FTW89FA078

NTSB accident investigation · MBB BK-117A-4 · Houston, TX · April 9, 1989

Accident · Serious injuriesField investigationFinal report
Date
April 9, 1989, 06:49 local (11:49 UTC)
Place
Houston, TX
Injuries
3 serious
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N120HHMBB BK-117A-4
Weather
Night/dark
Status
Completed · report September 5, 1991
Report
Approved by Office Director
FAA report
19890409006799A
Case key
22766

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

Failure of the pilot to maintain clearance from the obstruction (garage). Factors related to the accident were: darkness, adverse weather conditions, personnel in the area of the temporary heliport, lack of security provided by hospital management, which resulted in a necessity for the plt to divert his attention, and the pilot's lack of visual ques.

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 collision with objectTakeoff - initial climb
Light condition - dark nightFactor
Vertical takeoff - initiatedPilot in command
Weather condition - drizzle/mistFactor
Weather condition - unfavorable windFactor
Weather condition - turbulenceFactor
Object - other personFactor
Security - inadequateCompany/operator managementFactor
Diverted attentionPilot in command
Object - building(nonresidential)Factor
Clearance - not maintainedPilot in commandCause
Visual/aural detectionPilot in commandFactor
Loss of control - in flightTakeoff - initial climb
Rotor system,tail rotor blade - overload
Directional control - not possible
In flight collision with terrain/waterDescent - uncontrolled

Analysis

The helicopter was being operd fm a temporary lndg zone (lz) in a parking lot, while the hospital heliport was being resurfaced. As the plt was preparing to takeoff at ngt to get a patient at another lctn, he noted psnl in the area of the lz & adzd the dispatcher of the lack of security. At that time, the wx (10 mi east at Houston hobby arpt) was in part: 900' ovc, vis 8 mi with light drizzle, wind fm 040 deg at 14 KTS. The plt bgn a vertical takeoff to clr obstacles. He rprtd that after lift-off, the helicopter enctrd turbc & a venturi effect fm wind blowing around the buildings. Also,he indcd that his visual ques were reduced as he was was watching for people in the area of the lz. At about that time, witnesses observed the helicopter drift backward. Subsequently, the tail rotor contacted the top of a garage, then the helicopter bgn an unctld spin & crashed. The plt & both medical crew members were seriously injured.

Aircraft

Registration
N120HH
Reported as
MBB BK-117A-4
Category
Helicopter
Serial number
7132
Airframe hours
529
Engine
Lycoming LTS 101-650B, 650 horsepower, turbo shaft
Damage
Destroyed
Flight
Positioning · Part 91
Operator
Hermann Trust, doing business as Hermann Life Flight
Registered owner
Bell Atlantic Tricon
Airworthiness certificate
Standard, Transport
Last inspection
100 hour · March 29, 1989 · 46 hours before
Departed
NONE
Destination
NONE · Channelview, TX
Flight plan
Company VFR
Airport
Hermann Hospital

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
40
Certificates
Commercial, Private
Airplane ratings
Single-engine land
Instrument ratings
Helicopter
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Right
Toxicology
Performed
Flight hours
8,700 total · 1,590 in this make and model · 8,380 as pilot in command · 72 in the last 90 days · 17 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Night/dark
Wind
40° at 14 knots
Visibility
8 statute miles
Lowest ceiling
900 ft overcast
Temperature
57 °F, dew point 54 °F
Altimeter
29.00 inHg
Observed at
HOU, 10 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.