GAA16CA296

NTSB accident investigation · Robinson Helicopter R22 · Cahokia/St. Louis, IL · June 7, 2016

Accident · No injuriesData collectionFinal report
Date
June 7, 2016, 13:28 local (18:28 UTC)
Place
Cahokia/St. Louis, IL
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N931SHRobinson Helicopter R22
Defining event
Maneuvering-hover: Loss of tail rotor effectiveness
Weather
Visual (VMC) · Day
Status
Completed · report October 27, 2016
Report
Approved by Office Director
NTSB office
General Aviation Accidents
Parties
FAA
FAA report
20160607006609A
Case key
93350

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 flight instructor's delayed remedial action and his failure to remain vigilant as the helicopter entered the weathercock stability region, in gusting wind conditions, resulting in loss of tail rotor effectiveness and ground impact.

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.

Action: delayed actionPersonnel issues › Action/decision · Instructor/check pilotRobinson Helicopter R22 BETA: 35 casesAll aircraft: 894 casesProbable cause
Attention/monitoring: task monitoring/vigilancePersonnel issues › Psychological · Instructor/check pilotRobinson Helicopter R22 BETA: 11 casesAll aircraft: 330 casesProbable cause
Performance/control parameters: prop/rotor parametersAircraft › Aircraft oper/perf/capability · Not attained/maintainedRobinson Helicopter R22 BETA: 37 casesAll aircraft: 182 casesProbable cause
Wind: gustsEnvironmental issues › Conditions/weather/phenomena · Effect on operationRobinson Helicopter R22 BETA: 13 casesAll aircraft: 1,199 casesProbable cause
TerrainEnvironmental issues › Physical environment · Contributed to outcomeRobinson Helicopter R22 BETA: 1 caseAll aircraft: 267 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

According to the flight instructor, he was instructing his student in hovering flight operations. He reported that he instructed the student to execute a right pedal turn at a three foot hover. The instructor recalled that the student complied and during the turn, as the tail came into the wind, the helicopter started to weathervane, and the turn rate increased rapidly and did not subside until the helicopter impacted the ground. The helicopter sustained substantial damage to the fuselage and both rotor systems. The instructor reported that there were no mechanical anomalies or malfunctions with any portion of the helicopter that would prevent normal flight operations. The instructor reported that the wind velocity at the time of the accident was 11 knots gusting to 16 knots. Weathercock stability is defined as a region of loss of tail rotor effectiveness (120 degree - 240 degree tailwind) that will weathervane the helicopter, and if not prevented will result in a loss of helicopter control about the horizontal axis. According to the Helicopter Flying Handbook (FAA 8083-21A): Pilots who put themselves in situations where the combinations above occur should know that they are likely to encounter LTE. The key is to not put the helicopter in a compromising condition but if it does happen being educated enough to recognize the onset of LTE and be prepared to quickly react to it before the helicopter cannot be controlled.

Factual narrative

According to the flight instructor, he was instructing his student in hovering flight operations. He reported that he instructed the student to execute a right pedal turn at a three foot hover. The instructor recalled that the student complied and during the turn, as the tail came into the wind, the helicopter started to weathervane, and the turn rate increased rapidly and did not subside until the helicopter impacted the ground. The helicopter sustained substantial damage to the fuselage and both rotor systems. The instructor reported that there were no mechanical anomalies or malfunctions with any portion of the helicopter that would prevent normal flight operations. The instructor reported that the wind velocity at the time of the accident was 11 knots gusting to 16 knots. Weathercock stability is defined as a region of loss of tail rotor effectiveness (120 degree - 240 degree tailwind) that will weathervane the helicopter, and if not prevented will result in a loss of helicopter control about the horizontal axis. According to the Helicopter Flying Handbook (FAA 8083-21A): Pilots who put themselves in situations where the combinations above occur should know that they are likely to encounter LTE. The key is to not put the helicopter in a compromising condition but if it does happen being educated enough to recognize the onset of LTE and be prepared to quickly react to it before the helicopter cannot be controlled.

Aircraft

Registration
N931SH
Reported as
Robinson Helicopter R22 (BETA)
Category
Helicopter
Serial number
3890
Built
2005
Airframe hours
5,869.2
Engine
Lycoming O-360-J2A, 145 horsepower, reciprocating
Damage
Substantial damage
Flight
Business · Part 91
Operator
My Sky LLC
Registered owner
My Sky LLC
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · June 1, 2016
Departed
CPS · Cahokia/St. Louis, MO
Destination
CPS · Cahokia/St. Louis, MO
Airport
CPS · St Louis Downtown
Equipment
Stall warning system

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
29
Injuries
None
Certificates
Commercial, Flight instructor
Instrument ratings
Helicopter
Medical
Class 2, With waivers/limitations
Last flight review
November 10, 2015
Seat
Left
Restraint
3-point
Flight hours
289 total · 143 in this make and model · 219 as pilot in command · 26 in the last 90 days · 22 in the last 30 days · 3 in the last 24 hours
Role
Student pilot
Age
29
Injuries
None
Medical
Class 2, Without waivers/limitations
Seat
Right
Restraint
3-point
Flight hours
11 total · 11 in this make and model · 11 in the last 90 days · 11 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
290° at 7 knots
Visibility
10 statute miles
Temperature
79 °F, dew point 46 °F
Altimeter
29.90 inHg
Observed at
KCPS

Docket · 2

The files NTSB released with the investigation on September 23, 2016, 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.