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Wed, Jan 18, 2006

NTSB Files Factual Report On 2004 SC Bell 407 Medevac Accident

The NTSB has filed a factual report on the tragic July 13th, 2004 crash of a Bell 407 (file photos, below) serving an EMS role in foggy conditions. Of particular note are some additional statements that seem to indicate that the pilot of this flight may not have been aware that other entities had turned the flight down before he accepted the mission. Excerpts of the report are attached below...

NTSB Identification: CHI04MA182.
The docket is stored in the Docket Management System (DMS). Please contact Records Management Division
Nonscheduled 14 CFR Part 135: Air Taxi & Commuter
Accident occurred Tuesday, July 13, 2004 in Newberry, SC
Aircraft: Bell 407, registration: N503MT
Injuries: 4 Fatal.

HISTORY OF FLIGHT

On July 13, 2004, about 0532 eastern daylight time, a Bell 407 helicopter, N503MT, operated by Med-Trans Corporation (MTC) collided with trees shortly after takeoff from interstate highway 26 (I-26) near Newberry, South Carolina. The pilot, flight nurse, flight paramedic, and patient were killed, and the helicopter was destroyed by impact and postcrash fire. The 14 Code of Federal Regulations Part 135 emergency medical services (EMS) flight was en route to Spartanburg Regional Medical Center, where it had departed about 0502. Night visual meteorological conditions with mist and light fog prevailed in the area of the accident site. A company flight plan had been filed, and flight-following was being provided by the Spartanburg County Communications 911 Department of the Spartanburg County Office of Emergency Services.

The accident pilot was notified of the EMS mission about 0452. After performing a weather check, he accepted the mission about 0455. The accident helicopter departed the Spartanburg Regional Medical Center helicopter pad about 7 minutes later en route to the accident site, which was located at the 64-mile marker rest stop on I-26. The accident pilot reported that three people were on board and that he had 2 hours of fuel. He estimated that they would arrive at the accident site in 18 to 20 minutes. The direct distance from the helicopter pad to the rest stop was about 42 miles. The helicopter cruise speed was about 130 knots.

The accident pilot reported that they were on-scene about 0523. Emergency personnel at the accident site reported that the helicopter's "night sun" searchlight was on as it approached the landing zone. The helicopter circled the landing zone once before landing in front of a fire truck in the eastbound lane of I-26. The witnesses reported that there was light ground fog in the area and that it was foggier above the treetops, which was evident when the helicopter descended with its searchlight on. Emergency personnel reported that the helicopter was on-scene about 10 minutes before it departed across the westbound lanes of I-26 and climbed above the trees.

A truck driver who was stopped on the eastbound lane of I-26 reported during a postaccident interview that he was about 75 to 100 yards from the helicopter when it landed. He reported that he observed the helicopter takeoff from the landing zone, proceed across the westbound lanes of I-26, climb above the trees, and turn toward Spartanburg. He reported that with the helicopter's searchlight on, he could see the helicopter's silhouette and that there was slight fog and haze in the area. He reported that the helicopter made no abrupt maneuvers and that the engine "didn't sound like it was missing, sputtering, or any other kind of power loss." He reported that the helicopter was straight and level then "pitched forward to go forward." He reported the helicopter was "flying level" as it descended into the trees. At 0531:55, the Spartanburg County 911 dispatch desk recorded about 1 second of a "keyed" microphone, but no voice transmission was recorded when the microphone was activated.

About 0538, the Newberry County Communications Center 911 contacted Spartanburg County 911 dispatch and reported receiving a call that the helicopter had crashed. Spartanburg County 911 dispatch and Newberry County 911 began to try to locate and communicate with the accident helicopter. About 0629, Newberry 911 informed Spartanburg County 911 dispatch that emergency personnel had located the helicopter wreckage.

METEOROLOGICAL CONDITIONS

The closest weather reporting station was Greenwood County Airport (GRD), located about 24 miles southwest of the accident site. The 0456 reported weather at GRD was: winds calm, visibility 5 miles in mist, sky clear below 12,000 feet, temperature 22 degrees Celsius (C), dew point 21 degrees C, altimeter 29.94 inches of mercury.

The 0556 reported weather at GRD was: winds from 200 degrees at 6 knots, visibility 4 miles in mist, ceiling broken at 300 feet, temperature and dew point 22 degrees C, altimeter 29.95 inches of mercury.

The 0604 reported special weather observation at GRD was: winds from 210 degrees at 4 knots, visibility 1.75 miles in mist, ceiling broken at 300 feet, temperature and dew point 22 degrees C, altimeter 29.95 inches of mercury.

The next closest weather reporting facility was at the Greenville-Spartanburg International Airport (GSP), located in Greer, South Carolina, 38 miles northwest of the accident site. The 0413 reported special weather observation at GSP was: wind calm, visibility 1.5 miles in mist, sky clear below 12,000 feet, temperature and dew point 21 degrees C, altimeter 29.93 inches of mercury.

The 0443 reported special weather observation at GSP was: wind calm, visibility 6 miles in mist, sky clear below 12,000 feet, temperature and dew point 22 degrees C, altimeter 29.93 inches of mercury.

The 0453 reported weather observation at GSP was: wind calm, visibility 1 mile in mist, sky condition missing, temperature and dew point 21 degrees C, altimeter 29.93 inches of mercury.

An EMS helicopter pilot from Med-Trans One, based in Greenville, South Carolina, reported that Med-Trans One departed about 0628 to search for the accident helicopter. The helicopter accident site was about 45 miles from Med-Trans One's base. The pilot reported that he had to return to base about 25 miles into the flightbecause of heavy ground fog. He reported that the fog "extended from the surface to about 500 feet and was a solid blanket as far as I could see on the horizon."

ADDITIONAL INFORMATION

Dispatch and 911 Communications

About 0429, the Newberry County Communications Center 911 first notified Palmetto Health Richland, Columbia, South Carolina, that an accident had occurred at the 64-mile marker rest stop on I-26. Newberry 911 requested that the CareForce EMS helicopter be put on standby to launch to the accident site. About 0440, Newberry 911 requested that CareForce launch to the accident site. CareForce departed about 0443, but after 2 minutes of flight, CareForce returned to base due to fog in the area. About 0446, CareForce dispatch notified Newberry 911 that CareForce had returned to base due to fog.

About 0448, the Newberry 911 dispatcher contacted MTC One dispatch located in Greenville, South Carolina. MTC One dispatch informed Newberry 911 that MTC One was operating in condition "red" status, meaning that no flights would take off until weather conditions improved (the MTC One pilot had notified dispatch about 0025 that MTC One was out of service due to the developing fog in the area). The MTC One dispatcher turned down the Newberry 911 request without contacting the MTC One pilot. About 0449, the Newberry 911 dispatcher contacted Life Reach 1, located in Columbia, South Carolina, to determine if that operator could accept the mission. The Life Reach 1 pilot initially accepted the mission but declined it when he learned that CareForce had returned due to fog.

About 0450, the Newberry 911 dispatcher contacted Spartanburg County 911 dispatch requesting services. The Spartanburg County 911 dispatcher asked Newberry 911 for information about the accident scene, such as location, coordinates, and frequencies. The Spartanburg County dispatcher then checked the flight status of the Spartanburg MTC helicopter and determined the status was "yellow," which meant the pilot had to be contacted so that he could perform a weather check before accepting a mission. The Newberry 911 dispatcher informed the Spartanburg County 911 dispatcher that other operators had declined the mission, stating "Greenville couldn't fly cause the fog was too bad. Columbia couldn't fly..." The Spartanburg County dispatcher responded, "It may be the same...give, ah..." The Newberry 911 dispatcher continued to provide information about the launch request.

About 0452, as the Spartanburg County 911 dispatcher continued to collect information about the launch request, another Spartanburg County dispatcher telephoned the accident flight crew and asked if they were available to fly. The dispatcher informed the flight nurse that MTC One was not flying and that there was an EMS mission in Newberry County. The flight nurse informed the second dispatcher that the pilot would have to perform a weather check before he could accept the mission. The accident pilot accepted the mission about 0455. Neither Spartanburg County 911 dispatcher informed the accident pilot that CareForce had aborted the mission due to fog or that Life Reach 1 had turned down the mission.

FMI: www.ntsb.gov/ntsb/brief.asp?ev_id=20040720X01007&key=1

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