Pilot Debrief

BELL 206-L4 near Moundridge, KS — 2009-03-08

Final reportCEN09FA193
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Date
2009-03-08
Location
Moundridge, KS, USA
Aircraft
BELL 206-L4
Registration
N863H
Category
Helicopter
Highest injury
Fatal
Fatalities
1

Probable cause

Inflight collision with terrain for undetermined reasons.

NTSB narrative

While en route to the destination airport, the helicopter impacted terrain in a relatively level attitude at high speed. A review of the helicopter’s Sky Connect flight path showed fluctuations in altitude prior to the helicopter’s impact with terrain. The pilot had severe obstructive sleep apnea known to the FAA and effectively treated it with routine use of a nasal continuous positive airway pressure (CPAP) device, which was found among the pilot’s personal effects in the wreckage. It was not possible to determine whether the pilot had used the device in the days leading up to the accident. Also found among the pilot’s personal effects was a container of nasal swabs marketed for the relief of congestion. It is possible (but could not be conclusively determined) that the pilot had nasal congestion that prevented him from using his CPAP in the day or days leading up to the accident, potentially resulting in severe fatigue on the day of the accident. An examination of the airframe and engine did not detect any anomalies prior to impact. An examination of the helicopter's annunciator panel did not reveal evidence that any lights were illuminated at the time of impact.

NTSB coding

Evidence available

  • ADS-B / radar
  • Photos
  • 12 docket documents
View NTSB final reportView NTSB docket

Docket documents12

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