CEN13LA194

NTSB accident investigation · Robinson Helicopter R44 II · Eagle Nest, NM · March 14, 2013

Accident · No injuriesLimited investigationFinal report
Date
March 14, 2013, 14:45 local (20:45 UTC)
Place
Eagle Nest, NM
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N392GPRobinson Helicopter R44 II
Defining event
Enroute-cruise: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report June 24, 2013
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA Flight Standards District Office
FAA report
20130314002929A
Case key
86430

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

A total loss of engine power due to a rapid throttle change during autorotation, which the flight instructor initiated in response to a low rotor rpm warning, which resulted from the separation of one of the magnets used to provide rotor rpm indications from the rotating transmission yoke. Contributing to the accident was the flight instructor's aft cyclic input upon landing.

Findings · 2

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.

Use of equip/info: aircraft controlPersonnel issues › Task performance · Instructor/check pilotRobinson Helicopter R44 II: 99 casesAll aircraft: 9,295 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 flight instructor and student pilot were cruising about 800 feet above ground level when they heard a loud “bang,” followed immediately by the low rotor rpm horn, a warning light illumination, and a rapid decrease in rotor rpm indication. In response, the instructor initiated an autorotation by lowering the collective, and the engine immediately lost power. The helicopter touched down and then rocked forward due to soft and downward-sloping terrain. The instructor applied slight aft cyclic to prevent the main rotor blades from contacting the ground; however, the main rotor blades struck and severed the tail boom. The engine was functionally tested, and it operated normally. However, one of the magnets used to provide rotor rpm indications was missing from the rotating transmission yoke and was found affixed to a bolt just aft of the yoke. It likely had become loose in flight, and its movement was the bang heard by the pilots. Scarring was found on one of the sensors opposite the magnet, indicating that the magnet had contacted the sensor. The separation of the magnet caused the rotor rpm indication to drop and the low rotor rpm warning horn and light to activate. Due to the control linkage between the collective and the throttle, when the instructor lowered the collective, the throttle closed rapidly. According to Robinson Helicopters, rapid throttle changes can result in a fuel-air ratio becoming too rich or too lean to sustain engine operation and result in an engine failure.

Factual narrative

On March 14, 2013, about 1445 mountain daylight time, the flight instructor of a Robinson R-44, N392GP, was forced to make an autorotation to an open field after the engine lost power near Eagle Nest, New Mexico. The flight instructor and second pilot were not injured. The helicopter was substantially damaged. The helicopter was registered to Global Positioning Services, Inc., Anchorage, Alaska, and operated by Leading Edge Aviation, Inc., Bend, Oregon, under the provisions of 14 Code of Federal Regulations Part 91 as an instructional flight. Visual meteorological conditions prevailed at the time of the accident, and a visual flight rules flight plan had been filed but not activated. The flight originated from Dalhart, Texas, and was en route to Monte Vista, Colorado. According to the instructor’s accident report, he and his student were cruising at 800 feet above the ground when they heard a loud “bang,” followed immediately by the low rotor RPM horn, warning light illumination, and a rapid decrease in rotor RPM. The instructor initiated an autorotation to an open field. The helicopter touched down and rocked forward due to the soft and downward sloping terrain. The pilot applied slight aft cyclic to prevent the main rotor blades from contacting the ground. The main rotor blades struck and severed the tail boom. The helicopter was later transported to the operator’s facility in Bend, Oregon, where the engine was functionally tested. The engine was started and ran normally, and all parameters where within normal limits. During the examination, it was discovered that one of the magnets used to provide rotor RPM indications was missing from the transmission yoke. There was scaring on one of the sensors opposite this magnet, indicating it had made contact with the magnet while the yoke was rotating. According to Robinson Helicopters, if one of the magnets or sensors opens, rotor RPM will drop and the low rotor RPM warning horn will activate. The magnet was later found affixed to a bolt just aft of the yoke, and a small dent was found on the horizontal firewall. According to Robinson Helicopter, rapid throttle changes in the R44 can result in the fuel-air ratio becoming too rich or too lean to sustain engine operation and result in an engine failure, particularly at higher density altitudes.

Aircraft

Registration
N392GP
Reported as
Robinson Helicopter R44 II
Category
Helicopter
Serial number
11238
Airframe hours
2,167
Engine
Lycoming IO-540-F1B5, 205 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Leading Edge Aviation, Inc.
Registered owner
Global Positioning Services, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · February 13, 2013 · 63 hours before
Departed
KDHT · Dalhart, TX
Destination
KMVI · Monte Vista, CO

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
Flight instructor
Age
33
Injuries
None
Certificates
Commercial, Flight instructor
Instrument ratings
Helicopter
Medical
Class 2, Without waivers/limitations
Last flight review
May 11, 2012
Seat
Left
Flight hours
797 total · 282 in this make and model · 735 as pilot in command · 144 in the last 90 days · 73 in the last 30 days · 7 in the last 24 hours
Role
Pilot
Age
31
Injuries
None
Certificate
Private
Medical
Class 2, Without waivers/limitations
Last flight review
October 26, 2012
Seat
Right
Flight hours
202 total · 73 in this make and model · 79 as pilot in command · 68 in the last 90 days · 38 in the last 30 days · 7 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
180° at 7 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
55 °F, dew point 21 °F
Altimeter
30.40 inHg
Observed at
AXX, 13 nm away

Docket · 7

The files NTSB released with the investigation on April 25, 2013, on NTSB’s docket system: statements, records, photos and specialists’ reports. 672 KB 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.

Other investigations on N392GP · 1

Matched to the same aircraft by N-number and date.