DFW06LA072

NTSB accident investigation · Bell 222B · Gulf of Mexico (Gulf of Mexico) · February 19, 2006

Accident · Minor injuriesLimited investigationFinal report
Date
February 19, 2006, 02:00 local (08:00 UTC)
Place
Gulf of Mexico (Gulf of Mexico)
Injuries
2 minor
Damage
Destroyed
Phase of flight
Approach
Aircraft
N306CHBell 222B
Weather
Visual (VMC) · Night
Status
Completed · report June 28, 2006
Report
Approved by Office Director
Parties
Houston FSDO, NTSB
FAA report
20060219001399A
Case key
63243

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 NTSB’s determination of the probable cause, and any contributing factors.

The flight crew's failure to maintain control of the helicopter, and the crew's diverted attention to secondary tasks while preparing for the night landing. A contributing factor was the dark night conditions.

Analysis

The 11,308-hour airline transport pilot and copilot were preparing to land on a brightly lit ship, at night with haze, with a 25-knot wind. With the autopilot engaged, the pilot turned on the landing light, set the parking brake, and extended the landing gear. During the transition, the pilot's attention was turned inside the helicopter's flightdeck to prepare for the ship landing. The copilot was busy looking for paperwork and preparing to assist the ship's crew once on deck. The pilot disengaged the autopilot system and pressed the SAS/ATT (Stability Augmentation System/Attitude Retention System) button to change from attitude mode to SAS mode, when he looked up just in time to see the water. The helicopter impacted the water, and sank in approximately 200 feet of water. The helicopter was not recovered. The pilot stated that there were no mechanical problems with the helicopter prior to the accident.

Factual narrative

The factual narrative482 words

On February 19, 2006, approximately 0200 central standard time, a twin-engine Bell 222B helicopter, N306CH, registered to and operated by Central Helicopters Inc., of Houston, Texas, sank into ocean waters following a loss of control while on approach to an ocean vessel in the Gulf of Mexico. The airline transport pilot and commercial rated copilot were not injured. Dark night visual meteorological conditions prevailed, and a company flight plan was filed for the 14 Code of Federal Regulations Part 91 position flight. The flight originated from the William P. Hobby Airport near Houston, Texas, at 0104, en route to the ship Shaula Star, which at the time of the accident was navigating in the Gulf of Mexico, approximately 85 miles south of Galveston, Texas.

The 11,308-hour airline transport pilot reported on the Pilot/Operator Accident Report Form (NTSB Form 6120.1/2), that he and the copilot had the brightly lighted ship within sight and was preparing to land. The pilot stated that there was a 25-knot wind and haze. He had the autopilot engaged and turned on the landing light, set the parking brake, and extended the landing gear. Additionally, the pilot reported that the copilot was preparing to assist the ship's crew once on deck. The pilot stated that he disengaged the autopilot system and pressed the SAS/ATT (Stability Augmentation System/Attitude Retention System) button to change from attitude mode to SAS mode, when he looked up just in time to see the water. The helicopter sank in approximately 200 feet of water and was not recovered.

The pilot added that there was no mechanical problem with the helicopter prior to the accident.

A review of the helicopter's Blue Sky flight tracking program revealed the helicopter was en route to the ship at an altitude of about 500 feet. At 08:02 UTC, the last recording, the helicopter was at an altitude of 640 feet, at a speed of 89 knots.

In the NTSB Form 6120.1/2 under the section; Recommendation (How This Accident Could Have Been Prevented): The pilot stated that better cockpit crew resource management and "standardization of crew coordination procedures has become paramount importance due to this very avoidable accident". Additionally, the pilot stated that the helicopter's radio altimeter has a light annunciator, but no audio warning. He added, that the company is seeking to install audio warning signals that activate with separate and distinct tones at 150 and 50 feet.

The weather recorded near the departure time by the automated weather observing system at HOU; was wind at 030 degrees at 13 knots, 9 miles visibility, few clouds at 600 feet, overcast sky at 800 feet, temperature 39 degrees Fahrenheit, dew point 35 degrees Fahrenheit, and an altimeter setting of 30.36 inches of Mercury. The pilot's forecast weather en route was for 10 miles visibility in haze, clouds at 800 feet, and an overcast ceiling of 800 variable to 1,200 feet.

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.

Loss of control - in flightApproach
Light condition - dark nightFactor
Diverted attentionFlightcrewCause
Aircraft control - not maintainedPilot in commandCause
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - waterFactor

Aircraft

Registration
N306CH
Reported as
Bell 222B
Category
Helicopter
Serial number
47131
Airframe hours
6,133
Engine
Lycoming LTS-101, 680 horsepower, turbo shaft
Damage
Destroyed
Flight
Positioning · Part 91
Registered owner
Central Helicopters, Inc
Airworthiness certificate
Standard, Normal
Last inspection
Continuous airworthiness · January 1, 2006
Departed
HOU · Houston, TX
Destination
Gulf of Mexico, GM
Flight plan
Company VFR

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
58
Injuries
Minor
Certificates
Commercial, Flight instructor, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 2, With waivers/limitations
Last flight review
October 1, 2005
Seat
Right
Flight hours
11,308 total · 204 in this make and model · 9,046 as pilot in command · 65 in the last 90 days · 28 in the last 30 days · 1 in the last 24 hours
Role
Co-pilot
Age
44
Injuries
Minor
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Helicopter
Medical
Class 2, With waivers/limitations
Last flight review
November 1, 2005
Seat
Left
Flight hours
3,123 total · 153 in this make and model · 2,888 as pilot in command · 62 in the last 90 days · 17 in the last 30 days

Weather

Conditions
Visual (VMC) · Night
Wind
320° at 25 knots
Visibility
10 statute miles
Lowest ceiling
800 ft
Temperature
37 °F

FAA reports on this event · 1

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