LAX07LA005

NTSB accident investigation · Robinson R22 Beta · Upland, CA · October 8, 2006

Accident · No injuriesLimited investigationFinal report
Date
October 8, 2006, 13:12 local (20:12 UTC)
Place
Upland, CA
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N821SHRobinson R22 Beta
Weather
Visual (VMC) · Day
Status
Completed · report March 31, 2008
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20061008025549A
Case key
64665

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

Disconnection of the throttle control linkage due to improper maintenance, which resulted in a loss of engine power during initial climb.

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) - mech failure/malfTakeoff - initial climb
Throttle/power lever,push/pull rod - disconnectedCause
Maintenance - improperOther maintenance personnelCause
Forced landingDescent - emergency
Autorotation - performedPilot in command(cfi)
Hard landingLanding - flare/touchdown
Terrain condition - ground

Analysis

The helicopter's engine suddenly lost power during initial climb on an instructional flight. The certified flight instructor (CFI) took the controls and autorotated to a hard touchdown in a gravel pit. After securing the helicopter, the CFI inspected the throttle linkage. He reported that something appeared disconnected behind the firewall. "When rotating the throttle from full open to full close, the push/pull tube that connects to the carburetor does not move." The subsequent examination of the helicopter's throttle spring assembly revealed that on a previous occasion improper maintenance had been performed. The helicopter's maintenance records did not reflect maintenance in this area. The inspection revealed that the upper rod end bearing was disconnected from the lower portion of the rod because it had not been safety wired as required. This maintenance error resulted in a total loss of throttle control.

Factual narrative

'This case was modified April 8, 2008."

On October 8, 2006, about 1312 Pacific daylight time, a Robinson R22 Beta, N821SH, experienced a loss of engine power during initial climb from the Cable Airport, Upland, California. The certified flight instructor (CFI) took the flight controls from his private pilot student. The CFI autorotated into a gravel pit adjacent to runway 24. The touchdown was hard, and the helicopter was substantially damaged. Neither the CFI nor student was injured during the instructional flight. The helicopter was owned and operated by Silver State Helicopters, LLC., North Las Vegas, Nevada. Visual meteorological conditions prevailed, and no flight plan had been filed. The flight was performed under the provisions of 14 Code of Federal Regulations Part 91, and it originated from Chino, California, about 1230.

The CFI reported to the National Transportation Safety Board investigator that during the first portion of the flight no evidence of any mechanical malfunction was apparent. Upon arriving at Chino they made an approach to the southeast helicopter pads and then departed. During the subsequent climb out from the Cable Airport, the engine and main rotor rpm decreased. The CFI reported that an effort was made to correct for the low engine/rotor rpm by rolling on (increasing) throttle and lowering the collective, but there was no response from the throttle control. Thereafter, the CFI took the controls from his student and initiated an autorotative descent. Touchdown was hard, and the main rotor blades severed the tail boom. After securing the helicopter the CFI stated that he inspected the throttle linkage. He reported that something appeared disconnected behind the firewall. "When rotating the throttle from full open to full close, the push/pull tube that connects to the carburetor does not move."

Under the direction of the Safety Board, the helicopter was examined by the Federal Aviation Administration (FAA) coordinator. The FAA coordinator reported that he examined the helicopter's throttle over travel spring assembly. He observed evidence that it had been removed and reinstalled improperly on a previous occasion. The helicopter's maintenance records did not reflect this maintenance, or any maintenance in this area.

The FAA coordinator additionally reported that the specific examination finding was that the upper rod end bearing was separated from the lower portion of the rod because it had not been safety wired as required. He opined that following this disconnection, all throttle control capability was lost.

Aircraft

Registration
N821SH
Reported as
Robinson R22 Beta
Category
Helicopter
Serial number
3774
Airframe hours
1,809
Engine
Lycoming O-360-J2A, 131 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Silver State Helicopters, LLC
Registered owner
Silver State Helicopters, LLC
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · October 1, 2006
Departed
CCB · Upland, CA
Destination
POC · La Verne, CA
Airport
CCB · Cable, runway 24, 3,864 × 75 ft, asphalt

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
24
Injuries
None
Certificates
Flight instructor, Commercial
Instrument ratings
Helicopter
Medical
Class 2, Without waivers/limitations
Last flight review
April 1, 2006
Seat
Left
Flight hours
841 total · 797 in this make and model · 800 as pilot in command · 395 in the last 90 days · 125 in the last 30 days · 8 in the last 24 hours
Role
Pilot
Age
27
Injuries
None
Certificate
Private
Medical
Class 1, Without waivers/limitations
Last flight review
May 1, 2005
Seat
Right
Flight hours
110 total · 103 in this make and model · 66 as pilot in command · 6 in the last 90 days · 2 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
250° at 5 knots
Visibility
5 statute miles
Lowest ceiling
None
Temperature
63 °F
Altimeter
29.95 inHg
Observed at
POC, 5 nm away

Docket · 1

The files NTSB released with the investigation on February 20, 2008, on NTSB’s docket system: statements, records, photos and specialists’ reports. 30 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.