WPR12FA298

NTSB accident investigation · Robinson Helicopter R22 Beta · Murrieta, CA · July 9, 2012

Accident · FatalField investigationFinal report
Date
July 9, 2012, 10:15 local (17:15 UTC)
Place
Murrieta, CA
Injuries
1 fatal, 1 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N7527YRobinson Helicopter R22 Beta
Defining event
Maneuvering-hover: Dynamic rollover
Weather
Visual (VMC) · Day
Status
Completed · report December 5, 2013
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
FAA FSDO
FAA report
20120709014439A
Case key
84237

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 clearance from high vegetation while making a hovering turn, which resulted in a dynamic rollover.

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.

Use of equip/info: aircraft controlPersonnel issues › Task performance · Instructor/check pilotRobinson Helicopter R22 BETA: 96 casesAll aircraft: 9,295 casesProbable cause
Performance/control parameters: lateral/bank controlAircraft › Aircraft oper/perf/capability · Not attained/maintainedRobinson Helicopter R22 BETA: 14 casesAll aircraft: 390 casesProbable cause
Object/animal/substanceEnvironmental issues › Physical environment · Effect on operationRobinson Helicopter R22 BETA: 1 caseAll aircraft: 224 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

During an instructional flight, the student pilot reported that the instructor was demonstrating a “fast landing” approach to a hill. The instructor subsequently positioned the helicopter in a 3- to 4-foot hover above the ground and heading into the wind, then initiated a left pedal turn and started to lift off. The student stated that the helicopter suddenly rolled rapidly to the right and the main rotor blades contacted the ground, which resulted in a rollover. A postaccident examination of the airframe and engine revealed no evidence of mechanical malfunctions or failures that would have precluded normal operation. The terrain surrounding the accident site was covered with sporadic patches of sagebrush ranging from 1 to 4 feet high. It is likely that the helicopter contacted brush as the pilot performed the left hovering turn, which resulted in a dynamic rollover.

Factual narrative

HISTORY OF FLIGHT On July 9, 2012, about 1015 Pacific daylight time, a Robinson R22 Beta helicopter, N7527Y, impacted terrain following a loss of control while hovering at an off field landing site near Murrieta, California. The flight instructor was fatally injured and his student was not injured. The helicopter was substantially damaged. The helicopter was being operated by USA Academy of Aviation, Inc., under the provisions of 14 Code of Federal Regulations Part 91. A flight plan had not been filed for the local instructional flight, which originated from French Valley Airport, Murrieta, about 0900. Visual meteorological conditions prevailed at the time of the accident. The student reported that they were practicing off field landings. According to the student, the instructor pointed toward a hill and explained that he would demonstrate a “fast landing” approach. The instructor flew toward the hill at about 50 knots, flared to slow the helicopter, and came to a hover at the center of the hill top. The instructor hovered at 3 to 4 feet above the ground heading south into the wind, performed a left pedal turn to the east and then started to lift off. At this point, the helicopter rolled rapidly to the right, and the main rotor blades hit the ground. When the helicopter came to rest, it was lying on its left side. The student exited the helicopter and found that the instructor was trapped beneath the fuselage and was not responsive. The student reported that he was not on the flight controls when the accident occurred. He did not report any preimpact mechanical discrepancies or anomalies with the helicopter. PERSONNEL INFORMATION The 61-year-old flight instructor, seated in the left seat, held a commercial pilot certificate with a rotorcraft helicopter rating, and a flight instructor certificate with a rotorcraft helicopter rating. His most recent Federal Aviation Administration (FAA) second-class medical certificate was issued on September 6, 2011. At that time, he reported that he had a total flight time of 10,625 hours and had flown 251 hours in the preceding 6 months. The student, seated in the right seat, held a private pilot certificate with an airplane single-engine land rating. His most recent FAA third-class medical certificate was issued on December 13, 2010. At that time, he reported that he had a total flight time of 80 hours and had flown 20 hours in the preceding 6 months. The student reported that he started working with the flight instructor to obtain his rotorcraft helicopter rating about 1 week before the accident, and they had flown together about 15 hours. He further reported that he had not yet soloed in the helicopter. AIRCRAFT INFORMATION The single engine two person helicopter was manufactured in 2004 by the Robinson Helicopter Company. It was equipped with a two-bladed main rotor system, a two-bladed tail rotor, and skid-type landing gear. The helicopter had a maximum takeoff weight of 1,370 pounds and a useful loadcapacity of about 575 pounds. The helicopter was powered by a Lycoming O-360-J2A four cylinder, horizontally opposed, normally aspirated, air cooled engine. This engine was designed to produce 145 horsepower at sea level. A review of the helicopter’s maintenance logbooks revealed its most recent 100-hour inspection was completed on March 11, 2012, at a recording hour meter time of 2,100 hours and a total time of 4,266.5 hours. The helicopter’s recording hour meter showed 2,199.6 hours at the time of the accident. A review of the maintenance records revealed no evidence of any uncorrected maintenance discrepancies. METEOROLOGICAL INFORMATION At 1055, the automated weather observing system at March Air Reserve Base, Riverside, California, located about 22 miles northwest of the accident site, reported wind from 330 degrees at 7 knots; clear sky, visibility 10 miles; temperature 34 degrees Celsius; dew point minus 4 degrees Celsius; and an altimeter setting of 29.97 inches. An automated weather station (ME2644) in Hemet, California, located about 12 miles north of the accident site, reported the following: Time Wind Direction Wind Speed 0959 Northwest 1.0 mph 1004 Northwest 2.3 mph 1009 Calm 0 mph 1014 Calm 0 mph 1019 Northwest 2.0 mph WRECKAGE AND IMPACT INFORMATION The helicopter was examined by a FAA inspector and a representative from the Robinson Helicopter Company at the accident site on the day of the accident, and again on July 19, 2012, at the facilities of Robinson Helicopter Company in Torrance, California. The helicopter came to rest on its left side with the nose on a heading of about 090 degrees, positioned 10 to 12 feet southeast of the top of a hill. The surface was loose dirt over rock. The area had sporadic patches of sagebrush ranging from 1 to 4 feet high. The main rotor mast was bent and disconnected about 6 inches above the gearbox, and the main rotor system, with the exception of the outboard section of one main rotor blade, was lying next to the fuselage. There were ground scars directly under the helicopter and one about 17 feet south of the fuselage, which was consistent in appearance with a main rotor blade tip strike. The intact main rotor blade was bent upward about 3 feet from the hub, bent upward and back (in the direction of rotation) near the tip, and displayed chordwise creases near the tip. The other main rotor blade was separated about 3 feet from the hub, and the majority of the separated section of the blade was found about 135 feet from the fuselage. This blade was bent back at the tip and displayed chordwise creases throughout its length. Both tail rotor blades were disconnected near the hub. One had a small dent in its leading edge, and the other displayed chordwise scuff marks. The tail rotor output shaft rotated smoothly, and the tail rotor flight controls had continuity throughout. Neither door was installed. The left side windshield was shattered, and the right side windshield was separated from thecabin. There was a large scuff mark on the chin to the left of the landing lights. The left door frame and roof section were distorted due to impact. The cowling around the main rotor mast was dented and deformed consistent with contact with the main rotor mast. The upper stabilizer was damaged near the tip and bent midway consistent with ground contact. Examination of the cyclic and collective flight controls revealed no evidence of any preimpact malfunctions or failures. The surfaces of the separated control tubes were angular and jagged consistent with separation as a result of overload. The engine was examined on July 19, 2012, and no visible damage was noted. The lower spark plugs were removed, the engine was rotated by hand, and good thumb suction and compression were obtained on all cylinders. The plugs were reinstalled, and the engine was started. It ran slightly rough for the first few minutes but after it warmed up, it ran smooth at idle and at 100% rpm. A magneto check was performed at 75% rpm, which resulted in an 8% rpm drop on the left magneto and a 12% rpm drop on the right magneto. Oil pressure and temperature were normal. MEDICAL AND PATHOLOGICAL INFORMATION An autopsy was performed on the flight instructor on July 10, 2012, by the Office of the Riverside County Sheriff-Coroner. The report identified the cause of death as craniocerebral trauma. The flight instructor and the student pilot were not wearing helmets, nor was this required. The helicopter was equipped with a combined seat belt/single-strap shoulder harness (similar to the type commonly installed in automobiles) for each occupant, and the student reported that both he and the instructor were using them. Forensic toxicology testing was performed on specimens from the flight instructor at the FAA’s Bioaeronautical Sciences Research Laboratory, Oklahoma City, Oklahoma. The tests were negative for all screened substances.

Aircraft

Registration
N7527Y
Reported as
Robinson Helicopter R22 Beta
Category
Helicopter
Serial number
3593
Airframe hours
4,267
Engine
Lycoming O-360 SERIES, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
USA Academy Of Aviation, Inc.
Registered owner
November Alpha LLC
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · March 11, 2012
Departed
F70 · Murrieta, CA
Destination
F70 · Murrieta, CA

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
61
Injuries
Fatal
Certificates
Flight instructor, Commercial
Instrument ratings
Helicopter
Medical
Class 2, Without waivers/limitations
Seat
Left
Toxicology
Performed
Flight hours
10,625 total
Role
Student pilot
Age
51
Injuries
None
Certificates
Sport Pilot, Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Seat
Right
Flight hours
80 total

Weather

Conditions
Visual (VMC) · Day
Wind
330° at 7 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
93 °F, dew point 25 °F
Altimeter
29.96 inHg
Observed at
RIV

Docket · 32

The files NTSB released with the investigation on September 12, 2013, on NTSB’s docket system: statements, records, photos and specialists’ reports. 33.9 MB in all.

Robinson Interview with Student PilotItem 1 · .PDF · 187 KBFAA Interview with Student PilotItem 2 · .PDF · 112 KBFAA Report of Engine ExamItem 3 · .PDF · 27 KBRobinson Wreckage and Engine ExamItem 4 · .PDF · 178 KBStatement of Party Representatives to NTSB InvestigationItem 5 · .PDF · 206 KBRelease of Aircraft Wreckage, NTSB Form 6120.15Item 6 · .PDF · 38 KBToxicological ReportItem 7 · .PDF · 113 KBWeather ReportItem 8 · .PDF · 235 KBPhoto 1. Aerial view of the accident siteItem 9 · .PDF · 1.2 MBPhoto 2. Aerial view of wreckageItem 10 · .PDF · 1.3 MBPhoto 3. Tail rotor in place, main rotor mast movedItem 11 · .PDF · 2.0 MBPhoto 4. Top of fuselage, mast moved for rescueItem 12 · .PDF · 1.4 MBPhoto 5. Front view with right wind screen and one bladeItem 13 · .PDF · 1.3 MBPhoto 6. Bottom view of helicopter at the sceneItem 14 · .PDF · 1.1 MBPhoto 7. Blade scrape on noseItem 15 · .PDF · 2.1 MBPhoto 8. Main blade scrape on the noseItem 16 · .PDF · 1.3 MBPhoto 9. View showing aft fuselage wrinkleItem 17 · .PDF · 1.4 MBPhoto 10. Main blade ground strikeItem 18 · .PDF · 2.2 MBPhoto 11. Top of helicopter showing main rotor mast separationItem 19 · .PDF · 1.3 MBPhoto 12. Top view showing mast separationItem 20 · .PDF · 1.7 MBPhoto 13. Mast, with piece layed in placeItem 21 · .PDF · 2.0 MBPhoto 14. Mast inside fairingItem 22 · .PDF · 697 KBPhoto 15. Mast separationItem 23 · .PDF · 927 KBPhoto 16. Inside fuselage at the accident sceneItem 24 · .PDF · 770 KBPhoto 17. Air movement about 90 minutes after accidentItem 25 · .PDF · 956 KBPhoto 18. Main portion of separated blade, about 135 feet from fuselageItem 26 · .PDF · 1.7 MBPhoto 19. Main portion of separated bladeItem 27 · .PDF · 2.2 MBPhoto 20. Paint transfer from separated blade tip, about 17 feet south of wreckageItem 28 · .PDF · 2.1 MBPhoto 21. Wreckage loaded onto a trailerItem 29 · .PDF · 1.1 MBPhoto 22. Recovered wreckage, not bent verticalItem 30 · .PDF · 744 KBPhoto 23. Tail rotor matchItem 31 · .PDF · 838 KBPhoto 24. Second tail rotor matchItem 32 · .PDF · 612 KB

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.