LAX97LA262

NTSB accident investigation · Bell 206B · Pollock Pines, CA · July 26, 1997

Accident · Serious injuriesLimited investigationFinal report
Date
July 26, 1997, 10:45 local (17:45 UTC)
Place
Pollock Pines, CA
Injuries
1 serious, 4 uninjured; on the ground: 1 serious
Damage
No damage
Phase of flight
Standing
Aircraft
N123WFBell 206B
Weather
Visual (VMC) · Day
Status
Completed · report December 31, 1998
Report
Approved by Office Director
FAA report
19970726019659A
Case key
29853

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 passenger's failure to recognize and avoid the hazard associated with the rotating tail rotor. The operator/event organizer's lack of ground facilities or support personnel to assist/control passenger access to the helipad was a related factor.

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.

Propeller/rotor contact to personStanding - idling rotors
Unsafe/hazardous condition - not understoodPassengerCause
Proper assistance - not availableCompany/operator managementFactor
Crew/group coordination - inadequateGround personnelFactor

Analysis

The 7,000-hour chief pilot reported that the area was clear when he approached the helipad, which was located on private property. After touchdown, he reduced the throttle to ground idle and told his passengers it was safe to exit. The pilot did not report that any ground (crowd control) personnel were present to assist his passengers, and no barriers existed around the helipad area. Within less than one minute after the landing, a waiting passenger approached the helicopter from the rear. The prospective passenger became distracted due to the blowing dust and walked into the rotating tail rotor blades. Years earlier, the FAA published information alerting operators of the lack of rotating rotor blade conspicuity. Also to enhance safety, the FAA suggested that ground support personnel be available to assist passengers, and that placement of physical barriers around operation areas be placed to separate prospective passengers from hazards. No evidence was found that the helicopter operator had ground support personnel present to assist the prospective passenger, or that it had placed restricting access devices around the helipad area.

Factual narrative

History of flight

On July 26, 1997, at 1045 hours Pacific daylight time, a Bell 206B, N123WF, owned and operated by Westwind Helicopters, Inc., landed on private property at Rubicon Springs, about 25 miles northeast of Pollock Pines, California. Before the commercial pilot and three passengers exited the helicopter, a prospective passenger approached the helicopter from its rear and walked into the rotating tail rotor blades. The prospective passenger was struck in the head and sustained serious injuries. The accident occurred at the conclusion of an on-demand air taxi flight conducted pursuant to 14 CFR Part 135. Visual meteorological conditions prevailed, and a company VFR flight plan was filed. The flight originated at 1035 from a clearing near the Loon Lake, California.

The pilot reported that he was employed as the operator's chief pilot, and he had logged over 7,000 hours of rotorcraft flight time. He indicated that when he approached the landing area it was clear. The pilot stated that after he landed he reduced the throttle to ground idle and told his passengers it was safe to exit. The pilot did not report that any ground personnel were present to assist his passengers.

The front, left seated passenger in the helicopter reported to the Safety Board that during the flight she was seated next to the pilot. She stated that no persons were observed in the area upon landing at the helipad. Within less than one minute after touchdown she became aware of the mishap.

According to the injured prospective passenger, he was scheduled to be transported in the helicopter. The purpose of his flight was to facilitate his making a video documentary of the Jeeper's program. The passenger indicated that he had been informed to report to the helipad at 1100 for the helicopter ride. He did not report observing any Jeepers or the presence of any ground support personnel in the immediate vicinity of the helipad. He approached the helicopter after it landed, became distracted by the blowing dust and debris, and evidently walked into the rotating tail rotor blade.

Additional information

According to the United States Department of Agriculture, the Forest Service had authorized Westwind Helicopters to operate from sites near the El Dorado National Forest for the purpose of supporting activities associated with the Jeepers Jamboree. However, the Forest Service neither approved, monitored, nor was involved in the crowd control operation at the accident site helipad which was located on private property.

The Federal Aviation Administration (FAA) and other institutions publish information regarding the hazards associated with helicopter operations. In pertinent part, FAA Advisory Circular number 91-42D, revised in 1983, indicates that rotating rotors are difficult to see, and the nonprofessional public is often not aware of their danger. In fact, even personnel familiar with the danger of a turning rotor are likely to forget it due to a lack of conspicuity.

Regarding the need for ground support personnel and site security, the Advisory Circular recommends that to enhance safety, persons directly involved with enplaning or deplaning passengers should be instructed as to their specific duties, with emphasis placed on the dangers of rotating blades and of the procedures for directing passengers to and from the helicopter. In addition, when the possibility exists of passengers wandering on the ramp, physical barriers such as rope stanchions may be needed.

The Safety Board's examination of on-scene photographs revealed no site security barriers were in place in the immediate vicinity of the helipad. The operator did not report that it had any ground personnel located at the helipad to assist with the movement of passengers to/from the helicopter.

Aircraft

Registration
N123WF
Reported as
Bell 206B
Category
Helicopter
Serial number
3058
Airframe hours
6,077
Engine
Allison 250-C20B, 420 horsepower, turbo shaft
Damage
No damage
Flight
Part 135
Operator
Westwind Helicopters
Registered owner
Westwind Helicopters, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · July 22, 1997 · 12 hours before
Departed
Loon Lake, CA
Flight plan
Company VFR
Airport
Ribicon Camp Helipad

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
Commercial, Flight instructor
Airplane ratings
Single-engine land
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Right
Flight hours
7,000 total · 2,000 in this make and model · 7,000 as pilot in command · 45 in the last 90 days · 20 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
135° at 5 knots, gusting 10
Visibility
20 statute miles
Lowest ceiling
None
Temperature
66 °F

FAA reports on this event · 1

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