CHI99FA285

NTSB accident investigation · Bell 206B · Custer, SD · August 10, 1999

Accident · FatalField investigationFinal report
Date
August 10, 1999, 17:30 local (23:30 UTC)
Place
Custer, SD
Injuries
2 fatal, 2 serious, 1 minor
Damage
Destroyed
Phase of flight
Maneuvering
Aircraft
N67JJBell 206B
Weather
Visual (VMC) · Day
Status
Completed · report January 24, 2001
Report
Approved by Office Director
FAA report
19990810011649A
Case key
47063

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 adequate altitude/clearance from the trees. Contributing to the accident was the pilot's inadvertent settling with power.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

In flight collision with objectManeuvering
Object - tree(s)Factor
Altitude/clearance - inadequatePilot in commandCause
Maneuver - performedPilot in commandFactor
Settling with power - inadvertentPilot in commandFactor
In flight collision with terrain/waterDescent - uncontrolled

Analysis

The helicopter impacted trees and terrain while maneuvering during a sightseeing flight over a national park. The helicopter was in a descending left turn and a high angle of bank with decreasing main rotor rpm. A low rpm warning horn was heard several seconds prior to impact with the trees. An acoustical analysis of a video tape taken by a passenger shows a decrease in the engine gear box and planetary speeds along with a steady state engine speed several seconds prior to the end of the video tape. The end of the video tape recorded the initial impact with the trees. Examination of the engine and airframe revealed no anomalies.

Factual narrative

History of flight

On August 10, 1999, at 1730 mountain daylight time, a Bell 206B, N67JJ, operated by Rapid Helicopters Incorporated, was destroyed on impact with trees and terrain while maneuvering over Custer State Park, South Dakota. Visual meteorological conditions prevailed at the time of the accident. The 14 CFR Part 91 sightseeing flight was not operating on a flight plan. The pilot and one passenger sustained fatal injuries; two of the passengers sustained serious injuries, and the remaining passenger sustained minor injuries. The flight originated, at approximately 1715, from a private heliport located approximately 6 miles southwest of the accident site.

A police report documented the interview of two of the passengers. The report states the following:

"They stated the pilot had been flying for approximately 7 hours today while they were in the air. He made a sweep over Mt. Rushmore and turned the helicopter on it's side to get a better view of the sights. They said he did this at the Needles Eye to get another view. [One of the passengers] stated the Helicopter made the same maneuver as at Mt. Rushmore but then felt as if the helicopter went into a power slide. [The passenger] also stated the pilot went too far in trying to make the maneuver. The helicopter hit the trees and rocks and then crashed. [The other passenger] stated the helicopter started vibrating real bad before the crash. He stated the vibrating occurred during the sweeping maneuver..."

A copy of a video tape taken by a passenger during the accident flight along with a map of the accident area is included in this report. The video tape shows the helicopter in a descending left turn and a high angle of bank prior to impact.

Personnel information

The pilot was 28 years old and held a commercial pilot certificate with airplane single engine land, airplane multiengine land, rotorcraft-helicopter and instrument airplane and helicopter ratings. The pilot received a first class medical certificate on December 11, 1998. He had accumulated a total airplane flight time of 316 hours and a total helicopter flight time of 1,300 hours.

Aircraft information

The 1989 Bell 206B, serial number 4062, was powered by a Rolls-Royce Allison 250-C20B turboshaft engine, serial number CAE 270448, rated at 420 shaft horse power (SHP). The helicopter accumulated a total airframe and engine time of 2,720.5 hours. A 100-hour inspection of the airframe and engine was completed on July 31, 1999 at a total airframe and engine time of 2,675.6 hours.

The helicopter has a total fuel capacity of 84.1 gallons with a usable fuel capacity of 82.6 gallons. Examination of the helicopter's annuciator panel revealed that it was not equipped with a "fuel low" annunciator light.

Wreckage and impact information

The main wreckage was located at 43 degrees 50 minutes 476 seconds North and 103 degrees 32 minutes 820 seconds West and within a wooded area of trees which were estimated to be 50 feet in height. The elevation of the accident site was approximately 6,500 feet msl. The fuselage was resting on its left side and on a westerly heading as viewed from tail to the nose of the helicopter toward the bottom of a 30 degree slope at the top of which was Highway 87 or Needles Highway. The tail boom was resting approximately 15 feet from the main wreckage.

Flight control continuity from both pedals and both stick controls was established. Engine control continuity from the cockpit to the engine was also established. Continuity of the main rotor transmission was established. Approximately 6 gallons of liquid consistent with Jet A aviation fuel was drained from the helicopter's fuel tank. Approximately 5 cc of liquid consistent with Jet A was drained from the fuel line leading to the fuel nozzle. The airframe fuel filter was unobstructed and contained approximately 11 oz of liquid consistent with Jet A. The engine was removed and shipped to Rolls-Royce Allison for testing.

Medical and pathological information

The FAA toxicological test of the pilot were positive for dextromethorphan, dextrorphan, ephedrine, pseudoephedrine, and phenylpropanolamine. Pseudoephedrine is a common decongestant with a trade name Sudafed that is found in many over-the-counter cold and allergy preparations. Ephedrine is sold as an asthama medication with a trade name Primatene available over-the counter in tablet form. Ephedrine and pseudoephedrine are often found together in the herbal supplement "Ma Huang" also known as "ephedera". "Ma Huang" is used as an "energy booster", stimulant, weight loss product, or decongestant in many nutritional supplements. Phenylpropanolamine is an over-the-counter decongestant, also marketed as a weight loss product. It is also a metabolite of ephedrine and pseudoephedrine. Dextromethorphan is an over-the-counter cough suppressant, available in a large number of preparations, including many multi-symptom cold relievers.

The left front passenger's FAA toxicological test results were negative for all substances tested.

An autopsy of the pilot was conducted by the Clinical Laboratory of the Black Hills, Rapid City, South Dakota.

Tests and research

According to the Rolls-Royce Accident Investigation and Engine Test Run Report, which is included in this report, the percent shaft horsepower for 6 data points ranged from 18.125 - 35.978 percent shaft horsepower below rated power during the test run.

Additional information

The Federal Aviation Administration, Bell Helicopter and Roll-Royce Allison were parties to the investigation.

The wreckage was released to the registered owner.

Aircraft

Registration
N67JJ
Reported as
Bell 206B
Category
Helicopter
Serial number
4062
Airframe hours
2,721
Engine
Rolls-Royce 250-C20B, 420 horsepower, turbo shaft
Damage
Destroyed
Flight
Part 91
Operator
Rapid Helicopters Incorporated
Registered owner
Interstate Helicopters
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · July 31, 1999 · 45 hours before
Departed
SD

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
28
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Right
Toxicology
Performed
Flight hours
1,616 total · 295 in this make and model · 158 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
190° at 15 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
90 °F, dew point 57 °F
Altimeter
29.00 inHg
Observed at
RAP

Docket · 84

The files NTSB released with the investigation on December 19, 2000, on NTSB’s docket system: statements, records, photos and specialists’ reports. 11.1 MB in all.

Supplement CItem 1 · .PDF · 473 KBSupplement DItem 2 · .PDF · 564 KBSupplement SItem 3 · .PDF · 74 KBMaterials Laboratory Factual ReportItem 4 · .PDF · 69 KBWitness StatementsItem 5 · .PDF · 414 KBMaps/Charts of Accident AreaItem 6 · .PDF · 1.0 MBWeather ReportsItem 7 · .PDF · 126 KBCuster County Sheriff's DepartmentItem 8 · .PDF · 397 KBPilot InformationItem 9 · .PDF · 148 KBBell Helicopter Textron Factual Mishap ReportItem 10 · .PDF · 1.1 MBRolls-Royce Accident Investigation and Engine Test Run ReportItem 11 · .PDF · 1.8 MBBell Helicopter Tetron Accident Investigation - Acoustic AnalysisItem 12 · .PDF · 560 KBBell Helicopter Textron - Acoustic Analysis - Figure 1. 206B111 Accident Acoustic AnalysisItem 13 · .PDF · 58 KBFigure 2. Bell 206B111 Detailed Acoustic Analysis SummaryItem 14 · .PDF · 54 KBFigure 3. Engine Compressor Stage 2 Blade Passage Frequency Time HistoryItem 15 · .PDF · 41 KBFigure 4. Engine Compressor Spectra During Initial TransientItem 16 · .PDF · 41 KBFigure 5. Engine Gearbox Acoustic Time HistoryItem 17 · .PDF · 50 KBFigure 6. Planetary Gear Mesh Acoustic Time HistoryItem 18 · .PDF · 61 KBFigure 7. Tail Rotor Acoustic SignatureItem 19 · .PDF · 39 KBFigure 8. Tail Rotor 4/Rev Acoustic Time HistoryItem 20 · .PDF · 68 KBFigure 9. Tail Rotor 4/Rev During Initial TransientItem 21 · .PDF · 61 KBVideo Tape Information Provided by Glenn LocklearItem 22 · .PDF · 27 KBParker Hannifin Corporation Airborne Division 1C38-1 Centrifugal Fuel Boost Pump ExaminationItem 23 · .PDF · 283 KBParker Hannafin Examination Photo 1 Roll 1Item 24 · .PDF · 35 KBParker Hannafin Examination Photo 2 Roll 1Item 25 · .PDF · 36 KBParker Hannafin Examination Photo 3 Roll 1Item 26 · .PDF · 39 KBParker Hannafin Examination Photo 4 Roll 1Item 27 · .PDF · 40 KBParker Hannafin Examination Photo 5 Roll 1Item 28 · .PDF · 36 KBParker Hannafin Examination Photo 6 Roll 1Item 29 · .PDF · 28 KBParker Hannafin Examination Photo 7 Roll 1Item 30 · .PDF · 28 KBParker Hannafin Examination Photo 8 Roll 1Item 31 · .PDF · 32 KBParker Hannafin Examination Photo 9 Roll 1Item 32 · .PDF · 29 KBParker Hannafin Examination Photo 10 Roll 1Item 33 · .PDF · 31 KBParker Hannafin Examination Photo 11 Roll 1Item 34 · .PDF · 33 KBParker Hannafin Examination Photo 12 Roll 1Item 35 · .PDF · 30 KBParker Hannafin Examination Photo 13 Roll 1Item 36 · .PDF · 30 KBParker Hannafin Examination Photo 14 Roll 1Item 37 · .PDF · 26 KBParker Hannafin Examination Photo 15 Roll 1Item 38 · .PDF · 28 KBParker Hannafin Examination Photo 16 Roll 1Item 39 · .PDF · 27 KBParker Hannafin Examination Photo 17 Roll 1Item 40 · .PDF · 33 KBParker Hannafin Examination Photo 18 Roll 1Item 41 · .PDF · 38 KBParker Hannafin Examination Photo 19 Roll 1Item 42 · .PDF · 38 KBParker Hannafin Examination Photo 20 Roll 1Item 43 · .PDF · 27 KBParker Hannafin Examination Photo 21 Roll 1Item 44 · .PDF · 27 KBParker Hannafin Examination Photo 22 Roll 1Item 45 · .PDF · 31 KBParker Hannafin Examination Photo 23 Roll 1Item 46 · .PDF · 31 KBParker Hannafin Examination Photo 24 Roll 1Item 47 · .PDF · 30 KBParker Hannafin Examination Photo 25 Roll 1Item 48 · .PDF · 31 KBParker Hannafin Examination Photo 26 Roll 1Item 49 · .PDF · 32 KBParker Hannafin Examination Photo 27 Roll 1Item 50 · .PDF · 33 KBParker Hannafin Examination Photo 28 Roll 1Item 51 · .PDF · 35 KBParker Hannafin Examination Photo 29 Roll 1Item 52 · .PDF · 38 KBParker Hannafin Examination Photo 30 Roll 1Item 53 · .PDF · 31 KBParker Hannafin Examination Photo 31 Roll 1Item 54 · .PDF · 31 KBParker Hannafin Examination Photo 32 Roll 1Item 55 · .PDF · 30 KBParker Hannafin Examination Photo 33 Roll 1Item 56 · .PDF · 35 KBParker Hannafin Examination Photo 34 Roll 1Item 57 · .PDF · 31 KBParker Hannafin Examination Photo 35 Roll 1Item 58 · .PDF · 30 KBParker Hannafin Examination Photo 36 Roll 1Item 59 · .PDF · 29 KBParker Hannafin Examination Photo 37 Roll 1Item 60 · .PDF · 30 KB
All 84 files on NTSB’s docket

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.