GAA19CA347

NTSB accident investigation · Robinson R22 · San Antonio, TX · June 15, 2019

Accident · Minor injuriesData collectionFinal report
Date
June 15, 2019, 13:20 local (18:20 UTC)
Place
San Antonio, TX
Injuries
1 minor, 1 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N511HERobinson R22
Defining event
Landing: Dynamic rollover
Weather
Visual (VMC) · Day
Status
Completed · report November 6, 2019
Report
Approved by Office Director
NTSB office
General Aviation Accidents
Parties
FAA
FAA report
20190615017709A
Case key
99644

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 receiving instruction's improper cyclic control input during landing, which resulted in a dynamic rollover, and the flight instructor's improper decision to practice landings in tall grass in gusting wind conditions.

Findings · 8

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: lateral/bank controlAircraft › Aircraft oper/perf/capability · Not attained/maintainedRobinson Helicopter R22 BETA: 14 casesAll aircraft: 390 casesProbable cause
Info processing/decision: decision making/judgmentPersonnel issues › Action/decision · Instructor/check pilotRobinson Helicopter R22 BETA: 17 casesAll aircraft: 3,098 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · Student/instructed pilotRobinson Helicopter R22 BETA: 96 casesAll aircraft: 9,295 casesProbable cause
Use of equip/info: use of equip/systemPersonnel issues › Task performance · Student/instructed pilotRobinson Helicopter R22 BETA: 16 casesAll aircraft: 1,391 casesProbable cause
Wind: gustsEnvironmental issues › Conditions/weather/phenomena · Decision related to conditionRobinson Helicopter R22 BETA: 13 casesAll aircraft: 1,199 casesProbable cause
Runway/land/takeoff/taxi surfaceEnvironmental issues › Physical environment · Decision related to conditionRobinson Helicopter R22 BETA: 3 casesAll aircraft: 253 casesProbable cause
Wind: gustsEnvironmental issues › Conditions/weather/phenomena · Effect on operationRobinson Helicopter R22 BETA: 13 casesAll aircraft: 1,199 cases
Runway/land/takeoff/taxi surfaceEnvironmental issues › Physical environment · Effect on operationRobinson Helicopter R22 BETA: 3 casesAll aircraft: 253 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 flight instructor in the helicopter reported that, while the pilot receiving instruction was practicing "slope landings" in the tall grass adjacent to an asphalt runway, he was shadowing the flight controls. He added that the pilot moved the cyclic left. The instructor was unable to correct, and the helicopter experienced a dynamic rollover and impacted terrain. As a recommendation, the instructor reported that the accident could have been prevented by not practicing slope landings in tall grass. He added that the helicopter contacted the terrain sooner than expected due to the tall grass. The helicopter sustained substantial damage to the fuselage and firewall. The instructor reported that there were no preaccident mechanical failures or malfunctions with the helicopter that would have precluded normal operation. An automated weather observation station located about 12 miles south of the accident site reported that, about 29 minutes before the accident, the wind was from 170° at 15 knots, gusting to 21 knots. The same automated station reported that, about 9 minutes after the accident, the wind was from 180° at 9 knots. The pilot was landing to the south.

Factual narrative

The flight instructor in the helicopter reported that, while the pilot receiving instruction was practicing "slope landings" in the tall grass adjacent to an asphalt runway, he was shadowing the flight controls. He added that the pilot moved the cyclic to the left. The instructor was unable to correct, and the helicopter experienced dynamic rollover and impacted terrain. As a recommendation, the flight instructor reported that the accident could have been prevented by not practicing slope landings in tall grass. He added that the helicopter contacted the terrain sooner than expected due to the tall grass. The helicopter sustained substantial damage to the fuselage and firewall. The flight instructor reported that there were no preaccident mechanical failures or malfunctions with the helicopter that would have precluded normal operation. The automated weather observation station, located about 12 miles south of the accident, reported that, about 29 minutes before the accident, the wind was from 170° at 15 knots, gusting 21 knots. The same automated station reported that, about 9 minutes after the accident, the wind was from 180° at 9 knots. The pilot was landing to the south.

Aircraft

Registration
N511HE
Reported as
Robinson R22 (BETA)
Category
Helicopter
Serial number
3738
Built
2004
Airframe hours
5,860.3
Engine
Lycoming O-360-J2A, 145 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Helicopter Experts Inc
Registered owner
Heliflight Leasing Llc
Airworthiness certificate
Standard, Normal
Last inspection
Annual · October 9, 2018
Departed
1T8 · San Antonio, TX
Destination
1T8 · San Antonio, TX
Airport
1T8 · Bulverde Airpark, runway 16, 2,890 × 40 ft, asphalt
Equipment
None

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
58
Injuries
Minor
Certificates
Flight instructor, Private, Commercial
Airplane ratings
Single-engine land
Medical
Class 2, With waivers/limitations
Last flight review
July 11, 2018
Seat
Left
Restraint
3-point
Flight hours
14,500 total · 11,000 in this make and model · 14,400 as pilot in command · 100 in the last 90 days · 35 in the last 30 days · 3 in the last 24 hours
Role
Pilot
Age
61
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Last flight review
September 30, 2015
Seat
Right
Restraint
3-point
Flight hours
250 total · 100 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
180° at 9 knots
Visibility
10 statute miles
Lowest ceiling
1,500 ft broken
Temperature
79 °F, dew point 72 °F
Altimeter
29.94 inHg
Observed at
KSAT, 12 nm away

Docket · 2

The files NTSB released with the investigation on July 22, 2019, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.8 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.