WPR11CA189

NTSB accident investigation · Robinson Helicopter R22 Beta · Salt Lake City, UT · April 6, 2011

Accident · Minor injuriesData collectionFinal report
Date
April 6, 2011, 12:10 local (18:10 UTC)
Place
Salt Lake City, UT
Injuries
1 minor, 1 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N268SHRobinson Helicopter R22 Beta
Defining event
Approach-VFR pattern downwind: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report June 20, 2011
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
FAA FSDO
FAA report
20110406005189A
Case key
78788

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 student pilot's inadvertent action of pulling out the engine's mixture control lever to idle cutoff that resulted in a complete loss of engine power.

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.

Action: incorrect action performancePersonnel issues › Action/decision · Student/instructed pilotRobinson Helicopter R22 BETA: 18 casesAll aircraft: 1,386 casesProbable cause
Environmental issuesEnvironmental issues › Physical environment · Contributed to outcomeRobinson Helicopter R22 BETA: 1 caseAll aircraft: 24 cases
Engine controls: mixture controlAircraft › Aircraft power plant · Unintentional use/operationRobinson Helicopter R22 BETA: 5 casesAll aircraft: 41 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 certified flight instructor said he and his student were flying the helicopter in the traffic pattern on the downwind leg. The student pilot was flying and the instructor told him to reduce the power to begin the descent for the base turn to final. The student reduced the power by approximately 1 inch of manifold pressure. The instructor then took control of the helicopter and reduced the power by an additional 6 or 7 inches of manifold pressure. He said that the student pulled the mixture control out to the idle cutoff position, which resulted in a loss of engine power. The student had intended to apply carburetor heat and instead inadvertently moved the mixture control, which was located next to the carburetor heat. The instructor turned the helicopter 180 degrees into the wind and simultaneously entered an autorotation from 300 feet above the ground. His selected landing site turned out to be a school yard with children present. He maneuvered the helicopter to a new landing site, but subsequently landed hard. The landing skids were spread and the main rotor cut off the tail boom.

Factual narrative

The certified flight instructor said he and his student were flying the helicopter in the traffic pattern on the downwind leg. The student pilot was flying and he was told by the instructor to reduce the power to begin the descent for the base turn to final. The student reduced the power by approximately 1 inch of manifold pressure. The instructor then took control of the helicopter and reduced the power by an additional 6 or 7 inches of manifold pressure. He said that the student pulled the mixture control out to the idle cutoff position, which resulted in a loss of engine power. The student had intended to apply carburetor heat and instead inadvertently moved the mixture control, which was located next to the carburetor heat. The instructor turned the helicopter 180 degrees into the wind and simultaneously entered an autorotation from 300 feet above the ground. His selected landing site turned out to be a school yard with children present. He maneuvered the helicopter to a new landing site, but subsequently landed hard. The landing skids were spread and the main rotor cut off the tail boom.

Aircraft

Registration
N268SH
Reported as
Robinson Helicopter R22 Beta
Category
Helicopter
Serial number
4233
Airframe hours
2,354
Engine
Lycoming O-360-J2A, 145 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Upper Limit Aviation, doing business as Upper Limit Aviation
Registered owner
Tumbleweed Leasing Co Inc
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · March 23, 2011
Departed
SLC · Salt Lake City, UT
Destination
U42 · Salt Lake City, UT
Airport
U42 · South Valley Regional Arpt

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
26
Injuries
None
Certificate
Flight instructor
Instrument ratings
Helicopter
Medical
Class 2, Without waivers/limitations
Seat
Left
Flight hours
433 total · 322 in this make and model · 210 in the last 90 days · 80 in the last 30 days · 1 in the last 24 hours
Role
Student pilot
Age
25
Injuries
Minor
Certificate
Student
Medical
Class 2, With waivers/limitations
Seat
Right
Flight hours
26 total · 26 in this make and model · 26 in the last 90 days · 26 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
160° at 11 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
52 °F, dew point 36 °F
Altimeter
30.10 inHg
Observed at
U42

Docket · 1

The files NTSB released with the investigation on April 15, 2011, on NTSB’s docket system: statements, records, photos and specialists’ reports. 536 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 N268SH · 1

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