LAX92FA047

NTSB accident investigation · Bell 206BIII · Davis, CA · November 21, 1991

Accident · FatalField investigationFinal report
Date
November 20, 1991, 18:14 local (Nov 21, 1991, 02:14 UTC)
Place
Davis, CA
Injuries
3 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N5011KBell 206BIII
Weather
Instrument (IMC) · Night/dark
Status
Completed · report April 23, 1993
Report
Approved by Office Director
FAA report
19911120053109A
Case key
27391

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 decision of the pilot to continue night low level flight in forecasted adverse weather conditions. Contributing to the accident was the foggy weather and dark night conditions which restricted the pilot's visual outlook.

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
Light condition - dark nightFactor
Weather condition - fogFactor
Flight into known adverse weather - intentionalPilot in commandCause
In-flight planning/decision - poorPilot in commandCause
Visual lookout - restrictedPilot in commandFactor
In flight collision with terrain/waterManeuvering

Analysis

A bell helicopter 206B iii collided with level terrain during night instrument meteorological conditions. The pilot contacted air traffic control twenty miles southeast of his destination reporting instrument meteorological conditions with low visibility in light rain showers. The pilot was unable to maintain VFR conditions and started to maneuver around the weather. A witness reported seeing the helicopter flying north, at an altitude below the level of an interstate highway. The helicopter had to climb to cross the interstate. The helicopter then descended, impacted the ground, and disintegrated. ATC reported lost radar contact with the helicopter. The search for the helicopter was impeded by local darkness and ground fog. The pilot's destination airport located eight nautical miles north of the accident site was reporting a temperature dewpoint spread of three degrees and calm winds.

Aircraft

Registration
N5011K
Reported as
Bell 206BIII
Category
Helicopter
Serial number
2580
Airframe hours
7,949
Engine
Allison 250-C20B, 420 horsepower, turbo shaft
Damage
Destroyed
Flight
Part 135
Operator
Aris Helicopter Ltd
Registered owner
Aris Helicopter Ltd
Airworthiness certificate
Standard, Normal; Standard, Utility
Last inspection
AAIP · November 20, 1991 · 15 hours before
Departed
SFO · San Francisco, CA
Destination
SMF · Sacramento, CA

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
35
Certificates
Flight instructor, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Right
Toxicology
Performed
Flight hours
1,058 total · 222 in this make and model · 815 as pilot in command · 189 in the last 90 days · 73 in the last 30 days · 4 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Night/dark
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
2,300 ft overcast
Temperature
55 °F, dew point 52 °F
Altimeter
30.00 inHg
Observed at
SMF, 8 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.