CEN24LA004

NTSB accident investigation · Robinson Helicopter R44 · Hochatown, OK · October 1, 2023

Accident · No injuriesClass 3 · LimitedFinal report
Date
October 1, 2023, 12:30 local (17:30 UTC)
Place
Hochatown, OK
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Emergency descent
Aircraft
N379SHRobinson Helicopter R44
Defining event
Autorotation: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
Robinson Helicopter Company, FAA - OKC FSDO
FAA report
20231001014119A
Case key
193182

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

A total loss of engine power during a practice autorotation due to the improper engine idle setting and rigging of the carburetor heat control which resulted in a hard landing.

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.

Ice/rain protection systemAircraft › Aircraft systems · Inadequate inspectionRobinson Helicopter R44: 1 caseAll aircraft: 4 casesProbable cause
Performance/control parameters: landing flareAircraft › Aircraft oper/perf/capability · Not attained/maintainedRobinson Helicopter R44: 2 casesAll aircraft: 1,285 casesProbable cause
Maintenance: installationPersonnel issues › Task performance · Maintenance personnelRobinson Helicopter R44: 1 caseAll aircraft: 371 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 reported that he was conducting a practice autorotation during a proficiency flight about 400 ft above ground level (agl). As he reduced the engine speed to idle, the engine lost total power. The pilot entered an autorotation and completed a forced landing to a field. The helicopter landed hard and the tailboom was severed by the main rotor blades. Examination of the engine revealed that the idle speed was set below 50 percent, which was below the manufacturer’s recommendation of 60 to 65 percent. Additionally, the carburetor heat control cable was rigged improperly, and therefore, was jammed in the full heat position. The combination of these factors would have likely made the engine more susceptible to losing power, especially with an abrupt power reduction initiated by the pilot during the simulated autorotation. After reviewing the available maintenance records, it is possible the engine idle speed was improperly set, and the carburetor heat control was improperly rigged when the engine was overhauled and installed in the helicopter; however, investigators were unable to establish exactly when the misrigging took place or why it was not noticed during subsequent maintenance.

Factual narrative

On October 1, 2023, about 1230 central daylight time, a Robinson Helicopter Company R44, N379SH, was substantially damaged when it was involved in an accident near Hochatown, Oklahoma. The pilot was not injured. The helicopter was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot, who was also a flight instructor, reported that he was conducting a practice autorotation during a proficiency flight about 400 ft agl. As he reduced the engine speed to idle to simulate a loss of engine power, the engine lost total power. The pilot entered an autorotation and completed a forced landing to a field. The helicopter landed hard and the tailboom was severed by the main rotor blades. The pilot exited the helicopter unassisted. The helicopter sustained substantial damage to the tailboom and the main rotor blades. A postaccident examination revealed that the carburetor heat control knob was jammed in the full heat position. Further examination revealed that the carburetor heat control cable was rigged so that the cable was pulled beyond the end of the cable conduit sleeve (figure 1). When the carburetor heat knob was actuated, the control cable would bind with the conduit sleeve. Figure 1: Carburetor heat control cable as found. The cable is free from the conduit sleeve (circled in yellow). Figure 2 shows a normal engagement of the carburetor heat control cable in the conduit sleeve. Figure 2. The normal engagement of the carburetor heat cable and conduit. Cable is inserted into the conduit sleeve (circled in yellow). No other anomalies were found within the rigging or flight controls that would have precluded normal operation. Single contact marks on the fore and aft faces of the upper sheave and adjacent components are consistent with the engine not running at the time of impact. The V-belts and tail boom were cut and removed to facilitate an engine run. The engine started and ran at various power settings. The idle was set to below 50 percent (the typical idle speed without V-belts is 60-65 percent). Robinson Helicopter Company Safety Notices 27 and 38 advise on how to slowly reduce throttle while practicing autorotations. RHC Safey Notice 27 states that during simulated power failures, “throttle should be rolled off smoothly, never ‘chopped.’” A review of the helicopter maintenance records revealed that on August 25, 2022, the engine was overhauled and installed, and an annual inspection of the helicopter was completed. The last 100-hour inspection was completed on August 16, 2023. The helicopter had accumulated 44.2 hours since the 100-hour inspection. Investigators were unable to determine the last time the carburetor control cable was rigged or when the engine idle was set.

Aircraft

Registration
N379SH
Reported as
Robinson Helicopter R44
Category
Helicopter
Serial number
2240
Built
2012
Airframe hours
241.9
Engine
Lycoming O-540-F1B5, 260 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Jacasky LLC, doing business as Sky Tours Hochatown
Registered owner
Spitzer Helicopter LLC
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · August 16, 2023 · 44.2 hours before

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
25
Injuries
None
Certificates
Commercial, Flight instructor
Instrument ratings
Helicopter
Medical
Class 2, Without waivers/limitations
Last flight review
September 10, 2023
Seat
Right
Restraint
3-point
Flight hours
1,353 total · 600 in this make and model · 1,349 as pilot in command · 151 in the last 90 days · 42 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Visibility
10 statute miles
Lowest ceiling
None
Temperature
88 °F, dew point 66 °F
Altimeter
30.16 inHg
Observed at
K4O4, 16 nm away
METAR
K4O4 011715Z AUTO VRB05KT 10SM CLR 31/19 A3016 RMK AO2

Docket · 8

The files NTSB released with the investigation on November 26, 2024, on NTSB’s docket system: statements, records, photos and specialists’ reports. 8.3 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.