WPR09CA360

NTSB accident investigation · Robinson R22 Beta · Jerome, AZ · July 21, 2009

Accident · Serious injuriesData collectionFinal report
Date
July 21, 2009, 09:00 local (16:00 UTC)
Place
Jerome, AZ
Injuries
1 serious, 1 uninjured
Damage
Substantial damage
Phase of flight
Emergency descent
Aircraft
N747ERRobinson R22 Beta
Defining event
Autorotation: Hard landing
Weather
Visual (VMC) · Day
Status
Completed · report October 19, 2009
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
FAA report
20090721018079A
Case key
74335

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 failure to maintain adequate main rotor rpm's, and the certified flight instructor’s inadequate supervision of the flight.

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.

Performance/control parameters: prop/rotor parametersAircraft › Aircraft oper/perf/capability · Not attained/maintainedRobinson Helicopter R22 BETA: 37 casesAll aircraft: 182 casesProbable cause
Attention/monitoring: monitoring other personPersonnel issues › Psychological · Instructor/check pilotRobinson Helicopter R22 BETA: 15 casesAll aircraft: 200 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 pilot was undergoing a stage check by a Certified Flight Instructor (CFI) in preparation for the Commercial Practical flight test. The simulated emergency scenario of illumination of the low fuel light required the pilot to pick a spot and land promptly. He chose a flat area, and noted obstructions, including high power lines. About 300 feet above ground level (agl), he began to slow the helicopter, and check his gauges. The airspeed was about 50 knots, with the rate of descent between 400-500 feet per minute (fpm). He applied carburetor heat, and noted that the manifold pressure was below 18 inches. About 30-45 seconds later, the low rotor revolutions per minute (rpm) warning light illuminated along with the sounding of the corresponding warning horn. The pilot noted a very high vertical descent and he entered an autorotation by applying down collective and aft cyclic. The low rotor rpm horn and light extinguished. The CFI recalled that they were about 200 feet agl and 40-43 knots on final during the maneuver. He heard a noise reduction followed by the low rotor rpm horn and light. He lowered the collective and rolled on throttle. There were no immediate effects so he lowered the collective all the way, and applied aft cyclic aggressively. The rpm was 94-97 percent. With the aft cyclic, he was able to gain rpm, but little to no forward speed. The ground was approaching rapidly, and he pulled up on the collective. The helicopter fell straight down, hit hard, and rolled to the left; it sustained substantial damage. The instructor sustained serious injuries. The engine was operating, so the pilot turned off the ignition. He reported no mechanical irregularities prior to beginning the maneuver.

Factual narrative

The pilot was undergoing a stage check by a Certified Flight Instructor (CFI) in preparation for the Commercial Practical flight test. The simulated emergency scenario of illumination of the low fuel light required the pilot to pick a spot and land promptly. He chose a flat area, and noted obstructions, including high power lines. About 300 feet above ground level (agl), he began to slow the helicopter, and check his gauges. The airspeed was about 50 knots, with the rate of descent between 400-500 feet per minute (fpm). He applied carburetor heat, and noted that the manifold pressure was below 18 inches. About 30-45 seconds later, the low rotor revolutions per minute (rpm) warning light illuminated along with the sounding of the corresponding warning horn. The pilot noted a very high vertical descent and he entered an autorotation by applying down collective and aft cyclic. The low rotor rpm horn and light extinguished. The CFI recalled that they were about 200 feet agl and 40-43 knots on final during the maneuver. He heard a noise reduction followed by the low rotor rpm horn and light. He lowered the collective and rolled on throttle. There were no immediate effects so he lowered the collective all the way, and applied aft cyclic aggressively. The rpm was 94-97 percent. With the aft cyclic, he was able to gain rpm, but little to no forward speed. The ground was approaching rapidly, and he pulled up on the collective. The helicopter fell straight down, hit hard, and rolled to the left; it sustained substantial damage. The instructor sustained serious injuries. The engine was operating, so the pilot turned off the ignition. He reported no mechanical irregularities prior to beginning the maneuver.

Aircraft

Registration
N747ER
Reported as
Robinson R22 Beta
Category
Helicopter
Serial number
3876
Airframe hours
2,899
Engine
Lycoming O-360-J2A, 131 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Guidance Helicopters, Inc.
Registered owner
Guidance Helicopters, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · July 9, 2009 · 25 hours before
Departed
PRC · Prescott, AZ
Destination
PRC · Prescott, AZ

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
36
Injuries
Serious
Certificates
Flight instructor, Commercial
Instrument ratings
Helicopter
Medical
Class 2, Without waivers/limitations
Last flight review
May 14, 2009
Seat
Left
Flight hours
1,074 total · 907 in this make and model · 984 as pilot in command · 248 in the last 90 days · 47 in the last 30 days · 4 in the last 24 hours
Role
Student pilot
Age
34
Injuries
None
Certificate
Private
Instrument ratings
Helicopter
Medical
Class 2, Without waivers/limitations
Last flight review
February 21, 2009
Seat
Right
Flight hours
229 total · 170 in this make and model · 123 as pilot in command · 36 in the last 90 days · 7 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
73 °F, dew point 54 °F
Altimeter
30.19 inHg
Observed at
KPRC, 14 nm away

Docket · 2

The files NTSB released with the investigation on August 31, 2009, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.7 MB 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.