WPR12LA362

NTSB accident investigation · Robinson Helicopter R22 Beta · Spanish Fork, UT · August 17, 2012

Accident · Serious injuriesLimited investigationFinal report
Date
August 17, 2012, 16:42 local (22:42 UTC)
Place
Spanish Fork, UT
Injuries
1 serious, 1 minor
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N208WMRobinson Helicopter R22 Beta
Defining event
Landing-flare/touchdown: Hard landing
Weather
Visual (VMC) · Day
Status
Completed · report October 9, 2014
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
FAA FSDO
FAA report
20120817017769A
Case key
84718

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 flight instructor’s delayed remedial action and inadequate supervision during a practice autorotation, which resulted in a hard landing and 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.

Action: delayed actionPersonnel issues › Action/decision · Instructor/check pilotRobinson Helicopter R22 BETA: 35 casesAll aircraft: 894 casesProbable cause
Attention/monitoring: monitoring other personPersonnel issues › Psychological · Instructor/check pilotRobinson Helicopter R22 BETA: 15 casesAll aircraft: 200 casesProbable cause
Performance/control parameters: prop/rotor parametersAircraft › Aircraft oper/perf/capability · Not attained/maintainedRobinson Helicopter R22 BETA: 37 casesAll aircraft: 182 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 flight instructor and student pilot were on a local training flight to practice autorotations. The flight instructor reported that the student entered a 180-degree autorotation at an altitude of about 5,200 feet mean sea level at 65 knots. The student started the maneuver by initiating a descending "hard" right turn. Shortly after, the low rotor light illuminated, and the low rotor horn sounded. In response, the flight instructor assisted the student through the maneuver, and they added left cyclic and decreased the airspeed and sink rate. Although the rpm horn stopped, the helicopter's sink rate was excessive, so the flight instructor took control of the helicopter. He reported that the rotor seemed as if it was not responding to inputs and that the helicopter's sink rate was "pretty fast." The helicopter lost considerable altitude in the turn, and the flight instructor rolled on the throttle and flared in the short amount of distance between the helicopter and the ground. The helicopter subsequently touched down hard and rolled over. The flight instructor reported no preimpact mechanical malfunctions or failures with the helicopter that would have precluded normal operation.

Factual narrative

On August 17, 2012, at 1642 mountain daylight time, a Robinson R22 Beta II, N208WM, sustained substantial damage subsequent to a hard landing and rollover at the Spanish Fork - Springville Municipal Airport, Spanish Fork, Utah. The certified flight instructor (CFI) sustained serious injuries and the student pilot receiving instruction sustained minor injuries. The helicopter was registered to Zbura Helicopters, LLC, and operated by Utah Helicopters as an instructional flight under the provisions of Title 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed for the local flight that departed Spanish Fork about 45 minutes prior the accident. The purpose of the instructional flight was, in part, to practice autorotations. The student pilot reported that they had completed multiple straight-in autorotations followed by an autorotation from a 180-degree turn. He reported that during the turning maneuver, the main rotor RPM decayed and the helicopter's descent rate increased; the helicopter subsequently touched down hard and rolled over. In a written statement the CFI reported they began the autorotation at 5,200 feet MSL at 65 knots. He reported the student started the maneuver by initiating a descending "hard" right turn. Shortly thereafter, the low rotor light illuminated and the low rotor horn sounded. In response, the CFI instructed the student through the maneuver by adding left cyclic and decreasing the airspeed and sink rate. He reported they recovered the horn, however, the helicopter's sink rate was excessive and he took the controls. He reported the rotor seemed as if it was not responding to inputs and the helicopter's sink rate was "pretty fast." The helicopter lost considerable altitude in the turn and unable to reach the intended touchdown point the CFI rolled the throttle "on" and flared in the short amount of distance between the helicopter and the ground. The helicopter subsequently touched down hard and rolled over. A pair of sun glasses worn by the CFI was found at the accident site. The I-KAM XTREME Video Glasses contained a digital camera incorporated into the bride of the frame. The sunglasses were shipped to the NTSB's Vehicle Recorder Division for video and audio file extraction. Five individual files, one that captured the accident sequence, were extracted. The On Board Image Recorder Factual Report outlining the data can be found in the docket for this accident case file. The CFI reported no preimpact mechanical malfunctions or failures with the helicopter that would have precluded normal operation.

Aircraft

Registration
N208WM
Reported as
Robinson Helicopter R22 Beta
Category
Helicopter
Serial number
4397
Airframe hours
1,708
Engine
Lycoming O-360-J2A, 145 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Utah Helicopter
Registered owner
Zbura Helicopters LLC
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · March 26, 2012 · 73 hours before
Departed
U77 · Spanish Fork, UT
Destination
U77 · Spanish Fork, UT
Airport
U77 · Spanish Fork - Springville, runway 12, 5,700 × 100 ft, asphalt

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
49
Injuries
Serious
Certificates
Flight instructor, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Helicopter
Medical
Class 2, With waivers/limitations
Seat
Left
Flight hours
1,622 total · 843 in this make and model · 1,274 as pilot in command · 62 in the last 90 days · 36 in the last 30 days
Role
Student pilot
Age
23
Injuries
Minor
Certificate
Student
Medical
Class 3, Without waivers/limitations
Seat
Right
Flight hours
71 total · 71 in this make and model · 10 as pilot in command · 14 in the last 90 days · 8 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Visibility
20 statute miles
Lowest ceiling
None
Temperature
93 °F

Docket · 3

The files NTSB released with the investigation on August 21, 2014, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.7 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.