CEN11LA648

NTSB accident investigation · Robinson Helicopter R44 · Ocate, NM · September 15, 2011

Accident · Serious injuriesLimited investigationFinal report
Date
September 15, 2011, 16:50 local (22:50 UTC)
Place
Ocate, NM
Injuries
1 serious, 1 minor
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N828PMRobinson Helicopter R44
Defining event
Landing: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed · report February 27, 2013
Report
Approved by Office Director
NTSB office
Central Region
Parties
Lycoming Engines, FAA Albuquerque FSDO, Robinson Helicopter Company
FAA report
20110915021219A
Case key
81813

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 pilot’s failure to apply carburetor heat, which resulted in the formation of carburetor ice and a partial loss of engine power.

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.

Engine fuel and control: fuel control/carburetorAircraft › Aircraft power plant · Not used/operatedRobinson Helicopter R44: 1 caseAll aircraft: 195 casesProbable cause
Action: incomplete actionPersonnel issues › Action/decision · PilotRobinson Helicopter R44: 2 casesAll aircraft: 105 casesProbable cause
Temp/humidity/pressure: conducive to carburetor icingEnvironmental issues › Conditions/weather/phenomena · Effect on equipmentRobinson Helicopter R44: 2 casesAll aircraft: 435 cases

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 helicopter was about 80 to 150 feet above ground level with the airspeed about 10 to 15 knots, when the pilot got a low rotor rpm warning, and the engine lost power. The pilot lowered the collective pitch lever, put in right pedal, and kept “full throttle.” The helicopter made two to three complete 360 degree turns before it impacted terrain. According to a carburetor icing probability chart, an engine operating in the ambient conditions at the time of the accident could expect a serious risk of carburetor icing while at cruise power. The pilot reported that he had possibly failed to use enough carburetor heat and he thought that was the reason for the loss of engine power. An examination of the helicopter showed no preimpact mechanical failures or anomalies that would have precluded normal operation.

Factual narrative

On August 15, 2011, at 1650 mountain daylight time, a Robinson R44 helicopter, N828PM, was substantially damaged when it impacted terrain during landing at a remote hunting lodge near Ocate, New Mexico. The helicopter was owned and operated by a private individual. The pilot was seriously injured and the passenger sustained minor injuries. Visual meteorological conditions prevailed and a flight plan had been not filed for the 14 Code of Federal Regulations Part 91 personal flight. At the time of the accident the helicopter was returning from a local flight. The pilot reported that he was about 40 feet above power lines with the helicopter flying about 80 to 150 feet above ground level with the airspeed at about 10 to 15 knots. At that point a gust of wind caused the nose of the helicopter to begin an uncommanded turn to the left and the pilot got a low rotor warning and a loss of engine power. The pilot lowered the collective pitch lever, put in right pedal, and kept “full throttle”. The pilot reported that the helicopter continued to spin and made two to three complete 360 degree turns before it impacted terrain. During impact the skid landing gear collapsed and the lower fuselage and tail boom were substantially damaged. The helicopter came to rest mostly upright. There was adequate fuel on-board, but there was no fuel spill and no postimpact fire. According to a carburetor icing probability chart, an engine operating in the ambient conditions at the time of the accident could expect a serious risk of carburetor icing while at cruise power. The pilot reported that he had possibly failed to use enough carburetor heat on this flight and he thought that was the reason for the loss of engine power. An examination of the helicopter showed no preimpact mechanical failures or anomalies that would have prevented operations.

Aircraft

Registration
N828PM
Reported as
Robinson Helicopter R44
Category
Helicopter
Serial number
1493
Airframe hours
1,381
Engine
Lycoming O-540F1 SERIE, 260 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · January 14, 2011 · 64 hours before
Departed
Ocate, NM
Destination
Ocate, NM

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
39
Injuries
Serious
Certificate
Private
Medical
Class 3, Without waivers/limitations
Last flight review
July 16, 2010
Seat
Right
Flight hours
500 total · 144 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
260° at 6 knots
Visibility
10 statute miles
Lowest ceiling
6,000 ft broken
Temperature
54 °F, dew point 41 °F
Altimeter
30.22 inHg
Observed at
KAXX, 14 nm away

Docket · 13

The files NTSB released with the investigation on January 30, 2013, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.0 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.