CEN12LA230

NTSB accident investigation · Robinson Helicopter R22 Beta · Isabel, SD · April 5, 2012

Accident · Serious injuriesLimited investigationFinal report
Date
April 5, 2012, 07:00 local (13:00 UTC)
Place
Isabel, SD
Injuries
1 serious, 1 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N104MHRobinson Helicopter R22 Beta
Defining event
Maneuvering-low-alt flying: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed · report December 5, 2013
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA Rapid City FSDO
FAA report
20120405007179A
Case key
83307

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 partial loss of engine power due to carburetor ice.

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.

Temp/humidity/pressure: conducive to carburetor icingEnvironmental issues › Conditions/weather/phenomena · Contributed to outcomeRobinson Helicopter R22 BETA: 9 casesAll aircraft: 435 casesProbable cause
AircraftAircraft › Aircraft power plant · Not specifiedRobinson Helicopter R22 BETA: 2 casesAll aircraft: 151 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

While maneuvering at low altitude during a coyote hunting operation, the helicopter experienced a partial loss of engine power. The helicopter descended, impacted trees and terrain, and rolled on its right side. There was a minor fuel leak but no postimpact fire. A postaccident examination of the helicopter did not reveal any evidence of preimpact mechanical malfunction or failures that would have precluded normal operation. Based on the temperature and dew point about the time of the accident, the conditions were conducive to serious carburetor icing at any power setting. The pilot reported that he was unsure if he had used carburetor heat for the accident flight. Available evidence suggests that the engine partially lost power in the absence of carburetor heat while operating in conditions conducive to carburetor icing.

Factual narrative

On April 5, 2012, about 0700 mountain daylight time, a Robinson R22 Beta helicopter, N104MH, impacted terrain while maneuvering at low altitude near Isabel, South Dakota. The pilot was seriously injured and the passenger was not injured. The helicopter was substantially damaged. The helicopter was registered to and operated by the pilot, under the provisions of 14 Code of Federal Regulations Part 91, as a coyote hunting flight. Day visual meteorological conditions prevailed and no flight plan was filed. The flight departed Timber Lake Municipal Airport (D58), Timber Lake, South Dakota about 0630 for the local flight. The pilot reported that he was flying about 50 to 70 knots southbound about 50 feet or more above ground level (AGL) with the surface wind out of the southeast. He made a sudden steep right turn to the west to intercept a coyote when he felt a loss of engine power, heard a "low rotor horn", and he immediately "dumped the collective". The helicopter impacted trees and terrain and rolled on its right side. There was a minor fuel leak, but no postimpact fire. After the helicopter came to rest both occupants were able to extract themselves from the wreckage. The injured pilot stayed with the wreckage while the passenger walked several miles in the remote rural area to a residence to make a telephone call to 9-1-1 emergency. A postaccident examination of the helicopter showed an adequate amount of uncontaminated fuel was present. The tips of the main rotor blades were curved up almost 90 degrees up from the horizontal. There was little evidence of rotational impact damage on the leading edges of the main rotor blades and tail rotor blades. No preimpact anomalies were found which would have prevented normal operation. The nearest aviation weather reporting station was located at Mobridge Municipal Airport (KMBG), Mobridge, South Dakota, about 44 miles northeast from the accident site. At 0652, the KMBG automated surface observing system reported the following weather conditions: wind 130 degrees at 11 knots, visibility 10 miles, few clouds at 3,900 feet AGL, temperature 7 degrees Celsius, dew point minus 1 degree Celsius, and an altimeter setting of 29.87 inches of Mercury. A weather reporting station was located at Timber Lake, South Dakota, about 15 miles northeast from the accident site. At 0700 the Timber Lake reporting station reported an average temperature of 37 degrees Fahrenheit, and an average humidity of 71 percent. The wind was reported as 8 miles per hour gusting to 15 miles per hour from 133 degrees. The carburetor icing probability chart included in Federal Aviation Administration (FAA) Special Airworthiness Information Bulletin No. CE-09-35, Carburetor Icing Prevention, indicates that an aircraft operating in the ambient conditions at the time of the accident could expect a serious risk of accumulating carburetor ice at any power setting. The FAA Pilot's Handbook of Aeronautical Knowledge states that when conditions areconductive to carburetor icing that carburetor heat should be applied immediately and should be left on until the pilot is certain all the ice has been removed. Additionally, if ice is present the application of partial carburetor heat or leaving heat on for an insufficient time might aggravate the situation. The pilot reported that he was unsure if he had used carburetor heat for the accident flight.

Aircraft

Registration
N104MH
Reported as
Robinson Helicopter R22 Beta
Category
Helicopter
Serial number
1843
Airframe hours
6,197
Engine
Lycoming 0-320 SERIES, 131 horsepower, reciprocating
Damage
Substantial damage
Flight
Other work use · Part 91
Operator
Duane J Kraft, doing business as Air Kraft Spraying
Registered owner
Duane J Kraft
Airworthiness certificate
Standard, Normal
Last inspection
Annual · January 1, 2012 · 13 hours before
Departed
D58 · Timber Lake, SD
Destination
D58 · Timber Lake, SD

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
40
Injuries
Serious
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land, Single-engine sea
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
April 30, 2011
Seat
Right
Restraint
3-point
Flight hours
11,690 total · 208 in this make and model · 40 in the last 90 days · 20 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
130° at 11 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
45 °F, dew point 30 °F
Altimeter
29.87 inHg
Observed at
KMBG, 44 nm away

Docket · 5

The files NTSB released with the investigation on September 26, 2013, on NTSB’s docket system: statements, records, photos and specialists’ reports. 8.8 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.