ERA19LA287

NTSB accident investigation · Robinson R44 · Sanford, ME · September 28, 2019

Accident · Serious injuriesClass 3 · LimitedFinal report
Date
September 28, 2019, 10:35 local (14:35 UTC)
Place
Sanford, ME
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Taxi
Aircraft
N21EHRobinson R44
Defining event
Taxi-from runway: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
Lycoming Engines, FAA/FSDO, Robinson Helicopter
FAA report
20190928022409A
Case key
100346

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 student pilot's failure to maintain helicopter control while hover-taxiing in gusting wind conditions.

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: pitch controlAircraft › Aircraft oper/perf/capability · Not attained/maintainedRobinson Helicopter R44: 3 casesAll aircraft: 526 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · Student/instructed pilotRobinson Helicopter R44: 40 casesAll aircraft: 9,295 casesProbable cause
Wind: gustsEnvironmental issues › Conditions/weather/phenomena · Effect on operationRobinson Helicopter R44: 5 casesAll aircraft: 1,199 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

After completing a three-leg cross-country training flight in the helicopter, the solo student was hover-taxiing about 15 ft above the taxiway surface. Witnesses reported that gusting winds prevailed and that they saw the helicopter enter a spin, followed by a nose-low impact with the ground. The helicopter was substantially damaged. The pilot was seriously injured and unable to recall the accident sequence. Postaccident examination of the airframe and engine revealed no preimpact mechanical malfunctions or failures that would have precluded normal operation.

Factual narrative

On September 28, 2019, about 1035 eastern daylight time, a Robinson R44 helicopter, N21EH, was substantially damaged when it impacted the ground while taxiing at Sanford Seacoast Regional Airport (SFM), Sanford, Maine. The pilot sustained serious injuries. The solo instructional flight was conducted under Title 14 Code of Federal Regulations Part 91. Day, visual meteorological conditions prevailed, and no flight plan was filed. The flight originated at Laconia Municipal Airport (LCI), Laconia, New Hampshire about 1000. A witness reported that the helicopter was taxiing about 15 ft above a taxiway when it began to spin at a high rate of speed. The helicopter then went vertical and crashed nose first in the grass, adjacent to the paved surface. Another witness observed the helicopter enter a spin to the left, then to the right before going vertical into the ground. A third witness reported that the weather was "clear but windy." The witnesses were met by first responders and assisted the pilot at the scene. An inspector with the Federal Aviation Administration responded to the accident site and examined the wreckage. Substantial damage was noted on the main rotor blades, tail rotor assembly, and fuselage. There was no fire. The inspector reported that the pilot was completing a three-leg cross-country flight when the accident occurred. He was receiving instruction on the R44 and was not rated in helicopters. The pilot was asked on two occasions during his recovery about the circumstances of the accident; he had no recollection of the event. The wreckage was recovered to a storage facility for further examination. The nose of the helicopter was crushed in a manner consistent with a nose-low impact with the ground. The tail boom was partially separated from the airframe. The engine was secured to the airframe. The main rotor system remained attached and the blades were impact-damaged along the length of both blades. Flight control continuity was established from the main and tail rotor assemblies to the cockpit. Both tail rotor blades remained attached to the tail rotor system. The engine received minor damage during the accident sequence and test run on the airframe. The engine started immediately and was operated for about 1 minute before it was shut down. No mechanical anomalies were noted that would have precluded normal operation of the airframe or engine. At 1056, the recorded wind at SFM was variable at 4 knots; however, witnesses reported that at the time of the accident, the wind had "picked up" and there were "gusts."

Aircraft

Registration
N21EH
Reported as
Robinson R44 (Undesignat)
Category
Helicopter
Serial number
0881
Built
2000
Airframe hours
1,886
Engine
Lycoming O-540-F1B5, 225 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
York County Helicopters, doing business as York County Helicopters
Registered owner
Southern Maine Helicopter Llc
Airworthiness certificate
Standard, Normal
Last inspection
Annual · September 18, 2019 · 17 hours before
Departed
LCI · Laconia, NH
Destination
SFM · Sanford, ME
Airport
SFM · Sanford Seacoast Regional
Equipment
Electronic flight bag or handheld 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
Student pilot
Age
50
Injuries
Serious
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 2, With waivers/limitations
Seat
Right
Restraint
3-point
Flight hours
222 total · 44 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
Variable at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
68 °F, dew point 57 °F
Altimeter
30.05 inHg
Observed at
SFM

Docket · 10

The files NTSB released with the investigation on May 6, 2020, on NTSB’s docket system: statements, records, photos and specialists’ reports. 52.9 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.