ERA18LA140

NTSB accident investigation · Robinson R22 · Panama City, FL · May 2, 2018

Accident · Minor injuriesLimited investigationFinal report
Date
May 2, 2018, 10:00 local (15:00 UTC)
Place
Panama City, FL
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N923SMRobinson R22
Defining event
Enroute-cruise: Flight control sys malf/fail
Weather
Visual (VMC) · Day
Status
Completed · report May 29, 2019
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA FSDO
FAA report
20180502004489A
Case key
97169

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 pilot's failure to properly remove and secure the tie-down ropes during the preflight inspection, which resulted in the ropes becoming entangled in the rotor head swashplate and pitch control rods during flight and the subsequent loss of pitch control.

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.

Action: incomplete actionPersonnel issues › Action/decision · PilotRobinson Helicopter R22 MARINER: 1 caseAll aircraft: 105 casesProbable cause
Performance/control parameters: pitch controlAircraft › Aircraft oper/perf/capability · Attain/maintain not possibleRobinson Helicopter R22 MARINER: 1 caseAll aircraft: 526 casesProbable cause
Terrain: waterEnvironmental issues › Physical environment · Contributed to outcomeRobinson Helicopter R22 MARINER: 2 casesAll aircraft: 97 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 float-equipped helicopter was in cruise flight at an airspeed of 80 knots and an altitude of 800 ft mean sea level when it slowly started losing airspeed. The commercial pilot responded by pushing the cyclic control forward, but the airspeed continued to decrease, and the helicopter began to lose altitude. The pilot continued to push the cyclic forward until it contacted the control stop; he then realized that he had no cyclic control authority. The helicopter descended with no forward airspeed until it impacted the water. The helicopter floated briefly until waves struck its side and it rolled inverted. Postaccident examination of the helicopter revealed that the main rotor blades were deformed, the fuselage was substantially damaged, and the tail boom was partially separated. Further, the ropes used to tie down the helicopter’s main rotor blades were found wrapped around the rotor head swashplate and pitch control rods. Before the flight, the pilot conducted a preflight inspection of the helicopter, which would have included removing the rotor blade tie-down ropes and associated socks that cover the rotor blade tips and storing them under the cockpit seat. However, because the ropes were found wrapped around the swashplate and pitch control rods, it is likely that the tie-down ropes were not properly removed and secured and, at some point during the flight, became entangled with the swashplate and pitch control rods, which prevented the pilot from being able to effectively control the pitch of the helicopter.

Factual narrative

On May 2, 2018, about 1000 central daylight time, a Robinson R-22 Mariner helicopter, N923SM, operated by N923SM LLC., was substantially damaged during a forced landing near Panama City Beach, Florida. The commercial pilot received minor injuries. The flight was operated in accordance with Title 14 Code of Federal Regulations Part 91 as a positioning flight. Visual meteorological conditions (VMC) prevailed and no flight plan was filed for the flight that departed Perry-Foley Airport (40J) Perry, Florida at 0830, that was destined for Destin Executive Airport (DTS), Destin, Florida. The pilot reported that about 90 minutes after departing 40J, while in cruise flight at 80 kts and 800 ft mean sea level (msl), the helicopter slowly started losing airspeed; he pushed the cyclic forward, but the airspeed kept decreasing and the helicopter was beginning to lose altitude. He continued to push the cyclic forward until it hit the stop and then realized he had no cyclic authority. The pilot stated there was no forward airspeed and the helicopter continued to descend until it impacted the water with nearly zero forward airspeed and little flare. The helicopter floated briefly until waves struck the side of it and it turned inverted. Prior to the flight, the pilot was conducting a preflight inspection, which included removal and storage of the blade tie down ropes and associated "socks" that cover the rotor blade tips. During this procedure, the pilot removed the tie down ropes and thought he placed them under the left cockpit seat storage container. In addition, the flight was conducted with the doors off; they were not installed on the helicopter. A coworker and fellow pilot was flying in formation with the accident helicopter about 700 ft msl. He was at the 5 o'clock position of the accident helicopter at the same altitude when he noticed that the helicopter slowed from about 80 knots to 30 knots in about 15 seconds. He reported that "I felt something wrong and flew to his 10 o'clock position to see what was happening to him." The pilot further reported that the helicopter was descending in a reverse gliding attitude and struck the water with the tail boom first, before rolling upside down. Witnesses on the ground from the United States Coast Guard and salvage company stated that the tie down ropes used for the rotor blades were found wrapped around the rotor head assembly, swash plate and pitch control rods. The ropes remained in place when the Coast Guard and recovery team arrived prior to the recovery operation taking place. According to the pilot and Federal Aviation Administration (FAA) records, the pilot held a commercial pilot certificate with a rating for rotorcraft-helicopter as well as a flight instructor certificate with a rating for rotorcraft-helicopter. The pilot reported 467.7 total hours of flight experience and 467.7 of those hours where in the accident helicopter make and model. In the previous 90 and 30 days, the pilot reported about50 hours and 20 hours respectively. According to the FAA airworthiness and the helicopter's maintenance records, the two-seat, semi-rigid single-main-rotor, single-engine helicopter, serial number 1923M, was manufactured in 1991 and was issued a standard airworthiness certificate. The helicopter was equipped with floats and powered by a 160-horsepower Lycoming O-320-B2C series engine, which had 4,988.6 hours total time. As of the most recent annual inspection completed on December 28, 2017, the airframe had 6,988.7 hours total time. The current airframe and engine logbooks were on the helicopter at the time of the accident and were lost. Examination of the helicopter by an FAA inspector revealed that the main rotor blades were deformed, the fuselage was substantially damaged, and the tail boom was partially separated. In addition, a tiedown rope and blade sock used to secure the helicopter rotor blades on the ground was found tightly wrapped around the swash plate and pitch change links of the main rotor. At 0953, the weather recorded at Northwest Florida Beaches International Airport Panama City (ECP), Florida, about 12 miles north of the accident site included no clouds or restriction to visibility, wind from 140° true at 9 knots, and visibility 10 statute miles. The temperature was 20°C, and the dew point was 18°C. The altimeter setting was 30.27 inches of mercury.

Aircraft

Registration
N923SM
Reported as
Robinson R22 (MARINER)
Category
Helicopter
Serial number
1923M
Built
1991
Airframe hours
6,988.7
Engine
Lycoming O-320-B2C, 160 horsepower, reciprocating
Damage
Substantial damage
Flight
Positioning · Part 91
Operator
N923sm LLC
Registered owner
N923sm LLC
Airworthiness certificate
Standard, Normal
Last inspection
Annual · December 28, 2017
Departed
40J · Perry, FL
Destination
DTS · Destin, FL
Equipment
Unknown

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
22
Injuries
Minor
Certificate
Commercial
Instrument ratings
Helicopter
Medical
Class 2, Without waivers/limitations
Last flight review
April 8, 2018
Seat
Right
Restraint
3-point
Flight hours
467.7 total · 467.7 in this make and model · 369.2 as pilot in command · 50 in the last 90 days · 20 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
140° at 9 knots
Lowest ceiling
None
Temperature
68 °F, dew point 64 °F
Altimeter
30.27 inHg
Observed at
ECP, 12 nm away

Docket · 8

The files NTSB released with the investigation on March 5, 2019, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.7 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.