CEN17LA219

NTSB accident investigation · Robinson Helicopter R44 II · Douglas, WY · June 9, 2017

Accident · Serious injuriesLimited investigationFinal report
Date
June 9, 2017, 08:20 local (14:20 UTC)
Place
Douglas, WY
Injuries
1 serious, 3 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N590GGRobinson Helicopter R44 II
Defining event
Landing: Hard landing
Weather
Visual (VMC) · Day
Status
Completed · report April 9, 2018
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA FSDO
FAA report
20170609008149A
Case key
95336

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 inability to control the helicopter's descent after encountering a sudden wind shift to a tailwind while performing a near maximum gross weight landing at a high density altitude.

Findings · 4

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.

Wind: sudden wind shiftEnvironmental issues › Conditions/weather/phenomena · Effect on operationRobinson Helicopter R44 II: 3 casesAll aircraft: 114 casesProbable cause
Performance/control parameters: descent rateAircraft › Aircraft oper/perf/capability · Not attained/maintainedRobinson Helicopter R44 II: 7 casesAll aircraft: 242 casesProbable cause
Temp/humidity/pressure: high density altitudeEnvironmental issues › Conditions/weather/phenomena · Effect on operationRobinson Helicopter R44 II: 11 casesAll aircraft: 278 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 airline transport pilot and three passengers departed in a reciprocating engine-powered helicopter for an aerial tour of ranch operations. The pilot reported that, before departure, about a 12- to 15-knot westerly wind prevailed. During the tour flight and on the approach to a vacant spot for landing near a cattle facility, the pilot observed light wind conditions. The pilot also noted that the power and glidepath indications were normal and that the airspeed was 30 knots at 100 ft above ground level (agl). The pilot added that "somewhere below 50 ft agl," there was a sudden, abrupt, high descent rate; as he manipulated the controls, the low rpm light illuminated, and the low rpm warning horn sounded. There was insufficient altitude to lower the collective and regain rpm before the helicopter impacted terrain and rolled to the side while the engine continued to run. The pilot reported that there were no preimpact mechanical malfunctions or failures with the helicopter that would have precluded normal operation. After the accident, he observed a steady tailwind of at least 15 knots. Based on the available information, it is likely that, after encountering a sudden wind shift to a tailwind during landing, the helicopter entered a descent from which the pilot could not recover. Based on the conditions at the time of the accident, the calculated density altitude was 7,015 ft, and the helicopter was near the maximum gross weight of 2,500 lbs.

Factual narrative

***This report was modified on February 20, 2018, and April 19, 2018. Please see the docket for this accident to view the original report.*** On June 9, 2017, about 0820 mountain daylight time, a Robinson R44 II helicopter, N590GG, impacted terrain near Douglas, Wyoming. The pilot and two passengers were not injured, the third passenger received serious injuries, and the helicopter was substantially damaged during the accident. The helicopter was registered to and operated by Wagonhound Land and Livestock Co, LLC, under the provisions of 14 Code of Federal Aviation Regulations Part 91. Visual meteorological conditions prevailed at the time. The pilot reported that he topped the fuel off at the Converse County airport (KDGW); then he and one other person departed the airport with calm winds. They traveled about 25 miles to a lodge to pick up two additional passengers. The pilot shut the helicopter down, for the passengers to board; while there, he estimated there was a steady west wind at 12-15 knots. They then departed the lodge and did some sightseeing en route to a ranch/stockyard. The pilot reported that he climbed to 1,000 ft as they passed KDGW. The automated weather station located at the KGDW was reporting wind, variable at 3 knots. As they approached the cattle stockyards, they looked at crop status, fields, building irrigation machinery, etc. During that time, the pilot looked at trees, pond surfaces, and ground track which indicated a calm wind condition. The pilot then selected an approach course for a landing, which would avoid a barn and work crews; aiming for clear spot near water tanks. During the approach, the pilot noted that the power and glide path indications were normal, he noticed the last airspeed was at 30 kts and 100 ft agl. The pilot added that "somewhere below 50 ft agl" there was a sudden, abrupt, high rate of descent; he manipulated the controls and the helicopter's low rpm light illuminated and the warning horn sounded. He continued, saying there was no time or altitude to lower the collective and regain rpm. The helicopter impacted terrain and rolled to the side when the left skid failed. The pilot added that after the accident, the engine continued to run and there was no prior mechanical malfunction/failure with the helicopter. He noted that he observed that there was a steady northwest wind estimated at 15 kts, a downwind condition for the approach he had flown. He stated that he believed the high rate of descent was due to the helicopter encountering "an advance gust" or "wind shear" as the wind shifted from calm to the tailwind. Based on the conditions at the time of the accident, the calculated density altitude was 7,015 ft, and the helicopter was near the maximum gross weight of 2,500 lbs. The Helicopter Flying Handbook (FAA-H-8083-21A), Chapter 11, "Helicopter Emergencies and Hazards," with regard to "Settling with Power (Vortex Ring State)" states the following: Vortex ring state describes an aerodynamiccondition in which a helicopter may be in a vertical descent with 20 percent up to maximum power applied, and little or no climb performance. The term "settling with power" comes from the fact that the helicopter keeps settling even though full engine power is applied. …Tip vortices generate drag and degrade airfoil efficiency. As long as the tip vortices are small, their only effect is a small loss in rotor efficiency. However, when the helicopter begins to descend vertically, it settles into its own downwash, which greatly enlarges the tip vortices. In this vortex ring state, most of the power developed by the engine is wasted in circulating the air in a doughnut pattern around the rotor. …A vortex ring state may be entered during any maneuver that places the main rotor in a condition of descending in a column of disturbed air and low forward airspeed. Airspeeds that are below translational lift airspeeds are within this region of susceptibility to settling with power aerodynamics. …Some of the situations that are conducive to a settling with power condition are: any hover above ground effect altitude, specifically attempting to hover [out-of-ground-effect] OGE at altitudes above the hovering ceiling of the helicopter, attempting to hover OGE without maintaining precise altitude control, pinnacle or rooftop helipads when the wind is not aligned with the landing direction, and downwind and steep power approaches in which airspeed is permitted to drop below 10 knots depending on the type of helicopter.... The Pilot's Handbook of Aeronautical Knowledge (FAA-H-8083-25B), Chapter 12, "Weather Theory, Low-Level Wind Shear, page 2-11 states the following: "Wind shear is dangerous to an aircraft. It can rapidly change the performance of an aircraft and disrupt the normal flight attitude. For example, a tailwind quickly changing to a headwind causes an increase in airspeed and performance. Conversely, a headwind changing to a tailwind causes a decrease in airspeed and performance. In either case, a pilot must be prepared to react immediately to these changes to maintain control of the aircraft."

Aircraft

Registration
N590GG
Reported as
Robinson Helicopter R44 II (II)
Category
Helicopter
Serial number
13973
Built
2016
Airframe hours
112.9
Engine
Lycoming IO-540-AE1A5, 245 horsepower, reciprocating
Damage
Substantial damage
Flight
Business · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · February 24, 2017
Departed
Douglas, WY
Destination
Douglas, WY

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
66
Injuries
None
Certificates
Commercial, Airline transport
Airplane ratings
Single-engine sea, Multi-engine sea, Single-engine land, Multi-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 2, With waivers/limitations
Last flight review
March 15, 2017
Seat
Right
Flight hours
17,457 total · 4,848 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
240° at 13 knots, gusting 19
Visibility
10 statute miles
Lowest ceiling
None
Temperature
72 °F, dew point 34 °F
Altimeter
29.80 inHg
Observed at
KDGW

Docket · 3

The files NTSB released with the investigation on January 8, 2018, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.5 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.