LAX95FA079

NTSB accident investigation · Bell 206B · Los Angeles, CA · January 15, 1995

Accident · FatalField investigationFinal report
Date
January 14, 1995, 19:45 local (Jan 15, 1995, 03:45 UTC)
Place
Los Angeles, CA
Injuries
2 fatal, 2 serious
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N2209PBell 206B
Weather
Instrument (IMC) · Night/dark
Status
Completed · report February 27, 1996
Report
Approved by Office Director
FAA report
19950114000319A
Case key
28909

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 pilot's continued VFR flight into instrument meteorological conditions. Factors which contributed to the accident were: the pilot's and operator's failure to follow their established dispatch procedures, the pilot's poor judgment in initiating the flight, and the existing weather conditions.

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
Preflight planning/preparation - inadequatePilot in commandFactor
Dispatch procedures - not followedCompany/operator managementFactor
Weather condition - obscurationFactor
Weather condition - cloudsFactor
Weather condition - fogFactor
Weather condition - rainFactor
Flight into adverse weather - initiatedPilot in commandFactor
In flight collision with objectCruise
Object - wire,transmission
Vfr flight into imc - continuedPilot in commandCause

Analysis

The pilot requested and received a special VFR clearance out of the class c airspace and proceeded southbound from the burbank airport. The airport prevailing weather was 300 ft broken; visibility 2-1/2 mi with fog and light rain. The helicopter continued southbound until it collided with high voltage transmission wires about 150 ft AGL. Radar data showed that the helicopter did not climb more than 300 ft above the ground after departure. Ground witnesses reported that due the prevailing rain showers, cloud obscuration, and a 1/4-MI visibility, the helicopter was barely distinguishable. The helicopter became entangled with the second set of wires until the main rotor assembly separated and then it plunged to the ground. The pilot did not obtain a weather briefing from the fss, nor file a flight plan. He did receive the current ATIS before departing.

Factual narrative

History of Flight

On January 14, 1995, at 1945 hours Pacific standard time, a Bell 206B helicopter, N2209P, collided with a high-voltage transmission wire and crashed next to State Highway 101 (aka Hollywood Freeway), Los Angeles, California. The pilot was conducting a visual flight rules (VFR) air taxi flight to the TransAmerica Building in downtown Los Angeles. He did not file a flight plan. The pilot was operating under the provisions of Title 14 CFR Part 135. The helicopter, registered to Fleet Management, Pasadena, California, and operated by Wolfe Air Aviation Ltd., Burbank, California, was destroyed. The certificated airline transport pilot and the left front seat passenger sustained fatal injuries; the two rear seat passengers sustained serious injuries. Instrument meteorological conditions prevailed. The flight originated at Burbank Airport at 1939 hours.

According to the Federal Aviation Administration (FAA) Burbank Airport Traffic Control Tower recorded communications media, the pilot initially contacted the local controller at 1938:28 hours and requested a special vfr clearance " . . . southeast bound . . . ." The local controller responded, " . . . will that be to the special flight rules aah correction aah to cahuenga pass . . . ? The pilot responded, "Aah I'll tell you we'll head towards cahuenga pass, but Im gonna assume we'll have to follow the Ventura Freeway from there eastbound then." The local controller issued the pilot a special VFR clearance out of the Class C airspace and instructed the pilot to remain at or below 1,500 feet mean sea level (msl).

At 1742:06 hours, the local controller instructed the pilot to maintain special VFR south of the Ventura Freeway and said that a Boeing 737 will be departing toward the southwest under instrument flight rules (IFR). The pilot achkowledged the instructions. The local controller then asked the pilot to advise him if he needed to go on a different direction other than south.

At 1744:06 hours, the pilot reported that he was south of the airport and clear of the Class C airspace. The local controller acknowledged the pilot's report and cleared him for a frequency change. At 1744:11 hours, the pilot acknowledged the controller's instruction. There were no further communications between the pilot and any other FAA air traffic facilities.

The available recorded radar data showed that the helicopter departed Burbank in a southerly direction and initially climbed to 900 feet msl (about 225 feet above the ground). At 1942:35 hours, the helicopter climbed to 1,000 feet msl and maintained that altitude until 1944:12 hours (the last radar acquisition target). The available radar data showed that the helicopter maintained a southerly course. The last radar target was about 7 miles south of Burbank Airport.

The operator's vice-president/chief pilot (herein called the chief pilot) responded to the accident site. He told National Transportation Safety Board investigators that the company was contracted to provide the flight about a week before the accident. The pilot was to fly the passengers to the TransAmerica building for dinner and then fly them on a sightseeing tour of the city. After the passengers had dinner, the pilot was scheduled to return to Burbank Airport.

The chief pilot said that the pilot checked the weather with the FAA Hawthorne [California] Flight Service Station, before departing on the accident flight. He also said that he told the Media Aviation dispatcher that he checked Burbank Airport terminal information service (ATIS) and decided that the weather was good enough for the flight.

In an interview conducted on January 17, 1994, the chief pilot repeated his statement given to Safety Board investigators at the accident site on January 14, 1994. Additionally, he said that he dispatched the flight about an hour before the accident. He said that the company does not list the passengers names or addresses in the load manifest; the company does require that the lead passenger (the passenger who books the flight) be listed in the manifest.

Safety Board investigators recovered the flight's load manifest at the accident site. The load manifest did not contain any of the passengers' names.

The Media Aviation dispatcher was interviewed by Safety Board investigators on January 19, 1995, via telephone. The dispatcher said that the accident operator based their aircraft at Media Aviation. She said that the pilot arrived at the Media Aviation terminal 45 minutes before the flight departed (about 1847 hours), and engaged in a casual conversation with the pilot. At the pilot's request, she gave him the Burbank Airport ATIS telephone number. The pilot called the ATIS telephone number and obtained the Burbank Airport weather information.

The pilot told her that the weather was satisfactory for the flight. He said, however, that he would like to cancel the flight because he was concerned about the passengers' comfort and not because of the weather. He said the weather might frighten the passengers. The pilot also told her that he was going to fly around Griffith Park (about 3 miles east of the accident site) to the TransAmerica building, instead of the normal routing over the Cahuenga Pass (the accident site).

When the passengers arrived at the terminal, the pilot repeated his routing statement to the lead passenger, the co-owner of the limousine service. He also told the lead passenger that he was not going to fly over Universal Studios (on the northeast side of Cahuenga Pass), as customary. The lead passenger concurred.

A Los Angeles Sheriff's Department deputy reported that he observed a blue and white helicopter circling over Universal Studios between 200 and 300 feet above the ground. The helicopter then flew toward the Hollywood Freeway.

Safety Board investigators interviewed several other ground witnesses. The consensus of the ground witnesses was that clouds and ground fog obscured wires, light to moderate rain conditions prevailed, and that the ground visibility was between 1/4 and 1/2 mile.

A passenger in an automobile driving south on the Hollywood Freeway said she observed a helicopter entangled in the transmission wires between 5 and 10 seconds before it fell to the ground. The helicopter was "jarring up and down." Moments later, she observed a "bright blue and white blinding explosion."

She said that she saw "something fall" from the helicopter and then it plunged downward as their automobile approached the wires. The helicopter struck some trees as it nosed-down to the ground. The witness said their automobile was next to the helicopter when it struck the ground.

The passenger's husband told Safety Board investigators that he did not see the helicopter until it crashed. He thought the wire explosion was a transformer failure.

Another witness driving south on the Hollywood Freeway said that the helicopter was "hovering" over the freeway. He said he thought that it was a police helicopter because he saw what appeared to be a searchlight shining from the helicopter. The witness also said that the helicopter's lights were distinguishable, but the rest of the helicopter was not due to the inclement weather.

Other Damage

Safety Board investigators contacted the Los Angeles Department of Power and Water Company on January 16, 1994. The principal engineer described the wires that cross the freeway as two sets of three vertical high-voltage wires and one ground conductor wire that spans the freeway (about 1,242 feet). The helicopter severed the southern set of wires. The horizontal distance between the two sets of wires is 23.08 feet.

The wires are connected to a transmission tower on the top of the hills east and west of the freeway (#581 & #582, respectively). The tops of the transmission towers are about 300 feet above the ground, and the wires slope downward to their

Aircraft

Registration
N2209P
Reported as
Bell 206B
Category
Helicopter
Serial number
3520
Airframe hours
3,255
Engine
Allison 250-C20B, 420 horsepower, turbo shaft
Damage
Destroyed
Flight
Part 135
Operator
Wolfe Air Aviation Ltd.
Registered owner
Fleet Unlimited, Inc
Airworthiness certificate
Standard, Normal
Last inspection
Annual · October 28, 1994 · 55 hours before
Departed
BUR · Burbank, CA
Destination
CA
Airport
BUR · Burbank Airport

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
50
Certificates
Airline transport, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Right
Toxicology
Performed
Flight hours
4,421 total · 311 in this make and model · 3,417 as pilot in command · 59 in the last 90 days · 1 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Night/dark
Visibility
0.25 statute miles
Lowest ceiling
100 ft overcast

FAA reports on this event · 1

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