CEN12LA289

NTSB accident investigation · Robinson Helicopter R44 II · Grants, NM · May 10, 2012

Accident · No injuriesLimited investigationFinal report
Date
May 10, 2012, 10:15 local (16:15 UTC)
Place
Grants, NM
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N7523SRobinson Helicopter R44 II
Defining event
Maneuvering-low-alt flying: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report April 10, 2013
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA FSDO
Case key
83606

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 loss of engine power due to an excessively rich fuel mixture that occurred during operations at idle power settings at a high density altitude. Contributing to the accident was the flight instructor’s poor decision-making in choosing to practice an unnecessary autorotation over mountainous terrain.

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 · Related operating infoAll aircraft: 195 casesProbable cause
Action: unnecessary actionPersonnel issues › Action/decision · Instructor/check pilotAll aircraft: 52 casesProbable cause
Terrain: mountainous/hilly terrainEnvironmental issues › Physical environment · Ability to respond/compensateAll aircraft: 329 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 helicopter, which had been based at sea level, had recently been sold, and the flight instructor and a commercial pilot were flying it across the country to its new base. While in cruise flight over mountainous terrain at high density altitude, the flight instructor initiated a practice autorotation for the purpose of maintaining proficiency. During the autorotation, the engine stopped producing power. The instructor continued the autorotation to a landing; however, during the landing, the main rotor blades severed the tail boom. A postaccident engine run at high density altitude revealed that the engine ran rough at an idle power setting with a full rich fuel mixture. Leaning the fuel mixture improved engine performance. It is likely that the fuel control unit was set by maintenance personnel to provide a rich mixture at sea level, which resulted in poor engine performance at high density altitudes.

Factual narrative

On May 10, 2012, about 1015 mountain daylight time, a Robinson R44 II helicopter, N7523S, performed an autorotation following a loss of engine power near Grants, New Mexico. The certificated flight instructor (CFI) and commercial pilot were not injured and the helicopter was substantially damaged. The helicopter was owned and operated by iPrerogative Inc, Washington, Utah, under the provisions of 14 Code of Federal Regulations Part 91 as a positioning flight. Visual meteorological conditions prevailed for the flight which operated on a visual flight rules flight plan. The helicopter departed the Albuquerque International Airport (KABQ), Albuquerque, New Mexico, about 0900, and was destined for the Page Municipal Airport (KPGA), Page, Arizona. According to a statement provided by the CFI, while cruising over mountainous terrain, at 10,000 feet mean sea level (msl), the CFI slowed the helicopter to 70 knots and initiated a practice autorotation, in order to maintain autorotation proficiency. The pilot reported checking 80 percent engine rpm at least twice during the practice autorotation. About 9,200 feet msl (about 600 feet above ground level), the CFI attempted to restore engine power but the engine had quit producing power which was verified by the engine tachometer. The pilot continued the autorotation and lined up with the best available landing area and landed. On touchdown, the helicopter’s main rotor blade contacted the tail boom severing the tail boom. Substantial damage was sustained to the main rotor blades, tail boom, and tail rotor blades. A postaccident engine run was conducted by the National Transportation Safety Board and a technical representative from Lycoming Engines. The engine started and ran for several minutes; however, the engine occasionally ran rough at idle power with a full rich mixture setting. Leaning the fuel mixture via the cockpit mixture control improved engine performance. The density altitude at the time of the engine run was approximately 8,100 feet. A review of maintenance records showed that maintenance work was performed in Florida at an altitude of 100 feet mean sea level. Any adjustment to the fuel control unit, which sets the idle mixture, would have been set at this altitude by maintenance personnel.

Aircraft

Registration
N7523S
Reported as
Robinson Helicopter R44 II
Category
Helicopter
Serial number
10276
Airframe hours
1,377.3
Engine
Lycoming IO-540 SER, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Ferry · Part 91
Operator
iPrerogative, Inc
Registered owner
Rotortrends Inc
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 29, 2012
Departed
KABQ · Albuquerque, NM
Destination
KPGA · Page, AZ
Flight plan
VFR

Flight crew · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
32
Injuries
None
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land
Instrument ratings
Helicopter
Medical
Class 2, Without waivers/limitations
Last flight review
May 3, 2011
Seat
Right
Flight hours
613 total · 138 in this make and model · 529 as pilot in command · 32 in the last 90 days · 24 in the last 30 days · 8 in the last 24 hours
Role
Pilot
Age
30
Injuries
None
Certificate
Commercial
Medical
Class 2, Without waivers/limitations
Seat
Left

Weather

Conditions
Visual (VMC) · Day
Wind
170° at 5 knots
Lowest ceiling
None
Temperature
63 °F, dew point 25 °F
Altimeter
30.05 inHg
Observed at
KGNT

Docket · 2

The files NTSB released with the investigation on February 27, 2013, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.8 MB in all.