CEN14LA313

NTSB accident investigation · Robinson R22 - Beta · Moscow Mills, MO · June 19, 2014

Accident · Minor injuriesLimited investigationFinal report
Date
June 19, 2014, 10:30 local (15:30 UTC)
Place
Moscow Mills, MO
Injuries
2 minor
Damage
Substantial damage
Phase of flight
Emergency descent
Aircraft
N784SHRobinson R22 - Beta
Defining event
Autorotation: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed · report June 1, 2015
Report
Approved by Office Director
NTSB office
Central Region
Parties
Robinson Helicopter Company, Federal Aviation Administration
FAA report
20140619012749A
Case key
89522

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 flight instructor’s delayed remedial action to correct the student pilot’s use of an excessive descent rate during a practice autorotation, which resulted in a hard 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.

Action: delayed actionPersonnel issues › Action/decision · Instructor/check pilotRobinson Helicopter R22: 7 casesAll aircraft: 894 casesProbable cause
Performance/control parameters: descent rateAircraft › Aircraft oper/perf/capability · Not specifiedRobinson Helicopter R22: 5 casesAll aircraft: 242 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 reported that, about 1 hour into the instructional flight, the student pilot began to perform a practice 180-degree autorotation. While the helicopter was about 100 ft above ground level, the flight instructor noted that the helicopter was descending at an excessive rate, so he took the flight controls and added power in an attempt to flare the helicopter before it touched down. However, the flight instructor was unable to arrest the descent rate, and the helicopter impacted the ground hard. Examination of the helicopter revealed no mechanical anomalies that would have precluded normal operation.

Factual narrative

On June 19, 2014, at 1030 central daylight time, a Robinson Helicopter Company R-22 Beta, N784SH, impacted terrain during a practice autorotation at Greensfield Airport (M71), Moscow Mills, Missouri. The helicopter sustained substantial damage. The flight instructor and student pilot sustained minor injuries. The helicopter was operated by Helicopter Services and Technologies, LLC (DBA HeliSat) under 14 CFR Part 91 as an instructional flight. Visual meteorological conditions prevailed at the time of the accident. The flight was not operating on a flight plan and departed from the operator's facility in Moscow Mills, Missouri, about 0930 on a local flight The flight instructor stated that training flight began about 0930 with normal takeoffs, landings, and autorotations at M71. At approximately 10:30, the student pilot began to perform a 180-degree autorotation. While turning towards the runway during a 180-degree autorotation, with the RPM just above the green arc and with an airspeed of 65 knots, helicopter began to "fall" through about 100 feet above ground level. The instructor took the flight controls and tried to roll on the throttle and flare the helicopter before it touched down onto the ground. Examination of the helicopter by a Federal Aviation Administration maintenance inspector revealed no mechanical anomalies that would have precluded normal operation. The sprag clutch was removed and examined at Robinson Helicopter Company under the supervision of personnel from the Los Angeles Aircraft Certification Office and Manufacture Inspection District Office. The report of the sprag clutch examination (A166-1 clutch shaft serial number 9795, A188-2 sprag assembly serial number 10453, and the A184-1 support bearing) stated, in part: The sheave was rotated by hand in the direction of normal rotation, the clutch shaft moved with the sheave, as the sheave was rotated opposite the direction of normal rotation, the sheave freewheeled on the shaft. A slight roughness was felt when rotating the shaft. Both yokes and support bearing were removed. The forward retainer plate was removed and the oil was drained from the assembly. The oil appeared black but still had a red tint to it. The oil did not smell burnt. Approximately 9 milliliters was recovered from the assembly (typical clutch assembly contains approximately 17 milliliters). The recovered oil was scanned with a magnet and a small, thin metallic chip was recovered. The bearings were pressed out of the sheave and off of the shaft and the sprag assembly removed. Both bearings had rough spots when rotated by hand. Both bearings were flushed with solvent and afterward the bearings rotated smoothly. The flushing solvent from both bearings was scanned with a magnet and several very small, metallic slivers were recovered. The bearing contact surface of the inner and outer races were visually examined, no discoloration or damage was noted. The inner contact surface of several sprags of the spragassembly had small areas of the surface plating (proprietary to Formsprag) gouged/chipped away with one sprag having a larger area damaged. The outer surface of the sprags appeared normal. The sprag surface of the clutch shaft and the sheave had several scuff marks that appeared to match the size and spacing of the sprags with two areas on the shaft that match the shape of the more damaged sprag. There was no other rotational scoring of the sprag surfaces. The diameter of the sprag surface on the clutch shaft was measured and verified to be within production specifications.

Aircraft

Registration
N784SH
Reported as
Robinson R22 - Beta
Category
Helicopter
Serial number
3622
Airframe hours
111
Engine
Lycoming O-360-J2A, 145 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Helicopter Services and Technologies, LLC, doing business as HeliSat
Registered owner
Eric A Sptizer LLC
Airworthiness certificate
Standard, Normal
Last inspection
Annual · June 15, 2014
Departed
Moscow Mills, MO
Destination
M71 · Moscow Mills, MO
Airport
M71 · Greensfield Airport, runway 27, 3,227 × 50 ft, asphalt

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
32
Injuries
Minor
Certificates
Commercial, Flight instructor
Instrument ratings
Helicopter
Medical
Class 1, With waivers/limitations
Last flight review
June 6, 2013
Seat
Left
Restraint
3-point
Flight hours
1,318 total · 558 in this make and model · 1,244 as pilot in command · 63 in the last 90 days · 20 in the last 30 days · 1 in the last 24 hours
Role
Student pilot
Age
27
Injuries
Minor
Medical
Class 1, Without waivers/limitations
Seat
Right
Restraint
3-point
Flight hours
71 total · 24 in this make and model · 1 as pilot in command · 7 in the last 90 days · 3 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
230° at 8 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
84 °F, dew point 72 °F
Altimeter
30.04 inHg
Observed at
FYG, 19 nm away

Docket · 4

The files NTSB released with the investigation on April 16, 2015, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.4 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.