LAX86MA050

NTSB accident investigation · Bell 206L-1 · San Pedro, CA · December 1, 1985

Accident · FatalMajor investigationFinal report
Date
November 30, 1985, 16:38 local (Dec 1, 1985, 00:38 UTC)
Place
San Pedro, CA
Injuries
1 fatal, 4 serious, 7 minor
Phase of flight
Approach
Aircraft
N3913ZBell 206L-1N5759YBell 206L-1
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Case key
25274

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

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.

Midair collisionApproach - vfr pattern - final approach
Procedures/directives - inadequateFactor
Procedure inadequateCompany/operator managementFactor
Inadequate trainingPilot in commandFactor
Inadequate surveillance of operationCompany/operator mgmtFactor
Procedure inadequateOther personFactor
Inadequate surveillance of operationOther institutionFactor
Inadequate surveillance of operationFaa(organization)Factor
Radio communications - inadequatePilot in commandFactor
Radio communications - inadequatePilot of other aircraftFactor
Airport/facilities - inadequateFactor
Airport/facilities - congestedFactor
Object - vehicleFactor
Go-around - performedPilot in command
Light condition - sunglareFactor
Visual/aural detectionPilot in commandFactor
Visual lookout - inadequatePilot in commandCause
Visual lookout - inadequatePilot of other aircraftCause
In flight collision with terrain/waterLanding
Roll overLanding
Midair collisionApproach - vfr pattern - final approach
Passenger briefing - inadequateCompany/operator managementFactor
Procedures/directives - inadequateFactor
Procedure inadequateCompany/operator managementFactor
Procedure inadequateOther personFactor
Inadequate surveillance of operationOther institutionFactor
Inadequate surveillance of operationFaa(organization)Factor
Radio communications - inadequatePilot in commandFactor
Radio communications - inadequatePilot of other aircraftFactor
Airport/facilities - inadequateFactor
Airport/facilities - congestedFactor
Object - vehicleFactor
Go-around - performedPilot of other aircraft
Light condition - sunglareFactor
Visual/aural detectionPilot of other aircraftFactor
Visual lookout - inadequatePilot in commandCause
Visual lookout - inadequatePilot of other aircraftCause
In flight collision with terrain/waterDescent - uncontrolled

Analysis

Two bell 206L'S (N3913Z oprd by helitrans, N5759Y oprd by island express) deptd avalon 2 min apart on flts to San Pedro. Arr route at destn was ovr a RVR with angling fnl acph arnd a floating restaurant (fr). Heliport (HP) was in congested area nr bridge, bldg, boat dock. Each plt made reqd rdo call on UNICOM freq, 2.5 mi out; chngd to 123.30 mhz btn RVR mouth & HP to chk on flying at another opr's location; chngd back to UNICOM; except plt of N5759Y also chkd in on his cofreq. As 1st flt (N3913Z) arr, boat was docking, plt made go-arnd, but didn't make rdo call. As N3913Z was on 2nd apch, N5759Y converged fm drctn of setting sun in l turn arnd fr & acft collided. Neither plt called fnl apch. N5759Y crashed in wtr; N3913Z hit edge of HP, rolled ovr. Pax in N5759Y had prblm egressing; inadeq briefing bfr flt. HP owner (la portauthority) didn't provide rstrctns of oprg permits to oprs. Oprs didn't abide by HP owner's 5 min sepn rule. Min ovrsghtby FAA & CA dept of aeronautics. Plt of 3913Z lacked 10 hrs of reqd trng. The HP was certified for seaplane opn.

Two bell 206'S (N3913Z oprd by helitrans, N5759Y oprd by island express) deptd avalon 2 min apart on flts to San Pedro. Arr route at destn was ovr a RVR with angling fnl apch arnd a floating restaurant (fr). Heliport (HP) was in congested area nr bridge, bldg, boat dock. Each plt made reqd rdo call on UNICOM freq, 2.5 mi out; chngd to 123.30 mhz btn RVR mouth & HP to chk on flying at another opr's location; chngd back to UNICOM; except plt of N5759Y also chkd in on his cofreq. As 1st flt (N3913Z) arr, boat was docking; plt made go-arnd, but didn't make rdo call. As N3913Z was on 2nd apch, N5759Y converged fm drctn of setting sun in l turn arnd fr & acft collided. Neither plt called fnl apch. N5759Y crashed in wtr; N3913Z hit edge of HP, rolled ovr. Pax in N5759Y had prblm egressing; inadeq briefing bfr flt. HP owner (la portauthority) didn't provide rstrctns of oprg permits to oprs. Oprs didn't abide by HP owner's 5 min sepn rule. Min ovrsghtby FAA & CA dept of aeronautics. Plt of N3913Z lacked 10 hrs of reqd trng. The HP was certified for seaplane opn.

Aircraft · 2

Registration
N3913Z
Reported as
Bell 206L-1
Category
Helicopter
Serial number
45650
Airframe hours
2,741
Engine
Allison 250-C28B, 435 horsepower, turbo shaft
Damage
Destroyed
Flight
Part 135
Operator
Helitrans, Inc.
Registered owner
Podesta-Moller Associates
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · November 15, 1985 · 41 hours before
Departed
L11 · Avalon, CA
Destination
6CA3
Flight plan
Company VFR
Airport
LCA3 · San Pedro Helistop

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.

Registration
N5759Y
Reported as
Bell 206L-1
Category
Helicopter
Serial number
45563
Airframe hours
2,479
Engine
Allison 250-C28B, 435 horsepower, turbo shaft
Damage
Destroyed
Flight
Part 135
Operator
Island Express, Inc.
Registered owner
R. S. Aviation, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · October 30, 1985 · 79 hours before
Departed
L11 · Avalon, CA
Flight plan
Company VFR
Airport
LCA3 · San Pedro Helistop

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot, aircraft N3913Z
Age
28
Certificates
Flight instructor, Commercial, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Right
Toxicology
Performed
Flight hours
4,578 total · 996 in this make and model · 4,433 as pilot in command · 241 in the last 90 days · 46 in the last 30 days · 3 in the last 24 hours
Role
Pilot, aircraft N5759Y
Age
43
Certificates
Commercial, Private
Airplane ratings
Single-engine land
Instrument ratings
Helicopter
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Right
Flight hours
5,600 total · 1,000 in this make and model · 4,900 as pilot in command · 200 in the last 90 days · 60 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
200° at 7 knots
Visibility
30 statute miles
Lowest ceiling
None
Temperature
57 °F, dew point 46 °F
Altimeter
30.00 inHg
Observed at
LGB, 7 nm away

FAA reports on this event · 2

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