Life Lion Critical Care Transport - Non-injury incident

Date: 11/04/07 1530 EST

Program: Life Lion Critical Care Transport
	Penn State Milton S. Herhsey Medical Center, Penn State College of
	Medicine, Life Lion HS88, 500 University Drive, P.O. Box 850,
	Hershey,	PA 17033
	

Type: 365N3
Tail #: N896LL

Weather: Clear. Not a factor

Team: Pilot, Flight Nurse,Flight Paramedic. No injuries. No injuries reported. Patient on board. 

Description: 
	While enroute to Hershey Medical Center with an eight minute ETA the
	medical crew energized a light over the patient. The light burned
	brightly followed by a "pop" and flash with coincident flame emitting
	from the light housing. The housing was immediately covered with a
	medical blanket to extinguish the flame and protect the patient from a
	dislodged lens and pieces of broken bulb. The aircraft was landed at
	Hershey Medical Center and patient disembarked without further
	incident. Post event investigation revealed that a 24vlt halogen bulb
	had been replaced with a 12vlt halogen bulb creating an over heat and
	subsequent failure of the bulb. The light housing was removed and the
	aircraft returned to service.

Additional Info: 
	Though a review of the original order for the light assembly specified
	a 24vlt light, a 12 vlt bulb was shipped/installed with the assembly.
	A low heat, low amp, LED bulb and fixture is being evaluated as an
	alternative to the two existing halogen assemblies. 

Source: Randy Emery, Staff Pilot, Safety Coordinater

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programs when an accident / incident has occurred. Please share the above
information with your program staff. If you have further questions, please
contact the CONCERN Coordinator, David Kearns at 800 525 3712 or email:
coordinator@concern-network.org.

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