Individually Owned: 150,657
Corporate Owned: 137,281
Aircraft Accident/Incident Report
Big Timber, Montana 59011
Thursday, June 1, 1989 23:35 MDT
NTSB Narrative Summary Released at Completion of Accident
AT ABT 2158 MDT, THE EMERG MED SVC (EMS/MEDEVAC) HELICOPTER (HEL) PLT CTCD BILLINGS TWR & ADZD HE WOULD BE MAKING APCHS TO SAINT VINCENTS HOSP FOR (NGT) CURRENCY. APRX 9 MIN LATER, HE CTCD THE TWR AGAIN & ADZD HE WAS BEING DISPATCHED ON AN EMS FLT. THE EMS FLT WAS TO A RANCH (WNW OF BILLINGS). THE PLT HAD DIFFICULTY FINDING THE RANCH AT NGT, BUT ARRIVED AT 2238 MDT. THE PATIENT WAS LOADED & THE PLT WAS ADZD OF TRRN CONDS. A WITNESS SAID THE HEL LIFTED OFF FAST, THEN SWIVELEDARND QUICKLY (TOWARD EAST) & TOOK OFF W/O HESITATION. AFTER DEPG, THE HEL CROSSED A HILL & CRASHED AT HI SPD ON LWR TRRNIN A SLGT NOSE LOW, RGT BANK ATTITUDE, HDG 330 DEG. NO PREIMPACT MECH PRBLM WAS FND. THE PLT HAD BEEN RECENTLY HIRED BY THE OPERATOR; PREV EMPLOYMENT INVOLVED FLYING A DISSIMILAR HEL (BK-105) IN THE GULF OF MEXICO AREA, LIMITED TO DAY VFR. THE PLT'S LAST RECORDED NGT FLT WAS ON 6/16/87; HIS LAST RECORDED INST FLT WAS PRIOR TO JUNE 1984. NO RECORD WAS FND OF FAMILIARIZATION TRAINING FOR THE GEOGRAPHICAL AREA. RELATIVES OF THE PATIENT DESCRIBED THE ACDNT AREA AS A BLACK HOLE.
NTSB Probable Cause Narrative
FAILURE OF THE PILOT TO MAINTAIN CONTROL OF THE AIRCRAFT DURING TAKEOFF, DUE TO SPATIAL DISORIENTATION, WHICH RESULTED IN A COLLISION WITH THE TERRAIN. CONTRIBUTING FACTORS WERE: DARK NIGHT, PILOT'S VISUAL PERCEPTION, INADEQUATE INITIAL TRAINING OF THE PILOT BY THE OPERATOR, THE PILOT'S LACK OF FAMILIARITY WITH THE GEOGRAPHICAL AREA, AND THE COMPANY'S INSUFFICIENT STANDARDS/REQUIREMENTS.
Event Information
| Type of Event | Accident |
| Event Date | 6/1/1989 |
| Event Day of the Week | Thursday |
| Time of Event | 2335 |
| Event Time Zone | Mountain Daylight Time |
| Event City | BIG TIMBER |
| Event State | MONTANA |
| Event Country | -- |
| Zipcode of the event site | 59011 |
| Event Date Year | 1989 |
| Event Date Month | 6 |
| MidAir Collision Indicator | No |
| On Ground Collision occurred ? | No |
| Event Location Latitude | |
| Event Location Longitude | |
| Event Location Airport | |
| Event Location Nearest Airport ID | |
| Indicates whether the acc/inc occurred off or on an airport | Off Airport/Airstrip |
| Distance from airport in statute miles | 0 |
| Degrees magnetic from airport | 0 |
| Airport Elevation | 0 |
| Weather Briefing Completeness | Unknown |
| Investigator's weather source | Weather Observation Facility |
| Time of the weather observation | 2300 Mountain Daylight Time |
| Direction of event from weather observation facility (degrees) | 100 |
| Weather Observation Facility ID | BIL |
| Elevation of weather observation facility | 3650 |
| Distance of event from weather observation facility (units?) | 35 |
| Time Zone of the weather observation | MDT |
| Lighting Conditions | Night/Dark |
| Lowest Ceiling Height | 10000 |
| Lowest Non-Ceiling Height | 5000 |
| Sky/Lowest/Cloud Conditions | Scattered |
| Sky Condition for Lowest Ceiling | Broken |
| Visibility Runway Visual Range (Feet) | 0 |
| Visibility Runway Visual Value (Statute Miles) | 0 |
| Visibility (Statute Miles) | 20 |
| Air Temperature at event time (in degrees celsius) | 17 |
| Dew Point at event time (in degress fahrenheit) | 9 |
| Wind Direction (degrees magnetic) | 140 |
| Variable Wind Indicator | Unknown |
| Wind Speed (knots) | 8 |
| Wind Velocity Indicator | Unknown |
| Wind Gust Indicator | Not Gusting |
| Wind Gust (knots) | 0 |
| Altimeter Setting at event time (in. Hg) | 30 |
| Density Altitude (feet) | -- |
| Intensity of Precipitation | Unknown |
| METAR weather report | -- |
| Event Highest Injury | Fatal |
| On Ground, Fatal Injuries | 0 |
| On Ground, Minor Injuries | 0 |
| On Ground, Serious Injuries | 0 |
| Injury Total Fatal | 4 |
| Injury Total Minor | -- |
| Injury Total None | -- |
| Injury Total Serious | -- |
| Injury Total All | 4 |
| Investigating Agency | NTSB |
| NTSB Docket Number (internal use) | 986 |
| NTSB Notification Source | -- |
| NTSB Notification Date | Jun 2 1989 12:00AM |
| NTSB Notification Time | 530 |
| Fiche Number and/or location -used to find docket information | 39149 |
| Date of most recent change to record | Dec 13 2000 12:45PM |
| User who most recently changed record | dbo |
| Basic weather conditions | Visual Meteorological Cond |
| FAA District Office | -- |
Aircraft Involved |
|
|---|---|
Aircraft #1 |
|
| Aircraft Registration Number | N76KM |
| NTSB Number | DEN89MA130 |
| Missing Aircraft Indicator | N |
| Federal Aviation Reg. Part | Part 135: Air Taxi & Commuter |
| Type of Flight Plan filed | None |
| Flight plan Was Activated? | -- |
| Damage | Destroyed |
| Aircraft Fire | None |
| Aircraft Explosion | None |
| Aircraft Manufacturer's Full Name | BELL |
| Aircraft Model | 206L-3 |
| Aircraft Series Identifier | 206L-3 |
| Aircraft Serial Number | 51103 |
| Certified Max Gross Weight | 4150 |
| Aircraft Category | Helicopter |
| Aircraft Registration Class | U.S. Registered/U.S. Soil |
| Aircraft is a homebuilt? | No |
| Flight Crew Seats | -- |
| Cabin Crew Seats | -- |
| Passenger Seats | -- |
| Total number of seats on the aircraft | 4 |
| Number of Engines | 1 |
| Fixed gear or retractable gear | Fixed |
| Aircraft, Type of Last Inspection | AAIP |
| Date of Last Inspection | May 22 1989 12:00AM |
| Airframe hours since last inspection | 20 |
| Airframe Hours | 1816 |
| ELT Installed | Yes |
| ELT Activated | No |
| ELT Aided Location of Event Site | No |
| ELT Type | -- |
| Aircraft Owner Name | ROCKY MOUNTAIN HELICOPTER, INC |
| Aircraft Owner Street Address | P.O. BOX 1337 |
| Aircraft Owner City | PROVO |
| Aircraft Owner State | UT |
| Aircraft Owner Country | |
| Aircraft Owner Zipcode | 84603 |
| Operator is an individual? | -- |
| Operator Name | |
| Operator Same as Owner? | No |
| Operator Is Doing Business As | -- |
| Operator Address Same as Owner? | No |
| Operator Street Address | P.O. BOX 1337 |
| Operator City | PROVO |
| Operator State | UT |
| Operator Country | |
| Operator Zip code | 84601 |
| Operator Code | DYRA |
| Owner has at least one certificate | Yes - certificate holder |
| Other Operator of large aircraft? | No |
| Certified for Part 133 or 137 Operation | Unknown |
| Operator Certificate Number | -- |
| Indicates whether an air carrier operation was scheduled or not | Non-scheduled |
| Indicates Domestic or International Flight | Domestic |
| Operator carrying Pax/Cargo/Mail | Passenger Only |
| Type of Flying (Per_Bus / Primary) | Unknown |
| Second Pilot on Board | No |
| Departure Point Same as Event | Yes |
| Departure Airport Code | NONE |
| Departure City | |
| Departure State | |
| Departure Country | |
| Departure Time | 2208 |
| Departure Time Zone | MDT |
| Destination Same as Local Flt | -- |
| Destination Airport Code | NONE |
| Destination City | BILLINGS |
| Destination State | MT |
| Destination Country | |
| Specific Phase of Flight | Takeoff |
| Report sent to ICAO? | -- |
| Evacuation occurred | -- |
| Date of most recent change to record | Jan 2 2001 10:35AM |
| User who most recently changed record | dbo |
| Since inspection or accident | -- |
| Event Location Runway Number and Location | 0 |
| Runway Length | 0 |
| Runway Width | 0 |
| Sight Seeing flight | No |
| Air Medical Flight | Yes |
| Medical Flight | -- |