FTW95FA016

NTSB accident investigation · Robinson R22 Beta · Eunice, LA · October 14, 1994

Accident · FatalField investigationFinal report
Date
October 14, 1994, 09:20 local (14:20 UTC)
Place
Eunice, LA
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N80546Robinson R22 Beta
Weather
Visual (VMC) · Day
Status
Completed · report June 13, 1996
Report
Approved by Office Director
FAA report
19941014034859A
Case key
19192

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 properly use carburetor heat, the formation of carburetor ice, and failure of the pilot to maintain rotor RPM after loss of engine power, which resulted in a loss of control and collision with terrain. A factor related to the accident was: the weather condition, which was conducive to carburetor icing.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of engine power(partial) - nonmechanicalCruise
Weather condition - carburetor icing conditionsFactor
Fuel system,carburetor - iceCause
Carburetor heat - not usedPilot in commandCause
Use of inappropriate medication/drugPilot in command
Forced landingEmergency descent/landing
Autorotation - initiatedPilot in command
Loss of control - in flightEmergency descent/landing
Rotor rpm - not maintainedPilot in commandCause
In flight collision with terrain/waterDescent - uncontrolled

Analysis

A doctor took off from a local hospital, and the helicopter was observed flying westbound about two blocks from the hospital. According to a witness, a loss of engine power occurred. He reported that the helicopter turned right toward a field; however, the witness indicated that the helicopter went out of control, and then crashed in a ditch next to a road. An exam of the helicopter and engine did not disclose any preimpact mechanical anomalies; however, the carburetor heat was found in the off position. The temperature and dew point were 63 and 59 degrees, respectively. According to icing probability charts, conditions were conducive for serious carburetor icing. Toxicology tests were positive for fluoxetine and norfluoxetine (prozac). Tests of a blood specimen (clot) showed 0.2 mg/kg of fluoxetine and 0.3 mg/kg of norfluoxetine; tests of a liver specimen showed 6.2 mg/kg fluoxetine and 15 mg/kg norfluoxetine. The prescription drug, prozac, is an antidepressant and was not approved for use while flying.

Factual narrative

History of flight

On October 14, 1994, at 0920 central daylight time, a Robinson R22 Beta helicopter, N80546, was destroyed during a forced landing near Eunice, Louisiana. The private pilot was fatally injured. Instrument meteorological conditions prevailed for the personal flight.

The pilot, who was a doctor, took off from a local hospital, and according to a witness two blocks from the hospital, was flying westbound along a road. The witness reported, "the pilot tried to keep the plane up, but something went wrong with the engine." The witness further reported the helicopter turned right towards a field, but the pilot "was unable to get the plane up so he crashed in the ditch" that parallels the road.

Aircraft information

A review of the airframe and engine records did not reveal any anomalies or uncorrected maintenance defects prior to the flight.

Wreckage and impact information

Ground scars, were found on the north downslope side of a ditch that parallels a east and west oriented road. The aircraft came to rest on the road inverted 18 feet from the initial ground scars. There was a post impact fire. The transmission with the main rotor system came to rest on a station wagon 39 feet from the initial ground scar and on line with the main wreckage. A witness pulled it off the station wagon and put out the fire. The tail boom was separated from the main fuselage and was found 16 feet west of the main wreckage. See enclosed wreckage diagram for wreckage distribution details.

The carburetor heat was off. Examination of the helicopter and engine did not disclose any mechanical anomalies.

Meteorological information

The temperature was 63 degrees Fahrenheit with a dew point of 59 at the time of the accident. According to the carburetor icing probability chart this places the airplane in the serious icing range at cruise power. The copy of the chart is enclosed with this report.

Medical and pathological information

The autopsy was performed by Emil M. Laga, M.D., New Iberia, Louisiana. Toxicological result was positive for Fluoxetine and Norfluoxetine (prozac). In the opinion of Dr. Salazar, regional flight surgeon for the southwest region, the levels of 6.2 mg/kg Fluoxetine, and 15 mg/kg Norfluoxetine detected in the liver are above therapeutic levels. The two medications described are on the Federal Aviation Administration's prohibited usage list for pilots.

The manufacturer warns that these medications "may cause dizziness or drowsiness. Patients should be instructed to observe caution while driving or performing tasks requiring alertness, coordination or physical dexterity."

Additional data

The wreckage was released to the owner's representative.

Aircraft

Registration
N80546
Reported as
Robinson R22 Beta
Category
Helicopter
Serial number
1204
Airframe hours
509
Engine
Lycoming O-320-B2C, 131 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Registered owner
Ardoin, James A.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · June 22, 1994 · 41 hours before
Destination
Ville Platte, LA

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
33
Certificate
Private
Medical
Class 3, Valid Medical--no waivers/lim.
Seat
Right
Toxicology
Performed
Flight hours
80 total · 80 in this make and model · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
40° at 10 knots
Visibility
7 statute miles
Lowest ceiling
900 ft overcast
Temperature
63 °F, dew point 59 °F
Altimeter
30.00 inHg
Observed at
LFT, 28 nm away

Docket · 15

The files NTSB released with the investigation on June 7, 1995, 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.