LAX94LA162

NTSB accident investigation · Head Balloons AX9-118 · Sedona, AZ · March 12, 1994

Accident · Serious injuriesLimited investigationFinal report
Date
March 12, 1994, 07:30 local (14:30 UTC)
Place
Sedona, AZ
Injuries
1 serious, 1 minor, 3 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N45289Head Balloons AX9-118
Weather
Visual (VMC) · Day
Status
Completed · report February 14, 1995
Report
Approved by Office Director
FAA report
19940312005039A
Case key
28696

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

On this page

Probable cause

the failure of the pilot lights and burners to relight in flight once extinguished due to the installation of an incorrect gas pressure regulator.

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.

Airframe/component/system failure/malfunctionDescent - normal
Balloon equipment,burner system - output lowCause
Maintenance,installation - improperOther maintenance personnelCause
Remedial action - not possiblePilot in command
In flight collision with terrain/waterDescent - uncontrolled

Analysis

The pilot was descending to about 400 feet agl to give the passengers a better view of the surroundings and the burner pilot light went out. The pilot said he tried unsuccessfully to relight it up until ground impact. The balloon consisted of a Head AX9-118 envelope attached to a Balloon Works 5.5 basket, which included a Balloon Works Mirage F-1 burner. The installed propane gas regulator was found to be a Marshall Brass Company model 300. The envelope and basket, produced by different manufacturers, were combined together in accordance with STC SL1748. The burner tested to factory specification. The regulator was the incorrect part for the burner. Functional testing of the regulator found that it flowed at 8 psi. The correct regulator is a Marshall Brass model 301 which has a specified pressure range of 18 to 25 psi. According to Balloon Works, low regulator pressure might make reigniting the pilot lights and burners difficult once snuffed out in flight.

Factual narrative

On March 12, 1994, at 0730 mountain standard time, a Head AX9-118 balloon, N45289, collided with the ground during an unarrested descent near Sedona, Arizona. The balloon was operated by Northern Light Balloon Expeditions of Sedona, Arizona, and was engaged in for hire sightseeing operations. Visual meteorological conditions prevailed at the time and no flight plan was filed. The balloon sustained a 30-foot envelope tear in the ground collision sequence when it became entangled in trees. The certificated commercial balloon pilot and two passengers were not injured; however, one passenger sustained serious injuries consisting of fractured ankle and foot bones and one passenger incurred minor injuries. The flight originated from a field near Sedona on the day of the mishap at 0705 hours as a local area flight.

In a telephone interview, the pilot reported that he intended to descend while in cruise flight to about 400 feet agl to give the passengers a better view of the surroundings. As the balloon was descending, the burner pilot light went out. The pilot said that he attempted unsuccessfully to relight the pilot light up until ground impact.

Examination of the balloon determined that it consisted of a Head AX9-118 envelope attached to a Balloon Works 5.5 basket, which included a Balloon Works Mirage F-1 burner, serial number 077. The installed propane gas regulator was found to be a Marshall Brass Company model 300. The envelope and basket, produced by different manufacturers, were combined together in accordance with Federal Aviation Administration (FAA) Supplemental Type Certificate (STC) SL1748 on October 27, 1993.

The burner and regulator were removed from the balloon and sent to the Balloon Works company in Statesville, North Carolina, for functional testing under the supervision of an FAA airworthiness inspector. The burner was tested to factory specification.

The regulator was found to be the incorrect part for the Mirage F-1 burner. Functional testing of the regulator determined that it flowed at 8 psi, with a maximum adjustment range of 11.5 psi. According to FAA approved Balloon Works engineering drawings, the correct regulator for the Mirage burner is a Marshall Brass Company model 301, part number 301-18. The model 301 regulator has a Balloon Works Company specified pressure range of 18 to 25 psi. According to a Balloon Works company representative, low regulator pressure might make reigniting the pilot lights and burners difficult once snuffed out in flight.

Aircraft

Registration
N45289
Reported as
Head Balloons AX9-118
Category
Balloon
Serial number
217
Airframe hours
57
Engine
unknown
Damage
Substantial damage
Flight
Part 91
Operator
Northern Light Balloon Expedit
Registered owner
Northern Light Balloon Expedit
Airworthiness certificate
Standard, Normal
Last inspection
Annual · October 27, 1993 · 57 hours before

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
55
Certificates
Commercial, Private
Airplane ratings
Single-engine land
Medical
Class 2, Expired
Flight hours
2,500 total

Weather

Conditions
Visual (VMC) · Day
Visibility
60 statute miles
Lowest ceiling
None
Temperature
55 °F

FAA reports on this event · 1

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