WPR09LA411

NTSB accident investigation · Robinson R44 · Tonopah, NV · August 21, 2009

Accident · Serious injuriesLimited investigationFinal report
Date
August 21, 2009, 15:00 local (22:00 UTC)
Place
Tonopah, NV
Injuries
3 serious
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N19DVRobinson R44
Defining event
Maneuvering: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed · report May 26, 2011
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration FSDO
FAA report
20090821016259A
Case key
74569

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 maneuver the helicopter within its performance capabilities while at a low altitude in mountainous terrain and in high density altitude conditions.

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.

Aircraft capabilityAircraft › Aircraft oper/perf/capability · Capability exceededRobinson Helicopter R44 II: 3 casesAll aircraft: 57 casesProbable cause
Temp/humidity/pressure: high density altitudeEnvironmental issues › Conditions/weather/phenomena · Effect on equipmentRobinson Helicopter R44 II: 11 casesAll aircraft: 278 casesProbable cause
Terrain: mountainous/hilly terrainEnvironmental issues › Physical environment · Contributed to outcomeRobinson Helicopter R44 II: 4 casesAll aircraft: 329 cases
Performance/control parameters: altitudeAircraft › Aircraft oper/perf/capability · Not attained/maintainedRobinson Helicopter R44 II: 39 casesAll aircraft: 1,310 cases

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 providing aerial surveillance of a car that was in an off-road rally race. A passenger recalled that they had just climbed over a hill, and made a low banking turn to get behind a car that was in the race. He saw a steep cliff-like ridge ahead, and was concerned about hitting it. As they cleared the ridge by about 20 feet, he heard the engine sound change pitch. The helicopter banked right, and slowed down. The passenger heard the pilot say "no" several times as well as “come on,” followed by the sounding of a horn. The helicopter collided with the ground, touching down on the skids. The helicopter turned as it went downhill, and rolled over onto its right side. A postaccident examination of the airframe and engine revealed no anomalies that would have precluded normal operation. The density altitude was calculated to be about 10,300 feet. Examination of the performance charts for the helicopter indicated that, at the weather parameters for this flight, the power required for the maneuvers attempted exceeded the power available.

Factual narrative

On August 21, 2009, about 1500 Pacific daylight time, a Robinson R44, N19DV, collided with terrain near Tonopah, Nevada. Dooley Aviation, Inc., was operating the helicopter under the provisions of Title 14 Code of Federal Regulations (CFR) Part 91. The certificated private pilot and two passengers sustained serious injuries. The helicopter sustained substantial damage from impact forces. The cross-country personal flight departed Tonopah about 1400. Visual meteorological conditions prevailed, and no flight plan had been filed. One of the passengers had flown with the pilot on the previous flights during the day. He stated that they landed at Tonopah, topped off the fuel tanks, and picked up the other passenger. He noted a slower takeoff than the other flights, and estimated that they were airborne about an hour prior to the accident. The passenger said that they had just climbed over a hill, and made a low banking turn. They were maneuvering to get behind a car that was in the off-road rally race. He saw a steep cliff-like ridge ahead, and he was concerned about hitting it. As they cleared the ridge by about 20 feet, he heard the engine sound change pitch. The helicopter banked right, and slowed down. He heard the pilot say no several times as well as “come on,” and heard a horn sounding. Then the helicopter collided with the ground. A ground witness observed the helicopter flying over the race course, and observed it bank and then descend as if starting to make a landing. She did not observe the impact, but did observe a dust cloud. A Federal Aviation Administration inspector examined the wreckage at the accident site. He reported that the helicopter appeared to hit the terrain on the heel of the right skid. It bounced, and then slid, which separated both skids. The underside of the nose and fuselage made contact; the helicopter turned to the left, and rolled onto its right side. The inspector estimated that the operating weight of the helicopter was 2,300 pounds at the time of the accident. The maximum certified operating gross weight is 2,500 pounds. Recovery personnel reported that fuel was in each tank, and fuel was dripping from the left tank after being loaded on a trailer. The fuel selector appeared to be in the on position. The nearest official weather reporting station was Tonopah (KTPH). An aviation routine weather report (METAR) for KTPH was issued at 1456 PDT. It stated: winds from 150 degrees at 8 knots gusting to 17 knots; visibility 10 miles; skies clear; temperature 35/95 degrees Celsius/Fahrenheit; dew point -3/27 degrees Celsius/Fahrenheit; altimeter 30.11 inches of mercury. The accident site elevation was about 6,600 feet mean sea level (msl). The density altitude was about 10,300 feet. Investigators from the Safety Board and Robinson Helicopters examined the wreckage. They observed no anomalies that would have precluded normal operation. The Robinson investigator provided the performance charts for the helicopter.Examination of the charts indicated that, at the weather parameters for this flight, the OGE (out of ground effect) and IGE (in ground effect) capabilities of the helicopter were exceeded.

Aircraft

Registration
N19DV
Reported as
Robinson R44 (II)
Category
Helicopter
Serial number
11027
Airframe hours
686
Engine
Lycoming IO-540-AE1A5, 245 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Dooley Aviation, Inc.
Registered owner
Dooley Aviation, Inc.
Airworthiness certificate
Standard, Normal
Departed
TPH · Tonopah, NV
Destination
TPH · Tonopah, NV

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
45
Injuries
Serious
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
June 11, 2008
Seat
Right
Flight hours
4,700 total · 840 in this make and model · 30 in the last 90 days

Weather

Conditions
Visual (VMC) · Day
Wind
150° at 8 knots, gusting 17
Visibility
10 statute miles
Lowest ceiling
None
Temperature
95 °F, dew point 27 °F
Altimeter
30.11 inHg
Observed at
KTPH, 25 nm away

Docket · 6

The files NTSB released with the investigation on March 25, 2011, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.9 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.