GAA19CA226

NTSB accident investigation · Guimbal Cabri · McMinnville, OR · April 26, 2019

Accident · No injuriesData collectionFinal report
Date
April 26, 2019, 16:15 local (23:15 UTC)
Place
McMinnville, OR
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N367PAGuimbal Cabri
Defining event
Landing-flare/touchdown: Loss of control on ground
Weather
Visual (VMC) · Day
Status
Completed · report August 27, 2020
Report
Approved by Office Director
NTSB office
General Aviation Accidents
Parties
FAA
FAA report
20190426003439A
Case key
99333

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 landing flare during a turning, full-down autorotation, which resulted in a lower-than-normal rotor rpm, a faster-than-normal ground run speed, and the subsequent loss of directional control, a runway excursion, and a roll-over. Contributing to the accident was the flight instructor's delayed remedial action.

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.

Performance/control parameters: landing flareAircraft › Aircraft oper/perf/capability · Not attained/maintainedHelicopteres Guimbal CABRI G2: 2 casesAll aircraft: 1,285 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · Student/instructed pilotHelicopteres Guimbal CABRI G2: 11 casesAll aircraft: 9,295 casesProbable cause
Performance/control parameters: prop/rotor parametersAircraft › Aircraft oper/perf/capability · Not attained/maintainedHelicopteres Guimbal CABRI G2: 2 casesAll aircraft: 182 casesProbable cause
Performance/control parameters: directional controlAircraft › Aircraft oper/perf/capability · Not attained/maintainedHelicopteres Guimbal CABRI G2: 3 casesAll aircraft: 3,958 casesProbable cause
Action: delayed actionPersonnel issues › Action/decision · Instructor/check pilotHelicopteres Guimbal CABRI G2: 5 casesAll aircraft: 894 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 reported that the purpose of the training flight was to complete multiple simulated, engine failure autorotations without a power recovery (full-down autorotation). After he completed his first right, 180º turn, full-down autorotation, the airspeed was "too slow." He added that the instructor told him to maintain more speed during the right turn of his second attempt, and the pilot focused on maintaining more airspeed, but the descent rate increased "due to the speed." The pilot added that, after he completed the right turn and aligned with the runway centerline, he felt that the airspeed was fast, so he flared to reduce the ground speed and increase the main rotor rpm. However, the helicopter started to sink during the flare, so due to the low altitude, the pilot leveled the helicopter to prevent a tail strike. The helicopter touched down on its skids with "substantial" ground speed and veered slightly right. The pilot applied full left cyclic and pedal input, but the helicopter continued to veer right. The helicopter exited the runway and rolled over on its left side. The fuselage and main rotor blades were substantially damaged. The pilot reported that there were no preaccident mechanical failures or malfunctions with the helicopter that would have precluded normal operation. The flight instructor reported that the 180º right turn aligned the helicopter with the runway centerline but at a lower altitude than was desirable because it prevented the pilot from conducting a normal flare "as the tail would have struck the runway." He added that, a normal flare before touchdown in a full-down autorotation would result in a 30º nose-up attitude, but the pilot was only able to achieve about a 10º nose-up attitude "for fear of damaging the tail."

Factual narrative

The pilot reported that the purpose of the training flight was to complete multiple simulated, engine failure autorotations without a power recovery (full-down autorotation). After he completed his first right, 180º turn, full-down autorotation, the airspeed was "too slow." He added that the instructor told him to maintain more speed during the right turn of his second attempt, and the pilot focused on maintaining more airspeed, but the descent rate increased "due to the speed." The pilot added that, after he completed the right turn and aligned with the runway centerline, he felt that the airspeed was fast, so he flared to reduce the ground speed and increase the main rotor rpm. However, the helicopter started to sink during the flare, so due to the low altitude, the pilot leveled the helicopter to prevent a tail strike. The helicopter touched down on its skids with "substantial" ground speed and veered slightly right. The pilot applied full left cyclic and pedal input, but the helicopter continued to veer right. The helicopter exited the runway and rolled over on its left side. The fuselage and main rotor blades were substantially damaged. The pilot reported that there were no preaccident mechanical failures or malfunctions with the helicopter that would have precluded normal operation. The flight instructor reported that the 180º right turn aligned the helicopter with the runway centerline but at a lower altitude than was desirable because it prevented the pilot from conducting a normal flare "as the tail would have struck the runway." He added that, a normal flare before touchdown in a full-down autorotation would result in a 30º nose-up attitude, but the pilot was only able to achieve about a 10º nose-up attitude "for fear of damaging the tail."

Aircraft

Registration
N367PA
Reported as
Guimbal Cabri (G2)
Category
Helicopter
Serial number
1108
Built
2015
Airframe hours
1,733.3
Engine
Lycoming O-360-J2A, 145 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Precision Flight Training Inc
Registered owner
Precision Flight Training Inc
Airworthiness certificate
Standard, Normal
Last inspection
Continuous airworthiness · April 26, 2019
Departed
MMV · Mc Minnville, OR
Destination
MMV · Mc Minnville, OR
Flight plan
Company VFR
Airport
MMV · Mc Minnville Muni, runway 17, 4,340 × 75 ft, asphalt
Equipment
Electronic flight bag or handheld device, ADS-B, Satellite tracking 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
Pilot
Age
28
Injuries
None
Certificates
Flight instructor, Commercial
Instrument ratings
Helicopter
Medical
Class 1, Without waivers/limitations
Last flight review
February 15, 2019
Seat
Right
Restraint
4-point
Flight hours
728.9 total · 457.8 in this make and model · 625.4 as pilot in command · 113.1 in the last 90 days · 55.2 in the last 30 days · 3.9 in the last 24 hours
Role
Flight instructor
Age
51
Injuries
None
Certificates
Flight instructor, Commercial
Medical
Class 1, With waivers/limitations
Last flight review
April 7, 2019
Seat
Left
Restraint
4-point
Flight hours
3,359.3 total · 2,189 in this make and model · 3,303 as pilot in command · 114 in the last 90 days · 53 in the last 30 days · 7 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
180° at 7 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
66 °F, dew point 43 °F
Altimeter
30.19 inHg
Observed at
KMMV

Docket · 3

The files NTSB released with the investigation on July 15, 2020, on NTSB’s docket system: statements, records, photos and specialists’ reports. 840 KB 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.