# NTSB LAX99GA216: Hughes OH-6A, N6187C, Tucson, AZ, June 15, 1999 - Type: NTSB accident investigation - Classification: Accident · Serious injuries · Final report - Date: June 15, 1999, 13:35 local (20:35 UTC) - Place: Tucson, AZ - Coordinates: 32.150299, -110.929039 (estimated) - Nearby events: https://openairdocs.org/map.md?lat=32.1503&lon=-110.9290&mi=10 - Phase of flight: [Approach](https://openairdocs.org/ntsb-phases/500) (OpenAirDocs' grouping) - Highest injury: Serious injuries - Injuries: 1 serious - Status: Completed, report May 16, 2001 - Report: Approved by Office Director - NTSB case key (mKey): 46586 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=LAX99GA216 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/46586/pdf - Page: https://openairdocs.org/ntsb/LAX99GA216 ## Probable cause Fuel exhaustion resulting from pilot's failure to perform adequate fuel consumption calculations. The unreliable and inoperative fuel level indicating system components and the operator's operation of the aircraft with known deficiencies were factors in the accident. ## Sequence of events In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf). - Loss of engine power(total) - nonmechanical, approach - fluid,fuel - exhaustion (cause) - fuel consumption calculations - not performed, pilot in command (cause) - fuel system,low fuel warning light - inoperative (contributing factor) - engine instruments,fuel quantity gage - inoperative (contributing factor) - operation with known deficiencies in equipment - performed, company/operator management (contributing factor) - Forced landing, descent - emergency - terrain condition - none suitable - Loss of control - in flight, emergency descent/landing - terrain condition - high obstruction(s) - proper glidepath - not possible, pilot in command (contributing factor) - rotor rpm - not maintained, pilot in command (contributing factor) - In flight collision with terrain/water, descent - uncontrolled ## Analysis The pilot was on short final approach to land when he reported an engine failure. He attempted to stretch his glide to avoid buildings and cars on the ground; however, the helicopter struck railroad tracks next to the field boundary. Damage to the main rotor blades was consistent with a low rotor rpm at impact. The pilot did not recall how much time had elapsed since his last refueling. Examination of the navigation and fuel endurance log from the helicopter cockpit (required by the operator) showed the pilot had not completed the fuel endurance calculations at the time of last fueling. The helicopter was equipped with a main fuel system and an auxiliary fuel system. A deferred maintenance item, 'main fuel gauge unreliable in forward flight,' was still open. The same discrepancy had also been entered previously and it, too, had not been cleared. The auxiliary fuel gauge was entered as inoperative on the deferred maintenance log with 'parts on order' but had not been cleared at the time of the accident. The pilot last recalled reading approximately 78 pounds on the main fuel gauge. He did not recall seeing the 20-minute light illuminate before the accident. A check of the low fuel warning system found that float arm contact in the fuel cell occurred at 34 pounds, which approximates 20 minutes of usable fuel; no discrepancies were found in the operation of the system. No evidence of a fuel spill was found around or under the wreckage. The crashworthy main fuel cell was uncompromised and about 12 ounces of trapped fuel was found. No fuel was found in the auxiliary fuel tank. The light bulbs for the 'Engine Out, Fuel Low, and Master Caution' were removed for examination. One 'Master Caution' bulb showed a small amount of filament stretching, consistent with hot stretching from a light to moderate impact force. The filaments of both 'Fuel Low' bulbs were intact and unstretched, consistent with bulbs not being illuminated during a light to moderate impact. The filaments from both 'Engine Out' bulbs showed a small amount of stretching, again consistent with hot stretching from light to moderate impact. There were no other discrepancies found with the engine or engine-related systems. ## Factual narrative HISTORY OF FLIGHT On June 15, 1999, at 1335 hours mountain standard time, a Hughes OH-6A, N6187C, crashed during the landing approach at Tucson, Arizona. The aircraft was destroyed and the commercial pilot, the sole occupant, received serious injuries. The U.S. Border Patrol was operating the aircraft as a public-use flight when the accident occurred. The flight originated from the Sells Airport, Sells, Arizona, at an undetermined time on the morning of the accident. Visual meteorological conditions prevailed at the time and no flight plan was filed. The Federal Aviation Administration local controller at the Tucson International Airport Air Traffic Control Tower (ATCT) had cleared the helicopter for landing on runway 3 and had instructed the pilot to hold short of runway 11L when the pilot reported an engine failure. Based on witness accounts and impact ground scars, the estimated magnetic heading at the time the emergency occurred was between 70 and 80 degrees with the helicopter descending through about 200 to 300 feet agl. Witnesses described the forward airspeed as beginning to slow below 80 knots with an estimated descent angle of between 30 and 40 degrees and a greater than normal rate of descent. According to witness observations, the pilot attempted to stretch his glide to avoid several buildings and cars; however, the helicopter struck a railroad track that runs along the west side of the airport perimeter. A witness stated that she saw the tail boom of the helicopter rebound into the air following contact with the tracks and then the helicopter spun counterclockwise about 170 degrees before finally coming to rest. PERSONNEL INFORMATION The pilot was a full-time employee of the United States Department of Justice, uniformed Border Patrol division. He held the position as a helicopter pilot since 1987. He was permanently based in Santee, California, and had been detailed to the Tucson office for about a month prior to the accident. His last flight check, a biennial flight review, conducted by the U.S. Border Patrol, was given on December 4, 1998, with no discrepancies noted. The pilot holds a commercial pilot certificate with ratings for helicopter and airplane single engine land and instrument that was issued on September 10, 1982. His second-class medical certificate issued on June 16, 1998, stated that he "shall have available glasses for near vision." He was wearing them at the time of the accident. AIRCRAFT INFORMATION Refueling slips indicated that the pilot had landed and refueled twice at Sells since his initial takeoff from Tucson earlier that morning. The pilot recalled only flying "about 6 hours" the day of the accident. He also recalled taking off "about 0730" that morning. Review of the flight planning and fuel consumption logs in the helicopter revealed that he did not compute an estimated fuel endurance log after his last refueling. Hughes Aircraft manufactured the helicopter, serial number (S/N) 68-17154, in 1968 as an OH-6A for use in aerial observation and scouting by the U.S. Army. The U.S. Border Patrol obtained the helicopter from military surplus for use in aerial observation as well. Since the date of manufacture it has accumulated a total of 7,177.1 flight hours. After obtaining the helicopter, the Border Patrol maintained the helicopter on a continuous airworthiness maintenance program, having completed a 300-hour inspection on April 26, 1999, a 25-hour inspection on May 11, 1999, a 100-hour inspection on May 22, 1999, and a 50-hour inspection on June 7, 1999. The Allison 250-C20B engine, S/N CAE836918, had last been removed, repaired, and tested, and then reinstalled on August 27, 1998, at a total time of 713.5 hours. The removal and repair was due to an N2 lockup with metal found in the engine oil. At the time of the accident, the engine had accumulated a total of 1,338.3 hours. Review of the maintenance records disclosed that two of the life limited components, the fuel control, S/N 333703, and power turbine governor, S/N 3423R, did not list total times on the engine assembly record. A deferred maintenance item, "main fuel gauge unreliable in forward flight," was entered on January 7, 1999, and was still open. The same discrepancy had also been entered previously on September 18, 1998, and it had not been cleared. The auxiliary fuel gauge was entered as inoperative on October 11, 1996. This discrepancy showed an entry for "parts on order" but had not been cleared at the time of the accident. According to the pilot's statement, he last recalled reading approximately 78 pounds on the main fuel gauge immediately prior to the engine failure. The helicopter was equipped with a 50-gallon auxiliary fuel system. The fueling log for the first flight of the day, June 15, 1999, showed that 58 gallons of JP-8 had been dispensed with 418 gallons remaining. Subsequent fueling slips indicated that an additional 50 gallons and 88 gallons were added later during the same day. The accumulated flight times at the time the refueling events occurred were not available. The helicopter was not equipped with an auto relight system. COMMUNICATIONS The pilot contacted the Tucson ATCT operator on tower frequency 118.3 kHz after being handed off by Tucson approach control at 1330:23. The helicopter was issued a discrete transponder beacon code of 0424, and the pilot had radioed approach control that he had information Charlie on his initial call. All prior radio communications were described as routine with no sense of urgency reported. At 1330:47 the pilot radioed "Tucson Tower, helicopter 6187C coming up on Black Mountain, 3,000, landing Border Patrol." At 2035:33, the operator instructed the pilot to "Okay, you can [air] taxi up to hold short of 11L. I have F-16's turning short final, landing runway 11L." The tower transcript revealed that, 7 seconds later, at 1335:40, the pilot radioed, "Emergency, I just had an engine failure." There were no subsequent radio transmissions from the pilot. WRECKAGE AND IMPACT INFORMATION Safety Board investigators found that the helicopter had impacted on the Southern Pacific railroad tracks that parallel the airport perimeter fence west of the airport property, east of the 7500 block of South Nogales Highway, and just a few feet north of the extended centerline for runway 03. The coordinates were 32 degree 06.983 minutes north and 110 degrees 57.588 minutes west. Scratches found at the initial point of contact on the railroad tracks were oriented on a magnetic bearing of 075 degrees. The final bearing of the helicopter at rest was about 265 degrees and was about 20 feet further east of the first evidence of ground contact. All portions of the helicopter were found in the immediate area of the wreckage with the exception of the main cabin doors, which had been removed prior to flight. The majority of the fuselage damage, including the keel beam, was represented by vertical crushing and lateral cracking. The skids were separated from the cross tubes. Both skids and cross tubes were crushed and bent, being partially separated from the helicopter. The structure beneath the pilot's seat was crushed downward about 5 inches. The pilot's seat frame exhibited multiple fractures. The fuel system incorporates the military's crashworthy design featuring breakaway, self-sealing fuel fittings. Several fuel lines had separated; however, there was no evidence of a fuel spill nor was there any odor of jet fuel detectable. The main fuel cell was torn out of the center section of the lower fuselage; however, the fuel cell remained uncompromised. The non-crashworthy auxiliary fuel tank exhibited a tear but there was no evidence of fuel either inside or outside the tank. When the forward and main fuel cells were opened, trapped fuel was found. The fuel was drained from both cells and col ## Aircraft - Registration: [N6187C](https://openairdocs.org/deregistered/N6187C-2008-07-08), registration cancelled 2008-07-08, S/N 68-17154 (OpenAirDocs) - Reported make and model: Hughes OH-6A - Registry model: [Hughes OH-6A](https://openairdocs.org/model/hughes-oh-6a) (registry code 4470905) (OpenAirDocs) - Category: Helicopter - Serial number: 68-17154 - Airframe hours: 7176 - Engines: Allison 250-C20B 420 horsepower turbo shaft - Damage: Destroyed - Flight: Public aircraft, Part 91 - Registered owner: U.S. Department Of Justice - Airworthiness certificate: Standard, Normal - Last inspection: Continuous airworthiness, June 7, 1999, 26 hours before - Departed: E78, SELLS, AZ - Destination: TUC - Airport: TUS, Tucson International, runway 3, 7,000 × 150 ft, asphalt ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 51; commercial; airplane ratings: single-engine land; instrument ratings: helicopter, airplane; medical: class 2, valid medical--w/ waivers/lim; seat: right; flight hours: 5,500 total, 1,500 in this make and model, 4,724 as pilot in command ## Weather - Conditions: Visual (VMC), Day - Wind: 150° at 3 knots - Visibility: 10 statute miles - Lowest ceiling: none - Temperature: 97 °F, dew point 46 °F - Altimeter: 29.00 inHg - Observed at: TUC ## FAA reports on this event (1) The FAA's own accident and incident reports, matched to the aircraft by N-number and date (OpenAirDocs). - [Accident 19990615007109A](https://openairdocs.org/incident/19990615007109A), Jun 15, 1999: Hughes OH6A, Tucson, AZ, Destroyed. U.S. Border patrol air operations Hughes OH-6A helicopter was on short final to rwy 03 when the pilot stated that the engine had quit, and the acft crashed… From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.