MIA96LA028

NTSB accident investigation · Bell 47-D1 · Jasper, FL · November 15, 1995

Accident · No injuriesLimited investigationFinal report
Date
November 15, 1995, 11:00 local (16:00 UTC)
Place
Jasper, FL
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N4702SBell 47-D1
Weather
Visual (VMC) · Day
Status
Completed · report February 8, 1996
Report
Approved by Office Director
FAA report
19951115041659A
Case key
37950

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

Improper maintenance and inspection of the carburetor system by maintenance personnel during the last annual inspection which resulted in a partial loss of engine power due to carburetor ice. Contributing to the accident were: the pilot's failure to perform an adequate preflight and engine run-up, and the carbuetor icing conditions.

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) - nonmechanicalApproach
Aircraft preflight - inadequatePilot in commandFactor
Weather condition - carburetor icing conditionsFactor
Anti-ice/deice system,carburetor/heat - incorrectCause
Maintenance,annual inspection - inadequateOther maintenance personnelCause
Fuel system,carburetor - iceCause
Checklist - not usedPilot in command
Carburetor heat - not usedPilot in command
Forced landingEmergency descent/landing
In flight collision with objectEmergency descent/landing
Object - wire,transmission
Hard landingEmergency descent/landing

Analysis

The pilot stated he was making an approach for landing at a field site when the helicopter experienced a partial loss of engine power. He lowered the collective and rolled the throttle to the full on position. The helicopter collided with power lines and the ground. Review of the aircraft log books revealed that the last annual inspection was completed 3 months before the accident. The carburetor was not approved for use by the franklin engine company. Examination of the carburetor heat control valve revealed an incorrect spring installed, and the carburetor heat could not be activated from the cockpit. The carburetor icing probability chart shows the possibility of carburetor icing conditions based on the weather at the time of the accident. Prior to the approach, the pilot had completed the before-landing check without the aid of a checklist, and the carburetor heat was not turned on.

Factual narrative

On November 15, 1995, about 1100 eastern standard time, a Bell 47D1, N4702S, registered to a private owner, operating as a 14 CFR Part 137 aerial application flight, without having been issued an FAA Part 137 certificate or operating specifications, experienced a partial loss of engine power on landing, and crashed in the vicinity of Jasper, Florida. Visual meteorological conditions prevailed and no flight plan was filed. The helicopter sustained substantial damage. The commercial pilot reported no injuries. The flight originated about 15 minutes before the accident.

The pilot stated he was returning to a field site to pick up chemicals. The before landing check was completed without the aide of a checklist, and he did not turn the carburetor heat on. He planned his approach to an open field bordered by houses on both sides, and a power line that crossed the final approach path. He started his descent at about 100 feet agl and 50 knots, when the engine experienced a partial loss of engine power. He felt he had sufficient altitude to clear the power lines. The engine sputtered, rotor rpm decayed, and manifold pressure decreased. He lowered the collective pitch and rolled the throttle to the full on position. The skids of the helicopter collided with the power line and separated. He lowered the collective pitch to full down position. No forward application of cyclic was applied. The helicopter descended vertically. Full up collective pitch was applied at about 3 feet, and the helicopter collided with the ground.

Review of the aircraft log books revealed the last annual inspection was conducted on August 6, 1995. Examination of the engine assembly and accessories by Gulf Coast Helicopters Inc., Panama City, Florida, revealed no evidence of a precrash failure. Compression was found on all cylinders using a pressure differential check. The helicopter was equipped with a Marvel Schebler carburetor, part number 10-4025-12. The carburetor was not approved for use by the Franklin Engine Company. An incorrect spring was installed on the carburetor heat control valve and the carburetor heat could not be activated from the cockpit. (See Gulf Coast Helicopters. Inc., statement.)

Review of the probability icing chart revealed that the engine would encounter icing at glide and cruise power based on the weather observation at the time of the accident.

Aircraft

Registration
N4702S
Reported as
Bell 47-D1
Category
Helicopter
Serial number
B-101R
Engine
Franklin 6V335, 210 horsepower, reciprocating
Damage
Substantial damage
Flight
Aerial application · Part 137
Registered owner
Holly A. Mullis
Airworthiness certificate
Standard, Normal
Departed
NONE · FL

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
27
Certificates
Private, Commercial
Airplane ratings
Single-engine land
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
531 total · 412 in this make and model · 475 as pilot in command · 106 in the last 90 days · 31 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
340° at 8 knots
Visibility
7 statute miles
Lowest ceiling
None
Temperature
52 °F, dew point 25 °F
Altimeter
30.00 inHg
Observed at
VAD, 35 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.

Other investigations on N4702S · 4

Matched to the same aircraft by N-number and date.