WPR19LA135

NTSB accident investigation · Bell 206 · Oxnard, CA · May 4, 2019

Accident · Serious injuriesClass 3 · LimitedFinal report
Date
May 4, 2019, 09:45 local (16:45 UTC)
Place
Oxnard, CA
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N49643Bell 206
Defining event
Maneuvering-low-alt flying: Inflight upset
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
FAA report
20190504003939A
Case key
99393

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 inability to maintain control of the helicopter while maneuvering at a low altitude due to reasons that could not be determined based on available evidence.

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.

Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotBell 206B: 45 casesAll aircraft: 9,295 casesProbable cause
Not determinedNot determined › Not determined · Unknown/Not determinedBell 206B: 9 casesAll aircraft: 2,247 casesProbable cause
AircraftAircraft › Aircraft oper/perf/capability · Attain/maintain not possibleBell 206B: 1 caseAll aircraft: 63 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 operator reported that this was the helicopters third flight of the day. However, this was the first paint material load of the day. As the pilot made his third pass over the greenhouses, he noticed that he was using more left cyclic to maintain level flight. He continued to spray in attempt to correct any load imbalances, however, the helicopter continued to lean further to the right. The pilot maneuvered away from the greenhouses. The helicopter’s right turn continued to increase until it impacted the ground at about a 45o bank. A post impact fire ensued and completely consumed the helicopter. The operator further reported that the helicopter was equipped with 2, 60-gallon mixture tanks mounted on each side of the aircraft. The tanks were connected through a transfer equalizing tube which fed a centrally located electric pump. The pump then sent the wash through the spray booms. The operator mentioned that they believe one of the mixture tanks stopped transferring, which would cause the helicopter to be imbalanced. Due to the destruction of the helicopter during impact and the post impact fire there was not enough evidence to determine if there were any mechanical anomalies with the helicopter or spray system.

Factual narrative

On May 4, 2019, about 0945 Pacific daylight time, a Bell 206B helicopter, N49643, was destroyed when it was involved in an accident near Oxnard, California. The pilot was seriously injured. The helicopter was operated as a Title 14 Code of Federal Regulations Part 133 aerial application flight. The operator reported that this was the helicopters third flight of the day. However, this was the first paint material load of the day. As the pilot made his third pass over the greenhouses, he noticed that he was using more left cyclic to maintain level flight. He continued to spray in attempt to correct any load imbalances, however, the helicopter continued to lean further to the right. The pilot maneuvered away from the greenhouses. The helicopter’s right turn continued to increase until it impacted the ground at about a 45-degree bank. A post impact fire ensued and completely consumed the helicopter. The operator further reported that the helicopter was equipped with 2, 60-gallon mixture tanks mounted on each side of the aircraft. The tanks were connected through a transfer equalizing tube which fed a centrally located electric pump. The pump then sent the wash through the spray booms. The operator mentioned that they believe one of the mixture tanks stopped transferring, which would cause the helicopter to be imbalanced. Postaccident examination of the helicopter did not reveal any anomalies with the helicopter, however, it was destroyed, and mostly consumed by impact and fire related damage.

Aircraft

Registration
N49643
Reported as
Bell 206 (B)
Category
Helicopter
Serial number
1813
Built
1975
Airframe hours
20,629
Engine
Rolls Royce 250 C-20B, 420 horsepower, turbo shaft
Damage
Substantial damage
Fire
On-Ground
Flight
Aerial application · Part 137
Operator
Aspen Ag Helicopters Inc
Registered owner
Aspen Ag Helicopters Inc
Airworthiness certificate
Special, Restricted (Special)
Last inspection
100 hour · March 21, 2019 · 66 hours before
Departed
OXR · Oxnard, CA
Destination
OXR · Oxnard, CA
Flight plan
Company VFR
Airport
OXR · Oxnard Airport
Equipment
Handheld GPS

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
41
Injuries
Serious
Certificates
Flight instructor, Commercial
Instrument ratings
Helicopter
Medical
Class 2, Without waivers/limitations
Last flight review
February 2, 2018
Seat
Front
Restraint
4-point
Flight hours
4,910 total · 2,600 in this make and model · 3,910 as pilot in command · 250 in the last 90 days · 80 in the last 30 days · 5 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Variable at 3 knots
Visibility
8 statute miles
Lowest ceiling
1,500 ft overcast
Temperature
61 °F, dew point 54 °F
Altimeter
29.94 inHg
Observed at
OXR, 2 nm away

Docket · 4

The files NTSB released with the investigation on March 22, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 10.7 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.

Other investigations on N49643 · 1

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