ERA16LA098

NTSB accident investigation · Eurocopter France EC 130 B4 · Shoals, WV · January 29, 2016

Accident · No injuriesLimited investigationFinal report
Date
January 29, 2016, 13:03 local (18:03 UTC)
Place
Shoals, WV
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N133HNEurocopter France EC 130 B4
Defining event
Enroute-cruise: Part(s) separation from AC
Weather
Visual (VMC) · Day
Status
Completed · report March 18, 2019
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20160129000719I
Case key
92658

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 improper locking of the rear passenger door by the specialty nurse, which resulted in the door separating from the helicopter in flight.

Findings · 2

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.

Doors: passenger/crew doorsAircraft › Aircraft structures · Incorrect use/operationEurocopter France EC 130 B4: 1 caseAll aircraft: 86 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

Before takeoff for the positioning flight, the specialty nurse slid closed and latched the left rear door. About 5 minutes after departure, while the helicopter was in cruise flight, the left rear door opened and then separated from the helicopter. The pilot diverted the helicopter to a nearby airport and landed uneventfully. The door was recovered, and postaccident examination revealed that the damage to the door and the airframe was consistent with the damage having incurred during the door's separation from the helicopter. Postaccident examination did not reveal any evidence of preexisting damage of the door frame, door, or door's locking mechanism that would have precluded normal operation. It is likely that the specialty nurse locked the door incorrectly, which resulted in an inadvertent in-flight door opening as the helicopter was traveling 55 knots faster than the manufacturer's specified never-to-exceed speed for operating with the door open, and subsequent separation of the door from the helicopter.

Factual narrative

On January 29, 2016, at 1303 eastern standard time, a Eurocopter France EC130 B4, N133HN, operated by Air Methods Corporation, was substantially damaged when the left rear entry door departed the airframe while airborne in the vicinity of Shoals, West Virginia. The commercial pilot and two medical flight crewmembers were not injured. Visual meteorological conditions prevailed. The helicopter was operating on a company visual flight rules flight plan from Cabell Huntington Hospital Heliport (WV27), Huntington, West Virginia, to a helipad at Three Rivers Hospital, Louisa, Kentucky. The positioning flight was conducted under the provisions of 14 Code of Federal Regulations Part 135.According to the pilot, about 5 minutes after takeoff and while in cruise flight at an airspeed of about 125 knots, the he felt and heard an increase of wind in the cockpit. He scanned both front windows to see if they were ajar and, as he faced straight ahead, he heard and felt a rush of air, thinking that the left rear sliding door had opened. As the pilot turned to look, he heard a "whoosh" and saw what he thought was a clipboard depart the helicopter and angle away from the tail. At that point, the pilot slowed the helicopter and instructed the specialty nurse to try and close the door. She seemed to be having some difficulty, so the pilot suggested that the door may have "locked back" and to use the lock release so she could slide the door forward to the closed position. After a few seconds, the specialty nurse announced that the door was missing, and that's when the pilot realized that the clipboard he saw was in fact the door. With no abnormal flight characteristics, the pilot then diverted the helicopter to nearby Tri-State Airport (HTS), Huntington, West Virginia, and landed uneventfully. After shutdown, a visual inspection revealed damage to the left transmission hatch, one rotor blade, and the plastic sliding door guide on the left side baggage door. The flight nurse also noted that she observed the specialty nurse slide and latch the door before takeoff. During the flight, when she heard a loud wind noise, she looked left to see that the door was open. That's when she heard the specialty nurse announce to the pilot that the door was gone. An examination of the helicopter by a Federal Aviation Administration Inspector revealed one of the rotor blades were punctured from the leading edge to the trailing edge. The lower door track exhibited signs of "forced removal" of the attaching hardware. Both upper and lower track lips contained radial damage and missing paint. The middle door track exhibited similar damage. The plastic door stop bracket exhibited impact damage and portion of the stop was missing. An examination of the recovered door revealed the door showed signs of damage along the frame. The door stop was missing from the door and the upper rail arm was loose. The attachment fitting on the arm had chipped paint. The detached left rear passenger door wasrecovered and examined by the airframe manufacturer under the supervision of the NTSB. The door's handle and latching mechanism looked and functioned normally, showed normal wear, and displayed no deformation around the brackets that held the latches or latch pins. According to the helicopter's flight manual, the power on never exceed speed with all doors closed was 155 knots. With the left rear sliding door open and free to move, the never exceed speed decreased to 70 knots. The never exceed was 80 knots with the door locked in the open position and 110 knots with the door removed.

Aircraft

Registration
N133HN
Reported as
Eurocopter France EC 130 B4
Category
Helicopter
Serial number
7293
Built
2011
Airframe hours
1,613
Engine
Turbomeca 2B1, 728 horsepower, turbo shaft
Damage
Substantial damage
Flight
Part 135
Operator
Air Methods Corporation, doing business as Air Methods
Registered owner
Fifth Third Equipment Finance Co
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · January 19, 2016 · 2 hours before
Departed
WV27 · Huntington, WV
Destination
None · Louisa, KY
Flight plan
Company VFR
Equipment
Electronic multifunction display, Satellite tracking device, Auto-pilot

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 · 3

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
51
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Helicopter
Medical
Class 2, With waivers/limitations
Seat
Left
Restraint
4-point
Flight hours
2,806 total · 647 in this make and model · 2,805 as pilot in command · 24 in the last 90 days · 5 in the last 30 days
Role
Cabin crew
Injuries
None
Seat
Right
Restraint
4-point
Flight hours
0 total · 0 in this make and model
Role
Cabin crew
Injuries
None
Seat
Left
Restraint
4-point
Flight hours
0 total · 0 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
270° at 10 knots
Visibility
10 statute miles
Lowest ceiling
4,500 ft overcast
Temperature
36 °F, dew point 19 °F
Altimeter
29.95 inHg
Observed at
HTS, 6 nm away

Docket · 5

The files NTSB released with the investigation on December 13, 2018, on NTSB’s docket system: statements, records, photos and specialists’ reports. 6.7 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.