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July 21, 2009 · Bell 212 · N212HP

Willow Creek, CA

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
July 21, 2009
Injury Outcomes
1 injury (1 fatality), 5 uninjured
Location
Willow Creek, CA
Aircraft
Bell 212
Tail Number
N212HP
Operator
Usda Forest Service
Injuries
Fatal
NTSB Number
WPR09TA356

The purpose of the flight was to conduct proficiency rappel training. During a preflight equipment check, one of the rappellers identified a broken "Kong" clip on the Tri-link/J-hook interface on the harness. He replaced the Kong clip with a rubber O-ring (an authorized substitution) and then he returned to the helicopter. Minutes later, with the helicopter in a stabilized hover, witnesses on the ground reported that they observed the rappeller transition from inside the helicopter to the port side skid, then fall down the rope at excessive speed. Postaccident examination of the rope and harness assembly revealed that the rappeller's J-hook was attached to the Sky Genie and rope; however, the J-hook was not attached to the Tri-link and harness. A broken O-ring, believed to be the O-ring used to center the Tri-link and J-hook, was found on the ground approximately 30 feet from where the harness assembly was located. Evidence obtained during the investigation suggests that the rappeller's Tri-link and J-hook were not mechanically linked (prior to the rappeller transitioning to the skid), but rather inadvertently linked together with a non load-bearing O-ring used to center the latching devices. Examination of the J-hook, Sky Genie, Tri-link and harness by investigators from the US Forest Service revealed no evidence of malfunction or defect.

NTSB Probable Cause

The rappeller's failure to properly latch the rappelling harness to the rappelling assembly before exiting the helicopter.

Full Narrative

On July 21, 2009, at 1010 Pacific daylight time, a helitack firefighter was killed during an un arrested descent during a rappelling operation from a Bell 212 helicopter, N212HP, near Willow Creek, California. The airline transport pilot, spotter and three remaining rappellers were not injured. The helicopter was operating under contract to the United States Department of Agriculture, Forest Service by Heli-1 Corporation, as a visual flight rules (VFR) public use flight, in support of firefighting efforts, when the accident occurred. Visual meteorological conditions prevailed for the local flight. The flight originated from a helibase at Willow Creek at 1004; no flight plan was filed for the local flight. The helicopter was not damaged. A representative from the US Forest Service reported that the purpose of the flight was to conduct proficiency rappel training (required every 14 days for helitack crew members that are not actively conducting operational rappel assignments) from the helicopter. The rappelling equipment utilized in this operation consists of a harness, Tri-link, J-hook, O-ring/Kong clip and Sky Genie. The Sky Genie is a descent control device that is connected to a 1/2-inch diameter, 250-foot long, braided nylon rappel rope. Normally, the harness is attached to the Tri-Link, and the Tri-link is mechanically linked to the J-hook, which is mechanically clipped to the Sky Genie and rope. The Kong clip/O-ring (non load bearing) is used to center the J-hook at the apex of the Tri-link in an effort to avoid side loading during rappel operations. Prior to commencing the operation, a rappel equipment check was conducted. The equipment check revealed a broken "Kong" clip on the Tri-link/J-hook interface on the harness of accident rappeller (R-2). The Kong clip was replaced with a rubber O-ring (an authorized substitution for a Kong clip) and R-2 returned to the helicopter. Approximately 6 minutes later, with the helicopter established in 225-250 foot hover, R-2 connected his J-hook to the Sky Genie. Witnesses on the ground reported seeing R-2 transition to the port side skid and then falling down the rope at an excessive speed. Post accident examination of the rope and harness assembly by investigators from the US Forest Service revealed that the R-2's J-hook remained attached to the Sky Genie; however, the J-hook was not mechanically attached to the Tri-link and harness. A broken O-ring was found approximately 30 feet from where the harness assembly was located, and is believed to be the O-ring that was attached to R-2's Tri-link. Examination of the J-hook, Sky Genie, Tri-link and harness by investigators from the US Forest Service revealed no evidence of malfunction or defect. Investigators reported that examination of the rappel equipment indicated that R-2's Tri-link and J-hook were not mechanically linked prior to exiting the helicopter. Examinations by investigators indicated that the Tri-link and J-hook were only held in place by the rubber O-ring. Investigators from the US Forest Service reported that the rappel equipment was checked by the rappeller and spotter prior to the accident. The helicopter was not damaged and no mechanical malfunction or failure was reported.

Flight

Event TypeAccident
Event Time10:10 PDT
Nearest AirportWillow Creek Helibase (0nm)
Flight Plan FiledNone
Flight Plan ActivatedNo
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftBell 212
Tail NumberN212HP
Aircraft CategoryHeli
OperatorUsda Forest Service
Engines2
Engine TypeTurboshaft
Engine DetailsP&W · PT6 SERIES · Turboshaft · 500 | P&W · PT6 SERIES · Turboshaft · 500
Seats9

People & Injuries

Injury Summary1 injury (1 fatality), 5 uninjured
Fatal1
Serious0
Minor0
Uninjured5
Total6
Crew 1Age 42 · Second Class · None

Conditions

ConditionsVMC
LightDaylight
WindCalm
Visibility10 sm
CeilingNone
Temperature / Dew Point0 C
Altimeter0
Weather SourceWIT

Appendix: Source Data