FTW94GA232

NTSB accident investigation · Bell 206L-3 · Mimbres, NM · July 12, 1994

Accident · FatalFinal report
Date
July 12, 1994, 15:05 local (21:05 UTC)
Place
Mimbres, NM
Injuries
3 fatal, 1 serious, 1 minor
Damage
Destroyed
Phase of flight
Maneuvering
Aircraft
N3178BBell 206L-3
Weather
Visual (VMC) · Day
Status
Completed · report October 31, 1995
Report
Approved by Office Director
FAA report
19940712048859A
Case key
18932

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 improper decision to attempt to hover out of ground effect under adverse conditions while exceeding the maximum allowable weight for that maneuver. Factors in the accident were: high density altitude and the tailwind.

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 control - in flightHover
Weather condition - high density altitudeFactor
Weather condition - tailwindFactor
Aircraft weight and balance - exceededPilot in commandFactor
In-flight planning/decision - improperPilot in commandCause
Out of ground effect - attemptedPilot in commandCause
In flight collision with objectDescent - uncontrolled
Object - tree(s)

Analysis

The aircraft was being operated by the usda to transport fire fighters to a fire. The two survivors stated that following a downwind approach to a pinnacle on a 9,520-FT MSL ridge line, the pilot attempted to bring the helicopter to a hover about 20 ft above the landing area. The nose of the helicopter appeared higher than normal during the final phase of the approach. The helicopter then assumed a very high nose attitude and appeared to start sliding backwards, followed by a loss of control and contact with trees. The density altitude was 13,200 ft. the aircraft weight was calculated to have been 3,750 pounds. Under the conditions of no wind, 9,520 ft pressure altitude, and 32 deg c, the maximum gross weight for hover in and out of ground effect was computed to be 3,580 and 3,515 lbs respectively.

Factual narrative

History of flight

On July 12, 1994, at 1505 mountain daylight time, a Bell 206L-3 helicopter, N3178B, was destroyed while landing near Mimbres, New Mexico. The commercial pilot and two fire fighters were fatally injured, while one fire fighter sustained serious injuries, and another one received minor injuries. Visual meteorological conditions prevailed for the public use flight. The aircraft was owned by Briles Wing and Helicopter of Van Nuys, California, and being operated by the United States Department of Agriculture Forest Service.

According to the operator, the helicopter was dispatched from the Mimbres Heliport at 1447 to transport four fire fighters to a newly reported forest fire approximately 13 miles northeast of the base camp heliport.

According to survivors, upon arrival in the area of the fire, the pilot circled the fire and the intended landing point in both directions. The selected landing area was a rocky pinnacle on a ridge line approximately 1/2 mile southeast of the fire, at an elevation of 9,520 feet. Density altitude at the point of intended landing was 13,200 feet.

The survivors reported that the approach was made to the west northwest over the northeast facing slope. Both survivors concluded that the winds were "blowing upslope on the tail of the helicopter," but everything appeared normal with the exception of the nose of the helicopter, which appeared higher than normal during the final phase of the approach. They added that the pilot attempted to bring the helicopter to a hover at about 20 feet above the landing area. They further stated that the helicopter then assumed a "very high nose attitude and appeared to start sliding backwards," followed by a loss of control.

While rotating in a clockwise direction, the surviving passengers reported hearing a pop-like impact coming from the rear of the helicopter. They further stated that the helicopter moved laterally away from the landing area, prior to settling into the trees, approximately 350 feet from the point of intended landing.

Personnel information

The pilot obtained his initial rotary wing training and experience while he served in the U.S Army between 1981 and 1988. He was previously employed by Papillon Helicopters where he conducted air tour flights at the Grand Canyon. He was on his first season as a "fire fighting pilot," having been employed by the operator since April 1994.

Aircraft information

The helicopter was assigned to the Gila National Forest. It was maintained and operated under 14 CFR Part 135 standards, on certificate number BWHA663C, and was registered to Briles on January 8, 1986.

Weight and balance calculations were performed using figures provided by the operator. The calculated weight of the helicopter at the time of the accident was 3,750 pounds, which includes the "as equipped" weight of 2,440 pounds, plus the weight of the pilot (170 lbs), a fuel load of 265 pounds, and a manifested payload of 875 lbs.

The allowable payloads for the flight were computed using the interagency helicopter load calculation method. Using a pressure altitude of 9,520 feet and 32 degrees centigrade, the maximum gross weight to hover in ground effect (HIGE) was 3,580 lbs (allowable payload of 525 lbs.), and a maximum gross weight to hover out of ground effect (HOGE) at 3,515 pounds (allowable payload of 460).

Wreckage and impact information

The wreckage was located approximately 350 feet down slope of the point of intended landing, on a measured heading of 040 degrees. The skids, tailboom, and the main rotor were found separated from the fuselage. The main fuselage, along with the remains of the engine and main transmission, were found resting against a large tree.

Examination of the tail rotor blades showed minimal rotational damage. A review of the aircraft and engine records did not reveal any anomalies or uncorrected maintenance defects prior to the flight. See enclosed wreckage diagram for wreckage distribution pattern.

Medical and pathological information

An autopsy and toxicological tests were requested and performed. The autopsy was performed by the Office of the Medical Investigator from the State of New Mexico in Albuquerque, New Mexico, on July 14, 1994. Toxicological tests were negative.

Fire

A post-impact fire destroyed the main fuselage. Most of the main transmission and the engine gearbox were consumed by fire. An extensive forest fire was initiated by the post-impact fire. One of the survivors, who remained strapped to the helicopter during the impact sequence reported that he heard what appeared to be the sound of the engine running after impact. Both survivors stated that approximately 10 to 15 minutes elapsed before the helicopter was engulfed in flames. No evidence of pre-impact fire was found during the investigation.

Survival aspects

The two surviving passengers were seated in the two forward facing aft seats. The one on the right side, who suffered minor injuries, was ejected from the helicopter during the impact sequence. The left aft seat passenger stayed strapped in his seat belt until the helicopter came to rest, and suffered serious injuries. Shoulder harnesses were not installed on their seats.

Test and research

A wreckage reconstruction was completed at the Santa Paula Airport on August 4, 1994. Continuity was established to the flight controls, and no anomalies were found with the airframe or systems. A complete engine teardown was completed at Long Beach, California, on August 5, 1994. No anomalies were found that could have prevented normal operation of the engine.

Additional data

The wreckage was released to the owner's representative upon completion of the investigation.

Aircraft

Registration
N3178B
Reported as
Bell 206L-3
Category
Helicopter
Serial number
51033
Airframe hours
4,479
Engine
Allison 250-C30P, 650 horsepower, turbo shaft
Damage
Destroyed
Fire
On-Ground
Flight
Public aircraft · Public use
Operator
Usda Forest Service, doing business as Gila National Forest
Registered owner
Briles Wing And Helicopters
Airworthiness certificate
Standard, Normal
Last inspection
Continuous airworthiness · July 5, 1994 · 29 hours before
Flight plan
Company VFR

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
Certificate
Commercial
Instrument ratings
Helicopter
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Right
Toxicology
Performed
Flight hours
4,270 total · 4,220 in this make and model · 30 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
135° at 8 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
90 °F
Altimeter
30.00 inHg

Docket · 12

The files NTSB released with the investigation on March 16, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.0 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.