WPR11TA274

NTSB accident investigation · Bell 206B · Franklin, CA · June 21, 2011

Accident · No injuriesFinal report
Date
June 21, 2011, 11:55 local (18:55 UTC)
Place
Franklin, CA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Emergency descent
Aircraft
N38EABell 206B
Defining event
Autorotation: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed · report March 8, 2012
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration FSDO
FAA report
20110621010929A
Case key
80842

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

The student pilot's failure to maintain rotor rpm during the practice autorotation.

Findings · 2

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/maintainedBell 206B: 11 casesAll aircraft: 182 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · Student/instructed pilotBell 206B: 45 casesAll aircraft: 9,295 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 student pilot was practicing autorotations and hovering maneuvers, and reported no anomalies with the helicopter during that period. He continued to practice 180-degree autorotations to the right in a nearby open field, and he successfully completed the first autorotation. During the second autorotation, he confirmed that all flight instruments were indicating normal engine operation, but noted that his airspeed was too slow. He attempted to apply corrective control inputs as the descent rate increased. About 100 feet above ground level, he heard the low rotor warning horn and immediately countered by quickly rolling the throttle to full power while applying up-collective. The helicopter did not respond to his inputs in the manner he was expecting, and he performed a run-on landing rather than continue with the attempted recovery. The helicopter then impacted the ground hard, spreading the skids, and then rolled onto its side. The pilot reported that the engine was still operating as he exited. A post impact fire subsequently consumed the majority of the helicopter's components. Subsequent examination of the remnants did not reveal any anomalies with the airframe or engine that would have precluded normal operation.

Factual narrative

HISTORY OF FLIGHT On June 21, 2011, about 1155 Pacific daylight time, a Bell 206B, N38EA, landed hard during a practice autorotation near Franklin Field Airport, Franklin, California. The helicopter was being operated by the California Department of Justice as a public-use, instructional flight. The solo student pilot was not injured; the helicopter sustained substantial damage during the landing, and was subsequently consumed by post impact fire. The flight departed Franklin at 1130. Visual meteorological conditions prevailed, and no flight plan had been filed. The pilot reported that he initially departed in the helicopter from Sacramento Mather Airport, Sacramento, California, with the intention of performing pattern practice at Franklin. Upon arrival, he performed a series of straight-in autorotations, quick-stops, and low-hovers. He then performed two 180-degree autorotations to the left. He reported no anomalies with the helicopter during that period, and stated that all the maneuvers were uneventful. Due to the direction of the traffic pattern, he was unable to practice 180-degree autorotations to the right. He therefore departed with the intention of continuing the maneuvers in a field 3 miles east of the airport. The pilot chose a 50-feet-wide area, consisting of chest-high grass, where he practiced slope landings and pickups, and one uneventful 180-degree autorotation. He recalled that the temperature in the area was in excess of 100 degrees Fahrenheit. As he rounded the base leg for a second 180-degree autorotation, he confirmed all flight instruments were indicating normal engine operation, but noted his airspeed was too slow. He lowered the helicopter's nose, and the descent rate increased to about 1,800 feet per minute. About 100 feet above ground level (agl), he heard the low rotor warning horn, and immediately countered by quickly rolling the throttle to full power while applying up-collective. The helicopter then shuddered and vibrated, with accompanying, "snorting and popping sounds," that he had never experienced before. He elected to perform a run-on landing rather than continue with the recovery. During the landing, the helicopter impacted the ground hard, spreading the skids. The right skid dug into the ground and separated, and the helicopter rolled onto its right side. He then shutdown the fuel supply and egressed as a fire erupted. The pilot stated that the engine was still operating after he exited. The helicopter continued to burn for 2 more hours as fire crew attempted to gain access to the accident site. PERSONNEL INFORMATION A review of Federal Aviation Administration (FAA) airman records revealed that the pilot held a commercial pilot certificate with ratings for airplane single-engine land, and instrument airplane. He additionally held a private pilot certificate for airplane single-engine sea. The pilot did not hold a rotorcraft/helicopter certificate, but received an endorsement on October 15, 2010, to fly solo,and as pilot-in-command of helicopters in preparation for his practical test. He reported a total flight time in helicopters of 106 hours, with 62 in the accident make and model. TESTS AND RESEARCH The remaining sections of the helicopter, which included the engine, main rotor blades, tail rotor and associated gearbox were recovered for examination. Subsequent examination by an NTSB investigator did not reveal any anomalies with the airframe or engine that would have precluded normal operation. Refer to the engine and airframe report included in the public docket for further details.

Aircraft

Registration
N38EA
Reported as
Bell 206B
Category
Helicopter
Serial number
2555
Airframe hours
8,514
Engine
Rolls Royce 250 Series, 400 horsepower, turbo shaft
Damage
Substantial damage
Fire
On-Ground
Flight
Public aircraft - state · Public use
Operator
California Department of Justice
Registered owner
Photos Unlimited
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 25, 2011 · 22 hours before
Departed
F72 · Franklin, CA
Destination
F72 · Franklin, CA
Airport
F72 · Franklin Field

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
Student pilot
Age
49
Injuries
None
Certificates
Commercial, Private
Airplane ratings
Single-engine sea, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
October 5, 2010
Seat
Right
Flight hours
2,329 total · 62 in this make and model · 2,324 as pilot in command · 115 in the last 90 days · 25 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
320° at 5 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
93 °F, dew point 55 °F
Altimeter
29.78 inHg
Observed at
SAC, 4 nm away

Docket · 8

The files NTSB released with the investigation on January 5, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 8.7 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.

Other investigations on N38EA · 1

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