ERA12TA515

NTSB accident investigation · Bell 206B · San Juan, PR · August 18, 2012

Accident · No injuriesFinal report
Date
August 18, 2012, 20:06 local (23:06 UTC)
Place
San Juan, PR
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N118ECBell 206B
Defining event
Enroute-cruise: Loss of engine power (total)
Weather
Visual (VMC) · Night
Status
Completed · report December 11, 2012
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20120818021559A
Case key
84730

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 crew’s inadequate preflight inspection and failure to monitor the fuel state during flight, which resulted in a total loss of engine power due to fuel exhaustion.

Findings · 4

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 managementAll aircraft: 1,695 casesProbable cause
Fluids: fuelAircraft › Fluids/misc hardware · Inadequate inspectionAll aircraft: 1,695 casesProbable cause
Fluids: fuelAircraft › Fluids/misc hardware · Fluid levelAll aircraft: 1,695 casesProbable cause
Inspection: preflight inspectionPersonnel issues › Task performance · Flight crewAll aircraft: 551 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 helicopter was serviced with 25 gallons of fuel about 3 hours before the accident flight, and the pilot thought he had a total of 60 gallons of fuel on board. About 35 minutes into the flight, the crew smelled a fuel-like odor and initiated a return to the airport. Five minutes later, the fuel pump warning light illuminated, and the engine lost power. The pilot initiated an autorotation into a parking lot, and the helicopter landed hard, partially severing the tail boom. Postaccident examination of the wreckage revealed that the fuel tank was empty and undamaged. There were no signs of fuel leakage observed, and the fuel filler cap was secure. All fuel system components and lines were in good working order. The fuel gauge read “zero” when energized on the ground. Fuel was later added to the tank to check for leaks; none were observed. Finally, the engine was removed from the airframe and installed on a similar helicopter. The engine was test run on the ground and in a hover for a total of 40 minutes with no anomalies noted. The fuel burn during the test run was normal for the helicopter. Neither pilot reported observing the fuel tank gauges during the accident flight. It is likely that the crew began the flight with much less fuel than they thought they had and did not monitor the fuel state during flight.

Factual narrative

On August 18, 2012, about 2006 Atlantic daylight time, a Bell 206B, N118EC, was substantially damaged following a loss of engine power and hard landing at San Juan, Puerto Rico. The commercial-rated pilot, commercial-rated co-pilot, and one observer were not injured. The helicopter was registered to a private corporation and was operated by the San Juan Police Department as a public use flight. Visual meteorological conditions prevailed and a visual flight rules flight plan was filed. The flight originated at Isla Grande Airport (TJIG), San Juan, Puerto Rico, about 1930. The pilot reported that the helicopter was serviced with 25 gallons of Jet A fuel about three hours prior to the flight. Combined with 35 gallons already in the tank, the total fuel on board was 60 gallons. The flight departed TJIG at 1930 on a routine surveillance mission in the Rio Piedras and San Juan Metro area. About 2000, the crew smelled a fuel-like odor and decided to return to TJIG. About five minutes later, the fuel pump warning light illuminated and the engine lost power. The pilot elected to perform an autorotation in a nearby parking lot. The helicopter landed hard and the main rotor blades contacted and partially severed the tail boom, forward of the tail rotor assembly. Neither pilot, in their written statements, mentioned any observation of the fuel tank gauge in flight. Federal Aviation Administration inspectors responded to the accident site and documented the condition of the wreckage. The inspector confirmed substantial damage to the helicopter. The wreckage was then recovered to the operator's facilities where a subsequent examination was performed. The examination revealed no evidence of fuel in the fuel tank. The fuel tank was undamaged. The fuel gauge read "zero" gallons when power was applied to the electrical system. There were no leaks found in the fuel lines and the fuel cap was secure. Testing of all fuel system components revealed no evidence of a malfunction or failure. Fuel was added to the fuel tank and no leaks were observed. On August 22, 2012, the engine from the accident helicopter was removed and inspected. External and internal examination, utilizing a borescope, revealed no mechanical anomalies or damage. The engine was then installed on another company helicopter to accomplish a test run. The helicopter was serviced with 60 gallons of Jet A fuel to simulate the accident flight conditions. The engine was started and ground run for 25 minutes, followed by 15 minutes in a hover. The fuel consumed in the 40-minute period was 12 gallons. Historical records for the accident helicopter revealed that the average fuel burn was about 20 gallons per hour. All engine parameters during the test run were in the normal range and no fuel leaks were noted.

Aircraft

Registration
N118EC
Reported as
Bell 206B
Category
Helicopter
Serial number
2218
Airframe hours
5,647
Engine
Rolls-Royc 250-C20B, 400 horsepower, turbo shaft
Damage
Substantial damage
Flight
Public aircraft - local · Public use
Operator
San Juan Police Department
Registered owner
Ecolift Corp
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · July 31, 2012 · 83 hours before
Departed
TJIG · San Juan, PR
Destination
TJIG · San Juan, PR
Flight plan
VFR

Flight crew · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
47
Injuries
None
Certificate
Commercial
Instrument ratings
Helicopter
Medical
Class 2, With waivers/limitations
Last flight review
December 29, 2011
Seat
Right
Flight hours
2,900 total · 1,000 in this make and model · 2,300 as pilot in command · 100 in the last 90 days · 35 in the last 30 days · 5 in the last 24 hours
Role
Co-pilot
Age
50
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Helicopter
Medical
Class 2, With waivers/limitations
Seat
Left

Weather

Conditions
Visual (VMC) · Night
Wind
80° at 6 knots
Visibility
9 statute miles
Lowest ceiling
None
Temperature
82 °F, dew point 75 °F
Altimeter
30.02 inHg
Observed at
TJSJ, 5 nm away

Docket · 6

The files NTSB released with the investigation on October 19, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.4 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.