NTSB Final Report: Hibbing, MN

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Tags: HIBBING MN NTSB Final Report
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Location:

Hibbing, Minnesota

Accident Number:

CEN23LA385

Date & Time:

August 27, 2023, 12:15 Local

Registration:

N19BH

Aircraft:                           BELL HELICOPTER TEXTRON CANADA 206

Aircraft Damage:         Substantial

Defining Event:                 Collision during takeoff/land                 Injuries:                      1 None

Flight Conducted Under:     Part 133: Rotorcraft ext. load

Analysis

The helicopter was operating at a remote, unimproved landing zone (LZ) with a ground crew consisting of firefighters. They were conducting aerial firefighting training with an external load consisting of a 50 ft longline and a water bucket. The LZ consisted of about 2.5 ft tall prairie grass, with the tail of the helicopter going up slope. During the landing to the LZ, the tail rotor impacted a backpack on the ground. The helicopter landed upright and the pilot shutdown the helicopter. The pilot performed a self-assessment of the damage sustained to the tail rotor blades and then flew the helicopter back to the airtanker base with the ground crew onboard.

The helicopter sustained substantial damage to both tail rotor blades and the tail rotor hub. The pilot reported there were no preimpact mechanical malfunctions or failures with the airframe or the engine that would have precluded normal operation.

The pilot was in radio contact with the ground crew during the training. However, during the landing, there was no communication between the ground crew and the pilot either via radio or hand signal.

The orange-colored backpack was owned and was used by the ground crew. According to the operator, the pilot and the ground crew had worked together previously conducting aerial firefighting operations and the pilot had landed to the LZ several times in the past.

Probable Cause and Findings

The National Transportation Safety Board determines the probable cause(s) of this accident to be: The ground crew’s failure to secure the backpack at the landing zone (LZ), that resulted in the tail rotor impacting the backpack during the landing. Contributing to the accident was the pilot’s inadequate selection of an area at the LZ, the lack of awareness of the backpack at the LZ, and the absence of communication between the pilot and the ground crew during the landing.

Findings

Aircraft - (general) - Damaged/degraded

Environmental issues -Ground equipment - Effect on equipment

Personnel issues - Decision making/judgment - Pilot

Personnel issues - Monitoring environment - Pilot

Personnel issues - Monitoring environment - Ground crew

Environmental issues -Ground equipment - Awareness of condition

Personnel issues - Use of equip/system - Ground crew

Personnel issues - Lack of communication - Pilot

Personnel issues - Lack of communication - Ground crew

Personnel issues - CRM/MRM techniques - Pilot

Personnel issues - CRM/MRM techniques - Ground crew

Factual Information

History of Flight

Maneuvering-low-alt flying -Simulated/training event

Maneuvering-low-alt flying - External load event (Rotorcraft)

Landing-flare/touchdown  - Off-field or emergency landing

Landing-flare/touchdown - Miscellaneous/other

Landing-flare/touchdown  - Collision during takeoff/land (Defining event)

Pilot Information

Certificate:

Commercial

Age:

39,Male

Airplane Rating(s):

Single-engine land

Seat Occupied:

Right

Other Aircraft Rating(s):

Helicopter

Restraint Used:

4-point

Instrument Rating(s):

Airplane

Second Pilot Present:

No

Instructor Rating(s):

None

Toxicology Performed:

 

Medical Certification:

Class 1 With waivers/limitations

Last FAA Medical Exam:

May 8, 2023

Occupational Pilot:

Yes

Last Flight Review or Equivalent:

January 20, 2023

Flight Time:

(Estimated) 3107 hours (Total, all aircraft), 86 hours (Total, this make and model), 3065 hours (Pilot In Command, all aircraft), 154 hours (Last 90 days, all aircraft), 21 hours (Last 30 days, all aircraft)

Aircraft and Owner/Operator Information

Aircraft Make:

BELL HELICOPTER TEXTRON CANADA

Registration:

N19BH

Model/Series:

206 L-4

Aircraft Category:

Helicopter

Year of Manufacture:

2008

Amateur Built:

 

Airworthiness Certificate:

Normal

Serial Number:

52370

Landing Gear Type:

High skid

Seats:

7

Date/Type of Last Inspection:

March 23, 2023 100 hour

Certified Max Gross Wt.:

4450 lbs

Time Since Last Inspection:

54 Hrs

Engines:

1 Turbo shaft

Airframe Total Time:

6063.6 Hrs at time of accident

Engine Manufacturer:

Rolls-Royce

ELT:

C126 installed, not activated

Engine Model/Series:

250-C30P

Registered Owner:

ABC Helicopters, Inc.

Rated Power:

650 Horsepower

Operator:

Brainerd Helicopter Service, Inc.

Operating Certificate(s) Held:

Rotorcraft external load (133), On-demand air taxi (135), Agricultural aircraft

(137)

Operator Does Business As:

Brainerd Helicopter Service, Inc.

Operator Designator Code:

JTJL

Meteorological Information and Flight Plan

Conditions at Accident Site:

Visual (VMC)

Condition of Light:

Day

Observation Facility, Elevation:

KHIB,1339 ft msl

Distance from Accident Site:

2 Nautical Miles

Observation Time:

11:53 Local

Direction from Accident Site:

192°

Lowest Cloud Condition:

Clear

Visibility

10 miles

Lowest Ceiling:

None

Visibility (RVR):

 

Wind Speed/Gusts:

/                                                    Turbulence Type

Forecast/Actual:

None / None

Wind Direction:

Turbulence Severity Forecast/Actual:

N/A / N/A

Altimeter Setting:

30.12 inches Hg

Temperature/Dew Point:

17°C / 5°C

Precipitation and Obscuration:

No Obscuration; No Precipitation

 

Departure Point:

Hibbing, MN (HIB)

Type of Flight Plan Filed:

None

Destination:

Hibbing, MN

Type of Clearance:

None

Departure Time:

11:30 Local

Type of Airspace:

Class E

Wreckage and Impact Information

Crew Injuries:

1 None

Aircraft Damage:

Substantial

Passenger Injuries:

N/A

Aircraft Fire:

None

Ground Injuries:

N/A

Aircraft Explosion:

None

Total Injuries:

1 None

Latitude, Longitude:

47.426218,-92.826765(est)

 

 

 

Administrative Information

Investigator In Charge (IIC):

Hodges, Michael

Additional Participating Persons:

Daniel Sindt; FAA Minneapolis FSDO; Minneapolis, MN

Original Publish Date:

October 26, 2023

Investigation Class:

Class 4

Note:

The NTSB did not travel to the scene of this accident.

Investigation Docket:

https://data.ntsb.gov/Docket?ProjectID=192954

 

The National Transportation Safety Board (NTSB) is an independent federal agency charged by Congress with investigating every civil aviation accident in the United States and significant events in other modes of transportation— railroad, transit, highway, marine, pipeline, and commercial space. We determine the probable causes of the accidents and events we investigate, and issue safety recommendations aimed at preventing future occurrences. In addition, we conduct transportation safety research studies and offer information and other assistance to family members and survivors for each accident or event we investigate. We also serve as the appellate authority for enforcement actions involving aviation and mariner certificates issued by the Federal Aviation Administration (FAA) and US Coast Guard, and we adjudicate appeals of civil penalty actions taken by the FAA.

 

The NTSB does not assign fault or blame for an accident or incident; rather, as specified by NTSB regulation, “accident/incident investigations are fact-finding proceedings with no formal issues and no adverse parties … and are not conducted for the purpose of determining the rights or liabilities of any person” (Title 49 Code of Federal Regulations section 831.4). Assignment of fault or legal liability is not relevant to the NTSB’s statutory mission to improve transportation safety by investigating accidents and incidents and issuing safety recommendations. In addition, statutory language prohibits the admission into evidence or use of any part of an NTSB report related to an accident in a civil action for damages resulting from a matter mentioned in the report (Title 49 United States Code section 1154(b)). A factual report that may be admissible under 49 United States Code section 1154(b) is available here.

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