GAA16CA009

NTSB accident investigation · Robinson Helicopter R44 II · Ketchikan, AK · October 6, 2015

Accident · No injuriesData collectionFinal report
Date
October 6, 2015, 07:15 local (15:15 UTC)
Place
Ketchikan, AK
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Standing
Aircraft
N779DZRobinson Helicopter R44 II
Defining event
Standing-engine(s) start-up: Loss of control on ground
Weather
Visual (VMC) · Day
Status
Completed · report December 3, 2015
Report
Approved by Office Director
NTSB office
General Aviation Accidents
Parties
FAA Juneau FSDO
FAA report
20151006017949A
Case key
92139

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 maintain directional control during the engine start sequence, which resulted in the helicopter sliding on a steel deck and impacting a crane. Contributing to the accident was the absence of traction material on the helicopter operations portion of the steel deck.

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.

Performance/control parameters: directional controlAircraft › Aircraft oper/perf/capability · Not attained/maintainedRobinson Helicopter R44 II: 17 casesAll aircraft: 3,958 casesProbable cause
Airport facilities/design: runway/landing area conditionEnvironmental issues › Operating environment · Effect on operationRobinson Helicopter R44 II: 1 caseAll aircraft: 61 casesProbable cause
Object/animal/substance: ground equipmentEnvironmental issues › Physical environment · Effect on equipmentRobinson Helicopter R44 II: 3 casesAll aircraft: 52 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 helicopter pilot reported that during the engine start sequence on an offshore barge with a bare steel deck, the main rotor system clutch was engaging, and the throttle was applied to maintain 60 percent engine revolutions per minute. He reported that the skid and tundra/snow board equipped helicopter began a rapid right yaw, left pedal was applied simultaneously with throttle closure, but the helicopter rapidly yawed left resulting in the vertical stabilizer and tail rotor blade system impacting a crane stationed on the deck. The pilot then shut down the helicopter without further incident. A postflight inspection revealed substantial damage to the vertical stabilizer and the tail rotor blade system. The pilot reported there were no pre-impact mechanical failures or malfunctions with the airframe or engine that would have precluded normal operation.

Factual narrative

The helicopter pilot reported that during the engine start sequence on an offshore barge with a bare steel deck, the main rotor system clutch was engaging, and the throttle was applied to maintain 60 percent engine revolutions per minute. He reported that the skid and tundra/snow board equipped helicopter began a rapid right yaw, left pedal was applied simultaneously with throttle closure, but the helicopter rapidly yawed left resulting in the vertical stabilizer and tail rotor blade system impacting a crane stationed on the deck. The pilot then shut down the helicopter without further incident. A postflight inspection revealed substantial damage to the vertical stabilizer and the tail rotor blade system. The pilot reported there were no pre-impact mechanical failures or malfunctions with the airframe or engine that would have precluded normal operation. The operator reported as a safety recommendation, "One other factor that needs to be discussed is mission oriented versus safety oriented. This was nearly the last flight of this project and although it was discussed that this helicopter was being operated on the steel deck of the barge, it is industry standard to have non-skid matting for the helicopter to land on. The pilot elected to disregard the bother of having some sort of non-skid matting. Mission oriented became more important than safety oriented." AIRCRAFT INFORMATION The skids were equipped with tundra/snow boards, which were installed under a Federal Aviation Administration supplemental type certificate. ADDITIONAL INFORMATION Robinson Helicopter Company R44 II Pilot's Operating Handbook The Robinson Helicopter Company R44 II pilot's operating handbook lists the engine start and run-up procedures. A caution for starting the engine and run-up states; On slippery surfaces, be prepared to counter nose-right rotation with left pedal as governor increases revolutions per minute.

Aircraft

Registration
N779DZ
Reported as
Robinson Helicopter R44 II (II)
Category
Helicopter
Serial number
10149
Built
2003
Airframe hours
2,467.9
Engine
Lycoming IO-540-AE1A5, 205 horsepower, reciprocating
Damage
Substantial damage
Flight
Part 135
Operator
Pollux Aviation Ltd, doing business as Pollux Aviation Ltd
Registered owner
Pollux Aviation Ltd
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · September 27, 2015
Departed
Ketchikan, AK
Destination
Ketchikan, AK

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
27
Injuries
None
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 2, Without waivers/limitations
Last flight review
April 7, 2015
Seat
Right
Flight hours
1,914.5 total · 669.2 in this make and model · 1,759.3 as pilot in command · 195.8 in the last 90 days · 96 in the last 30 days · 1.6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
330° at 9 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
46 °F, dew point 45 °F
Altimeter
29.87 inHg
Observed at
PAKT, 26 nm away

Docket · 3

The files NTSB released with the investigation on November 12, 2015, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.1 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.

Other investigations on N779DZ · 1

Matched to the same aircraft by N-number and date.