LAX97GA325

NTSB accident investigation · Bell 205A-1 · Sequim, WA · September 12, 1997

Accident · FatalFinal report
Date
September 12, 1997, 16:40 local (23:40 UTC)
Place
Sequim, WA
Injuries
3 fatal, 5 serious
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N90HJBell 205A-1
Weather
Instrument (IMC) · Day
Status
Completed · report December 7, 1999
Report
Approved by Office Director
FAA report
19970912026519A
Case key
29642

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 pilot's intentional flight into known adverse weather conditions in mountainous terrain.

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 collision with terrain/waterTakeoff - initial climb
Terrain condition - mountainous/hillyFactor
Weather condition - obscurationFactor
Flight into known adverse weather - intentionalPilot in commandCause
Self-induced pressurePilot in commandFactor

Analysis

The public-use helicopter was being operated in a joint effort search for a missing hiker outside of the park. The single pilot had landed at a remote landing zone in mountainous terrain to retrieve seven search and rescue personnel plus a dog. The pilot advised the SAR personnel to load quick, as he had no intentions of spending the night there. The pilot held up five fingers to ground personnel, who assumed that meant to wait 5 minutes for the obscuration to clear. However, in less than that time, the helicopter performed a vertical takeoff in the obscuration. According to the remaining SAR personnel, they lost sight of the helicopter about 50 feet agl. They continued to hear the helicopter to the time of a collision sound, followed by the sound of an avalanche. The remaining SAR personnel departed the landing zone for cover.

Factual narrative

History of flight

On September 12, 1997, about 1640 hours Pacific daylight time, a Bell 205A-1, N90HJ, was destroyed after colliding with mountainous terrain during the initial takeoff climb phase near Sequim, Washington. The pilot and two passengers received fatal injuries, five passengers received serious injuries. The helicopter was operated by the National Park Service (NPS) as a single pilot public-use aircraft. It was being used for personnel transport during an on-going search for a lost hiker. The flight originated on the day of the accident in the Buckhorn Wilderness Area of the Olympic National Forest. Instrument meteorological conditions with visibility's less than 1/4 mile prevailed at the time of departure. Flight plan/following was provided by the NPS dispatch.

The pilot had no known prior flight experience in the Olympic National Forest. The accident flight was his second mission into the area and the first landing at this landing zone (H10). According to ground and passenger witness interviews, the takeoff was vertical into an obscuration. The NPS contract called for day visual flight rules only.

The pilot had advised the search and rescue (SAR) personnel to load quick as he had no intentions of spending the night there. There were seven SAR persons and one search dog loaded onboard as the area became obscured in clouds/fog. The pilot held up five fingers. Ground personnel assumed that to mean wait 5 minutes for the obscuration to move on. However, in less than that time, the helicopter performed a vertical takeoff into the obscuration that had engulfed H10. The helicopter was to have returned to Port Angeles, about 18 miles northwest of H10.

According to the remaining SAR personnel, they lost sight of the helicopter about 50 feet agl. They continued to hear the helicopter throughout its climb, impact, and as it fell down the side of the mountain towards H10. The sound of the tumbling helicopter was described by several witnesses as that of an avalanche and caused several SAR personnel to take cover.

Personnel information

The day before the accident the pilot repositioned the helicopter from Eugene, Oregon, to Port Angeles, Washington. According to notations in the pilot's appointment book, the flight took 2.6 hours. On the day of the accident he had flown 1.4 hours for the NPS. The last flight for the park service from Port Angeles to the accident site was .9 hours.

The NPS contract approved the single pilot operation with 9 passengers or less.

Aircraft information

The helicopter, a Bell 205A-1, was FAA certificated in both normal and restricted categories. At the time of the accident the helicopter was operating in the normal category. The takeoff gross weight and the center of gravity were found within the certificated limits. The helicopter was not instrument flight rules certified per FAR 91.411.

Meteorological information

Witnesses reported that the weather conditions in the accident area were instrument meteorological conditions (IMC) with very low ceiling and visibility less than 1/4 mile in fog. Satellite images confirmed an overcast condition in the area around the time of the accident.

A Safety Board meteorologist obtained archived weather information for the accident location and time. The complete report is attached. The report of surface weather observations, surface weather charts, and satellite images showed that a moist, unstable air mass was present over the Olympic National Park during the afternoon of September 12. The data revealed that visual meteorological conditions (VMC) were generally present throughout the region. However, higher elevations, particularly in the Olympic Mountains, were occasionally in IMC due to low clouds, fog, and light rain showers.

On the morning of September 12, 1997, the pilot was provided a copy of the area forecast from the National Weather Service Forecast Office. The forecast for the time and location of the accident was "rain changing to showers by late afternoon, temperatures in the mid to upper 50's, and wind westerly 10-20 mph." Official reporting sources were not representative of the park's actual weather conditions, which are known to change frequently.

There were numerous witnesses interviewed by the Safety Board and the Department of Interior Office of Aviation Services. There are 18 written statements attached to this report addressing their weather observations during the accident time and other issues.

Wreckage and impact information

After liftoff from H10 (5,300 feet msl), the initial impact point on Baldy Mountain was estimated at 5,910 feet msl. The wreckage was scattered downslope over a distance about 1,310 feet on a path about 330 degrees magnetic.

The main rotor and mast assembly was located near the initial impact point. An outboard portion of one tail rotor blade was located abeam of the main rotor location about 300 feet west.

A rear portion of the tail boom, vertical stabilizer, and 45- and 90-degree gear boxes were located downslope about 110 feet below the main rotor mast and blades.

The forward cabin floor and seats were located about 780 feet downslope. At 900 feet, the main fuselage had impacted a tree. Continuing downslope, the engine was located in a ravine west of H10.

Medical and pathological information

On September 15, 1997, the Clallum County Coroner performed an autopsy on the pilot. During the course of the autopsy the Federal Aviation Administration Civil Aeromedical Institute in Oklahoma City, Oklahoma, obtained samples from the pilot for toxicological analysis. According to the analysis, the samples tested negative for carbon monoxide, cyanide, volatiles, and drugs.

Survival aspects

NPS policy requires crew and passengers to wear flight helmets conforming to a national certifying agency standard and equipped with avionics. The pilot wore an approved helmet. Six of the passengers were wearing plastic hard hats and one wore a personal bike-riding helmet.

Additional information

The wreckage was released to the Department of Interior Office of Aircraft Services on September 17, 1997.

An additional party participating in this accident investigation is Wayne Hazard, Heli-Jet Corporation, Eugene, Oregon.

Aircraft

Registration
N90HJ
Reported as
Bell 205A-1
Category
Helicopter
Serial number
30309
Airframe hours
4,486
Engine
Allied Signal T53-17A, 1,800 horsepower, turbo shaft
Damage
Destroyed
Flight
Public aircraft · Part 91
Operator
National Park Service
Registered owner
Heli-Jet Corp.
Airworthiness certificate
Standard, Normal
Last inspection
Continuous airworthiness · August 15, 1997 · 42 hours before
Departed
CLM · Port Angeles, WA
Destination
CLM
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
35
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
7,817 total · 361 in this make and model · 7,817 as pilot in command

Weather

Conditions
Instrument (IMC) · Day
Wind
360° at 10 knots, gusting 15
Visibility
0.25 statute miles

FAA reports on this event · 1

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