GAA19CA284

NTSB accident investigation · Schweizer 269C · Riverside, CA · May 24, 2019

Accident · No injuriesData collectionFinal report
Date
May 24, 2019, 13:45 local (20:45 UTC)
Place
Riverside, CA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N269PSchweizer 269C
Defining event
Landing: Hard landing
Weather
Visual (VMC) · Dusk
Status
Completed · report April 13, 2020
Report
Approved by Office Director
NTSB office
General Aviation Accidents
Parties
FAA
FAA report
20190524011159I
Case key
99493

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 student pilot's failure to maintain yaw control and the engine's rpm during transition to a hover, which resulted in hard landing.

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.

Use of equip/info: aircraft controlPersonnel issues › Task performance · Student/instructed pilotSchweizer 269C: 8 casesAll aircraft: 9,295 casesProbable cause
Performance/control parameters: powerplant parametersAircraft › Aircraft oper/perf/capability · Not attained/maintainedSchweizer 269C: 4 casesAll aircraft: 81 casesProbable cause
Performance/control parameters: yaw controlAircraft › Aircraft oper/perf/capability · Not attained/maintainedSchweizer 269C: 2 casesAll aircraft: 149 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 day of the accident, the student pilot had flown three takeoffs and landings in the pattern with the instructor. After the third landing, the instructor exited the helicopter and authorized the student to perform her third flight solo. The student accomplished the before takeoff checks and increased the throttle, and as she increased the collective pitch, she felt an "abnormal vibration," but she decided to continue with the flight. She increased the collective and applied left pedal, and the helicopter ascended, but the nose yawed rapidly left. The student noted that the engine rpm had increased, and she lowered the collective. The left skid contacted the ground hard, followed by the right skid, and the student then decreased power, shut down the engine, and exited the helicopter. The helicopter sustained substantial damage to the aft skid tube cross-member. The student reported that several mechanical malfunctions existed with the helicopter during previous flights. Although examination of the helicopter and the operator's maintenance logbooks revealed that there were maintenance deficiencies that were incorrectly annotated, postaccident examination revealed no evidence of any preaccident mechanical malfunctions or failures with the helicopter that would have precluded normal operation. After the accident, the operator implemented a policy to document and clear all future maintenance discrepancies associated with helicopters in their fleet.

Factual narrative

The student helicopter pilot reported that she had been working on her private helicopter pilot certificate over an extended period of time. The student reported that the helicopter's throttle governor had been operational during previous solo flights, but it had failed months prior to the accident flight. She confirmed that she had flown the helicopter several times without the use of the governor, under the supervision of the instructor. The day of the accident, she had flown three takeoffs and landings in the pattern with the flight instructor. After the third landing, the instructor exited the helicopter and authorized the student to perform her third solo flight. The student reported that after accomplishing the before takeoff checks, the throttle was increased, and as she increased the collective pitch, she felt an "abnormal vibration," but she decided to continue with the flight. She increased the collective and applied left pedal, and the helicopter ascended, but the nose yawed rapidly to the left. The student noted that the engine RPM increased, and she lowered the collective. The left skid contacted the ground hard, followed by the right skid, and the student decreased power, shut down the engine and exited the helicopter. The helicopter sustained substantial damage to the aft skid tube cross-member. The student pilot reported that several mechanical malfunctions existed with the helicopter during previous flights. Examination of the helicopter and the operator's maintenance logbooks revealed that there were maintenance squawks that were incorrectly annotated, however, there were no mechanical malfunctions or failures that were observed during the examination that would have prevented normal helicopter operation. The operator has implemented a policy to document and clear all future maintenance squawks associated with helicopters in their fleet.

Aircraft

Registration
N269P
Reported as
Schweizer 269C (Undesignat)
Category
Helicopter
Serial number
S1328
Built
1988
Airframe hours
2,109.7
Engine
Lycoming HIO-360-D1A, 190 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Western Helicopters, Inc., doing business as Western Helicopters, Inc.
Registered owner
Ingoma Aero Inc
Airworthiness certificate
Standard, Normal
Last inspection
Annual · February 1, 2019
Departed
RAL · Riverside, CA
Destination
RAL · Riverside, CA
Airport
RAL · Riverside Muni, runway H1, 60 × 60 ft, asphalt
Equipment
Unknown

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
Student pilot
Age
57
Injuries
None
Certificate
Student
Medical
Class 2, With waivers/limitations
Seat
Left
Restraint
4-point
Flight hours
69 total · 1 as pilot in command · 15 in the last 90 days · 4 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Dusk
Visibility
7 statute miles
Temperature
72 °F, dew point 54 °F
Altimeter
29.89 inHg
Observed at
KRAL

Docket · 5

The files NTSB released with the investigation on November 29, 2019, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.2 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.