- Date
- October 26, 2023, 16:52 local (21:52 UTC)
- Place
- Rowlett, TX
- Injuries
- 2 minor
- Damage
- Substantial damage
- Phase of flight
- Enroute
- Aircraft
- N141CDRobinson Helicopter R44
- Defining event
- Enroute-cruise: Powerplant sys/comp malf/fail
- Weather
- Visual (VMC) · Day
- Status
- Completed
- Report
- Approved by Office Director
- Investigation class
- Class 3
- NTSB office
- Central Region
- Parties
- Robinson Helicopter, FAA
- FAA report
- 20231026021019A
- Case key
- 193320
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 NTSB’s determination of the probable cause, and any contributing factors.
A malfunction of the helicopter’s Engine Monitoring Unit (EMU)/Governor Controller for undetermined reasons. Contributing to the accident was the flight instructor’s failure to turn off the EMU/Governor Controller per the emergency checklist when the malfunction first occurred.
Findings · 4
NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings.
Analysis
While in level flight, the flight instructor heard the engine and rotor rpm increase, followed by the high rotor rpm horn. The flight instructor reduced the throttle and subsequently observed another increase in engine and rotor rpm as if the throttle were fully open. The flight instructor again reduced the throttle, then observed rpm fluctuations and suspected they had a governor failure. He attempted overgripping the throttle but said it had limited effect in controlling the rpms. Concerned with the prospect that the engine could fail at any moment, the flight instructor initiated an autorotation as the engine fluctuations could not affect flight if they were unmarried to the rotor. The pilot selected a dirt field off the nose of the helicopter and began their descent. The field had been recently plowed, and recent rain showers made the field muddy. During the touchdown on the field, the skids dug into the dirt and the helicopter nosed forward, which resulted in the main rotor contacting the ground. The helicopter spun violently and then came to rest upright. The helicopter sustained substantial damage to the main rotor, tail rotor, tail boom, and empennage. The helicopter’s Engine Monitoring Unit (EMU)/Governor Controller was retained for further examination. The EMU/Governor Controller was a single unit that maintained the engine rpm in the governing range. Engine and rotor rpm were related as long as the rotor was not in a freewheel/autorotation condition. The EMU side of the unit just recorded data. Operational testing of the unit did not replicate the issue the flight crew experienced. No anomalies were found that would have precluded the unit’s normal operation. Per the helicopter’s Pilot Operating Handbook, the emergency procedure for a governor failure was to grip the throttle firmly to override the governor and then switch the governor off before completing the flight using the manual throttle control. The flight instructor reported that, although he thought he attempted to disable the governor, post-flight he was not sure if they had accomplished it or not. Had the pilot followed the emergency checklist and disabled the governor, they would have likely maintained some throttle control during the emergency landing.
Factual narrative
The factual narrative795 words
On October 26, 2023, about 1652 central daylight time, a Robinson Helicopter R44, N141CD, was substantially damaged when it was involved in an accident near Rowlett, Texas. The flight instructor and pilot receiving instruction incurred minor injuries. The helicopter was operated as a Title 14 Code of Federal Regulations Part 91 instructional flight. The flight instructor reported that the purpose of the flight was for the commercial rated pilot to receive instruction in basic IFR maneuvers, including holding at an RNAV fix and then performing an RNAV approach. The pilot was flying the helicopter, and the flight instructor was looking for other aircraft traffic in the area. While in level flight en route to the RNAV fix and maneuvering to avoid traffic, the flight instructor heard the engine and rotor rpm increase, followed by the high rotor rpm horn. The flight instructor took control of the helicopter, reduced the throttle, and subsequently observed another increase in engine and rotor rpm as if the throttle were fully open. The flight instructor again reduced the throttle, then observed rpm fluctuations. He reported observing fluctuations as high as 109 percent and as low as 95 percent in flight. He suspected they had a governor failure. He attempted overgripping the throttle but said it had limited effect in controlling the rpms. Concerned with the prospect that the engine could fail at any moment, the flight instructor initiated an autorotation, as the engine fluctuations could not affect flight if they were unmarried with the rotor. He observed a large dirt field off the nose of the helicopter and began their descent. The field had been recently plowed, and recent rain showers made the field muddy. During the touchdown on the field, the skids dug into the dirt and the helicopter nosed forward, which resulted in the main rotor contacting the ground. The helicopter spun violently and then came to rest. An onboard video and data recorder captured the entire flight. It began at 1636:12 with the flight instructor and student pilot conducting the preflight and helicopter engine start. At 1643:50, the helicopter departed to the south and then made a turn to the east. At 1649:24, the engine manifold pressure began to increase rapidly. The rpms increased from 100 to 110 percent and then began to fluctuate. At 1649:27, the flight instructor grabbed the cyclic and called for the controls. The student pilot’s hand remained on the cyclic. At 1649:31, the flight instructor let go of the cyclic and checked the warning light by pressing the press to test button. At 1649:38, the flight instructor repeated “My controls.” The student pilot confirmed “Your controls” while keeping a hand on the cyclic. At 1649:39, the flight instructor screamed “Let go” and the student pilot confirmed he was not touching the controls after letting go. The flight instructor was in control of the helicopter for the remainder of the flight. At 1650:02, the flight instructor stated“Oh yeah, actually that was not you. It was the governor.” At 1650:05, the flight instructor made a mayday call including that it was an “emergency engine out.” At 1650:47, the helicopter touched down, pitched forward and the main rotor struck the ground. Violent shaking began that lasted one minute and 25 seconds. At 1652:02, the flight instructor engaged the rotor brake, and the rotor stopped spinning 10 seconds later. The flight instructor and student pilot then exited the helicopter. The helicopter remained upright, but sustained substantial damage to the main rotor, tail rotor, tail boom, and empennage. The helicopter’s EMU/Governor Controller was retained for further examination. The EMU/Governor Controller was examined at the manufacturer’s facilities. The EMU/Governor Controller was a single unit, and it maintained the engine rpm in the governing range. Engine rpm and rotor rpm were related as long as the rotor is not in a freewheel/autorotation condition. The governor was active only above 80 percent engine rpm and could be switched on and off using the toggle switch on the end of the right seat collective. The EMU side of the unit just recorded data. Operational testing of the unit did not replicate the issue the flight crew experienced. The unit was opened, and the circuit board was examined. No anomalies were found that would have precluded the unit’s normal operation. No other preaccident malfunctions or failures with the helicopter were reported that would have precluded its normal operation. Per the helicopter’s Pilot Operating Handbook, the emergency procedure for a governor failure was to grip the throttle firmly to override the governor, then switch the governor off before completing the flight using the manual throttle control. The flight instructor reported that, although he thought that he attempted to disable the governor, post-flight he was not sure if they had accomplished it or not.
Sequence of events
The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident.
Aircraft
- Registration
- N141CD
- Reported as
- Robinson Helicopter R44
- Category
- Helicopter
- Serial number
- 30091
- Built
- 2023
- Airframe hours
- 226
- Engine
- Lycoming O-540-F1B5, 260 hp, reciprocating
- Damage
- Substantial damage
- Flight
- Instructional · Part 91
- Airworthiness certificate
- Standard, Normal
- Last inspection
- 100 hour · October 4, 2023 · 19 hours before
- Departed
- T57 · Garland, TX
- Destination
- F46 · Rockwall, TX
- Equipment
- ADS-B, Video recording device, Electronic primary flight display, Electronic multifunction display, Electronic flight bag or handheld device, Data recorder, Auto-pilot
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
- 25
- Injuries
- Minor
- Certificates
- Commercial, Flight instructor
- Airplane ratings
- Multi-engine land, Single-engine land
- Instrument ratings
- Helicopter, Airplane
- Medical
- Class 1, Without waivers/limitations
- Last flight review
- March 10, 2023
- Seat
- Left
- Restraint
- 3-point
- Flight hours
- 714 total · 462 in this make and model · 587 as pilot in command · 221 in the last 90 days · 66 in the last 30 days · 1 in the last 24 hours
- Role
- Student pilot
- Age
- 34
- Injuries
- Minor
- Certificate
- Airline transport
- Airplane ratings
- Single-engine land, Multi-engine land, Single-engine sea
- Instrument ratings
- Helicopter, Airplane
- Medical
- Class 1, With waivers/limitations
- Last flight review
- August 15, 2023
- Seat
- Right
- Restraint
- 3-point
- Flight hours
- 2,298 total · 43 in this make and model · 1,488 as pilot in command · 58 in the last 90 days · 32 in the last 30 days · 0 in the last 24 hours
Weather
- Conditions
- Visual (VMC) · Day
- Wind
- 170° at 10 knots
- Visibility
- 10 statute miles
- Temperature
- 81 °F, dew point 72 °F
- Altimeter
- 29.88 inHg
- Observed at
- KDAL, 15 nm away
- METAR
- METAR KDAL 262153Z 15007KT 10SM BKN030 BKN120 BKN250 27/22 A2988
FAA reports on this event · 1
The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.