NYC06LA224

NTSB accident investigation · Garlick OH-58A · East Bridgewate, MA · September 19, 2006

Accident · Serious injuriesLimited investigationFinal report
Date
September 19, 2006, 16:40 local (20:40 UTC)
Place
East Bridgewate, MA
Injuries
1 serious, 1 uninjured; on the ground: 1 serious
Damage
No damage
Phase of flight
Initial climb
Aircraft
N802JBGarlick OH-58A
Weather
Visual (VMC) · Day
Status
Completed · report June 30, 2008
Report
Approved by Office Director
Parties
FAA/FSDO
FAA report
20060919023499A
Case key
64534

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

The completion center's installation of the incorrect (shorter) release cable, and the ground crewmember's improper movement under the flight path during a bin transfer.

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.

Airframe/component/system failure/malfunctionTakeoff - initial climb
External load cable/hook - incorrect
Maintenance,installation - incorrectOther maintenance personnelCause
Procedures/directives - not followedGround personnelCause
External load release system - activated

Analysis

The helicopter was transporting empty cranberry bins via cargo hook. The bins were lifted from a flatbed trailer, about 4 feet from a ground crewmember, a 9-year hook-up veteran. After the fifth lift, the ground crewmember attempted to run to, and help a truck driver of another trailer. Although he had a hard hat with a combination ear muffs/radio receiver and microphone, the ground crewmember did not advise the pilot of his intentions, and ran under the track flown during the previous four loads. As the helicopter flew over the ground crewmember, the cargo hook opened, uncommanded by the pilot, and the bins fell about 8 feet onto the ground crewmember. The cargo hook system had been removed from another helicopter in 2002, and that helicopter had previously had it installed at a completion center in 1997. The hook release cable, Bell part number 206-072-903-101 was installed; however, the correct part number was 206-072-903-1, which was approximately 1 inch longer, and would have allowed enough slack to normally preclude any tension on the cargo hook manual release mechanism. After discovering the different part numbers, the operator found that another of his helicopters had the shorter release cable, and he changed it to the longer one as well.

Factual narrative

On September 19, 2006, about 1640 eastern daylight time, a ground crewmember was seriously injured when a sling load was inadvertently dropped from a Garlick OH58A, N802JB, in East Bridgewater, Massachusetts. The certificated commercial pilot was not injured. Visual meteorological conditions prevailed. The flight was not operating on a flight plan while conducting multiple local flights from a cranberry bog. The external sling load flight was conducted under 14 Code of Federal Regulations Part 133.

According to the pilot, he was airlifting empty cranberry bins to the bog to be filled. The bins were lifted from a 48-foot flatbed trailer, about 4 feet away from the ground crewmember, a 9-year hook-up veteran.

After the fifth lift, the ground crewmember decided to "run over and help the truck driver of the previously loaded trailer." Although all ground personnel had hard hats with a combination ear muffs/radio receiver and microphone, the ground crewmember did not advise the pilot of his intentions, and ran under the track flown during the previous four loads. As the helicopter flew over him, the cargo hook opened, uncommanded by the pilot, and the bins fell about 8 feet on to the ground crewmember.

The pilot noted that the cargo hook system included a primary hook attached to the belly of the helicopter, a lanyard attached to the primary hook, and a secondary, emergency release hook at the bottom of the lanyard, that attached to a load sling. After the accident, the pilot noticed that the lanyard with the secondary, emergency release hook was not attached to the primary hook. He reattached it to the primary hook and tugged on it, and the load beam opened. The primary hook assembly was subsequently removed from the helicopter and provided to Federal Aviation Administration (FAA) inspectors for further examination.

When a new primary cargo hook assembly was installed, and when the emergency release cable was attached, tension was found to be on the primary hook release mechanism, to the extent that "the slightest movement of the cable caused the hook load beam to open."

According to an FAA inspector, the emergency release cable exited a fitting on the belly of the helicopter and entered another fitting approximately 4 1/2 inches away. The fittings were not aligned, and were offset about 1 1/2 inches. Ground testing revealed that cable tension would sometimes release the primary hook without command.

According to the operator, the hook assembly had previously been removed from another helicopter in 2002, and that helicopter had received the assembly in 1997 at a completion center in Tennessee. The installed release cable was Bell part number 206-072-903-101; however, the correct part number was 206-072-903-1, which was approximately 1 inch longer, and would have allowed enough slack to normally preclude tension on the cargo hook manual release mechanism. After discovering the different part numbers, the operator found that another of his helicopters also had the shorter release cable, and he changed it to the longer one as well.

According to a representative from Bell Helicopter, the shorter cable was intended for use on the Bell 206L LongRanger, while the longer cable was meant for the Bell 206 JetRanger.

Aircraft

Registration
N802JB
Reported as
Garlick OH-58A
Category
Helicopter
Serial number
71-20581
Airframe hours
5,494
Engine
Allison 250-C20C, 420 horsepower, turbo shaft
Damage
No damage
Flight
External load · Part 133
Operator
JBI Helicopter Services
Registered owner
Horizon Helicopters, Inc.
Airworthiness certificate
Special, Restricted (Special)
Last inspection
100 hour · September 1, 2006
Departed
NONE · East Bridgewate, MA
Destination
NONE

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
45
Injuries
None
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land
Instrument ratings
Helicopter
Medical
Class 2, With waivers/limitations
Last flight review
January 1, 2006
Seat
Right
Flight hours
14,702 total · 1,620 in this make and model · 14,600 as pilot in command · 186 in the last 90 days · 74 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
200° at 5 knots
Visibility
10 statute miles
Lowest ceiling
1,700 ft broken
Temperature
70 °F, dew point 64 °F
Altimeter
29.70 inHg
Observed at
PYM, 8 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 N802JB · 1

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