LAX08CA159

NTSB accident investigation · Robinson R22 · Salt Lake City, UT · May 31, 2008

Accident · No injuriesData collectionFinal report
Date
May 31, 2008, 08:10 local (14:10 UTC)
Place
Salt Lake City, UT
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Emergency descent
Aircraft
N268SHRobinson R22
Defining event
Autorotation: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed · report June 30, 2008
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20080531835529A
Case key
68140

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 student's improper use of the anti torque pedals during a practice hover autorotation, which resulted in the helicopter rolling over. Additional causes of the accident were the certificated flight instructor's inadequate supervision of the maneuver and delayed remedial action.

Findings · 3

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.

Attention/monitoring: monitoring other personPersonnel issues › Psychological · Instructor/check pilotRobinson Helicopter R22 BETA: 15 casesAll aircraft: 200 casesProbable cause
Action: delayed actionPersonnel issues › Action/decision · Instructor/check pilotRobinson Helicopter R22 BETA: 35 casesAll aircraft: 894 casesProbable cause
Performance/control parameters: directional controlAircraft › Aircraft oper/perf/capability · Not attained/maintainedRobinson Helicopter R22 BETA: 14 casesAll aircraft: 3,958 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 student pilot made several approaches and a practice hover autorotation before repositioning the helicopter to a different area of the airport. They planned to perform more hover autorotations and the certified flight instructor (CFI) continued to guard the flight controls. The CFI initiated the hover auto without communication, which was a deviation from their normal procedures. In response to the movement the student depressed the left [improper] anti-torque pedal and the helicopter began to spin. The CFI could not regain control and the helicopter rolled. The CFI reported no pre impact mechanical malfunctions or failures with the helicopter

Factual narrative

In a written statement, the certificated flight instructor (CFI) reported that the purpose of the flight was to provide the student pilot training. The student pilot made several approaches and a practice hover autorotation before repositioning the helicopter to a different area of the airport. They planned to perform more hover autorotations and the CFI continued to guard the flight controls. The CFI deviated from the normal procedure they had practiced of communicating and counting down before rolling the throttle to the closed position. The CFI initiated the hover auto without communication. In response to the movement the student depressed the left [improper] anti-torque pedal and the helicopter began to spin. The CFI could not regain control and the helicopter rolled. The CFI further stated that the accident could have been prevented if he had briefed the student more thoroughly on the maneuver and if he had assumed authority of the controls earlier in the maneuver. The CFI reported no pre impact mechanical malfunctions or failures with the helicopter

Aircraft

Registration
N268SH
Reported as
Robinson R22
Category
Helicopter
Serial number
4233
Engine
Lycoming O-360-J2A, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Upper Limit Aviation
Registered owner
Tumbleweed Leasing Co., Inc
Airworthiness certificate
Standard, Normal
Departed
SLC · Salt Lake City, UT
Destination
U42 · Salt Lake City, UT
Airport
U42 · Salt Lake City Municipal 2 Air

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
32
Certificates
Flight instructor, Commercial
Instrument ratings
Helicopter
Medical
Class 2
Flight hours
370 total · 370 in this make and model · 135 in the last 90 days · 58 in the last 30 days
Role
Student pilot
Age
27
Certificate
Student
Medical
Class 2
Flight hours
28 total · 28 in this make and model · 28 in the last 90 days · 16 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
170° at 4 knots
Visibility
10 statute miles
Temperature
61 °F

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.

Other investigations on N268SH · 1

Matched to the same aircraft by N-number and date.