ERA10LA032

NTSB accident investigation · Bell 206 · Eupora, MS · October 25, 2009

Accident · Serious injuriesLimited investigationFinal report
Date
October 25, 2009, 17:33 local (22:33 UTC)
Place
Eupora, MS
Injuries
1 serious
Damage
Destroyed
Phase of flight
Maneuvering
Aircraft
N57PHBell 206
Defining event
Maneuvering-low-alt flying: Fuel contamination
Weather
Visual (VMC) · Day
Status
Completed · report May 26, 2011
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20091025021489A
Case key
74957

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

A loss of engine power due to fuel contamination of the helicopter’s fuel supply.

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.

Fluids: fuelAircraft › Fluids/misc hardware · Fluid conditionBell 206B: 15 casesAll aircraft: 1,695 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

During an aerial application flight, the helicopter's engine lost power while flying about 50 feet above the ground. The pilot stated that the helicopter dropped straight down, and that the rotor stopped turning during the descent. The helicopter was substantially damaged during the impact sequence. A postaccident examination of the helicopter's fuel system revealed a brown contaminate, of a density greater than jet fuel. The contaminate was present in several airframe and engine fuel filters and on the engine fuel nozzle. Examination of the dual use truck that was used to service the helicopter with fuel and herbicide revealed that the fuel filter between the Jet-A fuel tank and the fuel delivery hose was also contaminated. A common trough that ran along the top of the fuel truck provided an area where any over flow of water used to fill the truck's herbicide tank could be introduced into the truck's Jet-A fuel tank through gaps in the fuel tank's cap seal.

Factual narrative

On October 25, 2009, about 1733 central daylight time, a Bell 206B-3, N57PH, operated by Provine Helicopter Service, Inc, was destroyed after a forced autorotation following a total loss of engine power near Eupora, Mississippi. The certificated commercial pilot was seriously injured. Visual meteorological conditions prevailed, and no flight plan was filed for the aerial application flight, which was conducted under the provisions of Title 14 Code of Federal Regulations Part 137. A written statement provided by the operator indicated that the pilot conducted a preflight inspection of the helicopter about 0700 on the morning of the accident. He drained approximately one quart of Jet-A fuel from the helicopter to check for water and contaminants, and concluded that the fuel was "clean and void of water." The pilot then attempted to start the helicopter, and contacted the company's mechanic when it would not start. The mechanic spent the morning performing maintenance on the helicopter, after which it was fueled with 16.7 gallons of Jet A. Around 1300, the pilot departed to the job site, a tract of land to the northeast, to conduct the aerial application flights. The pilot began the applications about 1400, and treated approximately 115 acres with approximately 1,725 gallons of herbicide prior to the accident. During the process, the helicopter was refueled three to four times, with approximately 15 gallons of Jet-A fuel at each filling. The fuel was obtained from a fuel truck located at the application site. The fuel truck was also equipped with a separate tank that held herbicide used for the aerial applications. The pilot had just refilled the spray tank with approximately 90 gallons of herbicide and was conducting his first turn at the edge of the land tract when the helicopter's engine "completely lost power." The pilot called out on his radio that he was "going down and needed help" and attempted guided the helicopter to a clearing. He stated that the rotor "stopped turning completely" approximately 50 feet above the ground. The helicopter then dropped "straight down" and landed on the skids. A member of the ground crew, who drove the fuel truck and was responsible for servicing the helicopter with fuel and herbicide, stated he began his day by performing a pre-trip inspection of the truck shortly after 0500. As part of the inspection, the crewman drained about one-half gallon of Jet-A fuel from the 500 gallon fuel tank and inspected the fuel with a flashlight. He also repeated the procedure while draining fuel from the fuel filter, this time with about a quart of fuel. Both samples were absent of water or debris. The crewman subsequently drove the fuel truck to the remote site to meet the helicopter. After learning later in the morning that the pilot was having difficulty starting the helicopter, and that the problem was reportedly related to a fuel nozzle, the crewman drained a fuel sample from both the fuel tank and filter a second time,again noting no debris. A Federal Aviation Administration (FAA) inspector who responded to the accident scene reported that the helicopter came to rest upright, and the fuselage exhibited extensive crush damage. A fuel sample obtained from the airframe fuel filter contained a mixture of fuel and a brown contaminant. When the sample was placed in a jar, the contaminate and the fuel separated, with the contaminate settling to the bottom of the jar. A similar brown contaminate was also observed in the engine fuel pump filter, fuel control unit screen, and on the engine fuel nozzle screen. The fuel truck used during application operations to supply the helicopter with fuel and spray chemical while in the field was owned by the operator. A 500-gallon fuel tank was located a the foreword end of the truck, while a tank for mixing water and spray chemical was located at the aft end. A common trough ran along the top portion of both tanks, which would retain any over-fill of water or fuel, and was drained through two small holes at the forward end. Examination of the cap for the fuel tank revealed that the o-ring seal and the fuel vent were deteriorated, and that the seals were not continuous. The fuel tank was configured in a way that fuel was taken directly from the lowest point in the tank, and pumped through a filter to the fuel filler hose. No standpipe was present at the bottom of the tank that would have prevented any collected water from entering the fuel filter, and no pressure gauges or sensors were installed up or downstream of the filter. The truck-based fuel tank was checked for the presence of water using a water finding paste applied to a dip stick. A small amount of water was detected. The fuel filter between the tank and the delivery hose was removed and examined. The filter element appeared "bulged" and water was present in the filter. The brown contaminant was present throughout the paper folds of the fuel filter, and was collected along its interior. According to the operator, the fuel truck's Jet-A fuel tank was most recently serviced with 198 gallons of fuel from the operator's fueling station on the day before the accident flight. The pilot held a commercial pilot certificate with a helicopter rating. He reported approximately 2,600 hours in the accident helicopter make and model. His most recent second-class FAA medical certificate was issued in February, 2008. The nearest weather reporting station, located approximately 45 nautical miles from the accident location, reported clear skies, 10 statute miles visibility, and calm winds about the time of the accident.

Aircraft

Registration
N57PH
Reported as
Bell 206 (B)
Category
Helicopter
Serial number
2679
Engine
Allison 250, 420 hp, turbo shaft
Damage
Destroyed
Flight
Aerial application · Part 137
Operator
Provine Helicopter Service, Inc.
Registered owner
Provine Helicopter Service, Inc.
Airworthiness certificate
Special, Restricted (Special)
Departed
Eupora, MS
Destination
Eupora, MS

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
36
Injuries
Serious
Certificate
Commercial
Medical
Class 2, With waivers/limitations
Last flight review
February 10, 2009
Seat
Right
Flight hours
2,600 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
57 °F
Altimeter
30.05 inHg
Observed at
GTR, 45 nm away

Docket · 12

The files NTSB released with the investigation on March 29, 2011, on NTSB’s docket system: statements, records, photos and specialists’ reports. 6.8 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.