DEN83FA092

NTSB accident investigation · Bell 206L-1 · Salt Lake City, UT · April 11, 1983

Accident · FatalField investigationFinal report
Date
April 11, 1983, 05:45 local (12:45 UTC)
Place
Salt Lake City, UT
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N1759DBell 206L-1
Weather
Instrument (IMC) · Night/dark
Status
Completed
Report
Approved by Office Director
Case key
15982

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

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 encounter with weatherTakeoff - initial climb
Weather condition - fogFactor
Weather condition - low ceilingFactor
Weather condition - rainFactor
Flight into known adverse weather - initiatedPilot in commandCause
MotivationPilot in commandCause
Self-induced pressurePilot in commandCause
Pressure induced by othersPilot in commandCause
In flight collision with terrain/waterTakeoff - initial climb
Altimeter setting - improperPilot in commandCause
Fatigue(flight and ground schedule)Pilot in commandCause
Light condition - dark nightFactor
Terrain condition - mountainous/hillyFactor
Altitude - inadequatePilot in commandCause

Analysis

The helicopter collided with the side of a mountain during a turn after departing from a hospital helipad while on an emergency medical flt to pick up a medical team to care for a critically ill child. The plt was notified at 0510 by his dispatcher. After checking wx, the plt called back & said if they want to try it there would be no guarantee. The dispatcher relayed that they (medical center) indicated a great need to go. Prior to departing the plt was heard to say 'I feel really uncomfortable about this flight.' The witness stated the plt had been rotating (rotors) outside a long time & would lift off the pad & then set it back down. From 0700 on 5/7 to 0545 on 5/11, the plt was either on duty withthe nat'l guard, hospital, flying, or going to school for a total of about 74 hrs during a period of about 95 hrs. His average rest during this period would have been about 5 hrs. The altimeter setting given to the plt by approach control was 29.69. The plt's alt was found set at 29.80, which would cause the acft to be 100 ft lower than indicated.

Aircraft

Registration
N1759D
Reported as
Bell 206L-1
Category
Helicopter
Serial number
45559
Airframe hours
1,150
Engine
Allison 250-C28B, 435 lbs thrust, turbo shaft
Damage
Destroyed
Flight
Positioning · Part 91
Operator
Key Airlines, Inc., doing business as [Ems]
Registered owner
B&A Leasing Corporation
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · March 16, 1983 · 28 hours before

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
29
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Helicopter, Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Right
Toxicology
Performed
Flight hours
1,753 total · 89 in this make and model · 1,350 as pilot in command · 61 in the last 90 days

Weather

Conditions
Instrument (IMC) · Night/dark
Wind
320° at 11 knots
Visibility
7 statute miles
Lowest ceiling
1,100 ft overcast
Temperature
37 °F, dew point 36 °F
Altimeter
29.00 inHg
Observed at
SLC, 6 nm away