- N228MTEurocopter Deutschland EC 135
- Defining event
- Landing: Airport occurrence
- Weather
- Visual (VMC) · Dusk
- Status
- Completed
- Report
- Approved by Office Director
- Investigation class
- Class 4 - Basic report with no Prelim publish
- NTSB office
- Central Region
- Parties
- FAA Springfield FSDO
- FAA report
- 20220719007199A
- Case key
- 105540
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 inadequate securement of the cloth fire extinguisher cover, which resulted in it being blown off the fire extinguisher and ingested into the helicopter’s fenestron during the landing.
Findings · 3
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
During the landing, the pilot lowered the helicopter air ambulance down to the concrete pad. Shortly before touchdown, a cloth fire extinguisher cover from a nearby mobile fueling unit was blown airborne from the main rotor system wash. The cloth fire extinguisher cover was ingested into the tail rotor (the fenestron). During the cloth fire extinguisher cover ingestion sequence, the fenestron hub flexed, the metal fenestron hub cover detached, and it was also ingested. The pilot was able to land the helicopter without further incident. The helicopter sustained substantial damage to the fenestron. The evidence indicated that the ingestion of the metal fenestron hub cover contributed to the severity of the damage sustained. The operator reported there were no preimpact mechanical malfunctions or failures with the airframe and the engines that would have precluded normal operation. The investigation revealed that the cloth fire extinguisher cover, which did not have a lanyard installed, was not secured with the retention bracket for the fire extinguisher on the mobile fueling unit. The operator additionally reported that foreign object debris checks are conducted by crew members anytime they are on the pad and that the mobile fueling unit is inspected during the daily fuel quality check. The Accident Investigation Board Norway along with the European Aviation Safety Agency, previously issued a formal safety recommendation to Eurocopter (Airbus) regarding the securement of the metal fenestron hub cover.
Aircraft
- Registration
- N228MT
- Reported as
- Eurocopter Deutschland EC 135 (P2+)
- Category
- Helicopter
- Serial number
- 0908
- Built
- 2010
- Airframe hours
- 1,271.2
- Engines
- Pratt & Whitney Canada PW206B2, 447 horsepower, turbo shaftPratt & Whitney Canada PW206B2, 447 horsepower, turbo shaft
- Damage
- Substantial damage
- Flight
- Part 135
- Operator
- Air Evac Lifeteam, doing business as Air Evac Lifeteam
- Registered owner
- Air Evac Lifeteam
- Airworthiness certificate
- Standard, Normal
- Last inspection
- 100 hour · July 12, 2022
- Departed
- CPS · Cahokia, IL
- Destination
- Same as departure
- Flight plan
- Company VFR
- Airport
- MVN · Mount Vernon
- Equipment
- Electronic multifunction display, Onboard weather, Satellite tracking device, ADS-B, Auto-pilot, Electronic flight bag or handheld 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
- 50
- Injuries
- None
- Certificate
- Airline transport
- Airplane ratings
- Single-engine land
- Instrument ratings
- Helicopter
- Medical
- Class 2, With waivers/limitations
- Last flight review
- April 2, 2022
- Seat
- Right
- Restraint
- 4-point
- Flight hours
- 3,210.5 total · 2,671.3 as pilot in command
Weather
- Conditions
- Visual (VMC) · Dusk
- Wind
- 170° at 4 knots
- Visibility
- 10 statute miles
- Lowest ceiling
- None
- Temperature
- 84 °F, dew point 73 °F
- Altimeter
- 29.82 inHg
- Observed at
- KMVN
- METAR
- KMVN 200056Z AUTO 17004KT 10SM CLR 29/23 A2982 RMK AO2 SLP095 T02890228
Docket · 4
The files NTSB released with the investigation on August 22, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 15.4 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.