# NTSB WPR12FA298: Robinson Helicopter R22 Beta, N7527Y, Murrieta, CA, July 9, 2012 - Type: NTSB accident investigation - Classification: Accident · Fatal · Field investigation · Final report - Date: July 9, 2012, 10:15 local (17:15 UTC) - Place: Murrieta, CA - Coordinates: 33.563331, -117.0625 - Nearby events: https://openairdocs.org/map.md?lat=33.5633&lon=-117.0625&mi=10 - Phase of flight: [Maneuvering](https://openairdocs.org/ntsb-phases/450) (OpenAirDocs' grouping) - Defining event: [Maneuvering-hover: Dynamic rollover](https://openairdocs.org/ntsb-events/231) - Highest injury: Fatal - Injuries: 1 fatal, 1 uninjured - Status: Completed, report December 5, 2013 - Report: Approved by Office Director - NTSB office: Western Pacific Region - Parties: FAA FSDO - NTSB case key (mKey): 84237 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=WPR12FA298 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/84237/pdf - NTSB docket: https://data.ntsb.gov/Docket?ProjectID=84237 - Page: https://openairdocs.org/ntsb/WPR12FA298 ## Probable cause The pilot's failure to maintain clearance from high vegetation while making a hovering turn, which resulted in a dynamic rollover. ## Findings NTSB's coded findings; those marked are part of the probable cause. - [Use of equip/info: aircraft control](https://openairdocs.org/ntsb-findings/02063040): Personnel issues › Task performance · Instructor/check pilot (probable cause); cases with it: [Robinson Helicopter R22 BETA, 96 cases](https://openairdocs.org/ntsb-findings/02063040/cases.md?model=7640110), [All aircraft, 9,295 cases](https://openairdocs.org/ntsb-findings/02063040/cases.md) - [Performance/control parameters: lateral/bank control](https://openairdocs.org/ntsb-findings/01062023): Aircraft › Aircraft oper/perf/capability · Not attained/maintained (probable cause); cases with it: [Robinson Helicopter R22 BETA, 14 cases](https://openairdocs.org/ntsb-findings/01062023/cases.md?model=7640110), [All aircraft, 390 cases](https://openairdocs.org/ntsb-findings/01062023/cases.md) - [Object/animal/substance](https://openairdocs.org/ntsb-findings/03022000): Environmental issues › Physical environment · Effect on operation (probable cause); cases with it: [Robinson Helicopter R22 BETA, 1 case](https://openairdocs.org/ntsb-findings/03022000/cases.md?model=7640110), [All aircraft, 224 cases](https://openairdocs.org/ntsb-findings/03022000/cases.md) ## Sequence of events The events NTSB coded, in order, by phase of flight. The defining event best describes what happened. - [Maneuvering-hover: Dynamic rollover](https://openairdocs.org/ntsb-events/231) (defining event); cases with it: [Robinson Helicopter R22 BETA, 35 cases](https://openairdocs.org/ntsb-events/231/sequence.md?model=7640110), [All aircraft, 161 cases](https://openairdocs.org/ntsb-events/231/sequence.md) ## 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](https://openairdocs.org/deregistered/N7527Y-2014-11-03), registration cancelled 2014-11-03, S/N 3593, built 2004 (OpenAirDocs) - Reported make and model: ROBINSON HELICOPTER R22 BETA - Registry model: [Robinson Helicopter R22 BETA](https://openairdocs.org/model/robinson-helicopter-r22-beta) (registry code 7640110) (OpenAirDocs) - Registry engine: [Lycoming O-360 series](https://openairdocs.org/engine/lycoming-o-360-series) (registry code 41575, reciprocating) (OpenAirDocs) - Category: Helicopter - Serial number: 3593 - Airframe hours: 4267 - Engines: 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 ## Flight crew As NTSB recorded them. NTSB leaves out names. - Flight instructor; age 61; injuries: fatal; flight instructor, commercial; instrument ratings: helicopter; medical: class 2, without waivers/limitations; seat: left; toxicology performed; flight hours: 10,625 total - Student pilot; age 51; injuries: none; 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 ## FAA reports on this event (1) The FAA's own accident and incident reports, matched to the aircraft by N-number and date (OpenAirDocs). - [Accident 20120709014439A](https://openairdocs.org/incident/20120709014439A), Jul 9, 2012: Robinson Helicopter R22 BETA, Murrieta, CA, Substantial damage, 1 fatal. Murrieta/temecula, CA: N7527Y, Robinson R22 helicopter, instructor pilot was performing a low level hover demonstation when aircraft rolled onto left side 4… ## Docket (32 files) The files NTSB released with the investigation on September 12, 2013, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=84237. 33.9 MB in all. - Robinson Interview with Student Pilot (item 1, .PDF, 187 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40400471&FileExtension=.PDF&FileName=Robinson%20Interview%20with%20Student%20Pilot-Master.PDF - FAA Interview with Student Pilot (item 2, .PDF, 112 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40400473&FileExtension=.PDF&FileName=FAA%20Interview%20with%20Student%20Pilot-Redacted.PDF - FAA Report of Engine Exam (item 3, .PDF, 27 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40400474&FileExtension=.PDF&FileName=FAA%20Report%20of%20Engine%20Exam-Redacted.PDF - Robinson Wreckage and Engine Exam (item 4, .PDF, 178 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40400478&FileExtension=.PDF&FileName=Robinson%20Wreckage%20and%20Engine%20Exam-Master.PDF - Statement of Party Representatives to NTSB Investigation (item 5, .PDF, 206 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40400476&FileExtension=.PDF&FileName=Statement%20of%20Party%20Representatives%20to%20NTSB%20Investigation-Redacted.PDF - Release of Aircraft Wreckage, NTSB Form 6120.15 (item 6, .PDF, 38 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40400477&FileExtension=.PDF&FileName=Release%20of%20Aircraft%20Wreckage,%20NTSB%20Form%206120.15-Redacted.PDF - Toxicological Report (item 7, .PDF, 113 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40400479&FileExtension=.PDF&FileName=Toxicological%20Report-Master.PDF - Weather Report (item 8, .PDF, 235 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40400482&FileExtension=.PDF&FileName=Weather%20Report-Master.PDF - Photo 1. Aerial view of the accident site (item 9, .PDF, 1.2 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40400483&FileExtension=.PDF&FileName=Photo%201.%20Aerial%20view%20of%20the%20accident%20site-Master.PDF - Photo 2. Aerial view of wreckage (item 10, .PDF, 1.3 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40400484&FileExtension=.PDF&FileName=Photo%202.%20Aerial%20view%20of%20wreckage-Master.PDF - Photo 3. Tail rotor in place, main rotor mast moved (item 11, .PDF, 2.0 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40400487&FileExtension=.PDF&FileName=Photo%203.%20Tail%20rotor%20in%20place,%20main%20rotor%20mast%20moved-Master.PDF - Photo 4. Top of fuselage, mast moved for rescue (item 12, .PDF, 1.4 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40400485&FileExtension=.PDF&FileName=Photo%204.%20Top%20of%20fuselage,%20mast%20moved%20for%20rescue-Master.PDF - Photo 5. Front view with right wind screen and one blade (item 13, .PDF, 1.3 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40400486&FileExtension=.PDF&FileName=Photo%205.%20Front%20view%20with%20right%20wind%20screen%20and%20one%20blade-Master.PDF - Photo 6. Bottom view of helicopter at the scene (item 14, .PDF, 1.1 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40400488&FileExtension=.PDF&FileName=Photo%206.%20Bottom%20view%20of%20helicopter%20at%20the%20scene-Master.PDF - Photo 7. Blade scrape on nose (item 15, .PDF, 2.1 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40400489&FileExtension=.PDF&FileName=Photo%207.%20Blade%20scrape%20on%20nose-Master.PDF - Photo 8. Main blade scrape on the nose (item 16, .PDF, 1.3 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40400490&FileExtension=.PDF&FileName=Photo%208.%20%20Main%20blade%20scrape%20on%20the%20nose-Master.PDF - Photo 9. View showing aft fuselage wrinkle (item 17, .PDF, 1.4 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40400491&FileExtension=.PDF&FileName=Photo%209.%20View%20showing%20aft%20fuselage%20wrinkle-Master.PDF - Photo 10. Main blade ground strike (item 18, .PDF, 2.2 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40400492&FileExtension=.PDF&FileName=Photo%2010.%20Main%20blade%20ground%20strike%20-Master.PDF - Photo 11. Top of helicopter showing main rotor mast separation (item 19, .PDF, 1.3 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40400493&FileExtension=.PDF&FileName=Photo%2011.%20Top%20of%20helicopter%20showing%20main%20rotor%20mast%20separation%20-Master.PDF - Photo 12. Top view showing mast separation (item 20, .PDF, 1.7 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40400494&FileExtension=.PDF&FileName=Photo%2012.%20Top%20view%20showing%20mast%20separation-Master.PDF - Photo 13. Mast, with piece layed in place (item 21, .PDF, 2.0 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40400495&FileExtension=.PDF&FileName=Photo%2013.%20Mast,%20with%20piece%20layed%20in%20place-Master.PDF - Photo 14. Mast inside fairing (item 22, .PDF, 697 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40400496&FileExtension=.PDF&FileName=Photo%2014.%20Mast%20inside%20fairing-Master.PDF - Photo 15. Mast separation (item 23, .PDF, 927 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40400497&FileExtension=.PDF&FileName=Photo%2015.%20Mast%20separation-Master.PDF - Photo 16. Inside fuselage at the accident scene (item 24, .PDF, 770 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40400498&FileExtension=.PDF&FileName=Photo%2016.%20Inside%20fuselage%20at%20the%20accident%20scene-Master.PDF - Photo 17. Air movement about 90 minutes after accident (item 25, .PDF, 956 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40400499&FileExtension=.PDF&FileName=Photo%2017.%20Air%20movement%20about%2090%20minutes%20after%20accident-Master.PDF - Photo 18. Main portion of separated blade, about 135 feet from fuselage (item 26, .PDF, 1.7 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40400500&FileExtension=.PDF&FileName=Photo%2018.%20Main%20portion%20of%20separated%20blade,%20about%20135%20feet%20from%20fuselage-Master.PDF - Photo 19. Main portion of separated blade (item 27, .PDF, 2.2 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40400501&FileExtension=.PDF&FileName=Photo%2019.%20Main%20portion%20of%20separated%20blade-Master.PDF - Photo 20. Paint transfer from separated blade tip, about 17 feet south of wreckage (item 28, .PDF, 2.1 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40400502&FileExtension=.PDF&FileName=Photo%2020.%20Paint%20transfer%20from%20separated%20blade%20tip,%20about%2017%20feet%20south%20of%20wreckage-Master.PDF - Photo 21. Wreckage loaded onto a trailer (item 29, .PDF, 1.1 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40400503&FileExtension=.PDF&FileName=Photo%2021.%20Wreckage%20loaded%20onto%20a%20trailer-Master.PDF - Photo 22. Recovered wreckage, not bent vertical (item 30, .PDF, 744 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40400504&FileExtension=.PDF&FileName=Photo%2022.%20Recovered%20wreckage,%20not%20bent%20vertical-Master.PDF - Photo 23. Tail rotor match (item 31, .PDF, 838 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40400505&FileExtension=.PDF&FileName=Photo%2023.%20Tail%20rotor%20match-Master.PDF - Photo 24. Second tail rotor match (item 32, .PDF, 612 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40400506&FileExtension=.PDF&FileName=Photo%2024.%20Second%20tail%20rotor%20match-Master.PDF From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.