LAX05LA278

NTSB accident investigation · Robinson Helicopter R22 Beta · Los Banos, CA · March 26, 2005

Accident · No injuriesLimited investigationFinal report
Date
March 26, 2005, 08:30 local (16:30 UTC)
Place
Los Banos, CA
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N820SHRobinson Helicopter R22 Beta
Weather
Visual (VMC) · Day
Status
Completed · report April 25, 2006
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20050326034249A
Case key
62333

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 instructor pilot's failure to apply carburetor heat during a simulated engine failure, which resulted in a total loss of engine power due to carburetor icing.

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 engine power(total) - nonmechanicalDescent
Fuel system,carburetor - iceCause
Emergency procedure - simulatedPilot in command(cfi)
Weather condition - carburetor icing conditionsCause
Carburetor heat - not usedPilot in command(cfi)Cause
Forced landingEmergency descent/landing
Autorotation - continuedPilot in command(cfi)
Hard landingEmergency descent/landing
Terrain condition - ground

Analysis

The helicopter made a hard landing following a loss of engine power during a practice autorotation. The instructor pilot reported that while in cruise he simulated a loss of engine power. The student, who was studying to become a flight instructor, initiated an autorotation to a field. When the instructor attempted to apply engine power following the practice autorotation, the engine "immediately quit." The instructor applied full collective to cushion the landing, but the helicopter landed hard in the field, structurally damaging the tail boom and the fuselage. Following the accident, the operator returned the helicopter to their facility and test ran the engine. No anomalies were noted, and they believed the conditions were suitable for the development of carburetor ice during the autorotation. Review of archived weather data for the day of the accident revealed the closest weather observation facility reported the temperature and dew point as 6 and 5 degrees Celsius, respectively. Plotting of those temperatures on a carburetor icing probability chart revealed that conditions likely existed for serious icing at any power setting.

Factual narrative

On March 26, 2005, about 0830 Pacific standard time, a Robinson Helicopter Company (RHC) R22 Beta, N820SH, impacted terrain following a loss of engine power during a practice autorotation near Los Banos, California. Silver State Helicopters, LLC., North Las Vegas, Nevada, operated the helicopter as an instructional flight under the provisions of 14 CFR Part 91. The flight instructor and the commercial pilot student were not injured. The helicopter was substantially damaged. Visual meteorological conditions prevailed, and a flight plan was not filed for the cross-country flight that originated from Los Banos around 0800. The flight was destined for Gustine, California.

The instructor pilot reported that shortly after departing Los Banos, he simulated a loss of engine power. The student, who was studying to become a flight instructor, initiated an autorotation to a field. When the instructor attempted to apply engine power following the practice autorotation, the engine "immediately quit." The instructor applied full collective to cushion the landing, but the helicopter landed hard in the field, structurally damaging the tail boom and the fuselage.

Following the accident, the operator returned the helicopter to their facility and test ran the engine. No anomalies were noted, and they believed the conditions were suitable for the development of carburetor ice during the autorotation. Review of archived weather data for the day of the accident revealed the weather observation facility at the Merced Municipal Airport, which is 24 miles northeast of the accident site, reported the temperature and dew point as 6 and 5 degrees Celsius, respectively. Plotting of those temperatures on a carburetor icing probability chart revealed that conditions likely existed for serious icing at any power setting.

The accident was reported to the Federal Aviation Administration's (FAA) Fresno Flight Standards District Office on August 23, 2005. FAA personnel informed the National Transportation Safety Board of the event on August 24, 2005.

Aircraft

Registration
N820SH
Reported as
Robinson Helicopter R22 Beta
Category
Helicopter
Serial number
3772
Engine
Lycoming IO-360, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Registered owner
Silver State Helicopters LLC
Airworthiness certificate
Standard, Normal
Departed
LSN · Los Banos, CA
Destination
3O1 · Gustine, CA

Flight crew · 2

As NTSB recorded them. NTSB leaves out names.

Role
Flight instructor
Age
47
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land
Medical
Class 2, Without waivers/limitations
Seat
Right
Flight hours
2,045 total · 1,642 in this make and model · 1,940 as pilot in command
Role
Student pilot
Age
40
Injuries
None
Certificate
Commercial
Medical
Class 2, With waivers/limitations
Seat
Left
Flight hours
726 total · 168 in this make and model · 673 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
4 statute miles
Lowest ceiling
None
Temperature
43 °F, dew point 41 °F
Altimeter
30.23 inHg
Observed at
MCE, 24 nm away

Docket · 2

The files NTSB released with the investigation on February 13, 2006, on NTSB’s docket system: statements, records, photos and specialists’ reports. 614 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.