Aircraft Accident/Incident Report

Paris, Arkansas 72855
Friday, November 28, 2003 22:08 CST

NTSB Narrative Summary Released at Completion of Accident

The medical evacuation helicopter was responding to a request for an air ambulance medical transfer. The operator reported that the aircraft experienced a blade separation from the aircraft during startup. The 10,650-hour pilot reported that he started the aircraft with the main rotor still tied down. Recognition of this error came too late in the start sequence, and one of the main rotor blades broke and separated from the aircraft. The preflight was "rushed" due to pressure induced by the air ambulance mission.

NTSB Probable Cause Narrative

The pilot's failure to remove the main rotor tiedown prior to engine startup. Contributing factors were the pressure induced by conditions/events, improper preflight of the aircraft, and dark night conditions,

Event Information

Type of Event Accident
Event Date 11/28/2003
Event Day of the Week Friday
Time of Event 2208
Event Time Zone Central Standard Time
Event City Paris
Event State ARKANSAS
Event Country --
Zipcode of the event site 72855
Event Date Year 2003
Event Date Month 11
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 351756N
Event Location Longitude 0934054W
Event Location Airport --
Event Location Nearest Airport ID --
Indicates whether the acc/inc occurred off or on an airport --
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation --
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation
Direction of event from weather observation facility (degrees) --
Weather Observation Facility ID RUE
Elevation of weather observation facility --
Distance of event from weather observation facility (units?) --
Time Zone of the weather observation --
Lighting Conditions Day
Lowest Ceiling Height --
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions Clear
Sky Condition for Lowest Ceiling --
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) -4
Dew Point at event time (in degress fahrenheit) -6
Wind Direction (degrees magnetic) 0
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 0
Wind Velocity Indicator --
Wind Gust Indicator Gusting
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 30.41
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Minor
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor 1
Injury Total None --
Injury Total Serious --
Injury Total All 1
Investigating Agency NTSB
NTSB Docket Number (internal use) 15158
NTSB Notification Source FAA Operations Center
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Mar 30 2004 8:14AM
User who most recently changed record NTSB\MONR
Basic weather conditions Visual Meteorological Cond
FAA District Office Little Rock

Aircraft Involved

Aircraft #1

Aircraft Registration Number N103AE
NTSB Number FTW04CA030
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? No
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Bell
Aircraft Model 206L1
Aircraft Series Identifier --
Aircraft Serial Number 45597
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 3
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection AAIP
Date of Last Inspection Nov 21 2003 12:00AM
Airframe hours since last inspection 12.9
Airframe Hours 33139
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Air Evac Leasing Corporation
Aircraft Owner Street Address 306 Davis Drive
Aircraft Owner City Paris
Aircraft Owner State AR
Aircraft Owner Country USA
Aircraft Owner Zipcode 65775
Operator is an individual? No
Operator Name --
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address --
Operator City West Plains
Operator State MO
Operator Country USA
Operator Zip code --
Operator Code EVAC
Owner has at least one certificate --
Other Operator of large aircraft? --
Certified for Part 133 or 137 Operation --
Operator Certificate Number --
Indicates whether an air carrier operation was scheduled or not --
Indicates Domestic or International Flight --
Operator carrying Pax/Cargo/Mail --
Type of Flying (Per_Bus / Primary) Positioning
Second Pilot on Board No
Departure Point Same as Event Yes
Departure Airport Code 7M6
Departure City Paris
Departure State AR
Departure Country USA
Departure Time --
Departure Time Zone --
Destination Same as Local Flt dest & departure same, accident can occur anywhere
Destination Airport Code --
Destination City --
Destination State --
Destination Country --
Specific Phase of Flight Takeoff
Report sent to ICAO? No
Evacuation occurred No
Date of most recent change to record Jan 31 2004 1:11PM
User who most recently changed record CASH
Since inspection or accident --
Event Location Runway Number and Location NA
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight Yes
Medical Flight Medical Emergency