Accident Details
Probable Cause and Findings
The pilot’s failure to maintain clearance from a power line pole’s static arm during forecasted gusting wind conditions, un-forecasted light turbulence, and un-forecasted low-level wind shear conditions, resulting in main rotor blade contact with the static arm and a subsequent loss of control and impact with terrain.
Aircraft Information
Registered Owner (Current)
Analysis
HISTORY OF FLIGHTOn November 29, 2023, about 1430 central standard time, a MD Helicopters Inc. MD600N helicopter, N745MB, sustained substantial damage when it was involved in an accident near Sterling City, Texas. The commercial pilot and the aerial lineman sustained fatal injuries. The helicopter was operated as a Title 14 Code of Federal Regulations Part 133 rotorcraft external load flight.
The purpose of the flight was to perform aerial work on a power line system. The helicopter was operated by Brim Aviation. There were no known witnesses to the accident sequence.
Prior to the flight, the pilot completed the operator’s flight risk assessment tool. The helicopter arrived at the remote landing zone (LZ) to perform the work about 1240. Between 1245 and 1310 the helicopter was configured for the work, and a safety meeting was held. From 1315 to 1340, a pre-work scouting flight was performed. At 1340, the helicopter arrived back at the LZ to prepare for the work and another briefing was held.
A review of ADS-B data showed that the helicopter departed from the LZ about 1415. The helicopter then approached the target power line pole (a steel mono pole that was about 133 ft tall) from the west. The helicopter maneuvered around the pole, and the data subsequently terminated at the pole about 1429.
At 1440, the helicopter was overdue, and the operator began multiple communication attempts and then started searching for the helicopter. At 1551, the operator arrived at the accident site and discovered the wreckage of the helicopter. PERSONNEL INFORMATIONThe pilot was employed by the operator and was signed off by the operator to perform Part 133 work two days before the accident.
The aerial lineman was employed by Source Utility Services, Georgetown, Texas, and was signed off by Source Utility Services to perform aerial lineman work on October 23, 2022. The aerial lineman, who would be standing on the left skid during his work, was secured to the cabin with two personal restraint lanyards. AIRCRAFT INFORMATIONA review of the FAA-Approved MD Helicopters MD600N Rotorcraft Flight Manual (RFM) found that with a takeoff weight of 3,548 pounds and a density altitude of 3,278 ft, the helicopter would be operating within the controllability envelope for crosswind conditions. The RFM states in part:
Hover in ground effect operation in winds in excess of 17 kts has been demonstrated for all azimuths.
The Brim Aviation General Operation Manual lists a maximum wind speed of 40 kts and a gust spread of 15 kts for flight operations. METEOROLOGICAL INFORMATIONA review of meteorological data showed that a mid-level trough was located west of the accident site and provided mid-level support for cloud development. In addition, cloud cover and increasing surface moisture were moving across the accident site from the south as evidence by the surface analysis chart for 1500.
Based on the Aviation Routine Weather Reports (METARs) and High-Resolution Rapid Refresh (HRRR) sounding, the cloud cover base was likely somewhere between 2,000 and 3,000 ft agl with no precipitation noted below the cloud base. The surface winds were gusting as high as 26 kts, which was supported by the HRRR sounding and confirmed by wind farm wind sensor information.
Wind speed information from a wind turbine located 900 ft west-northwest of the accident site was retrieved. The wind speed sensor was located on a wind turbine tower around 262 ft agl with the wind speed reported in meters per second (m/s). The wind speed around the accident time ranged from 18 kts to 22 kts.
There was a range of 10 to 15 kts between the sustained and gusting wind speeds. In addition, the GOES-16 visible satellite information confirmed transverse banding in the lower-level cloud cover, typically indicative of turbulent conditions.
The HRRR sounding also indicated a density altitude of 3,278 ft.
The weather forecast information applicable for the accident time indicated no forecast information for turbulence or low-level wind shear (LLWS) and there were no Pilot Reports (PIREPs) or other information indicative of turbulent conditions or LLWS within 100 miles of the accident site. The closest terminal aerodrome forecast, located 42 miles southeast of the accident site, had wind gusts to 21 kts.
FAA Advisory Circular (AC) 91-92 “Pilot’s Guide to a Preflight Planning” (dated March 15, 2021) provided pilot guidance on preflight self-briefings, including planning, weather interpretation, and risk identification/mitigation skills. The AC further stated in part:
Pilots adopting these guidelines will be better prepared to interpret and utilize real-time weather information before departure and en route, in the cockpit, via technology like Automatic Dependent Surveillance-Broadcast (ADS-B) and via third-party providers.
A search of archived information indicated that the pilot did not request weather information from Leidos Flight Service or through ForeFlight. The pilot did have an account through ForeFlight, but only updated route strings on the accident day. It is unknown what weather information, if any, the pilot checked or received before or during the accident flight. AIRPORT INFORMATIONA review of the FAA-Approved MD Helicopters MD600N Rotorcraft Flight Manual (RFM) found that with a takeoff weight of 3,548 pounds and a density altitude of 3,278 ft, the helicopter would be operating within the controllability envelope for crosswind conditions. The RFM states in part:
Hover in ground effect operation in winds in excess of 17 kts has been demonstrated for all azimuths.
The Brim Aviation General Operation Manual lists a maximum wind speed of 40 kts and a gust spread of 15 kts for flight operations. WRECKAGE AND IMPACT INFORMATIONVarious impact marks were observed on a static arm, about 12 ft long, at the top of the pole. The static arm supported optical ground wire. The impact marks were located about 4 ft from the base of the static arm. The pole and attached wires were all found intact.
The helicopter came to rest on its left side, about 103 ft away from the pole on a flat grass field. The remote field, used for cattle grazing, was located on private property, and was surrounded by wind turbines. The fuselage sustained extensive crushing damage. The NOTAR (no tail rotor) system was found separated, about 30 ft away from the fuselage. All major structural items from the fuselage and empennage were observed at the accident site. The helicopter sustained substantial damage to the main rotor system, fuselage, and empennage.
All six main rotor blades exhibited significant deformation, fractures, and fragmentation of their outboard ends. All fractures observed exhibited signatures consistent with overload. The leading edges of two main rotor blades exhibited blue paint transfer that was a close color match to the paint scheme of the tail boom. Flight control continuity was established for the airframe.
The annunciator panel was radiographed by the NTSB Materials Laboratory to determine the filament status of the individual bulbs within the annunciator lights. Each individual annunciator light contained 4 bulbs. None of the bulbs exhibited hot coil stretching in any filaments.
The cockpit light panel was submitted to the NTSB Materials Laboratory for examination. The panel was submitted to determine the status of the filaments in the light bulbs for each annunciator light. The panel was x-rayed to determine the status of each filament. There were 20 lights in the panel. The radiographs of the light bulbs showed no hot filament stretching in any of the filaments. In addition, all the filaments were intact.
An external examination of the engine revealed no uncontainment or fire damage. The disassembly and examination revealed rotational scoring in the compressor impeller and shroud as well as presence of metal spray in the turbine section, consistent with engine operation during impact.
Postaccident examination of the airframe and the engine revealed no preimpact mechanical malfunctions or failures that would have precluded normal operation. ADDITIONAL INFORMATIONThe Vertical Aviation International published the Utilities, Patrol, and Construction Working Group Safety Guide for Helicopter Operators on July 10, 2020. This document provides exemplary aviation job hazard analyses for power line construction and maintenance operators to utilize. One of the hazards listed that can be encountered during this mission profile is a loss of control due to gusty winds. FLIGHT RECORDERSThe helicopter was not equipped with a crashworthy voice or data recorder, nor was it required to be. MEDICAL AND PATHOLOGICAL INFORMATIONA private forensic pathologist performed the pilot’s autopsy at the request of the Justice of the Peace of Sterling County, Texas. According to the pilot’s autopsy report, his cause of death was multiple blunt impact injuries.
A private forensic pathologist performed the aerial lineman’s autopsy at the request of the Justice of the Peace of Sterling County, Texas. According to the aerial lineman’s autopsy report, his cause of death was multiple blunt impact injuries.
The aerial lineman’s postmortem toxicological testing by the FAA Forensic Sciences Laboratory detected delta-8-tetrahydrocannabinol (delta-8-THC) in cavity blood, at a low level. Delta-8-THC was not detected in urine. Carboxy-delta-8-THC was identified in cavity blood at 5.5 ng/mL and detected in urine at 56.5 ng/mL. Carboxy-delta-9-THC was detected in cavity blood and detected in urine at 1.8 ng/mL. Vilazodone was detected in cavity blood at 230 ng/mL and in urine at 173 ng/mL.
Delta-8-THC is a psychoactive cannabinoid chemical. Very little delta-8-THC occurs naturally in the cannabis plant, and delta-8-THC used in consumer products typically is chemically manufactured from cannabidiol (CBD), another chemical in the cannabis plant. Delta-8-THC is available in a variety of over-the-counter products for oral consumption, smoking,...
Data Source
Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# CEN24FA049