ATL04FA141

NTSB accident investigation · Robinson R44 · Barnesville, GA · June 27, 2004

Accident · FatalField investigationFinal report
Date
June 27, 2004, 05:30 local (09:30 UTC)
Place
Barnesville, GA
Injuries
3 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N441MGRobinson R44
Weather
Instrument (IMC) · Night
Status
Completed · report September 13, 2005
Report
Approved by Office Director
Parties
Atlanta FSDO, Robinson Helicopter, Lycoming Engines
FAA report
20040627030379A
Case key
59526

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

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Probable cause

The certified flight instructor's in-flight decision to continue VFR flight into IMC, which resulted in spatial disorientation, and the subsequent in a loss of control. A factor was fog.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

In flight encounter with weatherCruise
Weather condition - fogFactor
Vfr flight into imc - continuedPilot in command(cfi)Cause
In-flight planning/decision - inadequatePilot in command(cfi)Cause
Loss of control - in flightDescent - uncontrolled
Spatial disorientationPilot in command(cfi)Cause
Aircraft control - not maintainedPilot in command(cfi)
In flight collision with objectDescent - uncontrolled
Object - tree(s)

Analysis

According to the mechanic of MG Aviation the purpose of the cross-country flight was to take the private pilot's wife to visit her grandmother in a hospital in Florida. The private pilot called his flight instructor to assist him on the cross-country flight. The mechanic stated that the flight instructor came to his residence to pick up his flight bag at 0200 shortly after returning from a concert. The mechanic asked if he needed any assistance in preparing for the flight to Florida, and the flight instructor replied that the private pilot prepared everything for the cross-country flight. That was the last conversation the mechanic had with the flight instructor. According to a witness a helicopter was heard flying over the residential area, and shortly afterward an explosion was heard. Witnesses searched the area, and a helicopter was located in the back of a residential home engulfed in flames. . Examination of the wreckage site revealed the helicopter rested approximately 25 yards behind a residential home. The wreckage path was approximately 35 feet in length on a northerly heading at the base of a tree. The tail boom section was broken, and buckled. The main rotor blades were buckled and separated from the main rotor mass. The tail rotor shaft was separated from the tail boom and lodge in a tree. The tail rotor gearbox was separated and the tail rotor blades were broken. First responders to the accident site reported dense fog conditions at the accident site. There was no record of the pilot receiving a weather briefing before the departure or while en route.

Factual narrative

History of flight

On June 27, 2004 at 0530 eastern daylight time a Robinson Helicopter R44, N441MG, registered to and operated by MG Aviation, collided with trees, and burst into flames during a cross-country flight in a residential area in Barnesville, Georgia. The personal flight was operated under provisions of Title 14 CFR Part 91. Instrument meteorological conditions prevailed at the time of the accident and no flight plan was filed. The helicopter sustained substantial damage. The certified flight instructor, and two passengers were fatally injured. The flight originated from Greenville-Spartanburg International Airport, Greer, South Carolina, on June 27, 2004 approximately 0300.

According to the mechanic of MG Aviation the purpose of the cross-country flight was to take the pilot's wife to visit her grandmother in a hospital in Florida. The pilot called the mechanic at 0100, the morning of the flight to ask about the maintenance on helicopters N441MG and N229CH. He then called his flight instructor to accompany him on the cross-country flight to Florida. The mechanic stated that the flight instructor came by his residence to pick up his flight bag at 0200 shortly after returning from a music concert. The flight instructor then confirmed with the mechanic the same story that the pilot had told him about leaving in morning for Florida. The mechanic asked if he needed any assistance in preparing for the flight to Florida, and the flight instructor replied that the pilot prepared everything for the flight. That was the last conversation the mechanic had with the flight instructor.

According to a witness, at 0530 a helicopter was heard over the residential area in Barnesville, Georgia. Shortly afterward, an explosion was heard. Witnesses searched the area, and a helicopter was located in the back of a residential home engulfed in flames. Efforts to extinguish the flames were unsuccessful. First responders to the accident site reported dense fog conditions. No radio transmissions were received from the pilot prior to the accident.

Personnel information

Review of the certified flight instructors flight records revealed, he was issued a flight instructor rating on May 02, 2004 with rotorcraft-helicopter, instrument-helicopter, commercial pilot ratings. Review of flight logbook records revealed his total flight time was 294.3 flight hours. The flight instructor held a second-class medical certificate dated December 12, 2002 and valid when wearing corrective lenses.

Review of the private pilots flight records revealed, he was issued a private pilot certificate on April 7, 2004, with ratings for rotorcraft-helicopter. Review of logbook records revealed his total flight time was 118.6 flight hours.

Aircraft information

Review of aircraft maintenance logbooks revealed that the last recorded altimeter, static, and transponder system checks were completed on December 27, 2002. The last 100-hour/annual inspections were conducted on January 18, 2004.

Review of the Robinson R44 pilot-operating handbook, Section 2, Limitations, states: VFR day is approved. VFR night is permitted only when landing, navigational, instrument, and anti-collision lights are operational. Orientation during night flight must be maintained by visual reference to ground objects illuminated solely by lights on the ground or adequate celestial illumination.

Meteorological information

The National Weather Service, Surface Analysis chart for 0900Z depicted a stationary front extending across South Carolina and northern Georgia, Alabama, Mississippi, to the Louisiana/ Arkansas border, into eastern Texas. The front was located immediately north of the accident site and in the immediate vicinity of the departure station of Greer, South Carolina. Light pressure gradient existed across the area with several stations reporting mist/fog with temperature-dew point spreads of less than 4-degrees Fahrenheit.

The National Weather Service, Depiction Chart for 1000Z depicted an area of IFR conditions over Georgia and Alabama, and including the accident site. A larger area of marginal visual flight rules conditions extending over most of Georgia, Alabama, and western South Carolina. The station models indicated overcast sky conditions with ceilings at 400 feet in the surrounding the accident site.

The closest observation to the accident site was the Thomaston-Upson Country Airport (KOPN), Thomaston, Georgia, located approximately 11 miles south-southwest of the accident site. The Terminal Area Forecast for KOPN effective at 0942Z, forecasted winds at 240 at 3 knots, 2 ½ statue miles visibility, overcast at 200 feet, temperature 22-degrees Celsius, dew point 22-degrees Celsius, barometric setting 30.13. The in-flight weather advisory issued at 0734Z, was Airmet Sierra for IFR conditions valid until 1400Z.

The astronomical data from the US naval Observatory revealed the following conditions for Barnesville, Georgia. The beginning of civil twilight: 0601 eastern daylight time, and sunrise: 0630 eastern daylight time. At the time of the accident the Sun was approximately 11 degrees below the horizon.

First responders to the scene of the accident site reported dense fog as they arrived at the accident site. There was no record of the pilot receiving a weather briefing before the departure or while en route.

Wreckage examination

Examination of the wreckage site revealed the helicopter came to rest approximately 25 yards behind a residential home. The wreckage path was approximately 35 feet in length on a northerly heading. Freshly cut trees were along the wreckage path. The helicopter came to rest at the base of a tree and the main fuselage was fire damaged. The tail boom section was broken, and buckled. The main rotor blades were buckled and separated from the main rotor mass. The tail rotor shaft was separated from the tail boom and lodge in a tree. The tail rotor gearbox was separated and the tail rotor blades were broken. The landing skids were broken and separated from the fuselage. Additional helicopter wreckage debris was found forward of the main wreckage. The helicopter was recovered and taken to a facility for further examination.

Post accident examination of the cockpit and cabin section revealed that they were fire damaged. All of the removable flight controls were installed. The collective slider was separated, and the collective was in a full up position. The carburetor heat and mixture control cables were separated from their mounting locations. The mixture control was in the full rich position. The fuel tanks were fire damaged. The fuel valve knob and fuel valve body were both in the ON position. The remainder of the fuel system was crush and fire damaged. The empennage was separated from the tailcone, and the rear tail cone casting was fractured. The tail rotor gearbox was separated from the empennage and tailcone. The empennage was intact, and the horizontal stabilizer had a dent on the leading edge near the vertical stabilizers.

Post accident examination of the powerplant controls revealed that they were fire damaged. The engine was fire damaged, and the crankshaft rotated with valve train continuity observed at all cylinders. Suction and compression were noted at all cylinder positions. Accessory gear section rotation and continuity was also observed. The left and right magnetos were fire damaged and spark was not obtained. The carburetor fuel inlet screen was observed free of debris. The oil filter element and oil suction screen were free of debris. Post accident examination of the engine did not reveal any mechanical anomalies.

Post accident examination of the drive belts revealed that they were fire damaged. The belt tension actuator was fractured at the upper bearing. Both upper and lower actuator bearings rotated freely. The sprag clutch locked and freewheeled, and the forward flex co

Aircraft

Registration
N441MG
Reported as
Robinson R44
Category
Helicopter
Serial number
0915
Airframe hours
945
Engine
Lycoming 0-540-F1B5, 260 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Registered owner
MG Aviation
Airworthiness certificate
Standard, Normal
Last inspection
Annual · January 1, 2004 · 69 hours before
Departed
GSP · Greer, SC
Destination
AAF · Apalachicola, FL

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
26
Injuries
Fatal
Certificates
Commercial, Flight instructor
Instrument ratings
Helicopter
Medical
Class 2, With waivers/limitations
Last flight review
February 1, 2004
Toxicology
Performed
Flight hours
294 total
Role
Student pilot
Age
32
Injuries
Fatal
Certificate
Private
Medical
Class 3, Without waivers/limitations
Last flight review
February 1, 2004
Seat
Left
Flight hours
118 total · 56 as pilot in command

Weather

Conditions
Instrument (IMC) · Night
Wind
220° at 4 knots
Visibility
8 statute miles
Lowest ceiling
15,000 ft broken
Temperature
70 °F, dew point 68 °F
Altimeter
30.12 inHg
Observed at
ATL, 19 nm away

Docket · 21

The files NTSB released with the investigation on June 29, 2005, on NTSB’s docket system: statements, records, photos and specialists’ reports. 25.4 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.