ERA17LA046

NTSB accident investigation · Robinson Helicopter R22 · West Chester, PA · November 15, 2016

Accident · No injuriesLimited investigationFinal report
Date
November 15, 2016, 15:00 local (20:00 UTC)
Place
West Chester, PA
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N306RLRobinson Helicopter R22
Defining event
Landing-flare/touchdown: Hard landing
Weather
Visual (VMC) · Day
Status
Completed · report September 10, 2018
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20161115024409A
Case key
94380

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 flight instructor's decision to continue the practice autorotation in known gusting wind conditions, which resulted in a hard landing and roll over.

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.

Info processing/decision: decision making/judgmentPersonnel issues › Action/decision · Instructor/check pilotRobinson Helicopter R22: 7 casesAll aircraft: 3,098 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · Instructor/check pilotRobinson Helicopter R22: 18 casesAll aircraft: 9,295 casesProbable cause
Performance/control parameters: descent/approach/glide pathAircraft › Aircraft oper/perf/capability · Not attained/maintainedRobinson Helicopter R22: 4 casesAll aircraft: 809 casesProbable cause
Wind: gustsEnvironmental issues › Conditions/weather/phenomena · Effect on operationRobinson Helicopter R22: 1 caseAll aircraft: 1,199 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 flight instructor was demonstrating straight-in autorotations to a power recovery over the runway. He stated that the wind during the flight was generally from the north, but shearing horizontally to the northeast/northwest. He began to flare the helicopter about 40 ft above the ground. About 20 ft above the ground, a large wind gust with a horizontal wind shear resulted in a drift to the right and loss of tail rotor effectiveness. He corrected the drift and heading with flight control inputs, returned to the runway area, and continued the flare. During the last portion of the flare, the helicopter encountered a vertical wind shear and climbed about 20 ft. At that point, "all wind stopped," and the helicopter descended. The instructor attempted a power recovery; however, the helicopter landed hard on the skids with some lateral motion. The helicopter bounced, the left skid broke, and the helicopter rolled and came to rest on its left side. The flight instructor did not report any preaccident mechanical malfunctions or failures with the helicopter that would have precluded normal operation. Postaccident examination of the wreckage confirmed substantial damage to the airframe and main rotor blades; there was no evidence of a preimpact mechanical failure or malfunction. Additionally, the flight instructor reported that there were no preaccident mechanical malfunction or failures that would have precluded normal operation.

Factual narrative

On November 15, 2016, about 1500 eastern standard time, a Robinson R22, N306RL, was substantially damaged during a practice autorotation landing at Brandywine Airport (OQN), West Chester, Pennsylvania. The flight instructor and a student pilot were not injured. The helicopter was privately owned and operated under the provisions of 14 Code of Federal Regulations Part 91 as an instructional flight. Day, visual meteorological conditions prevailed at the time, and no flight plan was filed. The local flight departed OQN about 1430.The flight instructor reported that he was demonstrating straight-in autorotation landings to a power recovery using the runway. The wind was generally from the north, but shearing from the northeast to the northwest, horizontally. During an autorotation to runway 9/27, he began to flare about 40 feet above the ground. At 20 feet, a large gust with a horizontal wind shear caused the helicopter to drift to the right and lose tail rotor effectiveness. He corrected the drift and heading with flight control inputs, returned to the runway, and continued the flare. During the last portion of the flare, a vertical wind shear was encountered, and the helicopter climbed, uncommanded, about 20 feet. At that point, "all wind stopped," and the helicopter descended. He attempted a power recovery; however, the helicopter landed hard on the skids, with some sideward motion. The helicopter bounced, the left skid broke, and the aircraft rolled and came to rest on its left side. The two pilots egressed the helicopter and were met by first responders. An inspector with the Federal Aviation Administration responded to the accident site and examined the wreckage. Structural damage to the airframe was confirmed The main rotor blades were deformed from impact forces and the tail boom was partially separated. He determined that the helicopter was operated within the aircraft's weight and balance limitations at the time of the accident; however, it was operated at the forward center of gravity limit. The pilots weighed about 200 pounds each, which placed the helicopter near the upper weight limit. His examination of the wreckage did not reveal evidence of a mechanical failure or malfunction. He reported that the surface wind at the time of the accident varied between 330 and 350 degrees at 11 to 14 knots. The flight instructor did not report any preaccident mechanical malfunction or failures with the helicopter that would have precluded normal operation.

Aircraft

Registration
N306RL
Reported as
Robinson Helicopter R22 (Mariner)
Category
Helicopter
Serial number
2833M
Built
1998
Airframe hours
3,121
Engine
Lycoming O-360-J2A, 145 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · September 20, 2016 · 50 hours before
Departed
OQN · West Chester, PA
Destination
OQN · West Chester, PA
Airport
OQN · Brandywine Airport, runway 27, 3,347 × 50 ft, asphalt
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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Flight instructor
Age
45
Injuries
None
Certificates
Commercial, Flight instructor
Instrument ratings
Helicopter
Medical
Class 2, With waivers/limitations
Last flight review
September 15, 2015
Seat
Left
Restraint
3-point
Flight hours
5,554 total · 5,372 as pilot in command · 150 in the last 90 days · 50 in the last 30 days
Role
Student pilot
Age
41
Injuries
None
Certificate
Student
Medical
Class 3
Seat
Right
Restraint
3-point
Flight hours
42 total · 42 in this make and model · 12 in the last 90 days · 4 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
300° at 9 knots
Visibility
10 statute miles
Lowest ceiling
10,000 ft broken
Temperature
57 °F, dew point 25 °F
Altimeter
29.80 inHg
Observed at
MQS, 13 nm away

Docket · 2

The files NTSB released with the investigation on April 24, 2018, on NTSB’s docket system: statements, records, photos and specialists’ reports. 948 KB 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.