WPR10LA359

NTSB accident investigation · Bell 206 · Wells, NV · July 19, 2010

Accident · Serious injuriesLimited investigationFinal report
Date
July 19, 2010, 16:30 local (23:30 UTC)
Place
Wells, NV
Injuries
1 serious, 3 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N3185ABell 206
Defining event
Maneuvering: Controlled flight into terr/obj (CFIT)
Weather
Visual (VMC) · Day
Status
Completed · report December 27, 2011
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
FAA report
20100719040879A
Case key
76693

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

The pilot's failure to maintain terrain clearance while maneuvering after departure from mountainous terrain.

Findings · 4

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Performance/control parameters: altitudeAircraft › Aircraft oper/perf/capability · Not attained/maintainedBell 206L-3: 6 casesAll aircraft: 1,310 casesProbable cause
Terrain: mountainous/hilly terrainEnvironmental issues › Physical environment · Effect on operationBell 206L-3: 1 caseAll aircraft: 329 cases
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotBell 206L-3: 8 casesAll aircraft: 9,295 casesProbable cause
Terrain: mountainous/hilly terrainEnvironmental issues › Physical environment · Response/compensationBell 206L-3: 1 caseAll aircraft: 329 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

At the conclusion of a mountain rescue flight, the pilot was returning to the rescue site on a ridge to pick up the remaining rescuer. After the rescuer boarded and was secure, the pilot lifted off the ridge and made a right turn, traveling down the canyon slope in a manner similar to the previous flight that day. However, during this departure, the nose of the helicopter had a greater downward pitch angle than on the previous takeoff. The pilot introduced aft cyclic and brought the nose up, but the rate of descent increased rapidly as the pilot continued to increase collective and aft cyclic. The helicopter subsequently collided with the top of a ridge crest and bounced back into the air. The pilot was able to maintain control as the helicopter settled to the ground. Just before touchdown, the pilot heard the low rotor horn sound, and he increased the remaining collective as the helicopter settled into the trees. The helicopter subsequently rolled over onto its left side. After departing the helicopter, the pilot realized that the engine was still running, and he returned to shut it down. The pilot reported no preimpact mechanical malfunctions or failures with the airframe or engine that would have precluded normal operation.

Factual narrative

On July 19, 2010, at 1630 Pacific daylight time, a Bell 206/L3, N3185A, impacted terrain near a camp site following a search and rescue mission near Wells, Nevada. El Aero Services, Inc., operated the helicopter that was rented to the Elko County Sheriff’s Department, under the provisions of 14 Code of Federal Regulations Part 135. The commercial pilot received serious injuries, the three fire fighters were not injured; there were no ground injuries. The helicopter sustained substantial damage. Visual meteorological conditions prevailed for the flight, and a company flight plan had been filed. According to the Sheriff of Elko County, the flight had been dispatched to assist a rock climber that had become stranded on a cliff precipice near Angel Lake in the Humboldt National Forest. Prior to responding to the site, the pilot coordinated with ground crews regarding location, current weather conditions, weights of the fire fighters, and their respective gear (860 pounds). Responding personnel noted that the temperature was about 75 degrees Fahrenheit, with winds in the area at the time of the accident. Witnesses observed the helicopter lift off from the cliff face, and make a right turn. The helicopter moved very fast down the cliff face, and disappeared below the tree line before coming back into view prior to impacting the ground. According to the pilot's written statement, he fueled the helicopter with 500 pounds of fuel and briefed the three firemen on the different type of landing possibilities they might encounter with the rescue, and their responsibilities, along with a normal passenger briefing. They departed Elko and flew direct to Angel Lake. He made the approach from the north and flew a slow clockwise circle looking for the stranded rock climber and checking the wind. About halfway up a rock face, they located the rock climber. He continued to circle the area, evaluating different landing spots to offload the firemen. The pilot reported that he found a ridge close to the hikers' location in which to land and drop off the fireman. The drop-off was a toe-in landing that the pilot and firemen had previously discussed. After the firemen exited the helicopter and gave the "thumbs up" signal for being clear of the helicopter, the pilot began his takeoff, which consisted of a lift up and roll to the right, and down the canyon to a nearby parking lot to wait/assist with the rescue. After shutting the helicopter down, the pilot walked to the base of the cliff to assist with the rescue if needed. The pilot reported that the rescue was uneventful and two firemen accompanied the rock climber to the helicopter. The pilot and the two firemen waited on the third fireman, who was still atop a ridge line to gather the rescue gear and return to the original landing spot. Once the third fireman was ready, the pilot loaded the helicopter; one fireman was seated in the front left seat, and the second fireman was seated in the right aft seat. The thirdfireman was to be seated in the aft facing seats along with the gear. The pilot reported the winds were traveling up the canyon at 5 knots, so he took off down canyon and circled the lake clockwise, making his way back to the original landing spot. Prior to landing, the pilot observed the third fireman on the opposite side of the helicopter than was previously planned for, so he had the aft seat passenger move seats. He signaled the third fireman that he was ready for him to get into the helicopter. The pilot heard the seat belt click and then pulled pitch for takeoff. He checked the torque meter, which read 95 percent, and rolled the helicopter to the right; the same takeoff that he had done previously. The pilot stated that he felt the nose tuck further down than the last takeoff, and immediately introduced aft cyclic and straightened the nose. The descent rate increased rapidly and the nose did not respond as he expected. The pilot stated at that point he increased collective and aft cyclic, which improved their attitude, and he picked the lowest spot on the ridge to land. The helicopter landed hard on the top of a ridge crest and the helicopter bounced back into the air. The pilot reported the ground speed to be between 5 to 10 knots, and they were about 20 feet in the air. He expected to lose the tail rotor from the first impact and was ready for a fast rotation to the right given the amount of power he had; however, it was a slow rotation to the right, and he felt that he still had some control. As the helicopter descended toward the ground, the pilot felt that it was relatively level, and as they got closer to the ground he heard the low rotor horn activate, and the helicopter settled into scrub trees. The pilot stated that they were 90 degrees to the ground and the helicopter subsequently rolled to the left. The pilot saw the front seat fireman exit the helicopter, and heard the two aft seated firemen exit via the right rear door. He realized the engine was still running, and went back inside and shut off the twist grip, and then exited through the windshield. The pilot further reported that there were no mechanical or flight control problems encountered with the helicopter prior to or during the accident.

Aircraft

Registration
N3185A
Reported as
Bell 206 (L3)
Category
Helicopter
Serial number
51093
Airframe hours
10,065
Engine
Allison 250-C20, 650 horsepower, turbo shaft
Damage
Substantial damage
Flight
Part 135
Operator
El Aero Services Inc
Registered owner
El Aero Services Inc
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · March 22, 2010 · 1,346 hours before
Departed
EKO · Elko, NV
Destination
EKO · Elko, NV
Flight plan
Company VFR
Airport
EKO · Elko Regional Airport

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
58
Injuries
Serious
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
October 6, 2009
Seat
Right
Flight hours
10,937 total · 9,500 in this make and model · 10,687 as pilot in command · 60 in the last 90 days · 38 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
200° at 9 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
93 °F, dew point 16 °F
Altimeter
30.03 inHg
Observed at
EKO, 38 nm away

Docket · 2

The files NTSB released with the investigation on November 18, 2011, on NTSB’s docket system: statements, records, photos and specialists’ reports. 592 KB in all.

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.