FTW04LA197

NTSB accident investigation · Bell 206B · East Cameron 13 · July 21, 2004

Accident · Minor injuriesLimited investigationFinal report
Date
July 21, 2004, 08:24 local (13:24 UTC)
Place
East Cameron 13
Injuries
1 minor, 2 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N133RTBell 206B
Weather
Visual (VMC) · Day
Status
Completed · report December 28, 2004
Report
Approved by Office Director
Parties
FAA Flight Standards District Office
FAA report
20040721029239A
Case key
59733

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 loss of engine power due to fuel exhaustion. Contributing factors were the fuel quantity gauge's improper fuel level indication, missing instrument placard, company maintenance personnel's improper maintenance records, disregard for company procedures, and the inadequate surveillance by company personnel.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of engine powerCruise
Fluid,fuel - exhaustionCause
Engine instruments,fuel quantity gage - inaccurateFactor
Misc eqpt/furnishings,placard/label/marking(s) - missingFactor
Inadequate surveillance of operationCompany/operator mgmtFactor
Procedure inadequateCompany maintenance personnelFactor
Maintenance - not performedCompany maintenance personnelFactor
Forced landingEmergency descent/landing
Terrain condition - water
In flight collision with terrain/waterEmergency landing
Terrain condition - water

Analysis

The 21,440-hour pilot reported that during cruise flight in the turbine powered single-engine helicopter, the engine lost power. The pilot initiated an autorotation to the water. Examination of the helicopter revealed no anomalies with the airframe or engine. Approximately 47 gallons of fluid was drained from the main fuel cell of the helicopter, of which approximately one quart of the fluid was consistent with fuel. The pilot who flew the helicopter during the previous flight informed company maintenance personnel about fuel quantity gauge indicating a higher fuel level and was inaccurate. Review of company records indicated company maintenance personnel placed an order for a fuel quantity gauge for the accident aircraft the day before the accident. The pilot of the accident flight recently had come on duty and this was his first flight in the accident aircraft. The pilot reported to the inspector that he did not observe any discrepancies noted regarding the airworthiness of the helicopter. Review of the aircraft maintenance records revealed no entries were made regarding the inaccurate fuel quantity gauge. Examination of the helicopter revealed there were no placards for the fuel quantity gauge being inoperative.

Factual narrative

On July 21, 2004, approximately 0824 central daylight time, a Bell 206B single-engine turbine powered helicopter, N133RT, registered to and operated by Omni Energy Services of Carencro, Louisiana, was substantially damaged when it submerged under water after an autorotation following a loss of engine power while maneuvering near East Cameron 13, an offshore platform located in the Gulf of Mexico. The commercial pilot sustained minor injuries and his two passengers were not injured. Visual meteorological conditions prevailed, and a company flight plan was filed for the 14 Code of Federal Regulations Part 135 on-demand air taxi flight. The flight originated at 0740 from Vermillion 218, and was destined for the Air Logistics Heliport (LA53) near Grand Chenier, Louisiana.

The operator reported in the Pilot/Operator Aircraft Accident Report (NTSB Form 6120.1/2) that during cruise flight, the "engine lost power." The 21,440-hour pilot initiated an autorotation to the water from an altitude of approximately 500 feet. Subsequently, the helicopter touched down on the water, rolled inverted, and sank. The helicopter was equipped with emergency floats.

In a written statement, the pilot stated that after performing a 180-degree autorotation, he armed the emergency floats, but did not trigger the floats to inflate. The pilot added that prior to touchdown, the helicopter "fell the last 12-15 feet," before landing on the water.

The helicopter was recovered to the facilities of Omni Energy Services in Carencro, Louisiana, for further examination after being submerged in salt water for approximately three days. Examination of the helicopter, by representatives from Rolls Royce and Bell Helicopter was under the supervision of an Federal Aviation Administration (FAA) inspector.

Examination of the engine revealed that the engine remained attached to its respective mounts. The compressor rotor would not rotate. The delivery and return oil lines on the engine between the accessory gearbox and compressor front support, gas producer turbine support, and power turbine support were secure and undamaged. The pneumatic lines between the compressor scroll, power turbine governor, and fuel control were secure and undamaged. The throttle linkage was securely connected to the fuel control arm. The fourth stage turbine wheel rotated freely in a counter-clockwise direction. The wheel would not rotate in the clockwise direction. The engine to transmission drive shaft remained intact. Approximately one table spoon of fluid was drained from the fuel line between check valve in the horizontal fire shield and the fuel nozzle. The fluid appeared to be consistent with one-quarter water and three-quarters fuel.

The upper and lower magnetic chip detector plugs were removed from the gearbox. Both plugs were covered in a gray paste and displayed no evidence of metal particles. The engine oil filter was absent of contaminants. Approximately 47 gallons of fluid were drained from the main fuel cell of the helicopter into clear containers. Approximately one quart of the fluid was consistent with jet fuel. The remainder of the fluid was consistent with salt water.

According to the FAA inspector who responded to the site of the accident, the pilot who flew the helicopter during the previous flight informed company maintenance personnel about the fuel quantity gauge indicating a higher fuel level than the actual amount and was inaccurate. Review of company records indicated company maintenance personnel ordered a fuel quantity gauge for the accident aircraft on July 20, 2004. The pilot reported to the inspector that prior to the flight, he did not observe any discrepancies in the aircraft logbook regarding the fuel gauge.

Review of the aircraft maintenance records revealed no entries were made regarding the inaccurate fuel quantity gauge. Examination of the helicopter also revealed there were no placards for the fuel quantity gauge being inoperative or inaccurate.

The company minimum equipment list (MEL) states that a fuel quantity gauge can be inoperative provided an alternate accepted procedure is used to determine the fuel quantity. Review of the Omni Aviation Services training manual revealed on page 3-4, under section "3.18, Using the Minimum Equipment List", states "the pilot in command will at all times assure his aircraft to be in compliance with not only the letter but also the intent of the MEL. Safety of flight will be of the utmost concern when determining the advisability of deferring a particular item."

Aircraft

Registration
N133RT
Reported as
Bell 206B
Category
Helicopter
Serial number
3262
Engine
Allison 250-C20-B, 317 horsepower, turbo shaft
Damage
Substantial damage
Flight
Part 135
Registered owner
Omni Energy Services
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · June 6, 2004
Departed
NONE · Vermillion 218, GM
Destination
LA53 · Grand Chenier, LA
Flight plan
Company VFR
Airport
LA53 · Air Logistics Heliport

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
62
Injuries
Minor
Certificate
Commercial
Instrument ratings
Helicopter
Medical
Class 2, Valid Medical--w/ waivers/lim
Last flight review
December 22, 2003
Seat
Right
Flight hours
21,440 total · 8,720 in this make and model · 18,021 as pilot in command · 160 in the last 90 days · 80 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
100° at 6 knots
Visibility
8 statute miles
Lowest ceiling
None
Temperature
84 °F, dew point 73 °F
Altimeter
30.00 inHg
Observed at
LCH, 25 nm away

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.