CEN18FA244

NTSB accident investigation · Robinson R22 · Sterling City, TX · June 30, 2018

Accident · FatalField investigationFinal report
Date
June 29, 2018, 20:10 local (Jun 30, 2018, 01:10 UTC)
Place
Sterling City, TX
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Landing
Aircraft
N787SHRobinson R22
Defining event
Landing: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed · report August 25, 2020
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA FSDO, Lycoming Engines, Robinson Helicopters
FAA report
20180629010769A
Case key
97647

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 loss of control during the landing approach for reasons that could not be determined based on the available information.

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.

Not determinedNot determined › Not determined · Unknown/Not determinedRobinson Helicopter R22: 1 caseAll aircraft: 2,247 casesProbable cause
Performance/control parametersAircraft › Aircraft oper/perf/capability · Not attained/maintainedRobinson Helicopter R22: 4 casesAll aircraft: 1,269 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 pilot of the helicopter was approaching to land on a trailer following a short local flight. A witness saw the pilot abort the landing approach and stated that the helicopter backed away from the trailer, began to climb, then entered a "violent" counterclockwise spin as it climbed to about 20 to 25 ft above the ground. The helicopter spun 4 or 5 times, then the witness heard a loud noise like an engine backfire and the helicopter "fell" to the ground and came to rest on its right side. Examination of the airframe, drive systems, flight controls, and engine did not reveal any pre-impact mechanical anomalies that would have resulted in a loss of control. The helicopter was configured with a single set of flight controls (pedals, collective, and cyclic) on the right side; the left side controls were not installed, and the cover plate for the removed left pedal assembly was not installed. Three metal ammunition boxes containing tools and loose shotgun shells were recovered from the debris field. During postaccident examination, the boxes were placed on the left side floor to determine whether they may have interfered with pedal movement. The edge of the most-forward box covered the top of the left side pedal receiver when the right pedal was positioned aft of neutral. Shotgun shells were recovered from the left floor area, the belly area, and in the debris field. One shell had a dent in the plastic shell; however, the origin of the dent could not be confirmed. Due to impact damage to the floor and pedal assemblies, whether any of these items may have interfered with pedal movement during the flight could not be determined. The pilot had over 20,000 hours in the type of helicopter. No mechanical anomalies were found that could have precluded normal operations. It is possible that the counterclockwise spin could have been a result of pedal control interference from the ammo cans or shotgun shells on the uncovered left pedal assembly; however, control interference could not be determined conclusively.

Factual narrative

The helicopter was configured with a single set of flight controls (pedals, collective, and cyclic) at the right seat. The left seat pilot controls were not installed, and the cover plate for the removed left pedal assembly was not installed. The operator stated that the helicopter was routinely used in cattle roundup and predator mitigation operations. The helicopter had flown a previous flight of about 3.7 hours on the morning of the accident. The pilot who conducted that flight did not report any anomalies with the helicopter. On June 29, 2018, about 2010 central daylight time, a Robinson R22B, N787SH, was destroyed when it was involved in an accident near Sterling, Texas. The pilot was fatally injured. The helicopter was operated as a Title 14 Code of Federal Regulations Part 91 work use flight. The purpose of the flight was to inspect a nearby stock water tank and inoperative water pump. The pilot had completed the flight and was returning to land on the helicopter's trailer when the accident occurred. A witness, who was located at the home base, stated that she saw the helicopter make an approach to land on the trailer, but the pilot aborted the landing, and the helicopter backed away from the trailer and climbed. The helicopter then began "a violent spin" as it climbed to 20 to 25 ft above the ground. The helicopter spun 4 or 5 times, then the witness heard a loud noise like an engine backfire and the helicopter "fell" to the ground. She could not recall whether she heard the engine producing power following the backfire noise. The witness stated that she thought the spin was in the counterclockwise direction but was not positive. She did not see the impact because of building obstructions. The engine was not running when she reached the helicopter. South Plains Forensic Pathology, Lubbock, Texas, performed an autopsy of the pilot. The pilot's cause of death was multiple blunt force injuries. The FAA's Forensic Sciences Laboratory performed toxicology testing on the pilot's tissue samples. The toxicology tests were negative for drugs and ethanol. Small amounts of over-the-counter medicine for hay fever and allergies were present. A company pilot reported that the wind was about 10-12 knots from the south about the time of the accident. The accident site was located about 200 ft from its intended landing site on the transport trailer. The helicopter impacted level terrain and came to rest on its right side. There was no evidence of contact with obstructions during the approach. The fuselage sustained impact damage to its lower right side. Both pilot and passenger doors were not installed. Three ammunition cans containing tools and several loose shotgun shells (discharged and undischarged) were present within the wreckage area. Several shotgun shells were recovered from the left floor area, the belly area, and in the debris field. One shotgun shell had a dent in the plastic shell. Examination of the airframe and engine did not reveal anypre-impact mechanical anomalies. Flight control continuity was confirmed from the cockpit to the flight control surfaces. The ammunition boxes were placed on the left side cockpit floor to observe the geometry of the boxes in relation to the removed left pedal assembly. The edge of the most-forward box covered the top of the left side pedal receiver when the right pedal was positioned aft of neutral. Due to impact damage the position of the ammunition boxes and dented shotgun shell during the flight could not be determined. Detailed airframe and engine examination findings are included in the public docket for this accident.

Aircraft

Registration
N787SH
Reported as
Robinson R22 (BETA)
Category
Helicopter
Serial number
3627
Built
2004
Airframe hours
6,017.3
Engine
Lycoming O-360 SERIES, 145 horsepower, reciprocating
Damage
Destroyed
Flight
Other work use · Part 91
Operator
Concho Aviation LLC
Registered owner
Concho Aviation LLC
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · June 19, 2018 · 17 hours before
Departed
Sterling City, TX
Destination
Sterling City, TX
Equipment
None

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
Fatal
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
August 15, 2017
Seat
Left
Restraint
3-point
Toxicology
Performed
Flight hours
28,000 total · 20,000 in this make and model · 250 in the last 90 days · 90 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
180° at 10 knots, gusting 3
Visibility
10 statute miles
Lowest ceiling
1,000 ft overcast
Temperature
203 °F

Docket · 9

The files NTSB released with the investigation on July 31, 2020, on NTSB’s docket system: statements, records, photos and specialists’ reports. 6.6 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.