CEN20FA012

NTSB accident investigation · Robinson R22 Beta · Hebbronville, TX · October 23, 2019

Accident · FatalClass 3 · FieldFinal report
Date
October 23, 2019, 08:46 local (13:46 UTC)
Place
Hebbronville, TX
Injuries
2 fatal, 1 serious, 1 uninjured
Phase of flight
Maneuvering
Aircraft
N7189DRobinson R22 BetaN74512Robinson R22
Defining events
Maneuvering-low-alt flying: Midair collisionManeuvering-low-alt flying: Midair collision
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
Robinson Helicopters, FAA FSDO
Case key
100475

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 failure of the spotter helicopter pilot to maintain clearance from the gunner helicopter while maneuvering. Contributing to the accident were the effects from the pilot’s use of impairing drugs.

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.

N7189D · Robinson R22 Beta

N74512 · Robinson R22

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.

N7189D · Robinson R22 Beta

N74512 · Robinson R22

Analysis

The two helicopters were performing deer netting operations. One helicopter was designated as a “spotter” and relayed the location of deer to the crew of the “gunner” helicopter, which then captured the deer using a gun net. The pilot of the gunner helicopter stated that the pilot of the spotter helicopter identified a deer and notified him of its location. The gunner helicopter was about 50 ft above and 100 ft behind the spotter helicopter as the gunner pilot began maneuvering toward the right and descending to capture the deer. The spotter helicopter initially turned left, then turned right again, and the spotter helicopter’s main rotor impacted the gunner helicopter’s skid and engine area, which sustained substantial damage. The spotter helicopter descended into terrain and was destroyed; the pilot and passenger onboard were fatally injured. The gunner pilot performed an emergency landing; the passenger onboard sustained serious injuries, and the pilot was not injured. Examination of both helicopters did not reveal any preimpact anomalies. Toxicology testing of specimens from the spotter pilot identified ethanol, two prescription opioid medications, and an antidepression medication. The measured ethanol levels were consistent with an impairing blood alcohol level well above the 0.04 g/dL regulatory limit. On its own, the ethanol level was high enough to interfere with tracking, coordination, reaction, and traffic separation tasks. Use of the prescription opioid medications, in addition to alcohol, was likely more impairing than from the use of alcohol alone. The pilot’s autopsy did reveal an intact brain aneurysm, but, as it was intact, it was unlikely to contribute to impairment. Based on the available information, the circumstances of the accident are consistent with the failure of the spotter helicopter pilot to maintain clearance from the gunner helicopter while maneuvering. It is likely that the impairing effects from a combination of alcohol and two opioid drugs contributed to the accident.

Factual narrative

On October 23, 2019, about 0846 central daylight time, two Robinson R22 helicopters, N7189D and N74512, were involved in an accident near Hebbronville, Texas. N7189D was destroyed and the pilot and passenger onboard were fatally injured. N74512 was substantially damaged; the pilot was not injured, and the passenger sustained serious injuries. The helicopters were operated as Title 14 Code of Federal Regulations Part 91 work use flights. The purpose of the flights was to identify and net deer. N7189D was operating as the “spotter” helicopter and was tasked with locating deer to capture and communicating the location to the gunner helicopter (N74512), which then captured the deer using a net gun. After performing netting operations, the pilot of the gunner helicopter left the area to reload their net supply before returning to the operating area, where the pilot of the spotter helicopter had observed a doe. The gunner pilot flew to the area near the spotter helicopter and communicated via radio that he had the doe in sight. The gunner pilot estimated that he was about 100 ft above ground level (agl) about 100 ft behind the spotter helicopter, which was about 50 ft agl and about 100 ft behind the spotter helicopter. The gunner helicopter turned right and descended toward the doe while the spotter helicopter turned left and announced over the radio that he had spotted another deer. Shortly after, the gunner pilot felt an impact and brought his helicopter to a hover. He then saw the spotter helicopter descend and impact terrain. The gun operator onboard the gunner helicopter reported that their helicopter’s skids had separated. The gunner pilot then performed an emergency landing. Two witnesses on the ground were participating in the recovery of the netted deer and saw the impact sequence. Both witnesses were equipped with radios to listen to the pilots. They stated that, after the gunner pilot radioed that he had the doe in sight, the helicopter turned right. The spotter helicopter initially turned to the left, then banked back to the right and collided with the gunner helicopter. An autopsy was conducted on the spotter pilot by the County of Nueces, Office of the Medical Examiner. The autopsy ruled the cause of death to be the result of blunt force trauma and noted the presence of an intact saccular berry aneurysm in the pilot’s brain. Testing conducted by the Medical Examiner found the presence of codeine at 18.9 nanograms per milliliter (ng/mL), ethanol at 0.088 grams per deciliter (g/dL), and tramadol at 188 ng/mL. In addition, caffeine, nicotine, and cotinine were detected. The FAA Forensic Sciences Laboratory performed toxicology testing on specimens from the pilot. Specimens were positive for the following substances: • Ethanol – 101 mg/dL blood (subclavian), 104 mg/dL vitreous, 121 md/dL urine • Methanol – detected in blood, vitreous, and urine • Codeine – 7 mg/dL urine, 20 ng/mL blood, 7,279 ng/mL urine • Morphine – negative in blood, 1,226ng/mL urine • Tramadol – 220 ng/mL blood, negative in urine • Desmethyltramadol – detected in blood and urine • Citalopram – detected in blood, inconclusive in urine • N- desmethylcitalopram – detected in blood and urine • Acetaminophen – detected in blood and urine • Ranitidine – detected in blood and urine Ethanol is the intoxicating alcohol in beer, wine, and liquor. It can impair judgment, psychomotor performance, cognition, and vigilance, and at high enough levels can cause diminished consciousness and death. Codeine is an opiate used by itself or in combination with acetaminophen or similar products for the management of mild pain. It is habit forming and may impair mental and/or physical abilities to perform potentially hazardous tasks such as flying. Tramadol is a narcotic analgesic and carries a warning that it can impair mental and/or physical ability required for the performance of potentially hazardous tasks; desmethyltramadol is its active metabolite. Citalopram is an atypical antidepressant in the group of drugs known as selective serotonin reuptake inhibitors; N-desmethylcitalopram is its active metabolite. This drug can also impair mental and/or physical abilities. Ranitidine is an antihistamine used in the treatment of excessive acid secretion from the stomach. Spotter Pilot The spotter pilot held a commercial pilot certificate with a rating for rotorcraft-helicopter. On his most recent application for a Federal Aviation Administration (FAA) medical certificate, dated May 24, 2019, he reported 11,000 total hours of flight experience, and about 450 hours in the preceding 6 months. Gunner Pilot The gunner pilot held a commercial pilot certificate with a rotorcraft-helicopter rating and a flight instructor certificate with a rating for rotorcraft-helicopter. He reported 35,471 total hours of flight experience with about 6,500 hours in the accident helicopter make and model. The spotter helicopter came to rest in a field containing scrub brush and mesquite trees, on a magnetic heading of 268°, at an elevation of 580 ft mean sea level (msl). The helicopter impacted the ground in a flat, slight left-side low attitude. The main wreckage included the main rotor, tail rotor, fuselage, tail boom, and skids. The pilot of the gunner helicopter performed a landing on an adjacent roadway. The helicopter came to rest on a magnetic heading of 267° at an elevation of 570 ft msl. The helicopter was intact, with exception of separated skids and displaced lower frames. The main rotor blades of the spotter helicopter contacted the skids of the descending gunner helicopter. Multiple breaks in the gunner helicopter’s skids were found on left skid, cross tube assembly, and right skid. In addition, the lower frame assembly near the engine was also damaged.

Aircraft · 2

Registration
N7189D
Reported as
Robinson R22 Beta
Category
Helicopter
Serial number
3086
Built
2000
Engine
Lycoming O-360-J2A, 145 horsepower, reciprocating
Damage
Destroyed
Flight
Business · Part 91
Operator
South Texas Helicopters Inc
Registered owner
South Texas Helicopters Inc
Airworthiness certificate
Standard, Normal
Destination
Same as departure
Airport
N/A

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.

Registration
N74512
Reported as
Robinson R22 (BETA)
Category
Helicopter
Serial number
3881
Built
2005
Engine
Lycoming O-360-J2A, 145 horsepower, reciprocating
Damage
Substantial damage
Flight
Business · Part 91
Operator
Smith Helicopters Inc
Registered owner
Smith Helicopters Inc
Airworthiness certificate
Standard, Normal
Destination
Same as departure
Airport
N/A

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
Pilot, aircraft N7189D
Age
49
Injuries
Fatal
Certificate
Commercial
Instrument ratings
Helicopter
Medical
Class 2, Without waivers/limitations
Seat
Right
Restraint
3-point
Toxicology
Performed
Flight hours
11,000 total
Role
Pilot, aircraft N74512
Age
64
Injuries
Minor
Certificates
Flight instructor, Commercial
Medical
Class 2, With waivers/limitations
Last flight review
August 14, 2019
Seat
Right
Restraint
Lap only
Flight hours
35,471 total · 6,500 in this make and model · 152 in the last 90 days · 90 in the last 30 days · 5 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
180° at 17 knots, gusting 23
Visibility
10 statute miles
Lowest ceiling
None
Temperature
55 °F, dew point 36 °F
Altimeter
29.94 inHg
Observed at
KHBV, 6 nm away

Docket · 9

The files NTSB released with the investigation on December 20, 2021, on NTSB’s docket system: statements, records, photos and specialists’ reports. 17.4 MB in all.

FAA reports on this event · 2

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.