ERA19TA153

NTSB accident investigation · Robinson R22 · Bradenton Beach, FL · April 13, 2019

Accident · No injuriesClass 3Final report
Date
April 13, 2019, 12:20 local (16:20 UTC)
Place
Bradenton Beach, FL
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N689MRobinson R22
Defining event
Maneuvering-low-alt flying: Settling with power/vortex ring state
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20190413002729A
Case key
99277

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 improper decision to execute a low altitude turn that resulted in a strong tailwind and to reduce the airspeed to 0 knots and the flight instructor's diverted attention and inadequate monitoring, which resulted in the helicopter settling with power.

Findings · 5

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.

Attention/monitoring: attentionPersonnel issues › Psychological · Instructor/check pilotRobinson Helicopter R22: 2 casesAll aircraft: 226 casesProbable cause
Action: lack of actionPersonnel issues › Action/decision · Instructor/check pilotRobinson Helicopter R22: 2 casesAll aircraft: 792 casesProbable cause
Performance/control parametersAircraft › Aircraft oper/perf/capability · Not attained/maintainedRobinson Helicopter R22: 4 casesAll aircraft: 1,269 casesProbable cause
Wind: tailwindEnvironmental issues › Conditions/weather/phenomena · Effect on operationRobinson Helicopter R22: 2 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 pilot stated that during an instructional flight, he was flying the helicopter about 100 ft above water while the flight instructor took photographs. The pilot executed a 180° turn into a tailwind. The flight instructor stated that the pilot then pulled back on the cyclic and the airspeed reduced to 0 knots. The pilot indicated that immediately after the turn, the helicopter lost power and/or lift and that “the wind might have shifted.” The helicopter quickly settled with power and impacted the water, which resulted in substantial damage to the main rotor, fuselage, and tailboom. The flight instructor stated that there were no preimpact mechanical malfunctions with the helicopter. He further reported that the accident happened so fast that he did not have time to take the controls and recover. The pilot’s low altitude turn into the tailwind and reduction in airspeed led to the helicopter settling with power. The flight instructor's diverted attention likely precluded adequate monitoring and delayed his recognition of the conditions that led to the helicopter settling with power and thus provide appropriate remedial action.

Factual narrative

On April 13, 2019, about 1220 eastern daylight time, a Robinson R22, N689M, was substantially damaged during impact with water while maneuvering near Bradenton Beach, Florida. The flight instructor and private pilot were not injured. The instructional flight was conducted under the provisions of Title 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed and no flight plan was filed for the flight that departed Buchan Airport (X36), Englewood, Florida, about 1100. The flight was destined to Clearwater Airport (CLW), Clearwater, Florida. The private pilot stated that he was receiving instruction to prepare for a commercial pilot practical examination. As part of the lesson, the private pilot was flying about 100 ft above the water while the flight instructor took pictures of boats. The private pilot then executed a 180°-turn to obtain a better angle for a photograph. Immediately after the turn, the helicopter lost power and or lift and the pilot assumed "I got into settling with power, because the wind might have shifted." The private pilot tried to level the helicopter before impact with the water, but there was not enough time. The helicopter came to rest inverted in the water and both pilots egressed. The flight instructor stated that the pilot made a turn into a downwind, which put the helicopter in a tailwind. The pilot then pulled back into 0 airspeed and as a result the helicopter settled into its own downwash. The accident happened so quickly that the flight instructor had no time to take the controls and correct. He added that there were no preimpact mechanical malfunctions with the helicopter. Examination of the helicopter by a Federal Aviation Administration inspector revealed damage to the main rotor, fuselage and tailboom. The recorded wind at an airport located about 8 miles southeast of the accident site, at 1253, was from 190° at 15 knots.

Aircraft

Registration
N689M
Reported as
Robinson R22 (UNDESIGNAT)
Category
Helicopter
Serial number
689M
Built
1979
Airframe hours
7,084
Engine
Lycoming O-320, 160 hp, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Boatphoto Helicopter Llc
Registered owner
Boatphoto Helicopter Llc
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · March 16, 2019
Departed
X36 · Englewood, FL
Destination
CLW · Clearwater, FL
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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Flight instructor
Age
42
Injuries
None
Certificates
Commercial, Flight instructor
Medical
Class 2, Without waivers/limitations
Last flight review
February 18, 2018
Seat
Left
Restraint
3-point
Flight hours
1,476 total · 1,414 as pilot in command · 160 in the last 90 days · 70 in the last 30 days · 6 in the last 24 hours
Role
Pilot
Age
48
Injuries
None
Certificate
Private
Medical
Class 2, Without waivers/limitations
Last flight review
February 18, 2018
Seat
Right
Restraint
3-point
Flight hours
354 total · 999,999 in this make and model · 242 as pilot in command · 41 in the last 90 days · 30 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
190° at 15 knots
Visibility
10 statute miles
Lowest ceiling
4,400 ft broken
Temperature
84 °F, dew point 70 °F
Altimeter
29.97 inHg
Observed at
SRQ, 8 nm away

Docket · 5

The files NTSB released with the investigation on May 15, 2019, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.1 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.