LAX02LA294

NTSB accident investigation · Robinson R22B · Silverado, CA · September 23, 2002

Accident · No injuriesLimited investigationFinal report
Date
September 23, 2002, 10:00 local (17:00 UTC)
Place
Silverado, CA
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N2331Robinson R22B
Weather
Visual (VMC) · Day
Status
Completed · report September 29, 2004
Report
Approved by Office Director
Parties
Federal Aviation Administration
Case key
55762

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's failure to maintain adequate main rotor rpm, and the flight instructor's inadequate supervision of the flight. Contributing factors were the hilly terrain and the relative high density altitude conditions.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of control - in flightManeuvering
Rotor rpm - not maintainedDual studentCause
Weather condition - high density altitudeFactor
Supervision - inadequatePilot in command(cfi)Cause
Forced landingEmergency descent/landing
In flight collision with terrain/waterEmergency descent/landing
Terrain condition - mountainous/hillyFactor

Analysis

During an instructional flight, a forced landing occurred on slopping terrain wherein the main rotor blades contacted the hillside and the tail boom was bent. The certified flight instructor (CFI) and student were operating the helicopter near its maximum certificated gross weight over a 2,900-foot mean sea level hillside, with a density altitude higher than 5,800 feet. The CFI failed to adequately monitor his student's handling of the controls, and the main rotor rpm decreased. Despite the CFI's subsequent efforts at regaining adequate rpm, the low rotor rpm condition continued, which necessitated a forced landing.

Factual narrative

On September 23, 2002, about 1000 Pacific daylight time, a Robinson R22B, N2331X, impacted hilly terrain during an off-airport forced landing about 4 miles east of Silverado, California. Neither the commercial pilot, who possessed a certificated flight instructor (CFI) certificate, nor the private pilot was injured during the instructional flight. The helicopter was substantially damaged. The helicopter was operated by Helistream, Inc., Santa Ana, California, under the provisions of 14 CFR Part 91. Visual meteorological conditions prevailed at the time, and no flight plan had been filed. The flight originated from Santa Ana about 0945.

The operator's manager reported to the National Transportation Safety Board investigator that the CFI's student was, in part, practicing landings. During approach in a confined mountainous area, low main rotor rpm was experienced and the CFI took over the controls. The terrain elevation was about 2,900 feet mean sea level. Despite the CFI's efforts, he was not able to regain rotor rpm. The helicopter touched down on slopping terrain short of the intended helipad. During the touchdown sequence, the main rotor blades contacted the hillside, and the helicopter's fuselage yawed about 360 degrees before coming to rest in an upright attitude with a bent tail boom.

In the CFI's completed accident report, he indicated that during the approach he heard the low rotor rpm horn. Immediately thereafter, he looked at the rotor rpm gauge and lowered the collective while rolling on the throttle. The CFI stated that the rpm did not increase. Then, he added a "large amount of throttle while (again) lowering the collective, but the rpm continued to steadily decrease."

The CFI also indicated that in the vicinity of the accident site the outside air temperature was about 95 degrees Fahrenheit. The wind was calm. No mechanical malfunctions or failures were reported with the helicopter.

Federal Aviation Administration airman certificate and medical documents dated July and August 2002, indicate that the CFI and the private pilot's combined weights were approximately 358 pounds. The CFI reported that 23 gallons of fuel were on board upon takeoff for the accident flight. The operator stated that the helicopter was flying near its maximum certificated gross weight.

Based upon the atmospheric conditions provided by the CFI/operator, the density altitude was calculated to be in excess of 5,800 feet.

Aircraft

Registration
N2331
Reported as
Robinson R22B
Category
Helicopter
Serial number
2145
Airframe hours
3,788
Engine
Lycoming O-320-B2C, 131 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Registered owner
Helistream, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · September 5, 2002 · 48 hours before
Departed
SNA · Santa Ana, CA
Destination
SNA · Santa Ana, CA

Flight crew · 2

As NTSB recorded them. NTSB leaves out names.

Role
Flight instructor
Age
26
Injuries
None
Certificates
Flight instructor, Commercial
Medical
Class 2, Valid Medical--no waivers/lim.
Last flight review
July 24, 2002
Seat
Left
Flight hours
750 total · 700 in this make and model · 690 as pilot in command · 200 in the last 90 days · 70 in the last 30 days · 6 in the last 24 hours
Role
Student pilot
Age
23
Injuries
None
Certificate
Private
Medical
Class 3, Valid Medical--w/ waivers/lim
Last flight review
August 1, 2002
Seat
Right
Flight hours
138 total · 28 in this make and model · 50 as pilot in command · 46 in the last 90 days · 30 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
300° at 3 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
82 °F, dew point 48 °F
Altimeter
29.87 inHg
Observed at
RAL, 14 nm away