WPR11LA379

NTSB accident investigation · Bell 47G-3B-2 · Los Banos, CA · August 14, 2011

Accident · No injuriesLimited investigationFinal report
Date
August 14, 2011, 12:45 local (19:45 UTC)
Place
Los Banos, CA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N475ALBell 47G-3B-2
Defining event
Takeoff: Collision during takeoff/land
Weather
Visual (VMC) · Day
Status
Completed · report November 26, 2012
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration, Rolls-Royce
FAA report
20110814017399A
Case key
81475

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 inadequate preflight, and contamination of both the engine compressor section and the main rotor blades, which resulted in reduced performance of the engine and rotor system.

Findings · 3

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.

Inspection: preflight inspectionPersonnel issues › Task performance · PilotBell 47G-3B-2: 1 caseAll aircraft: 551 casesProbable cause
Main rotor system: main rotor blade systemAircraft › Aircraft propeller/rotor · Not serviced/maintainedBell 47G-3B-2: 1 caseAll aircraft: 60 casesProbable cause
Engine (turbine/turboprop): compressor sectionAircraft › Aircraft power plant · Not serviced/maintainedBell 47G-3B-2: 1 caseAll aircraft: 53 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

During an agricultural application flight, the helicopter had just departed from the elevated landing pad when it experienced a loss of lift, which the pilot thought was a loss of engine power. The pilot attempted to arrest the descent but was unsuccessful before the helicopter hit the trees. Examination of the engine revealed no pre-impact mechanical malfunctions that would have prevented normal operations. Postaccident examination noted that the compressor vanes and both main rotor blades were layered with a substance that had the consistency of peanut butter. As a result of the contamination, the compressor would not operate at its optimum level, which affected the power output performance of the engine. The material on the main rotor blades would also have affected the helicopter’s lift performance. The examination did not reveal what the substance was, but the airplane flew through agricultural products, which may have led to the substance building up on the blades and compressor over time. Had the pilot done a preflight inspection, he may have noticed the contamination in the engine compressor section and the main rotor blades. Because the helicopter was departing from an elevated land platform, after liftoff, the helicopter was immediately out of ground effect, which resulted in an immediate descent that the pilot was unable to arrest.

Factual narrative

HISTORY OF FLIGHT On August 14, 2011, about 1245 Pacific daylight time (PDT), a Bell Helicopter, 47G-3B-2 Soloy, N475AL, impacted trees following a loss of lift near Los Banos, California. Double Springs Helicopters was operating the helicopter under the provisions of 14 Code of Federal Regulations (CFR) Part 137. The commercial pilot was not injured; the helicopter sustained substantial damage to the tailboom and to the main rotor blades. The agricultural flight had just departed from the tender truck about 1245. Visual meteorological conditions prevailed, and no flight plan had been filed. The pilot reported that just after takeoff from the elevated landing pad located on top of the tender truck, he observed the rotor rpm decaying. He attempted to regain the rpm by lowering the collective; however, the rpm did not recover, and due to the low altitude operation, he was forced to land into the almond grove. The helicopter was recovered from the accident site for further examination. The helicopter and engine were inspected on August 18, 2011, at the operator’s facility. No evidence of pre-impact abnormalities with the helicopter’s flight controls were noted. The engine had impact damage to the fuel control unit, which resulted in a fuel leak from the control arm shaft. No other mechanical abnormalities were noted that would have precluded normal operation. It was noted that the compressor stator vanes were very dirty from what appeared to be an agricultural product. The representative of the engine manufacturer noted that there is a need to complete compressor rinses more frequently when the engine is operated in a corrosive environment such as agricultural operations. The main rotor blades were noted to be contaminated with a unknown agricultural product. The entire surfaces of both blades were frosted with a layer of an unknown material, which had the consistency of peanut butter.

Aircraft

Registration
N475AL
Reported as
Bell 47G-3B-2
Category
Helicopter
Serial number
6675
Airframe hours
8,034
Engine
Allison 250 SERIES, 300 horsepower, turbo shaft
Damage
Substantial damage
Flight
Aerial application · Part 137
Operator
Double Springs Helicopters
Registered owner
Double Springs Helicopters
Airworthiness certificate
Special, Restricted (Special)
Departed
Los Banos, CA
Destination
Los Banos, CA

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
40
Injuries
None
Certificates
Commercial, Flight instructor
Medical
Class 2, Without waivers/limitations
Last flight review
August 10, 2010
Seat
Left
Flight hours
1,600 total · 100 in this make and model · 1,540 as pilot in command · 200 in the last 90 days · 90 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
330° at 17 knots, gusting 23
Visibility
10 statute miles
Lowest ceiling
None
Temperature
93 °F, dew point 41 °F
Altimeter
29.87 inHg
Observed at
MCE, 15 nm away

Docket · 4

The files NTSB released with the investigation on August 8, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 865 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.