ERA22LA192

NTSB accident investigation · Bell Helicopter Textron 206B · Cedar Key, FL · April 18, 2022

Accident · No injuriesClass 4 · LimitedFinal report
Date
April 18, 2022, 11:10 local (15:10 UTC)
Place
Cedar Key, FL
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N919ACBell Helicopter Textron 206B
Defining event
Maneuvering-low-alt flying: Fuel starvation
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 4 - Basic report with no Prelim publish
NTSB office
Eastern Region Aviation
Parties
FAA FSDO
FAA report
20220418002299A
Case key
104954

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 pilot’s improper fuel planning during agricultural spraying operations, which resulted in fuel starvation, a loss of engine power, and a hard landing following an autorotation.

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.

Fluids: fuelAircraft › Fluids/misc hardware · Fluid managementBell Helicopter Textron 206B: 2 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

The pilot was performing aerial application flights during which he returned to the landing zone five times to receive additional product. He recalled spending the majority of his time troubleshooting a spray rate system issue and was not paying attention to the fuel level while ground personnel were loading the product. During climb out on the final spray, the engine lost all power. During the subsequent autorotation and hard landing on a gravel road, the tail boom and tail rotor drive shaft sustained substantial damage. The pilot reported that there were no preimpact mechanical malfunctions or failures with the helicopter and that upon landing he noticed that the fuel gauge showed empty. Examination of the helicopter by a Federal Aviation Administration inspector found that a total of 2.5 gallons of uncontaminated Jet A fuel was able to be sumped from the helicopter’s fuel system. Residual and trace amounts of fuel were discovered in the engine driven fuel pump and fuel filters. The helicopter was not equipped with an optional low fuel light. The helicopter flight manual advised to avoid uncoordinated turns and maneuvers with fewer than 20 gallons. It is likely that while the pilot maneuvered out of the field following his final spray, the engine was starved of fuel, which resulted in the loss of engine power. The operator following the accident amended their ground personnel training manual to require that both the ground personnel and the pilot ‘confirm fuel quantity OK’ prior to each takeoff.

Aircraft

Registration
N919AC
Reported as
Bell Helicopter Textron 206B (NO SERIES)
Category
Helicopter
Serial number
4020
Built
1988
Airframe hours
11,661
Engine
Rolls-Royce 250-C20B, 400 horsepower, turbo shaft
Damage
Substantial damage
Flight
Aerial application · Part 137
Operator
Vertical Vegetation Management LLC
Registered owner
Vertical Vegetation Management LLC
Airworthiness certificate
Special, Restricted (Special)
Last inspection
Annual · April 5, 2022
Equipment
Electronic flight bag or handheld device, ADS-B

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
45
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 2, Without waivers/limitations
Last flight review
March 31, 2022
Seat
Right
Restraint
4-point
Flight hours
5,555 total · 4,466 in this make and model · 5,430 as pilot in command · 40 in the last 90 days · 40 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
250° at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
75 °F, dew point 68 °F
Altimeter
29.97 inHg
Observed at
CGC, 30 nm away
METAR
KCGC 181415Z AUTO 25006KT 10SM CLR 24/20 A2997 RMK AO2

Docket · 6

The files NTSB released with the investigation on December 1, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 9.9 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.

Other investigations on N919AC · 1

Matched to the same aircraft by N-number and date.