- Date
- September 19, 1995, 22:38 local (Sep 20, 1995, 05:38 UTC)
- Place
- Irvine, CA
- Injuries
- 1 fatal
- Damage
- Destroyed
- Phase of flight
- Enroute
- Aircraft
- N700THBell 206L-1
- Weather
- Instrument (IMC) · Night/dark
- Status
- Completed · report January 17, 1997
- Report
- Approved by Office Director
- FAA report
- 19950919047379A
- Case key
- 28941
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 intentional VFR flight into IMC conditions and failure to maintain an adequate terrain clearance altitude, and the local controller's improper use of ATC procedure/technique. Factors in the accident were the helicopter's low fuel state and lack of the required equipment for IFR flight.
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.
Analysis
The pilot was flying the prototype 2-engine Bell 206L1 back to base from a series of demonstration flights. En route he obtained the current destination weather and forecast conditions from Flight Watch. The current weather was given as 800 scattered with 6 miles, and the forecast called for clear conditions until 2300, followed by 800 overcast with 3 miles. As the flight neared the accident site the pilot was over a broken to overcast layer. Calculations showed the helicopter had about 43 minutes of fuel remaining at that point. The pilot contacted the MCAS El Toro air traffic control tower about 10 miles east at 2,000 feet msl. He told the military controller, 'I need to look for a hole', and the controller provided a suggested heading . Shortly thereafter, the pilot inquired 'Is it o.k. to descend here?' The controller stated 'Just fine, descend right there sir.' The pilot asked the controller what his minimum altitude was at this location and was advised to standby. That was the last communication received from the helicopter. The helicopter was certified for instrument flight.
Factual narrative
History of flight
On September 19, 1995, about 2238 hours Pacific daylight time, a Bell 206L-1, N700TH, was destroyed after colliding with a ridge line near Irvine, California. The helicopter was operated by Helistream, Inc., of Costa Mesa, California, under the provisions of 14 CFR Part 91 of the Federal Aviation Regulations. Instrument meteorological conditions were reported in the area of the accident. The ATP rated pilot, the sole occupant, was fatally injured. The flight originated at San Diego, California, at 2130 hours as a positioning flight.
The accident helicopter was the prototype for an FAA supplemental type certificate installation of two engines. The modification, known as a TwinRanger, replaces the single Allison powerplant with two Allison 250-C20R engines through a combining gearbox. The pilot departed the operator's base at the John Wayne Airport in the late afternoon for a series of demonstration flights with helicopter operators in the San Diego area.
According to the operator, the pilot obtained a "GTE DUATS" preflight weather briefing prior to the first departure and a telephone preflight weather briefing prior to the last departure. The "GTE DUATS" system was contacted in Chantilly, Virginia. The pilot's name was shown as a user; however, no record was found of system access subsequent to March, 1993. The "DUATS" system was also checked for records of access under the operator's name on the date of the accident, with no record found. Review of FAA Flight Service Station system records disclosed no record of a weather briefing provided to either the pilot's name or helicopter registration number prior to 2130 hours.
While en route back to Orange County, the pilot contacted the San Diego FAA Flight Service Station (FSS) while over Escondido at 2,500 feet msl. The pilot requested a surface observation for the Orange County John Wayne Airport. The briefer stated that the last reported Orange County weather was: sky partially obscured 800 feet scattered; visibility 6 miles in fog/haze; temperature 67 degrees Fahrenheit; dew point 64 degrees Fahrenheit. After acknowledgment from the pilot, the briefer gave the Orange County forecast as: clear occasional sky partially obscured 5 miles haze until 2300 PDT; then, 800 feet overcast, visibility 3 miles in fog.
The pilot contacted the El Toro MCAS military air traffic control tower (ATCT) at 2229:22 hours when 10 miles east at 3,000 feet. The pilot stated that he was inbound to John Wayne and requested El Toro's weather. The local controller stated that the weather observation 30 minutes before was 500 feet scattered, measured 700 feet broken and 1,000 feet broken. About 41 seconds after the initial contact with the ATCT, the pilot reported that he was 10 miles east at 2,000 feet, and he reported that it looks pretty solid here and "I need to look for a hole."
The local controller advised the pilot to stay north of El Toro and he may be able to get down under the overcast. The pilot was assigned a transponder code of 0164. Radar contact was confirmed 6 miles east of El Toro.
The pilot requested confirmation that he was headed towards Lake Irvine and the local controller confirmed that he was. At 2234:14, the controller asked the pilot "If you'd like to uh remain this frequency I can, uh, hopefully, uh help you into John Wayne, if you'd like." The controller asked the pilot several times if he could see El Toro, and each time the pilot reported negative.
At 2235:39, the pilot asked the local controller "whereabouts from Lake Irvine are w- am i?". The local controller stated " you're probably bout uh mile to mile and a half now sir southeast of Lake Irvine."
The local controller advised the pilot that he was "coming up on Lake Irvine now sir." The pilot requested a left turn to lower Peter's (a reservoir). The local controller responded "Uh, I believe so sir. I could tell you what... turn left suggested heading of about 170." About 49 seconds later the pilot asked, "Is it okay to descend here." The local controller responded "Just fine. Descend right there sir." At 2237:57, the pilot asked the local controller "What's my minimum altitude here?" The local controller stated, "Stand by." That was the last transmission received from the pilot. The last recorded radar position was at 2238:02 at an altitude of 1,300 feet msl.
Personnel information
According to the operator, the ATP rated pilot had been employed by the company since December 16, 1991. The pilot had accumulated 3,200 total flight hours, with 3,000 hours in helicopters and 700 hours listed in the Bell 206 model.
On the day of the accident the pilot's work day started at 1500 hours. The day before the accident his work day started at 0700 and concluded at 1730 hours.
Aircraft information
According to the operator, the pilot added 40 gallons of Jet-A fuel in San Diego. Calculating the fuel usage from Santa Ana to San Diego, the demonstration flight and the return to Orange County should have provided the pilot with approximately 32 gallons of fuel remaining at the time of the accident. The fuel consumption for the Gemini ST conversion is 30 gallons per hour single engine, and 44 gallons per hour in the twin engine mode. The helicopter may be flown as a single or twin engine at the pilot's discretion. The operator's policy is to fly twin engine with a heavy load, at night, or over water.
The helicopter was equipped with one Narco Escort Two, vhf navigation/communication radio. The radio will provide one function at a time, either navigation or communication. The aircraft was not equipped with the instruments and equipment required by 14 CFR 91.205 for flight into IFR conditions.
The helicopter was equipped with an Apollo Two, model 612B, Loran. The Loran is placarded for VFR use only and does not have a moving map display. The Loran was removed and sent to the manufacturer through the FAA Flight Standards District Office at Hillsboro, Oregon. The request was for the recovery of non-volatile memory. See the Testing and Research section of this report.
ATCT information
The air traffic control tower (ATCT) at MCAS El Toro is a military installation operated by military personnel. It is responsible for controlling the air traffic in and out of El Toro MCAS. Normal hours of operation for the accident day was 0800 until 2200 hours. On the day of the accident there were aircraft carrier operations in progress off of the coast. El Toro is used as an alternate landing field in case of emergencies while the operations are in progress.
According to the FAA Airman's Information Manual 3-61, AIRPORT TRAFFIC AREAS; (a) Unless otherwise specifically designated (FAR 93), airport traffic areas consist of the airspace within a horizontal radius of 5 statue miles from the geographical center of any airport at which a control tower is operating, extending from the surface up to, but not including, an altitude of 3,000 feet above the elevation of the airport.
Meteorological information
The nearest weather reporting facility to the accident site is El Toro MCAS. At the 2155 scheduled weather observation, El Toro was reporting: 500 feet scattered, measured 700 feet broken, 1,000 feet overcast, 6 miles visibility in fog and haze; temperature 64 degrees Fahrenheit; dew point 59 degrees Fahrenheit; wind 220 degrees at 3 knots; and the altimeter was 29.96 inches of mercury.
At the pilot's destination, Orange County John Wayne Airport, the last scheduled weather observation by the ATCT for the evening was at 2147 hours and they were reporting: partial obscuration measured 800 feet broken; 5 miles visibility in fog and haze; temperature 65 degrees Fahrenheit; dew point 63 degrees Fahrenheit; wind 170 degrees at 5 knots; and the altimeter was 29.96 inches of mercury. The ATCT closes at 2300 hours.
A flight of two military CH-46E helic
Aircraft
- Registration
- N700TH
- Reported as
- Bell 206L-1
- Category
- Helicopter
- Serial number
- 45466
- Airframe hours
- 5,733
- Engine
- Allison 250-C20R, 450 horsepower, turbo shaft
- Damage
- Destroyed
- Flight
- Positioning · Part 91
- Operator
- Helistream Inc.
- Registered owner
- Douglas Daigle
- Airworthiness certificate
- Standard, Normal
- Last inspection
- 100 hour · June 2, 1995 · 56 hours before
- Departed
- SAN · San Diego, CA
- Destination
- SNA · Orange County, CA
- 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
- 28
- Certificates
- Airline transport, Commercial
- Airplane ratings
- Multi-engine land, Single-engine land
- Instrument ratings
- Helicopter
- Medical
- Class 1, Valid Medical--no waivers/lim.
- Seat
- Right
- Toxicology
- Performed
- Flight hours
- 3,200 total · 700 in this make and model · 3,100 as pilot in command · 150 in the last 90 days · 50 in the last 30 days · 2 in the last 24 hours
Weather
- Conditions
- Instrument (IMC) · Night/dark
- Wind
- 220° at 3 knots
- Visibility
- 6 statute miles
- Lowest ceiling
- 1,000 ft overcast
- Temperature
- 64 °F, dew point 59 °F
- Altimeter
- 29.00 inHg
- Observed at
- NZJ, 5 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.