ERA22FA098

NTSB accident investigation · Robinson Helicopter R44 II · Bronson, FL · December 31, 2021

Accident · FatalClass 3 · FieldFinal report
Date
December 30, 2021, 20:25 local (Dec 31, 2021, 01:25 UTC)
Place
Bronson, FL
Injuries
4 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N442VBRobinson Helicopter R44 II
Defining event
Enroute: Loss of control in flight
Weather
Instrument (IMC) · Night/dark
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
FAA Tampa, Lycoming, Robinson Helicopters
FAA report
20211230021529A
Case key
104462

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

A loss of control due to spatial disorientation as a result of the noninstrument-rated pilot’s improper decision to attempt a visual flight rules flight at night into an area of known reduced visibility due to fog.

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.

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 noninstrument-rated pilot departed into night conditions with three passengers. Flight track information indicated that the helicopter flew northwest at altitudes between about 350 and 700 ft before impacting wooded terrain about 2.5 miles from the departure point. The helicopter was heavily fragmented, and the wreckage path was about 225 ft long. The examination of the airframe and engine did not reveal any preimpact mechanical anomalies that would have precluded normal operation. Atmospheric conditions were favorable to the development of widespread, dense radiational fog in the area of the accident site during the time the helicopter departed. The pilot was aware of these conditions, as he stated to an individual before he departed that the fog and visibility were “bad,” and that he needed to find another way home. The helicopter was not certified for instrument flight. As the pilot maneuvered the helicopter into reduced visibility, night conditions, it is likely he could not see outside visual references. When there is a lack of outside visual references, the pilot would have to use his flight instruments to understand the helicopter’s position in space. Based on the automatic dependent surveillance-broadcast (ADS-B) data, the helicopter’s trajectory changed several times in that last .5 miles. It is likely that the pilot was not referencing his flight instruments or was experiencing the effects of spatial disorientation. Based on the available information, it is likely that the pilot became spatially disoriented and lost control of the helicopter after departing on a visual flight rules flight into reduced visibility, night conditions

Factual narrative

HISTORY OF FLIGHT On December 30, 2021, about 2025 eastern standard time, a Robinson R44 II, N442VB, was destroyed when it was involved in an accident near Bronson, Florida. The pilot and three passengers were fatally injured. The helicopter was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot was not instrument rated and the helicopter was not certified for flight in instrument conditions. The pilot departed a private residence located in Bronson, Florida, about 2023, destined for his personal residence in Bell, Florida. According to automatic dependent surveillance-broadcast data provided by the Federal Aviation Administration, the helicopter departed about 2.5 miles south of the accident site. The helicopter flew northwest about 1.5 miles, then turned right and flew northeast for 1 mile. During the last .5 miles, the helicopter descended from 700 ft mean sea level (msl), to 350 ft msl, then climbed back up to 625 ft msl. The last data point showed the helicopter descending again at 550 ft msl. A witness at the residence from which the pilot departed stated that the pilot was checking the weather and wanted to depart soon. He stated that the pilot said the fog and visibility was getting “bad” and his initial route home did not look good, and they needed to take another route home. A witness, who was out walking her dog, stated that she heard a helicopter about 2025. She looked for the helicopter but could not see it because it was too dark outside, and she did not see any lights. Seconds later, she heard the helicopter crash and a “large fireball” light up the sky. METEOROLOGICAL INFORMATION Williston Municipal Airport (X60), Williston, Florida, was located about 10 miles east-southeast of the accident site. At 2035, recorded weather at X60 included calm wind, visibility of 7 statute miles, mist, scattered clouds at 500 ft agl, temperature of 21°C, dew point temperature of 20°C, altimeter setting of 30.08 inches of mercury. The NWS Weather Forecast Office (WFO) in Tampa Bay, Florida, issued the following “Update” section of an Area Forecast Discussion (AFD) at 1908. This was the last AFD issued from this WFO before the accident. UPDATE... Atmospheric conditions are very favorable for widespread radiational dense fog over land and advection fog over marine zones this evening, tonight and into Friday morning. An expanding area of low clouds and sea fog has already developed from Sarasota County through Tampa Bay and into portions of the Nature Coast with near zero visibility reported in Venice early this evening. Later this evening expected fog development to expand and become widespread and very dense overnight. Expect Dense Fog Advisories to be issued as fog impacts more areas into tonight. WRECKAGE AND IMPACT INFORMATION The accident site was located in a wooded area and the wreckage path was about 225 ft long. The helicopter was heavily fragmented and scattered along a debris path on a heading of about360° magnetic. The right skid was embedded in the ground at a 42° angle. An 8-foot-long section of the main rotor blade was embedded in the ground about 3 ft deep. The engine was located about 225 ft north of the main impact point. The main rotor gearbox and sections of the main rotor blades were located about 175 feet northeast of the main impact point. The main rotor gearbox was forwarded to the manufacturer for further examination. The examination revealed that the damage to the gearbox was impact related and no preimpact anomalies were noted. Examination of the engine did not reveal any preimpact mechanical malfunctions. MEDICAL AND PATHOLOGICAL INFORMATION An autopsy of the pilot was performed by the Office of the Medical Examiner, District 8, Gainesville, Florida. The autopsy report was reviewed by the NTSB Investigator-In-Charge. According to the autopsy report, the cause of death was injuries sustained in a helicopter crash, and the manner of death was accident.

Aircraft

Registration
N442VB
Reported as
Robinson Helicopter R44 II
Category
Helicopter
Serial number
14296
Built
2019
Airframe hours
319.48
Engine
Lycoming IO-540, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · January 14, 2021
Departed
Bronson, FL
Destination
Bell, FL
Equipment
ADS-B, Electronic primary flight display

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
36
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Without waivers/limitations
Seat
Right
Restraint
4-point
Toxicology
Performed
Flight hours
360 total · 144 in this make and model

Weather

Conditions
Instrument (IMC) · Night/dark
Wind
200° at 6 knots
Visibility
10 statute miles
Lowest ceiling
600 ft overcast
Temperature
72 °F, dew point 70 °F
Altimeter
30.06 inHg
Observed at
KCTY, 27 nm away
METAR
METAR KCTY 310135Z AUTO 20006KT 10SM OVC006 22/21 A3006 RMK AO2 T02200214

Docket · 15

The files NTSB released with the investigation on October 19, 2023, on NTSB’s docket system: statements, records, photos and specialists’ reports. 14.4 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.