# NTSB SEA97FA016: Robinson R22 Beta, N512HH, Halsey, OR, October 19, 1996 - Type: NTSB accident investigation - Classification: Accident · Fatal · Field investigation · Final report - Date: October 19, 1996, 09:26 local (16:26 UTC) - Place: Halsey, OR - Coordinates: 44.379978, -123.10926 (estimated) - Nearby events: https://openairdocs.org/map.md?lat=44.3800&lon=-123.1093&mi=10 - Phase of flight: [Unknown](https://openairdocs.org/ntsb-phases/990) (OpenAirDocs' grouping) - Highest injury: Fatal - Injuries: 1 fatal - Status: Completed, report March 31, 1998 - Report: Approved by Office Director - NTSB case key (mKey): 42485 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=SEA97FA016 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/42485/pdf - Page: https://openairdocs.org/ntsb/SEA97FA016 ## Probable cause The pilot-in-command's failure to maintain main rotor RPM, resulting in loss of control of the helicopter and collision with terrain. Factors included the pilot's lack of experience in helicopters, and interpersonal relationship problems between the pilot and his girlfriend. ## Sequence of events In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf). - Loss of control - in flight, unknown - rotor rpm - not maintained, pilot in command (cause) - lack of total experience in kind of aircraft, pilot in command (contributing factor) - interpersonal relations, pilot in command (contributing factor) - In flight collision with terrain/water, descent - uncontrolled ## Analysis The 21-year-old Brazilian pilot, a newly certificated private helicopter pilot, was a student in a commercial helicopter pilot training program. According to individuals at the school who knew the pilot, he was distraught over a breakup with his girlfriend in Brazil. These individuals stated that the pilot's attitude and behavior had changed over the previous two weeks (the time frame of the breakup), and that the pilot behaved unusually on the morning of the accident. The accident flight had not been scheduled in advance, and the pilot did not leave an itinerary. The accident occurred 11 nautical miles southeast of the departure airport in an area not normally used by the school on weekends. The crash site was in a level grass field, on an east-to-west path, parallel to an east-west road. No witnesses were identified. Investigators found no evidence of preimpact mechanical problems in the helicopter wreckage, but instrument indications of low main rotor RPM existed. ## Factual narrative HISTORY OF FLIGHT On October 19, 1996, approximately 0926 Pacific daylight time, a Robinson R22 Beta helicopter, N512HH, operated by Avia Flight Services Inc. of Corvallis, Oregon, crashed in a grass seed field approximately 1 mile southwest of Halsey, Oregon. The helicopter was destroyed and the recently certificated private pilot, a 21-year-old Brazilian national who was the helicopter's sole occupant, was killed. The 14 CFR 91 flight had departed Corvallis with an unknown destination. Visual meteorological conditions prevailed and no flight plan had been filed. The pilot was a student in Avia's commercial helicopter pilot training program. According to the chief executive officer (CEO) of Avia Flight Services, the accident flight was an unscheduled solo flight and not a training syllabus ride. Avia's CEO stated that the pilot had not been scheduled to fly until noon that day, when a dual instructional flight with an instructor was scheduled. He stated that the accident pilot came in to the office about 0800, determined that a helicopter was available, and signed the helicopter out to fly solo; the CEO reported that the pilot stated he would be out from 0800 to 1000 but did not provide an itinerary or get an instructor to dispatch the flight. Avia's CEO stated that this solo flight was unexpected, in light of intentions previously stated by the pilot to Avia to fly only dual flights until completion of the training program due to financial concerns. Avia's CEO reported that the pilot refueled the accident aircraft with 10 gallons of 100LL aviation gasoline before departure, and was also seen doing a preflight inspection of the aircraft. He further stated that the accident pilot departed Corvallis, a non-towered airport, between 0830 and 0900, without making a radio call (a procedure he described as non-standard.) The CEO reported that the crash occurred outside Avia's normal practice area northeast of Corvallis (the accident site was approximately 11 nautical miles southeast of the Corvallis airport), and stated that the school's flights did not normally operate in the Halsey area on weekends due to noise abatement rules (the accident occurred on a Saturday.) No witnesses to the accident were identified. Local fire/rescue and law enforcement authorities responded to the crash scene after being notified of the crash by a local resident via a 911 emergency call. The pilot was determined to be dead at the scene. PERSONNEL INFORMATION According to Avia's CEO, the pilot had arrived at the flight training school in February 1996. He held a private pilot certificate with airplane single-engine land and rotorcraft-helicopter privileges, with a date of issuance of October 11, 1996, eight days before the accident (his logbooks indicated that he passed his private pilot airplane checkride in June 1996, and his helicopter checkride in October 1996). Avia personnel reported to responding law enforcement officials that the pilot was due to complete his commercial pilot training within the next two weeks, requiring approximately nine more hours of dual flight instruction to complete the program. Avia personnel described the pilot as a highly motivated and dedicated student who loved flying and had good piloting skills, but reported that they had noted a change in his behavior and attitude during the two weeks prior to the accident. According to statements made by the Avia CEO and the pilot's roommate to investigators and local law enforcement personnel, the pilot had been "very depressed" over an impending breakup with his girlfriend in Brazil for approximately the past two weeks. As an example of this change in attitude and behavior, the pilot's flight instructor reported to law enforcement officials that he had scolded the pilot the day before the accident for being 40 minutes late to a flight lesson. Avia's CEO also told law enforcement officials that the pilot had previously displayed very strong emotions, and that he had cautioned the pilot not to fly with other things on his mind. The pilot's roommate told law enforcement officials that "[the pilot] had been crying at night and on 10/18/96 [the day before the accident] [the pilot] had taken all of the letters and card[s] he had gotten from his girlfriend and he had thrown them in the trash." The Avia CEO reported a number of perceived unusual behaviors by the pilot immediately before the accident flight, including leaving a favorite flight helmet (which had been given to him by his father, and which several Avia personnel stated he always wore whenever he flew) in the office during the flight, failing to respond to a casual greeting from his flight instructor, and taking off from Corvallis without making a radio call. Avia's CEO later reported that while going through the pilot's helmet bag in the Avia office after the accident, he discovered photocopies of a newspaper article about a recent fatal Oregon helicopter accident (SEA97FA001, Boeing Vertol BV-107-II, N196CH, Canby, Oregon, October 4, 1996) folded together with a stack of faxed letters from the pilot's girlfriend. The faxes, which were in Portuguese and undated, were provided to a Portuguese translator. The translated letters did not provide any clear indications as to the pilot's state of mind or intentions, but did indicate that the pilot and his girlfriend had argued (and possibly made up) on at least one occasion; that the pilot may have had difficult relations with the girlfriend's mother; and that the girlfriend was unhappy with the extended overseas separation from the pilot. In a letter faxed to the NTSB IIC dated December 11, 1996, the pilot's father stated that, while the father was in Brazil at the time and therefore "not the right person to tell details about the behavior of my son in his last moments in Corvallis", he nevertheless believed that the pilot "wanted to be back home (he was homesick) in spite of some hints which might point to the possibility of non-accident. It is my opinion that this idea can not [sic] be taken seriously because no firm indication [exists], as far as I learnt during my staying in Corvallis [after the accident]." It was also noted in the sheriff's report that the pilot had plans to go shopping with his roommate in Portland that afternoon to buy gifts for his family in Brazil, and that the pilot was due to return home to Brazil soon and planned to discuss relationship matters with his girlfriend at that time. The pilot's roommate told a sheriff's detective that upon learning of the accident, he returned to their apartment to look for any notes which the pilot may have left, and found none. The pilot's logbook, which was recovered from the aircraft wreckage, indicated that the pilot had a total of 48.7 hours of helicopter time, of which 26.4 hours was helicopter pilot-in-command. All of the pilot's helicopter time had been logged in the R22. The logbook contained an instructor endorsement indicating that he had received the type-specific training required by Special Federal Aviation Regulation (SFAR) 73 to act as pilot-in-command of R22 helicopters. AIRCRAFT INFORMATION In its April 1996 Special Investigation Report (SIR), "Robinson Helicopter Company R22 Loss of Main Rotor Control Accidents" (NTSB/SIR-96/03), the NTSB reported that the R22 is highly responsive to flight control inputs. Additionally, according to the SIR, the R22 utilizes a low-inertia main rotor, which is subject to rapid RPM decay if collective pitch and/or engine power are improperly managed by the pilot. Data presented in the SIR indicated that the R22 had experienced a high proportion of fatal loss-of-control accidents. R22 fatal loss-of-control (LOC) accidents (as defined in the SIR) accounted for 37 per cent of total R22 fatal accidents between 1981 and 1994. The NTSB SIR also noted that according to one FAA study, approximately 80 per cent of the R22 flight hours l ## Aircraft - Registration: [N512HH](https://openairdocs.org/deregistered/N512HH-1999-02-25), registration cancelled 1999-02-25, S/N 0548 (OpenAirDocs) - Reported make and model: Robinson R22 BETA - Registry model: [Robinson Helicopter R22 BETA](https://openairdocs.org/model/robinson-helicopter-r22-beta) (registry code 7640110) (OpenAirDocs) - Category: Helicopter - Serial number: 0548 - Airframe hours: 5315 - Engines: Lycoming O-320-B2C 160 horsepower reciprocating - Damage: Destroyed - Fire: On-Ground - Flight: Personal, Part 91 - Operator: Avia Flight Services Inc. - Registered owner: Pacific Rim Aviation - Airworthiness certificate: Standard, Normal - Last inspection: Annual, September 16, 1996, 91 hours before - Departed: CVO, CORVALLIS, OR - Destination: UNKNOWN ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 21; private; airplane ratings: single-engine land; medical: class 2, valid medical--no waivers/lim.; seat: right; toxicology performed; flight hours: 158 total, 49 in this make and model, 104 as pilot in command, 81 in the last 90 days, 56 in the last 30 days, 4 in the last 24 hours ## Weather - Conditions: Visual (VMC), Day - Wind: 140° at 5 knots - Visibility: 10 statute miles - Lowest ceiling: none - Temperature: 41 °F, dew point 37 °F - Altimeter: 30.00 inHg - Observed at: EUG, 16 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 (OpenAirDocs). - [Accident 19961019033059A](https://openairdocs.org/incident/19961019033059A), Oct 19, 1996: Robsin R22BETA, Halsey, OR, Destroyed, 1 fatal. The 21 year old brazilian pilot, a newly certificated private helicopter, was a student in a commerical helicopter pilot training program. According to… From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.