WPR22LA182

NTSB accident investigation · Airbus Helicopters AS 350B3 · Christmas Valley, OR · May 19, 2022

Accident · Serious injuriesClass 4 · LimitedFinal report
Date
May 18, 2022, 17:33 local (May 19, 2022, 00:33 UTC)
Place
Christmas Valley, OR · Airport Environment
Injuries
4 serious
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N851ALAirbus Helicopters AS 350B3
Defining event
Landing: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 4 - Basic report with no Prelim publish
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
FAA report
20220518004889A
Case key
105103

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 inability to maintain control in high wind conditions while repositioning during a landing attempt, which resulted in a loss of control and collision with terrain.

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.

Performance/control parametersAircraft › Aircraft oper/perf/capability · Attain/maintain not possibleAirbus Helicopters AS 350B3: 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

According to the accident pilot, after transferring a patient from Klamath Falls, Oregon to Bend, Oregon, he received a request from his dispatch to collect a patient in Christmas Valley, Oregon. He reviewed weather information from stations surrounding the destination as there was no local weather reporting facility at the destination. The pilot recalled that the expected winds were from the northwest at 15-20 kts sustained, and gusting to 30 kts, but were acceptable for the flight. After a preflight inspection he departed on the accident flight with three flight crewmembers. They did not experience any significant weather while enroute to their destination and the helicopter was operating within its normal limitations. The pilot approached the airport by entering the airport traffic pattern from the north for a landing to the west as the winds were from the west/northwest. He recalled that the windspeeds at the time of arrival were approximately 15-20 kts and gusting between 25-30 kts. After he became established on final approach he sidestepped and approached a parallel taxiway. He slowly taxied while looking for the air ambulance they were scheduled to meet. The pilot reported that he was monitoring the windsock during this time, but observed the helicopter handling well with no indication of winds that would exceed the helicopter’s limitations at the time. Once he identified the landing site he lined the helicopter with the landing pad and began a descent while noting several structures nearby that were providing protection from the wind. At this point he performed a right pedal turn from about 3 ft above ground level to position the left door towards the ambulance for the pickup, consistent with the operator’s protocol. The pedal turn went smoothly; however, as the helicopter touched down it was forced forward rapidly. The pilot reacted by increasing collective and applying aft cyclic to climb the helicopter and avoid surrounding hazards. He lowered collective when the helicopter was about 30 ft above ground level and held aft cyclic, but the helicopter began to spin to the left and he was unable to control the helicopter. The pilot then reduced power to IDLE using the throttle twist grip and could not recount anything further. The pilot reported no preimpact mechanical anomalies or malfunctions with the helicopter that would have precluded normal operation. He opined that he encountered a hard wind from the rear. A witness estimated that the wind was about 50 mph (43 kts) at the time of the accident.

Aircraft

Registration
N851AL
Reported as
Airbus Helicopters AS 350B3
Category
Helicopter
Serial number
8647
Built
2019
Airframe hours
1,074
Engine
Safran Arriel 2D, 728 horsepower, turbo shaft
Damage
Substantial damage
Flight
Business · Part 135
Operator
Med-Trans, doing business as Airlink critical care transport
Registered owner
Tvpx Aircraft Solutions Inc Trustee
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · May 17, 2022 · 411 hours before
Departed
54OR · Bend, OR
Destination
Same as departure
Flight plan
Company VFR
Airport
62S · Christmas Valley Airport, runway 07/25, 5,200 × 60 ft, asphalt
Equipment
Electronic multifunction display, Electronic flight bag or handheld device, Auto-pilot, ADS-B, Video recording device, Electronic primary flight display, Satellite tracking device

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
Serious
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Helicopter, Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
April 28, 2022
Seat
Right
Restraint
4-point
Flight hours
2,083 total · 15 in this make and model · 1,806 as pilot in command · 15 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
220° at 18 knots, gusting 25
Visibility
10 statute miles
Lowest ceiling
None
Temperature
63 °F, dew point 30 °F
Altimeter
30.11 inHg
Observed at
KBDN, 57 nm away
METAR
METAR KBDN 190010Z AUTO 22018G25KT 10SM CLR 17/M01 A3011 RMK AO2=

Docket · 4

The files NTSB released with the investigation on July 28, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.7 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.