ANC22FA030

NTSB accident investigation · Robinson Helicopter R22 Beta · Gila Bend, AZ · April 15, 2022

Accident · FatalClass 3 · FieldFinal report
Date
April 15, 2022, 08:37 local (15:37 UTC)
Place
Gila Bend, AZ · Gila Bend (E63)
Injuries
1 fatal
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N7516GRobinson Helicopter R22 Beta
Defining event
Approach: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Alaska Regional Office
Parties
Quantum Helicopters, Lycoming Engines, Robinson Helicopter Company
FAA report
20220415001739A
Case key
104949

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

The student pilot’s failure to maintain control during the landing approach.

Findings · 3

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Not determinedNot determined › Not determined · Unknown/Not determinedRobinson Helicopter R22 BETA: 16 casesAll aircraft: 2,247 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · Student/instructed pilotRobinson Helicopter R22 BETA: 96 casesAll aircraft: 9,295 casesProbable cause
Performance/control parametersAircraft › Aircraft oper/perf/capability · Not attained/maintainedRobinson Helicopter R22 BETA: 20 casesAll aircraft: 1,269 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The solo student pilot was conducting a cross-country flight when it impacted the terrain 212 ft before the approach end of the runway at the destination airport. The helicopter then slid about 30 ft and came to rest on its right side. A witness located about 1/2 mile west of the accident site reported seeing the helicopter go down and stated that the rotor blades were rotating before the impact. Postaccident airframe and engine examinations revealed no evidence of any preimpact mechanical failures or malfunctions that would have precluded normal operation. Given the upright orientation of the wreckage at impact, the significant damage to the underside of the fuselage, engine and skids, damage to the main rotor blades, coupled with the witness statement, were all consistent with a loss of control and a subsequent uncontrolled descent that resulted in the collision with terrain.

Factual narrative

On April 15, 2022, about 0837 mountain standard time, a Robinson R22 helicopter, N7516G, sustained substantial damage when it was involved in an accident near Gila Bend, Arizona. The student pilot was fatally injured. The helicopter was operated as a Title 14 Code of Federal Regulations Part 91 instructional flight. The flight initiated at the Chandler Municipal Airport (CHD), Chandler, Arizona at about 0757. The flight was intended to be a solo cross-country flight to the Gila Bend Municipal Airport (E63), Gila Bend, Arizona. A witness located about 1/2 mile west of the accident site reported that the helicopter “came directly down.” He stated that before the impact the rotor blades on the helicopter were rotating; however, he was unable to hear the engine of the helicopter because he was operating heavy equipment. The helicopter impacted the terrain about 212 ft from the end of the runway, slid, and came to rest about 181 ft from the approach end of runway 22 at E63, and 52 ft left of runway centerline. The ground scars indicated the helicopter impacted on about a 180° heading and continued to travel on about a 210° heading before coming to rest on its right side with the nose of the helicopter heading about 096°. The helicopter sustained upward crushing on the underside of the fuselage and the engine compartment, the landing gear skids were displaced in multiple pieces, and all major components of the helicopter were located at the scene. A postaccident examination revealed that the braided shielding around the governor motor power cable had been repaired with heat shrink for shielding. The governor motor was placed on a test bench and functioned as designed with the heat shrink repair in place. The heat shrink was removed, and it was noted that the braided shield had been worn away or removed and there was a small area where bare wire was visible through the shielding. The engine crankshaft was rotated, and engine continuity was established. Thumb compression was obtained on all cylinders. The magnetos were placed on a test bench and both produced spark at all leads. Internal examination of the cylinders with a lighted borescope showed normal coloration with no evidence of foreign object ingestion, and no evidence of detonation. About 15 gallons of fuel were removed from the fuel bladders. The fuel was free of contaminates. The blue main rotor blade, serial number 3363, was bent upward at about 99 inches on the span with chordwise scoring and scratching on the tip. The red main rotor blade, serial number 3107, was bowed downward about 58 inches at the span. The clutch assembly spun freely and operated as designed in the locked and freewheeled directions. The drive belts were displaced from their grooves from impact with no abnormal wear noted. The main rotor mast rotated freely through 360°. Flight control continuity was established for all flight controls.

Aircraft

Registration
N7516G
Reported as
Robinson Helicopter R22 Beta
Category
Helicopter
Serial number
3513
Built
2003
Airframe hours
15,010
Engine
Lycoming O-360-J2A, 145 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Quantum Helicopters
Registered owner
Delta Leasing Inc DBA
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · March 28, 2022
Departed
CHD · Chandler, AZ
Destination
Same as departure
Flight plan
Company VFR
Airport
E63 · Gila Bend Municipal Airport, runway 22, 5,200 × 75 ft, asphalt
Equipment
ADS-B

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
29
Injuries
Fatal
Certificate
Student
Medical
Class 2, With waivers/limitations
Seat
Right
Toxicology
Performed
Flight hours
97 total · 97 in this make and model · 8 as pilot in command · 43 in the last 90 days · 11 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
30° at 3 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
66 °F, dew point 23 °F
Altimeter
29.91 inHg
Observed at
KGYR, 31 nm away
METAR
KGYR 151547Z 03003KT 10SM SKC 19/M05 A2991

Docket · 10

The files NTSB released with the investigation on October 19, 2023, on NTSB’s docket system: statements, records, photos and specialists’ reports. 11.7 MB in all.

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.