WPR09CA105

NTSB accident investigation · Robinson Helicopter R44 II · Bountiful, UT · February 1, 2009

Accident · Minor injuriesData collectionFinal report
Date
February 1, 2009, 12:00 local (19:00 UTC)
Place
Bountiful, UT
Injuries
1 minor, 3 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N944URobinson Helicopter R44 II
Defining event
Maneuvering-low-alt flying: Low altitude operation/event
Weather
Visual (VMC) · Day
Status
Completed · report April 15, 2009
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Salt Lake FAA FSDO
FAA report
20090201000379A
Case key
73303

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 pilot's improper decision to fly at low altitude while maneuvering in mountainous terrain in a canyon and inadvertently exceeding the climb capability of the helicopter. Contributing to the accident were a high density altitude, mountainous terrain, and a tailwind encountered during the attempted course reversal.

Findings · 5

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.

Performance/control parameters: climb rateAircraft › Aircraft oper/perf/capability · Capability exceededRobinson Helicopter R44 II: 2 casesAll aircraft: 265 casesProbable cause
Terrain: mountainous/hilly terrainEnvironmental issues › Physical environment · Effect on operationRobinson Helicopter R44 II: 4 casesAll aircraft: 329 casesProbable cause
Wind: tailwindEnvironmental issues › Conditions/weather/phenomena · Effect on equipmentRobinson Helicopter R44 II: 13 casesAll aircraft: 594 casesProbable cause
Temp/humidity/pressure: high density altitudeEnvironmental issues › Conditions/weather/phenomena · Effect on equipmentRobinson Helicopter R44 II: 11 casesAll aircraft: 278 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

While en route to her destination, the pilot elected to fly the helicopter up a canyon toward rising terrain. Soon after making a low pass over a ridge above 8,000 feet mean sea level, the pilot increased collective in order to climb over upcoming higher terrain. As the collective was increased, the rotor rpm started to drop. The pilot immediately increased throttle, reversed course to fly downhill, and lowered the collective. During the turn, the helicopter encountered a quartering tailwind and began to settle toward the snow-covered down-sloping terrain. Soon thereafter the helicopter contacted the terrain, bounced back into the air, and a main rotor blade severed the tail boom. The helicopter rotated 180 degrees, impacted the terrain, and rolled over. According to the pilot there was no evidence of an engine power loss or any anomaly with the flight control system.

Factual narrative

While en route to her destination, the pilot elected to fly the helicopter up a canyon toward rising terrain. Soon after making a "low pass" over a ridge above 8,000 feet mean sea level (MSL), the pilot increased collective in order to climb over upcoming terrain. As the collective was increased, the rotor RPM started to drop. The pilot immediately increased throttle, reversed course to fly downhill, and lowered the collective. During the turn, the helicopter encountered a quartering tailwind and began to settle toward the snow-covered terrain. Soon thereafter the helicopter contacted the terrain, but bounced back into the air. Immediately thereafter a main rotor blade severed the tail boom, and the helicopter impacted the terrain. According to the pilot, there was no evidence of an engine power loss or any anomaly with the flight control system.

Aircraft

Registration
N944U
Reported as
Robinson Helicopter R44 II
Category
Helicopter
Serial number
10766
Airframe hours
2,035
Engine
Lycoming IO-540-AE1A5, 205 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Upper Limit Aviation
Registered owner
Tumbleweed Leasing Company Inc
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · January 28, 2009
Departed
kslc · Salt Lake City, UT
Destination
42u · Morgan, UT

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
21
Injuries
None
Certificates
Commercial, Flight instructor
Instrument ratings
Helicopter
Medical
Class 2, Without waivers/limitations
Last flight review
August 23, 2008
Seat
Right
Flight hours
524 total · 101 in this make and model · 433 as pilot in command · 194 in the last 90 days · 63 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Visibility
10 statute miles
Lowest ceiling
None

Docket · 1

The files NTSB released with the investigation on February 20, 2009, on NTSB’s docket system: statements, records, photos and specialists’ reports. 611 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.

Other investigations on N944U · 1

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