Accident Details
Probable Cause and Findings
An in-flight encounter with ground level fog due to the pilot's decision to continue VMC flight into instrument conditions, resulting in an in-flight collision with trees.
Aircraft Information
Registered Owner (Historical)
Analysis
HISTORY OF FLIGHT
On September 7, 2000, about 0905 eastern daylight time, a Bell UH-1H, N525BM, registered to the USDA Forest Service, operated by the North Carolina Forest Service as a Title 14 CFR Part 91 positioning flight, crashed while maneuvering in the vicinity of Waynesville, North Carolina. Instrument meteorological conditions prevailed and no flight plan was filed. The rotorcraft was destroyed, and the commercially rated pilot and a crew chief sustained fatal injuries. The flight departed Macon County Airport, Franklin, North Carolina, under Forestry Service flight following about 0840.
The same pilot, crewman, and rotorcraft, had spent the previous day at the same location displaying the machine and its onboard fire fighting equipment as part of a 2-day Conservation Day display for Haywood County fifth-grade students. Although the North Carolina Forest Service normally operates their fire-fighting aircraft as strickly "public use", the positioning to a static display would have been performed under the provisions of Federal Air Regulations, Part 91.
According to a Haywood County forest ranger located at the Haywood County Mountain Research Station, Waynesville, who was securing the landing zone, (LZ) for the rotorcraft's arrival, at about 0900, the pilot advised by radio that he was 5 minutes from landing, following highway 23-74 inbound from the southwest, but that ground fog was precluding his progress, and that he would look for a place to land until the fog lifted. The pilot asked for the weather conditions at the LZ and was given, ceiling, 500 to 1,000 feet and 1-mile visibility. There was no acknowledgement.
Beginning about 0910, numerous telephone calls started coming into the Haywood County 911 operator about a low flying helicopter near residences in West Waynesville, (about 3,600 feet elevation). Statements from three witnesses positioned outside, nearby their residences at about 0900, along the rotorcraft's flight path just before the crash, stated the rotorcraft's course from their first sighting to the crash site was generally southwesterly and then southerly through a ravine called the Redbank Branch. One witness stated the rotorcraft flew by her driveway, "at an extremely low altitude" and, "There are power lines in back of the house and he couldn't have been more than 20 feet above them." Following the near miss, she heard a definite change of rotor blade pitch, and the flight disappeared into the fog. The visibility was characterized as, "extremely foggy" and, "...so thick, I couldn't see 50 yards away". A witness further along in the helicopter's flight path could clearly make out the N-numbers on the rotorcraft as it hovered over her driveway, and the sighting gave her the impression that she should ask her sister to move her car so the rotorcraft could land. Soon after its departure up the ravine she heard the definite sounds of blades hitting trees just before the cessation of engine sounds, altogether. Reference to a topographical map of the crash site revealed that the terrain rises 800 feet within a horizontal distance of 2,375 feet in the direction that she observed the flight continue.
The direction of flight stated by the witnesses represents a course away from the known landing zone. The wreckage was located by North Carolina Forestry Service pilots in dense forest the next day about 1210.
PERSONNEL INFORMATION
The pilot held a private pilot certificate for airplane, single-engine land, and a commercial certificate for airplane, multiengine land and helicopter, with instrument ratings, airplane and helicopter. His most recent FAA second-class medical certificate was issued on April 26, 2000, with no limitations. According to North Carolina Forestry Service pilot employment records, as of August 3, 1999, the pilot listed his flight time as: 1,893 hours-helicopter, 523 hours-single engine, and 638 hours-multiengine for a total of 3,054 flight hours. He had held USDA/USDI Bell 206 series helicopter qualification for reconnaissance and surveillance, mountain flying, snow operations, external load (sling), fire suppression, retardant/water dropping, and long line. He held USDA/USDI copilot qualifications for the C-130, P2V, and PB4Y type aircraft from 1995 to 1997. He spent 6 years 3 months as an Army UH-1H and CH-47D helicopter pilot, and was honorably separated from the Army Reserve as a Chief Warrant Officer-2 on February 28, 1994.
On June 14 and 15, 2000, the pilot satisfactorily completed a UH-1H flight procedures training course given by the Bell Helicopter Customer Training Academy at the North Carolina Forestry Service, Fayetteville, North Carolina. The flight portion of the course consisted of three flights, and the remarks annotated on the training form by the instructor were, "flight procedures refresher complete. Safe in all maneuvers. A pleasure to fly with." On November 5, 1999, the pilot underwent a North Carolina Forestry Service proficiency check flight. The comments section of the evaluation form stated, "Tim gave a good ride". One of the procedures on the form, "Inadvertent IMC Proc" was not checked.
AIRCRAFT INFORMATION
The 1966 Bell UH-1H helicopter, serial No. 66-16023, was military excess, operated by the North Carolina Forestry Service as "Helicopter 9", for the primary purpose of forest fire fighting. The maintenance program used by the forestry service was in accordance with U.S. Army TM 55-1520-210-PM series phase inspections. The rotorcraft was placed into forestry service in 1993, and had undergone a transmission change in March 2000. At the time of the accident, the airframe had accumulated about 6,350 hours and the T53-L-13B turbine engine, ser. No. LE21527, which was installed on November 18, 1998, had accumulated about 849 hours. The rotorcraft had undergone a phase inspection, (phase #4) on March 16, 2000, by the North Carolina Forestry Service at an aircraft total time of 6278.1 hours. The rotorcraft's altimeter and static system had been tested and certified in accordance with FAR 91.411 on January 19, 1999, although the pilots and helicopters of the North Carolina Forestry Service have no requirement to maintain instrument flight currency.
Firefighting tools aboard N525BM for static display were the following: (1) two 240- gallon flexible water buckets called the "Bambi Bucket", (2) parachutes for dropping cargo and, (3) an assortment of fire extinguishers, hand tools, markers, and chain saws.
METEOROLOGICAL INFORMATION
The nearest weather reporting facility was Asheville, elevation 2,165 feet, located about 25 miles to the east of the crash site. The 0854 weather observation was: winds calm, visibility 10 statute miles, 1,500 feet overcast, temperature 58 degrees, dew point 56 degrees, altimeter 30.33 inHg. A 1,500-foot overcast condition translates to solid clouds at ground level at an elevation of 3,665 feet or higher. The wreckage site elevation was about 4,400 feet. Ashville's reported 0954 weather revealed lowering ceiling and visibility.
There was an FAA Automated Flight Service Station (AFSS) promulgated Airman's Meteorological Information, (AIRMET) in effect for the area that included the origination and the destination of the flight. It first came out as "AIRMET Sierra" warning of mountain obscuration for the period 09/06/00 @ 2000 to 09/07/00 @ 0400, and was subsequently extended to 09/07/00 @ 1000. A copy of the AIRMET is included as an attachment to this report.
A forestry service pilot stated that, generally speaking, Macon County Airport was usually the first place affected by low ceilings and fog, and that if you could make it out of there under visual flight rules, the rest of the area would be as good or better.
WRECKAGE AND IMPACT INFORMATION
The crash site was located about a mile south and upslope of milepost 441 on the Blue Ridge Parkway at the 4,400-foot level of the Pinnacle Ridge in the Great Balsam Mountains. The milepost corresponds to the Waynesville lookout on the Parkway. The site consisted of dense primary and secondary growth hardwood forest of trees 50 to 100 feet high at coordinates, N35:26:17.2 by W083:03:37.7 degrees. Examination of tree trunk and canopy damage revealed that first impact with trees occurred on a flight path of about 270 degrees and the wreckage came to rest on a heading of about 140 degrees, magnetic. All components of the airframe, engine, transmission, and rotors were found in the immediate area. The crater and burn pattern on the ground consisted of a 10-foot radius circle around a point coinciding with the forward fuel cell location. In the crater were found the engine, transmission, rotor head and mast, various instrument casings, and remnants of onboard firefighting gear. Cooled ribbons of once molten aluminum and magnesium flowed downhill from the site.
The aft 90 percent of the tail boom and tail rotor did not burn and were located in their normal positions relative to the main airframe wreckage. The tail boom was found inverted and the left synchronized elevator had been separated by a front-to-aft shear force. The vertical fin, with tail rotor attached, had fractured and separated about 21-inches above the tail boom deck. The four boom attaching bolts were located and revealed that the boom-to-attach structure-mating joint was firmly bolted, precrash. The left landing skid, left cockpit door, and portions of the left cabin sliding door had separated, due to tree collision, and were located about 20 feet from the crater at about 10 o'clock. These door pieces revealed numerous tree strikes and embedded wood within the accordion shaped skin folds. Imbedded in the trunk of a 54-foot tree, about 40 feet from ground level was a piece of the upper left door frame containing the rotorcraft's weight and balance datum point. The main rotor blades, minus the tips, lay adjacent to the crater at 3 o'clock. One tip was found about 11 o'clock at 40 yards and the other...
Data Source
Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# MIA00GA264