ERA17LA168

NTSB accident investigation · Robinson R44 · Newton, NC · April 27, 2017

Accident · Minor injuriesLimited investigationFinal report
Date
April 27, 2017, 13:30 local (17:30 UTC)
Place
Newton, NC
Injuries
2 minor
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N728CBRobinson R44
Defining event
Maneuvering-low-alt flying: Loss of tail rotor effectiveness
Weather
Visual (VMC) · Day
Status
Completed · report March 5, 2018
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO, Robinson Helicopter Company, Lycoming Engines
FAA report
20170427005959A
Case key
95069

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 pilot's failure to maintain an adequate airspeed during out-of-ground-effect maneuvering at a low airspeed with a tailwind, which resulted in a loss of helicopter control due to a loss of tail rotor effectiveness.

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.

Performance/control parameters: airspeedAircraft › Aircraft oper/perf/capability · Not attained/maintainedRobinson Helicopter R44 II: 6 casesAll aircraft: 1,681 casesProbable cause
Wind: tailwindEnvironmental issues › Conditions/weather/phenomena · Effect on operationRobinson Helicopter R44 II: 13 casesAll aircraft: 594 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 commercial helicopter pilot and a crewmember were conducting a pipeline patrol when they noticed a right-of-way infraction (construction work) that they wanted to photograph. The pilot then entered a left circuit at 500 ft above ground level. The pilot reported that he subsequently felt a shudder in the controls and that the helicopter began to yaw right and spin. Although the pilot reported that he maintained an airspeed of 70 knots while maneuvering, GPS data revealed that the loss of yaw control occurred at the completion of the first left circuit and the beginning of the second left circuit as the helicopter slowed to a groundspeed of about 1 mph. Weather data indicated that, at this point, the helicopter was experiencing an 8-knot tailwind. The pilot lowered the helicopter's nose but was unable to correct the spin. He entered an autorotation and maneuvered to avoid residences and utility poles, and the helicopter then impacted the ground. Examination of the helicopter did not reveal any evidence of preimpact mechanical malfunctions that would have precluded normal operation. It is likely that the low-airspeed condition combined with a tailwind during out-of-ground-effect maneuvering resulted in a loss of helicopter control due to a loss of tail rotor effectiveness.

Factual narrative

On April 27, 2017, about 1330 eastern daylight time, a Robinson R44 II, N728CB, operated by Chesapeake Bay Helicopters, was substantially damaged during a collision with terrain while maneuvering near Newton, North Carolina. The commercial pilot and crewmember sustained minor injuries. The local aerial observation flight was conducted under the provisions of 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed, and a company flight plan was filed for the flight that originated from Concord Regional Airport (JQF), Concord, North Carolina, about 1225.The pilot reported that he was performing a pipeline patrol at 500 ft above ground level and an airspeed of 70 knots. During the patrol, the crew observed a right-of-way infraction and circled the location at the same airspeed and altitude. While extending the circling pattern, the pilot felt a shudder in the controls while at the same time, the nose of the helicopter yawed right and the helicopter began to spin. He immediately lowered the nose in an attempt to increase forward motion, but the rate of spin increased. He then attempted to set up for an autorotation and avoid residences and utility wires. The helicopter subsequently impacted the ground and the pilot was able to shut down the engine and exit the helicopter. The crewmember reported that while on pipeline patrol, they circled to photograph construction work. While circling, the helicopter lost control and spun two or three times before impacting the ground. Examination of the wreckage revealed substantial damage to the helicopter. Tail rotor driveshaft continuity was confirmed from the tail rotor blades to the main rotor. Continuity was also confirmed from the left anti-torque pedal to the tail rotor. A section of right anti-torque pedal control tube was found bent and separated. The separated section of control tube was retained for metallurgical examination, which revealed that the separation was consistent with overstress due to impact forces. No preimpact mechanical malfunctions were identified. The helicopter's most recent 100-hour inspection was completed on March 10, 2017. At that time, the airframe and engine had accumulated 1,873.6 total hours of operation. The helicopter had flown an additional 43.6 hours from the time of the inspection, until the accident flight. The recorded wind at an airport located about 10 miles northwest of the accident site, at 1253, was from 190° at 8 knots. Review of GPS data provided by the operator revealed that after completion of the first left circuit and the beginning of the second left circuit, the helicopter's ground speed slowed to about 1 mph at a GPS altitude of 1,223 ft (about 500 ft above ground level). At that time, the GPS track was indicating a northerly course, with an approximate 8-knot tailwind. The track subsequently indicated transition from a left circuit to a right turn. The Federal Aviation Administration issued advisory circular (AC)-90-95,Unanticipated Right Yaw in Helicopters during February 1995. The AC stated that the loss of tail rotor effectiveness (LTE) was a critical, low-speed aerodynamic flight characteristic which could result in an uncommanded right yaw rate that did not subside of its own accord and, if not corrected, could result in the loss of aircraft control. It also stated, "LTE is not related to a maintenance malfunction and may occur in varying degrees in all single main rotor helicopters at airspeeds less than 30 knots." Paragraph 9 of the AC covered reducing the onset of LTE. It stated: "In order to reduce the onset of LTE, the pilot should: ... c. When maneuvering between hover and 30 knots: (1) Avoid tailwinds. If loss of translational lift occurs, it will result in an increased high power demand and an additional anti-torque requirement. (2) Avoid out of ground effect (OGE) hover and high power demand situations, such as low speed downwind turns. (3) Be especially aware of wind direction and velocity when hovering in winds of about 8 - 12 knots (especially OGE). There are no strong indicators to the pilot of a reduction of translation lift... (6) Stay vigilant to power and wind conditions." Paragraph 10 of the AC addressed recovery techniques. It stated: "a. If a sudden unanticipated right yaw occurs, the pilot should perform the following: (1) Apply full left pedal. Simultaneously, move cyclic forward to increase speed. If altitude permits, reduce power. (2) As recovery is effected, adjust controls for normal forward flight. b. Collective pitch reduction will aid in arresting the yaw rate but may cause an increase in the rate of descent. Any large, rapid increase in collective to prevent ground or obstacle contact may further increase the yaw rate and decrease rotor rpm. c. The amount of collective reduction should be based on the height above obstructions or surface, gross weight of the aircraft, and the existing atmospheric conditions. d. If the rotation cannot be stopped and ground contact is imminent, an autorotation may be the best course of action. The pilot should maintain full left pedal until rotation stops, then adjust to maintain heading." Additionally, Robinson Safety Notice SN-34 addressed aerial survey and photography flights, and provided cautions about such flights below 30 knots airspeed.

Aircraft

Registration
N728CB
Reported as
Robinson R44 (II)
Category
Helicopter
Serial number
12899
Built
2010
Airframe hours
1,917
Engine
Lycoming IO-540-AE1A5, 245 horsepower, reciprocating
Damage
Substantial damage
Flight
Aerial observation · Part 91
Operator
Chesapeake Bay Helicopters
Registered owner
Bulanov Galis LLC
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · March 10, 2017 · 43 hours before
Departed
JQF · Concord, NC
Destination
JQF · Concord, NC
Flight plan
Company VFR
Equipment
Electronic flight bag or handheld device, Onboard weather, Satellite tracking device

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
34
Injuries
Minor
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Helicopter, Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
November 22, 2016
Seat
Right
Restraint
3-point
Flight hours
1,529 total · 207 in this make and model · 111 in the last 90 days · 14 in the last 30 days · 9 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
190° at 8 knots
Visibility
8 statute miles
Lowest ceiling
4,600 ft overcast
Temperature
70 °F, dew point 55 °F
Altimeter
29.87 inHg
Turbulence
Unknown
Observed at
HKY, 10 nm away

Docket · 9

The files NTSB released with the investigation on December 21, 2017, on NTSB’s docket system: statements, records, photos and specialists’ reports. 7.5 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.