WPR11LA277

NTSB accident investigation · Bell 212 · Mesa, AZ · June 21, 2011

Accident · Serious injuriesLimited investigationFinal report
Date
June 21, 2011, 06:34 local (13:34 UTC)
Place
Mesa, AZ
Injuries
2 serious
Damage
Destroyed
Phase of flight
Maneuvering
Aircraft
N49678Bell 212
Defining event
Maneuvering-hover: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed · report November 13, 2014
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Bell Helicopter, Boeing Company, Federal Aviation Administration
FAA report
20110621013539A
Case key
80846

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 pilot's failure to maintain helicopter control while in a low hover.

Findings · 2

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.

Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotBell 212: 1 caseAll aircraft: 9,295 casesProbable cause
Performance/control parametersAircraft › Aircraft oper/perf/capability · Not attained/maintainedBell 212: 1 caseAll aircraft: 1,269 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

The pilot reported that, after he established the helicopter in a stabilized hover about 3 feet above the ground with the crew chief following on the controls with him, the helicopter rapidly rolled right. The pilot was unable to correct the roll, and the helicopter subsequently impacted the ground and came to rest on its right side. The helicopter's fuselage sustained substantial damage, and the cockpit area was consumed by postimpact fire. Ground scars about 20 feet behind the main wreckage revealed that the tail section contacted the ground first. The pilot reported and a postaccident examination of the wreckage revealed no anomalies that would have precluded normal operation of the helicopter.

Factual narrative

On June 21, 2011, about 0634 mountain standard time (MST), a Bell 212, N49678, experienced a loss of control and subsequent rollover near Falcon Field Airport (FFZ), Mesa, Arizona. The helicopter was operated by The Boeing Company under the provisions of 14 Code of Federal Regulations Part 91 as a proficiency flight. The company test pilot/certified flight instructor pilot and crew chief/mechanic received serious injuries, and the helicopter sustained substantial damage from the postimpact fire. Visual meteorological conditions prevailed for the local area flight that departed Boeing Heliport (AZ81) at 0610. In the pilot's written statement to the National Transportation Safety Board (NTSB), he stated that he was seated in the right seat, and the mechanic was seated in the left seat. The pilot had successfully completed a practice approach, vertical landing, and takeoff to a low mesa about a mile northeast of Red Mountain. He then proceeded to an area known as "the tires" on the south side of Sawick Mountain. The pilot recalled performing a left 180-degree normal approach, and an uneventful, no-hover vertical landing. As he initiated a lift off and established a stabilized 3-foot hover, the pilot stated that the helicopter rolled rapidly to the right, and he was unable to stop the roll. The helicopter impacted the ground and erupted into flames. The pilot also reported that he had an airline transport pilot certificate, and also held a flight instructor certificate. The Federal Aviation Administration (FAA) along with parties to the investigation, The Boeing Company, and Bell Helicopter, responded to the accident site. According to the FAA inspector, the accident site was located on the Salt River Indian Reservation about 10 miles north of FFZ. The helicopter had rolled onto its right side and a post-crash fire consumed the cockpit area. Investigators further reported several ground scars were near the wreckage. One ground scar was a linear scar about 20-feet behind the main wreckage and identified as the first point of contact. The ground scar was about 3 to 4 feet in length and contained green primer paint chips consistent with the paint on the tail stinger and yellow paint chips, consistent with the paint on the tail rotor blade tip. A postaccident examination of the helicopter revealed no preimpact anomalies that would have precluded normal operation of the helicopter. The Boeing Company's interview with the pilot revealed that pilot was on the controls and the crew chief was following through with him at the time of the accident.

Aircraft

Registration
N49678
Reported as
Bell 212
Category
Helicopter
Serial number
30743
Airframe hours
13,460
Engines
P&W PT6T-3, 800 horsepower, turbo shaftP&W PT6T-3, 800 horsepower, turbo shaft
Damage
Destroyed
Fire
On-Ground
Flight
Executive/Corporate · Part 91
Operator
Boeing Co
Registered owner
Boeing Co
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 8, 2011
Departed
AZ81 · Mesa, AZ
Destination
AZ81 · Mesa, AZ
Flight plan
Company VFR

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
63
Injuries
Serious
Certificates
Flight instructor, Commercial, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Powered-lift, Helicopter
Medical
Class 2, With waivers/limitations
Last flight review
October 19, 2010
Seat
Right
Flight hours
7,021 total · 88 in this make and model · 4,568 as pilot in command · 68 in the last 90 days · 2 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
10° at 8 knots
Visibility
50 statute miles
Lowest ceiling
None
Temperature
79 °F, dew point 28 °F
Altimeter
29.76 inHg
Observed at
FFZ, 5 nm away

Docket · 7

The files NTSB released with the investigation on October 8, 2014, on NTSB’s docket system: statements, records, photos and specialists’ reports. 8.9 MB 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.