MIA94GA072

NTSB accident investigation · Robinson R-22B · Pompano Beach, FL · February 14, 1994

Accident · Minor injuriesFinal report
Date
February 14, 1994, 15:20 local (20:20 UTC)
Place
Pompano Beach, FL
Injuries
1 minor, 1 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N591PDRobinson R-22B
Weather
Visual (VMC) · Day
Status
Completed · report November 18, 1994
Report
Approved by Office Director
FAA report
19940214048959A
Case key
37435

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

Failure of the pilot-in-command to use carburetor heat during a poweroff autorotation, resulting in the engine not responding to throttle input during recovery due to carburetor ice buildup.

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 powerApproach
Weather condition - carburetor icing conditionsFactor
Carburetor heat - not usedPilot in commandCause
Fuel system,carburetor - ice
Hard landingDescent

Analysis

Both pilots stated they were performing their third 180-degree autorotation with power recovery. They were not using the carburetor heat. They heard the engine running as they began the recovery but the engine did not respond to throttle input. The helicopter touched down hard and the main rotor blades contacted the tail boom and severed it and the tail rotor. The helicopter spun to the left several times and the right skid collapsed before the helicopter came to rest upright. After the accident the engine was operated in the helicopter and also in a test cell with no evidence to indicate failure or malfunction. At the time of the accident the helicopter was operating in conditions conducive to serious carburetor icing at glide power. The flight manual for the helicopter requires use of carburetor heat when operating in conditions conducive to carburetor icing.

Factual narrative

On February 14, 1994, at 1520 eastern standard time, a Robinson R22 Beta, N591PD, registered to the City of Fort Lauderdale, landed hard at Pompano Beach Airpark, Pompano Beach, Florida, following loss of engine power during recovery from a autorotation landing. The flight was a 14 CFR Part 91, public-use flight. Visual meteorological conditions prevailed at the time and no flight plan was filed. The aircraft received substantial damage and the airline transport-rated flight instructor was not injured. The commercial-rated dual student received minor injuries. The flight originated at Fort Lauderdale, Florida, on February 14, 1994, about 1445.

Both pilots stated the instructor pilot was demonstrating a 180-degree autorotation with power recovery. The dual student was following on the flight controls. They had completed two previous autorotations. As they flared at the completion of the autorotation they heard the engine running at idle; however, when they applied power to recover, the engine did not respond. The helicopter touched down hard and the main rotor blades severed part of the tailboom and the tail rotor. The helicopter spun to the left several rotations and the right skid collapsed. The helicopter came to rest upright, leaning to the right. They stated the engine was at idle power for about 30 to 40 seconds during each autorotation and that they were not applying carburetor heat.

After the accident the main rotor blades were removed and the tail rotor drive was disconnected from the transmission. The engine was started and operated to 3,000 rpm where it ran rough and popped. A magneto check was performed and the right magneto had over a 200 rpm drop. The left mag had a normal drop. The no. 2 cylinder bottom plug, which operates off the right magneto, was found to be fouled by oil and the ignition lead was not firing. All cylinders developed normal compression.

The engine was removed from the helicopter and the exhaust valve guide clearance was measured. The nos. 1, 2, and 4 exhaust valve guides were found worn beyond maximum limits. No 3 cylinder exhaust valve guide was at maximum limit.

The engine was placed in a test cell and operated to maximum power with no evidence of failure or malfunction. During initial running the carburetor fuel shutoff needle valve stuck partially open. This corrected itself shortly after start of the engine run. The no. two cylinder bottom spark lead from the right magneto operated normally during this test run.

A review of carburetor icing probability curves indicate that for the conditions present at the time of the accident, temperature 72 degrees F and dewpoint temperature 55 degrees F, the helicopter was operating in conditions conducive to serious icing at glide power. The FAA approved flight manual for the Robinson R22 states " when conditions conducive to carburetor ice are known or suspected, such as fog, rain, high humidity, or when operating near water, use carb heat as follows: during autorotation or reduced power below 18 inches MP apply full Carb Heat regardless of CAT gage temperature." See attached icing probability curves and pages from the Robinson Flight Manual.

Aircraft

Registration
N591PD
Reported as
Robinson R-22B
Category
Helicopter
Serial number
592
Airframe hours
7,073
Engine
Lycoming O-320-B2C, 160 horsepower, reciprocating
Damage
Substantial damage
Flight
Public aircraft · Part 91
Registered owner
City Of Ft. Lauderdale
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · January 20, 1994 · 73 hours before
Departed
FXE · Fort Lauderdale, FL
Airport
PMP · Pompano Beach Airpark, runway 5, 4,001 × 150 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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
53
Certificates
Airline transport, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land, Single-engine sea
Instrument ratings
Airplane, Helicopter
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
16,200 total · 4,100 in this make and model · 15,300 as pilot in command · 50 in the last 90 days · 15 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
30° at 18 knots
Visibility
9 statute miles
Lowest ceiling
2,000 ft overcast
Temperature
72 °F, dew point 55 °F
Altimeter
30.00 inHg
Observed at
PMP, 1 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.