LAX99LA186

NTSB accident investigation · Robinson R22A · San Luis Obispo, CA · May 19, 1999

Accident · Minor injuriesLimited investigationFinal report
Date
May 18, 1999, 17:30 local (May 19, 1999, 00:30 UTC)
Place
San Luis Obispo, CA
Injuries
2 minor
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N8558NRobinson R22A
Weather
Visual (VMC) · Day
Status
Completed · report December 4, 2000
Report
Approved by Office Director
FAA report
19990518005389A
Case key
46343

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 inadvertent and uncoordinated application of forward cyclic during an autorotation flare, which resulted in a loss of main rotor rpm; and the flight instructor's inadequate supervision.

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 flightApproach - vfr pattern - final approach
Weather condition - gusts
Autorotation - performed
Rotorcraft flight controls - improper use ofDual student
Cyclic - inadvertent activationDual studentCause
Rotor rpm - not maintainedDual studentCause
Supervision - inadequatePilot in command(cfi)Cause
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - mountainous/hilly
Roll overDescent - uncontrolled

Analysis

The instructor stated the student entered a practice autorotation at 1,400 feet (600 feet agl) to a landing site on top of a hill about 800 feet high. As the flare was initiated at 40 to 50 feet, the instructor mentioned to the student that the cyclic trim was engaged. When the student unexpectedly reached forward and tried to push the trim control knob in, he inadvertently pushed forward on the cyclic control. The instructor said this pitched the nose of the helicopter down and resulted in a bleed off of main rotor rpm. When the low rotor horn and warning light came on the instructor took control of the helicopter and rolled in throttle. The lowest rpm he recalls seeing was slightly above 90 percent. He made a left turn to avoid hitting the hill and encountered a strong downdraft due to the gusty winds. The helicopter touched down on the left skid during the turn and rolled over twice.

Factual narrative

On May 18, 1999, about 1730 hours Pacific daylight time, a Robinson R22A, N8558N, sustained substantial damage during a hard landing and rollover near San Luis Obispo, California. A certified flight instructor and student, the sole occupants, were practicing autorotations in a hilly area approximately 5 miles east of the San Luis Obispo airport. Both pilots received minor injuries. Helipro, Inc., of San Luis Obispo, was operating the instructional flight under the provisions of 14 CFR Part 91. The flight originated in San Luis Obispo about 1630 and no flight plan was filed. Visual meteorological conditions prevailed. An aviation routine weather report (METAR) issued for San Luis Obispo at 1717 indicated broken skies at 1,000 feet with winds at 17 knots gusting to 24 knots.

The operator stated the pilots received a DUATS weather briefing prior to departure. They departed to the east, which was clear but windy.

The instructor stated the student entered a practice autorotation at 1,400 feet (600 feet agl). The selected landing site was on top of a hill approximately 800 feet high. As the flare was initiated at 40 to 50 feet, the instructor mentioned to the student that the cyclic trim was engaged. When the student unexpectedly reached forward and tried to push the trim control knob in, he inadvertently pushed forward on the cyclic control. The instructor said this pitched the nose of the helicopter down and resulted in a bleed off of main rotor rpm. When the low rotor horn and warning light came on the instructor took control of the helicopter and rolled in throttle. The lowest rpm he recalls seeing was slightly above 90 percent. He made a left turn to avoid hitting the hill and encountered a strong downdraft due to the gusty winds. The helicopter touched down on the left skid during the turn and rolled over twice. The pilots were able to extricate themselves and walk to a farmhouse for help.

The instructor stated the cyclic trim was used during cruise to relieve stick loads. He indicated the helicopter could be easily controlled in all flight regimes with the cyclic trim on or off. He normally flies with it off, but teaches its use because the flight examiner required a demonstration of its use on check rides. He said there was no checklist requiring it be turned off prior to practicing autorotations. He said it was controlled by a push/pull knob located on the console in front of the cyclic. The knob has to be pushed in approximately 4 inches to turn the trim off.

Aircraft

Registration
N8558N
Reported as
Robinson R22A
Category
Helicopter
Serial number
0466
Airframe hours
9,536
Engine
Lycoming O-320-B2C, 160 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Registered owner
Helipro, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · May 7, 1999 · 48 hours before
Departed
SBP

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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
24
Certificates
Flight instructor, Commercial
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
369 total · 364 in this make and model · 317 as pilot in command · 164 in the last 90 days · 125 in the last 30 days · 4 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
300° at 17 knots, gusting 24
Visibility
10 statute miles
Lowest ceiling
1,000 ft broken
Temperature
55 °F, dew point 52 °F
Altimeter
29.00 inHg
Observed at
SBP, 5 nm away

FAA reports on this event · 1

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