County Rescue Services Helipor Airport
Aircraft Accident/Incident Report

Green Bay, Wisconsin 54311
Thursday, April 13, 2006 10:22 CDT

NTSB Narrative Summary Released at Completion of Accident

The emergency medical helicopter impacted terrain following takeoff when it began spinning around its vertical axis to a height of approximately 200-300 feet and descended without directional control. The copilot's anti-torque control pedals were found in their full forward position with a safety wire installation that would provide for forward travel of the anti-torque pedals which was contrary to specifications cited in the field approval for the pedal cover. Aircraft logbook entries show that the cover was reinstalled following a company training and evaluation flight.

NTSB Probable Cause Narrative

The pilot's inadequate preflight check of the flight controls prior to takeoff and the directional contol not possible by the pilot. Additional causes were the improper installation of the anti-torque pedal cover by company personnel which blocked the flight control system.

Event Information

Type of Event Accident
Event Date 4/13/2006
Event Day of the Week Thursday
Time of Event 1022
Event Time Zone Central Daylight Time
Event City Green Bay
Event State WISCONSIN
Event Country --
Zipcode of the event site 54311
Event Date Year 2006
Event Date Month 4
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 442817N
Event Location Longitude 0875940W
Event Location Airport County Rescue Services Helipor
Event Location Nearest Airport ID 4WN7
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation 640
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 1021 Central Daylight Time
Direction of event from weather observation facility (degrees) --
Weather Observation Facility ID 4WN7
Elevation of weather observation facility 640
Distance of event from weather observation facility (units?) --
Time Zone of the weather observation CDT
Lighting Conditions Day
Lowest Ceiling Height --
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions Clear
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 18
Dew Point at event time (in degress fahrenheit) 5
Wind Direction (degrees magnetic) 230
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 3
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.04
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Fatal
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal 1
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 1
Investigating Agency NTSB
NTSB Docket Number (internal use) 22880
NTSB Notification Source FAA
NTSB Notification Date Apr 13 2006 12:00AM
NTSB Notification Time --
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Feb 2 2009 1:15PM
User who most recently changed record johb
Basic weather conditions Visual Meteorological Cond
FAA District Office Milwaukee FSDO

Aircraft Involved

Aircraft #1

Aircraft Registration Number N202LF
NTSB Number CHI06FA110
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed Company VFR
Flight plan Was Activated? Yes
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Messerschmitt-Bolkow-Blohm
Aircraft Model BO 105LS A-3
Aircraft Series Identifier --
Aircraft Serial Number 2014
Certified Max Gross Weight 5732
Aircraft Category Helicopter
Aircraft Registration Class --
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 4
Number of Engines 2
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection AAIP
Date of Last Inspection Mar 1 2006 12:00AM
Airframe hours since last inspection --
Airframe Hours 4823
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Wells Fargo Bank Northwest NA Trustee
Aircraft Owner Street Address 299 S. Main St. #U1228-120
Aircraft Owner City Salt Lake City
Aircraft Owner State UT
Aircraft Owner Country USA
Aircraft Owner Zipcode 84111
Operator is an individual? No
Operator Name County Rescue Services, Inc.
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address 1765 Allouez Avenue
Operator City Green Bay
Operator State WI
Operator Country USA
Operator Zip code 54311
Operator Code B65A
Owner has at least one certificate --
Other Operator of large aircraft? No
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) Flight Test
Second Pilot on Board No
Departure Point Same as Event Yes
Departure Airport Code 4WN7
Departure City Green Bay
Departure State WI
Departure Country USA
Departure Time 1021
Departure Time Zone CDT
Destination Same as Local Flt dest & departure same, accident can occur anywhere
Destination Airport Code 4WN7
Destination City --
Destination State --
Destination Country --
Specific Phase of Flight Takeoff
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Feb 2 2009 1:15PM
User who most recently changed record johb
Since inspection or accident Time of Accident
Event Location Runway Number and Location H1
Runway Length 107
Runway Width 75
Sight Seeing flight No
Air Medical Flight Yes
Medical Flight --