# NTSB SEA93LA135: Bell 206B, N33EA, Harlem, MT, June 20, 1993 - Type: NTSB accident investigation - Classification: Accident · Minor injuries · Limited investigation · Final report - Date: June 19, 1993, 20:30 local (Jun 20, 1993, 02:30 UTC) - Place: Harlem, MT - Coordinates: 48.489986, -108.650192 (estimated) - Nearby events: https://openairdocs.org/map.md?lat=48.4900&lon=-108.6502&mi=10 - Phase of flight: [Maneuvering](https://openairdocs.org/ntsb-phases/450) (OpenAirDocs' grouping) - Highest injury: Minor injuries - Injuries: 1 minor - Status: Completed, report December 7, 1994 - Report: Approved by Office Director - NTSB case key (mKey): 41719 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=SEA93LA135 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/41719/pdf - Page: https://openairdocs.org/ntsb/SEA93LA135 ## Probable cause THE IMPROPER REFUELING SYSTEM PROCEDURES WHICH ALLOWED WATER TO CONTAMINATE THE AIRCRAFT FUEL AND THE PILOT'S INADEQUATE PREFLIGHT. ## Sequence of events In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf). - Loss of engine power(total) - nonmechanical, maneuvering - fluid,fuel - contamination (cause) - fluid,fuel - water - refueling - improper, pilot in command (cause) - aircraft preflight - inadequate, pilot in command (contributing factor) - Forced landing, descent - emergency - In flight collision with terrain/water, descent - emergency ## Analysis THE HELICOPTER WAS FUELED WITH THE LAST 25 GALLONS OF FUEL FROM THE FUEL TRUCK AND THEN DEPARTED ON A SPRAY DISPERSAL FLIGHT. AT APPROXIMATELY 8 FEET AGL AND 60-70 MPH DURING A SWATH RUN, THE ENGINE ABRUPTLY STOPPED AND THE PILOT ATTEMPTED TO EXECUTE A 'QUICK STOP' DURING WHICH THE HELICOPTER COLLIDED WITH TERRAIN. POST CRASH EXAMINATION REVEALED ONLY A SMALL AMOUNT OF WATER IN THE LOW POINT DRAIN FUEL SAMPLE TAKEN FROM THE FUEL TRUCK. A FUEL SAMPLE TAKEN FROM THE PRESSURE SIDE OF THE HELICOPTER'S AIRFRAME FUEL FILTER SYSTEM REVEALED APPROXIMATELY 20 PERCENT WATER. WHEN THE HELICOPTER'S FUEL TANK WAS DEFUELED, THE OWNER RETRIEVED APPROXIMATELY 2.5 GALLONS OF WATER OUT OF A 40 GALLON QUANTITY. ## Factual narrative On June 19, 1993, at approximately 2030 hours mountain daylight time (MDT), a Bell 206B, N33EA, registered to Rotorcraft Partnerships Ltd., and being operated/flown by Ray E. Burney, a certificated commercial pilot, was substantially damaged during an in-flight collision with terrain following a complete power loss while beginning a spray run of chemical over an agricultural field approximately 18 miles south of Harlem, Montana. The pilot, who was ejected from the aircraft during the impact, sustained minor injuries. Visual meteorological conditions prevailed and no flight plan had been filed. The flight, which was for the purpose of chemical dispersion over an agricultural field, was to have been operated in accordance with the requirements set forth in 14CFR137, and originated from a staging point near the accident site. Following the accident, the pilot reported to the investigator in charge that the aircraft was fueled using all the remaining fuel (25 gallons) from the on site fuel truck. The helicopter was serviced with herbicide and then departed for its destination spray site one mile distant. As the helicopter descended to approximately six to ten feet above ground at a speed of 60 to 70 miles per hour, the engine ceased operating. The pilot reported that he attempted to execute a "quick stop" but collided with terrain during which he was thrown out of the aircraft. Post crash on site examination of the wreckage as well as the fuel truck and FBO fuel supplier by FAA inspector James Binion revealed the following: 1) The FBO fuel tanks were checked for water and found free of water. 2) The fuel truck was checked taking a sample from the truck's low point drain. Only a small amount of water was evident with the majority being fuel. 3) Approximately 350 milliliters of fluid was removed from the pressure side of the aircraft's airframe fuel filter and system subsequent to the accident. More than 20% of the fluid (75 milliliters) tested positive using water sensitive paste (refer to photographs 1 and 2). Additionally, the aircraft was defueled by its owner subsequent to salvage. A total of 2.5 gallons of water was recovered from the fuel tank out of an approximate total of 40 gallons of fuel (refer to attached letter of Ken Trovato). ## Aircraft - Registration: N33EA (not matched to a registry record) - Reported make and model: BELL 206B - Category: Helicopter - Serial number: 2255 - Engines: ALLISON 250-C20B 420 horsepower turbo shaft - Damage: Substantial damage - Flight: Aerial application, Part 137 - Operator: Burney, Ray E. - Registered owner: Rotorcraft Partnerships, Ltd. - Airworthiness certificate: Special, Restricted (Special) ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 59; commercial; airplane ratings: single-engine land; medical: class 2, valid medical--w/ waivers/lim; seat: right; flight hours: 16,000 total, 10,000 in this make and model ## Weather - Conditions: Visual (VMC), Dusk - Wind: 170° at 4 knots - Temperature: 79 °F, dew point 57 °F - Observed at: HVR, 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 (OpenAirDocs). - [Accident 19930619019429A](https://openairdocs.org/incident/19930619019429A), Jun 19, 1993: Bell 206B, Harlem, MT, Destroyed. Engine quit at start of spray run. Tried quick stop but impacted ground first. Water in fuel from fuel truck. 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.