N/A Airport
Aircraft Accident/Incident Report

Wichita Falls, Texas 76301
Saturday, October 4, 2014 1:55 CDT

NTSB Narrative Summary Released at Completion of Accident

On October 4, 2014, about 0155 central daylight time, N335AE, a Bell 206L1+, was destroyed by post-impact fire after it impacted terrain while on approach to the United Regional Hospital helipad, in Wichita Falls, Texas. The commercial pilot was seriously injured and the patient, flight nurse, and paramedic sustained fatal injuries. The helicopter was registered to and operated by Air Evac EMS, Inc, O'Fallon, Missouri. A company visual flight rules flight plan was filed for the patient transfer flight that departed Jackson County Hospital, near Waurika, Oklahoma, about 0133. Visual meteorological conditions prevailed for the air medical flight conducted under the provisions of 14 Code of Federal Regulations Part 135. According to the pilot, he stated that he and his Duncan, Oklahoma, based medical crew had just returned from a flight to Oklahoma City, Oklahoma, when he received a call from company dispatch to pick-up a patient in Waurika and transport him to United Regional Hospital in Wichita Falls. The pilot accepted the flight, but told dispatch that they needed 15 minutes on the ground to prepare for the flight since they had just landed. The pilot said that he, along with the paramedic and flight nurse, re-boarded the helicopter, performed the necessary checklists, called dispatch and filed a flight plan. The flight to Waurika was uneventful. After landing, the pilot stayed in the helicopter for about 20 minutes with the engine running while the patient was prepped and loaded. The pilot and medical crew then departed for Wichita Falls. The weather was clear and the wind was three knots or less. Upon arriving in Wichita Falls, the pilot said he performed a "high recon" of United Regional Hospital's helipad and called out his intentions to land. He performed the pre-landing checklists, and started the approach to the helipad from the northwest at an altitude of 700 feet above ground level (agl). Both of the hospital's lighted windsocks were "limp" but were positioned so they were pointing toward the northwest. The pilot, who had landed at this helipad on numerous occasions, said the approach was normal until he got closer to the helipad. He said he felt fast "about 12-15 knots" and a "little high," so he decided to abort the approach. At this point, with about ¼ to ½ -inch of left anti-torque pedal applied, he added power, "tipped the nose over to get airspeed," and "pulled collective." The pilot said that as soon as he brought the collective up, the helicopter entered a rapid right turn. He described the turn as "violent" and that it was the fastest he had ever "spun" in a helicopter. The pilot told the crew to hold on and that he was "going to try and fly out of it." The pilot said he tried hard to get control of the helicopter by applying cyclic and initially "some" left anti-torque pedal "but nothing happened." The pilot said he added more, but not full left anti-torque pedal as the helicopter continued to spin and he was still unable to regain control. He also said the engine had plenty of power and was operating fine. The pilot recalled the helicopter spinning at least five times before impacting the ground. The pilot said the helicopter landed inverted and quickly filled up with smoke. He unbuckled his seatbelt assembly, took off his helmet, punched out the windshield and exited the burning helicopter. The pilot also said that he did not hear any unusual noises prior to the "tail coming out from underneath them" and did not recall hearing any warning horns or seeing any warning/caution lights. When asked what he thought caused the helicopter to spin to the right so quickly, he replied, "I don't know." The helicopter was equipped with tracking software that recorded its position every 60 seconds. A preliminary review of the track data revealed that after the helicopter departed Waurika, it flew on a south westerly heading until it crossed Highway 447 in Wichita Falls. It then flew on a westerly heading until it reached Highway 287, where it then turned on a north westerly heading. As it flew to the northwest, the helicopter flew past United Regional Hospital to the east before it made a 180 degree turn about 1 to 1.5 miles north of the hospital. The helicopter then proceeded directly to the helipad on a south easterly heading before the data stopped at 0154, about .2 miles north west of the helipad. At that time, the helicopter was about 212 feet above ground level (agl), on a heading of 138 degrees at a ground speed of 11 knots. A portion of the accident flight and impact were captured on one of the hospital's surveillance cameras. A preliminary review of the surveillance tape revealed the helicopter approached the helipad from the north with the spotlight turned on (The pilot did state in his interview that he was using the spotlight during the approach). The helicopter then climbed and went out of frame before it reappeared in a descending right hand turn before it impacted the ground. The time of impact was recorded at 0154:56. About 6 seconds later, a large explosion occurred where the helicopter impacted the ground. An on-scene examination of the helicopter was conducted on October 4-5, 2014, under the supervision of the National Transportation Safety Board Investigator-in-Charge (NTSB IIC). The helicopter collided with power lines and came to rest inverted between two trees that lined a public sidewalk about one block northeast of the helipad. All major components of the helicopter were located at the main impact site. A post-impact fire consumed the main fuselage and portion of the tail boom. The tail rotor assembly and vertical fin exhibited minor fire and impact damage. The pilot held a commercial pilot certificate for rotorcraft-helicopter, and instrument rotorcraft-helicopter. His employer reported his total flight time as 1,810 hours. About 1,584 of those hours were in helicopters, of which, 214 hours were in the Bell 206 model helicopter. His last Federal Aviation Administration (FAA) second class medical was issued on May 13, 2014, without limitations or waivers.

NTSB Probable Cause Narrative

Not Yet Reported

Event Information

Type of Event Accident
Event Date 10/4/2014
Event Day of the Week Saturday
Time of Event 155
Event Time Zone Central Daylight Time
Event City Wichita Falls
Event State TEXAS
Event Country --
Zipcode of the event site 76301
Event Date Year 2014
Event Date Month 10
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 333224N
Event Location Longitude 0981760W
Event Location Airport N/A
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 152 Central Daylight Time
Direction of event from weather observation facility (degrees) 6
Weather Observation Facility ID SPS
Elevation of weather observation facility --
Distance of event from weather observation facility (units?) 5
Time Zone of the weather observation CDT
Lighting Conditions Night/Dark
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) 11
Dew Point at event time (in degress fahrenheit) 1
Wind Direction (degrees magnetic) 140
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) 30.24
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 1
Injury Total All 4
Investigating Agency NTSB
NTSB Docket Number (internal use) --
NTSB Notification Source CEN Duty Officer
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Oct 7 2014 4:03PM
User who most recently changed record yeal
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N335AE
NTSB Number CEN15FA003
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 135: Air Taxi & Commuter
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 L1
Aircraft Serial Number 45659
Certified Max Gross Weight 4450
Aircraft Category Helicopter
Aircraft Registration Class --
Aircraft is a homebuilt? No
Flight Crew Seats 1
Cabin Crew Seats 2
Passenger Seats 1
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 Sep 25 2014 12:00AM
Airframe hours since last inspection --
Airframe Hours 18378
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 633684100
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 633684100
Operator Code --
Owner has at least one certificate Yes - certificate holder
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 Non-scheduled
Indicates Domestic or International Flight Domestic
Operator carrying Pax/Cargo/Mail Passenger Only
Type of Flying (Per_Bus / Primary) --
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code None
Departure City Waurika
Departure State OK
Departure Country USA
Departure Time 133
Departure Time Zone CDT
Destination Same as Local Flt crash at destination city
Destination Airport Code --
Destination City Wichita Falls
Destination State TX
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Oct 23 2014 8:50AM
User who most recently changed record broda
Since inspection or accident Time of Accident
Event Location Runway Number and Location N/A
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight Yes
Medical Flight Medical Emergency