FTW91LA048

NTSB accident investigation · Bell 206B II · High Island, TX · March 8, 1991

Accident · FatalLimited investigationFinal report
Date
March 7, 1991, 19:30 local (Mar 8, 1991, 01:30 UTC)
Place
High Island, TX
Injuries
1 fatal, 2 uninjured
Damage
Substantial damage
Phase of flight
Other
Aircraft
N59491Bell 206B II
Weather
Visual (VMC) · Night/dark
Status
Completed · report August 13, 1993
Report
Approved by Office Director
FAA report
19910307004929A
Case key
23309

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

For occurrence #1 - inadequate supervision by the operator in launching a hazardous mission without an adequate sling/harness, the pilot's poor judgement in accepting and continuing the mission into low light conditions, and the crewmember's inadvertent release of his hold of the nylon strap. For occurrences #2-4 - failure of the tail rotor drive shaft as a result of entanglement of an unsecured nylon strap.

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.

Miscellaneous/otherOther
External load sling/harness - inadequateCause
Supervision - inadequateCompany/operator managementCause
Light condition - duskFactor
Judgment - poorPilot in commandCause
Miscellaneous - inadvertentOther crewmemberCause
Loss of control - in flightCruise - normal
Rotor system,tail rotor blade - foreign objectCause
Rotor system,tail rotor blade - entangledCause
Rotor drive system,tail rotor drive shaft - shearedCause
Forced landingLanding - flare/touchdown
Autorotation - performedPilot in command
Hard landingLanding - flare/touchdown

Analysis

The mission was to locate and mark a downed helicopter floating inverted offshore. A crewman was lowered by a nylon strap to attach the marker bouy. As darkness set in, the crewman signaled to come back aboard. The other observer threw the nylon strap to the crewman on the floating helicopter. The inboard end of the strap was attached to a seat belt anchor point. During the retrieval the crewman released his hold on the strap and fell into the water. During the subsequent search activity the crewman was found drowned. The pilot subsequently reported a low fuel state to the participating U.S.coast guard helicopter and returned toward galveston. As he arrived over the beach the pilot experienced a loss of directional control and autorotated to a hard landing. The nylon strap that had been left hanging outside the helicopter had become entangled around the tail rotor shearing the drive shaft.

Aircraft

Registration
N59491
Reported as
Bell 206B II
Category
Helicopter
Serial number
1291
Engine
Allison C-250, 400 horsepower, turbo shaft
Damage
Substantial damage
Flight
Other work use · Part 91
Operator
Dme Helicopters, Inc., doing business as Dooley Helicopters, Inc.
Departed
GLS · Galveston, TX

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
40
Certificate
Commercial
Instrument ratings
Helicopter
Medical
Class 1, Valid Medical--no waivers/lim.
Flight hours
12,200 total · 3,000 in this make and model · 12,200 as pilot in command · 36 in the last 90 days · 26 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night/dark
Wind
80° at 8 knots
Visibility
5 statute miles
Lowest ceiling
3,000 ft overcast
Temperature
-0 °F, dew point -0 °F

FAA reports on this event · 1

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