N/A Airport
Aircraft Accident/Incident Report

Manchester, Kentucky 40962
Thursday, June 6, 2013 23:15 EDT

NTSB Narrative Summary Released at Completion of Accident

The air ambulance repositioning flight was en route to base following a patient transfer. Weather information forecast about 3 hours before the accident indicated a moist environment; however, visual conditions were anticipated around the time of the accident. An updated forecast was published about 10 minutes before the accident, and it indicated that fog or low stratus cloud development was possible and that visibility could decrease to near or below airport weather minimums in the early morning hours. Witness statements and the reported weather conditions indicated that patchy fog had developed near the helipad at the time of the accident and that visibility at the accident site was 1/4 mile; however, the specific visibility conditions encountered by the helicopter during its approach could not be determined. A witness reported seeing the helicopter “flying lower than normal” and then spinning before impact. Another witness reported seeing the helicopter in a nose-down attitude and then impact the ground. The wreckage was located in a school parking lot, which was about 750 feet from the landing pad and at an elevation of about 900 feet mean sea level (msl). The wreckage distribution was consistent with an in-flight separation of the main rotor and tailboom. An examination of the helicopter airframe, engine, and related systems revealed no preimpact anomalies that would have precluded normal operation. Both the main rotor assembly and tailboom separated in overload. Review of GPS data showed the accident helicopter descending in three right circuits near the landing pad just before the accident. The final recorded data were in the immediate vicinity of the accident location and indicated an altitude of 1,437 feet msl. The maneuvering flightpath of the helicopter before the accident was consistent with an attempt to avoid fog followed by a loss of control. Although the pilot was instrument rated, he had not logged recent instrument time. Further, although the pilot had recent training in night vision goggle usage and had night vision goggles available during the flight, it could not be determined if he was using them at the time of the accident. Given the reports of fog in the area and the accident circumstances, it is likely that the pilot entered instrument meteorological conditions during the approach to the helipad, which resulted in spatial disorientation and loss of control.

NTSB Probable Cause Narrative

The pilot’s loss of helicopter control due to spatial disorientation when he inadvertently encountered night, instrument meteorological conditions, which resulted in the in-flight separation of the main rotor and tailboom.

Event Information

Type of Event Accident
Event Date 6/6/2013
Event Day of the Week Thursday
Time of Event 2315
Event Time Zone Eastern Daylight Time
Event City Manchester
Event State KENTUCKY
Event Country --
Zipcode of the event site 40962
Event Date Year 2013
Event Date Month 6
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 370758N
Event Location Longitude 0834523W
Event Location Airport N/A
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 --
Degrees magnetic from airport --
Airport Elevation --
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 2253 Eastern Daylight Time
Direction of event from weather observation facility (degrees) 260
Weather Observation Facility ID LOZ
Elevation of weather observation facility 1212
Distance of event from weather observation facility (units?) 16
Time Zone of the weather observation EDT
Lighting Conditions Night
Lowest Ceiling Height --
Lowest Non-Ceiling Height 5500
Sky/Lowest/Cloud Conditions Few
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 6
Air Temperature at event time (in degrees celsius) 21
Dew Point at event time (in degress fahrenheit) 19
Wind Direction (degrees magnetic) --
Variable Wind Indicator --
Wind Speed (knots) --
Wind Velocity Indicator Calm
Wind Gust Indicator --
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 29.81
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 3
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 3
Investigating Agency NTSB
NTSB Docket Number (internal use) 33045
NTSB Notification Source Kentucky State Police
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Sep 2 2014 1:37PM
User who most recently changed record kenj
Basic weather conditions Instrument Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N114AE
NTSB Number ERA13FA273
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed Company VFR
Flight plan Was Activated? Yes
Damage Destroyed
Aircraft Fire Ground
Aircraft Explosion Ground
Aircraft Manufacturer's Full Name BELL HELICOPTER TEXTRON
Aircraft Model 206L-1
Aircraft Series Identifier --
Aircraft Serial Number 45507
Certified Max Gross Weight 4450
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 3
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection Jun 6 2013 12:00AM
Airframe hours since last inspection 1
Airframe Hours 19772
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site Unknown
ELT Type C126
Aircraft Owner Name AIR EVAC EMS INC
Aircraft Owner Street Address --
Aircraft Owner City O'Fallon
Aircraft Owner State MO
Aircraft Owner Country USA
Aircraft Owner Zipcode 63368
Operator is an individual? No
Operator Name AIR EVAC EMS INC
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address --
Operator City O'Fallon
Operator State MO
Operator Country USA
Operator Zip code 63368
Operator Code EVCA
Owner has at least one certificate Yes - certificate holder
Other Operator of large aircraft? --
Certified for Part 133 or 137 Operation --
Operator Certificate Number EVCA731D
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 No
Departure Airport Code 5KY9
Departure City London
Departure State KY
Departure Country USA
Departure Time 2259
Departure Time Zone EDT
Destination Same as Local Flt crash at destination city
Destination Airport Code --
Destination City Manchester
Destination State KY
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Sep 9 2014 3:31PM
User who most recently changed record broda
Since inspection or accident Last Inspection
Event Location Runway Number and Location N/A
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight Yes
Medical Flight Discretionary