MIA04LA123

NTSB accident investigation · Bell 206B3 · Panama City, FL · August 24, 2004

Accident · No injuriesLimited investigationFinal report
Date
August 24, 2004, 17:20 local (22:20 UTC)
Place
Panama City, FL
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N107PHBell 206B3
Weather
Visual (VMC) · Day
Status
Completed · report September 13, 2005
Report
Approved by Office Director
Parties
Alabama, FSDO-09
FAA report
20040824019189A
Case key
60015

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

Inadequate maintenance inspection resulting in the partial loss of engine power due to a loose pneumatic line on the governor and ditching of the helicopter.

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.

Loss of engine power(partial) - mech failure/malfManeuvering
Maintenance,inspection - inadequateCompany maintenance personnelCause
Fuel system,line fitting - loose
DitchingEmergency descent/landing
Emergency floats - activated

Analysis

The pilot stated he flew out from Panama City-Bay County International Airport to survey a boat located on Deer Point Lake, approximately 8 miles northeast of the airport. With an altitude of about 50 feet and a forward airspeed around 35 to 40 mph he entered a circling maneuver. While flying upwind he reduced engine RPM, and as he turned downwind, he pulled up on the collective, but felt the helicopter sinking instead of climbing. He then looked at the engine instruments and saw the rotor RPM going below 85%. Immediately, he pushed the collective down, but was unable to regain RPM. He deployed emergency floats about 10 feet above the water. The helicopter hit the water "hard" in about 4 feet of water and then rolled onto its right side, due to the right flotation bag being torn off upon impacting the water. The FAA inspector who responded to the accident stated, upon inspection of the helicopter, after recovery, it was found that a pneumatic tubing line had backed off the governor and caused the engine to go to minimum RPM. The governor was last installed 500 hours before the accident and showed signs of a torque seal on the B-nut. The pneumatic line that backed off the fitting is located on the backside of the governor and is hard to see and check for proper torque during routine maintenance.

Factual narrative

On August 24, 2004, about 1720 central daylight time, a Bell 206B, N107PH, registered to and operated by Heliworks Inc., as a Title 14 CFR Part 135 on demand air taxi flight, crashed into Deer Point Lake, Panama City, Florida. Visual meteorological conditions prevailed, and no flight plan was filed. The commercial-rated pilot and two passengers received no injuries, and the helicopter incurred substantial damage. The flight originated from Panama City-Bay County International Airport, Panama City, Florida, earlier that day, about 1700.

The pilot stated he flew out from Panama City-Bay County International Airport to survey a boat located on Deer Point Lake, approximately 8 miles northeast of the airport. With an altitude of about 50 feet and a forward airspeed around 35 to 40 mph he entered a circling maneuver. While flying upwind he reduced engine RPM, and as he turned downwind, he pulled up on the collective, but felt the helicopter sinking instead of climbing. He then looked at the engine instruments and saw the rotor RPM going below 85%. Immediately, he pushed the collective down, but was unable to regain RPM. He deployed emergency floats about 10 feet above the water. The helicopter hit the water "hard" in about 4 feet of water and then rolled onto its right side, due to the right flotation bag being torn off upon impacting the water.

The FAA inspector who responded to the accident stated, upon inspection of the helicopter, after recovery, it was found that a pneumatic tubing line had backed off the governor and caused the engine to go to minimum RPM. The governor was last installed 500 hours before the accident and showed signs of a torque seal on the B-nut. He stated the pneumatic line that backed off the fitting is located on the backside of the governor and is hard to see and check for proper torque during routine maintenance.

The following are excerpts taken from Rolls-Royce 250-C20 series Operation and Maintenance list of Warnings: Proper tightening of engine tubing is critical to flight safety. Correct torque values must be used at all times. Excessive torque on pneumatic sensing system connections results in cracking of the flare or adjacent tube area in contact with the ferrule. This produces an air leak, which can cause engine flame out, power loss, or overspeed. Tubing B-nuts used in installations exposed to a high degree of vibration and pressure surges are subject to torque relaxation when improperly tightened. Air leaks in the fuel system or the pneumatic sensing system can cause flameouts, power loss, or overspeed.

Aircraft

Registration
N107PH
Reported as
Bell 206B3
Category
Helicopter
Serial number
2789
Airframe hours
154,430
Engine
Rolls-Royce C250-20B, 420 horsepower, turbo shaft
Damage
Substantial damage
Flight
Part 135
Registered owner
Heliworks Inc.
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · August 20, 2004 · 823 hours before
Departed
KPFN · Panama City, FL
Airport
KPFN · Panama City Bay County Interna

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
64
Injuries
None
Certificate
Commercial
Instrument ratings
Helicopter
Medical
Class 2, Valid Medical--w/ waivers/lim
Last flight review
July 1, 2004
Seat
Front
Flight hours
12,000 total · 38,200 in this make and model · 11,500 as pilot in command · 84 in the last 90 days

Weather

Conditions
Visual (VMC) · Day
Wind
280° at 10 knots
Visibility
7 statute miles
Temperature
81 °F, dew point 75 °F
Altimeter
30.00 inHg
Observed at
KPFN, 7 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.