ERA12CA304

NTSB accident investigation · Bell 206B · Hershey, PA · April 27, 2012

Accident · Serious injuriesData collectionFinal report
Date
April 27, 2012, 08:45 local (12:45 UTC)
Place
Hershey, PA
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N16EPBell 206B
Defining event
Maneuvering: Controlled flight into terr/obj (CFIT)
Weather
Visual (VMC) · Day
Status
Completed · report October 15, 2012
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20120427008199A
Case key
83492

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 diverted attention while performing aerial application at low altitude, which resulted in controlled flight into terrain. Contributing to the accident was the pilot’s failure to adjust the control friction to the position he was accustomed.

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.

Attention/monitoring: attentionPersonnel issues › Psychological · PilotBell 206B: 2 casesAll aircraft: 226 casesProbable cause
Performance/control parameters: altitudeAircraft › Aircraft oper/perf/capability · Not attained/maintainedBell 206B: 20 casesAll aircraft: 1,310 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotBell 206B: 45 casesAll aircraft: 9,295 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

The pilot reported that before the accident flight, there was a trainee pilot in the agricultural application helicopter who preferred no friction on the controls. Once the trainee pilot left, the accident pilot forgot to adjust the control friction. During the accident flight, the helicopter was spraying a wheat field at 55 mph and about 10 feet above the ground. The pilot let go of the collective to adjust the helicopter's computer. The collective subsequently lowered and the helicopter impacted terrain, coming to rest on its side, with the tail boom separated. The pilot stated that there were no preimpact mechanical malfunctions or failures that would have prevented normal operation.

Factual narrative

The pilot reported that prior to the accident flight, there was a trainee pilot in the agricultural application helicopter, who preferred no friction on the controls. Once the trainee left, the pilot forgot to adjust the control friction. During the accident flight, the helicopter was spraying a wheat field at 55 mph, about 10 feet above the ground. The pilot let go of the collective to adjust the helicopter's "Crophawk" computer. The collective subsequently lowered and the helicopter impacted terrain. The pilot added that there were no preimact mechanical malfunctions with the helicopter. Examination of the wreckage by a Federal Aviation Administration inspector revealed that during the impact, the tailboom separated and the helicopter came to rest on its right side.

Aircraft

Registration
N16EP
Reported as
Bell 206B
Category
Helicopter
Serial number
3081
Engine
Rolls Royce 250-C20B, 420 horsepower, turbo shaft
Damage
Substantial damage
Flight
Aerial application · Part 137
Operator
Ag Air LLC
Registered owner
Southern Helicopter Service Inc
Airworthiness certificate
Standard, Normal; Special, Restricted (Special)
Last inspection
Annual · February 29, 2012
Departed
THV · York, PA
Destination
THV · York, PA

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
59
Injuries
Serious
Certificate
Commercial
Airplane ratings
Single-engine land
Medical
Class 2, With waivers/limitations
Last flight review
April 9, 2010
Seat
Right
Flight hours
4,900 total · 2,900 in this make and model · 4,800 as pilot in command · 12 in the last 90 days · 12 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
310° at 14 knots, gusting 22
Visibility
10 statute miles
Lowest ceiling
4,800 ft overcast
Temperature
48 °F, dew point 27 °F
Altimeter
29.95 inHg
Observed at
CXY, 10 nm away

Docket · 3

The files NTSB released with the investigation on August 13, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.1 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.