FTW89FA049

NTSB accident investigation · MBB BK-117 A-1 · Tyler, TX · February 14, 1989

Accident · FatalField investigationFinal report
Date
February 13, 1989, 22:17 local (Feb 14, 1989, 04:17 UTC)
Place
Tyler, TX
Injuries
3 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N7025LMBB BK-117 A-1
Weather
Instrument (IMC) · Night/dark
Status
Completed · report June 18, 1990
Report
Approved by Office Director
FAA report
19890213001839A
Case key
22760

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 failure to execute the published inadvertent IMC procedures when he encountered adverse weather conditions.

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.

In flight encounter with weatherCruise
Weather condition - low ceiling
Weather condition - rain
Weather condition - turbulence
Light condition - dark night
Flight into known adverse weather - intentionalPilot in commandFactor
Emergency procedure - not performedPilot in commandCause
Inadequate initial trainingCompany/operator managementFactor
Inadequate training(emergency procedure(s))Company/operator managementFactor
In flight collision with objectCruise
Object - wire,transmissionFactor
Clearance - not maintainedPilot in commandCause
Loss of control - in flightDescent - uncontrolled
In flight collision with terrain/waterDescent - uncontrolled

Analysis

The acft crashed after contacting 70' tall high tension power lines while on a night non-emergency EMS mission. According to witnesses, wx was IMC with low ovc ceilings, 1/4 to 1 mile vis with rain and fog and thunderstorms throughout the area. Witnesses stated the rain varied from drizzle to very heavy. The pilot received 3 briefings from afss and was fully aware of the conditions. He had the authority to refuse the mission if, in his judgement, the wx was questionable or unacceptable. The hospital had written procedures for inadvertent flight into IMC which the plt did not follow. Records fail to indicate that the pilot had reviewed these procedures nor do they indicate that the pilot had received any IFR training during his 1 month employment.

Aircraft

Registration
N7025L
Reported as
MBB BK-117 A-1
Category
Helicopter
Serial number
7025
Airframe hours
1,254
Engine
Lycoming LTS-101650B-1, 650 horsepower, turbo shaft
Damage
Destroyed
Fire
On-Ground
Flight
Part 135
Operator
U. S. Jet, doing business as Flight For Life
Registered owner
U.S. Jet Aviation
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · February 7, 1989 · 4 hours before
Destination
NONE · Pittsburg, TX

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
Certificates
Commercial, Airline transport
Instrument ratings
Helicopter
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Right
Toxicology
Performed
Flight hours
7,554 total · 29 in this make and model · 6,416 as pilot in command · 29 in the last 90 days · 2 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Night/dark
Wind
330° at 12 knots
Visibility
1 statute miles
Lowest ceiling
1,200 ft overcast
Temperature
61 °F, dew point 61 °F
Altimeter
29.00 inHg
Observed at
TYR, 7 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.