WPR13LA217

NTSB accident investigation · Robinson R44 II · Pomeroy, WA · May 2, 2013

Accident · No injuriesLimited investigationFinal report
Date
May 2, 2013, 15:50 local (22:50 UTC)
Place
Pomeroy, WA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N442RNRobinson R44 II
Defining event
Takeoff: Loss of lift
Weather
Visual (VMC) · Day
Status
Completed · report January 30, 2014
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
FAA report
20130502006929A
Case key
86807

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 ensure that the helicopter was properly loaded, which resulted in the helicopter being in excess of its maximum allowable gross weight and led to a loss of main rotor rpm on takeoff. Contributing to the accident were the ground crewman's inadvertent overloading of the helicopter and the design of the spray tank's visual sight glass, which did not allow the pilot to visually verify the amount of the spray tank load without exiting the helicopter.

Findings · 5

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.

Aircraft capability: maximum weightAircraft › Aircraft oper/perf/capability · Capability exceededRobinson Helicopter R44 II: 9 casesAll aircraft: 152 casesProbable cause
Action: incorrect action sequencePersonnel issues › Action/decision · Ground crewRobinson Helicopter R44 II: 2 casesAll aircraft: 77 casesProbable cause
LoadingAircraft › Aircraft handling/service · Not specifiedRobinson Helicopter R44 II: 1 caseAll aircraft: 35 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

Before the agricultural application flight, the pilot asked the ground crewman to refill the spray tank with 50 gallons of chemical solution; 10 gallons of aviation fuel was also added. Subsequently, the ground crewman signaled to the pilot that the helicopter was ready to depart. During the departure and while transitioning to forward flight, the low-rotor rpm horn activated, and the pilot immediately pushed the emergency dump button to lighten the load; however, the rpm continued to decrease, and the pilot initiated a run-on landing to a field. During the landing, the pilot was unable to maintain control as the left skid dug into the dirt, which resulted in the helicopter nosing over and coming to rest on its left side. The pilot reported that he believed the amount of solution added to the tank was more than 50 gallons, which placed the helicopter outside of weight and balance and performance limitations. The pilot added that the spray tank sight glass is long and very shallow, and that, unless the helicopter is level, the sight glass reading is inaccurate. Additionally, when seated in the helicopter, it was not possible for the pilot to see the spray tank sight glass or know how much spray solution had been loaded into the tank. Therefore, the pilot had to rely either on the ground crewman or exit the helicopter after each load and visually check the load to ensure that the helicopter was loaded with the proper amount of chemical solution. The pilot reported no mechanical malfunctions or failures with the helicopter that would have precluded normal operation.

Factual narrative

In the accident report submitted to the NTSB IIC under RECOMMENDATION, the pilot commented that the amount of chemical spray solution that was loaded into the onboard spray tank was in excess of the 50 gallons that he had requested. As noted by the pilot, this put the helicopter outside of the weight and balance [envelope] and performance limitations. Additionally, the pilot stated that the spray tank's sight glass is long and very shallow, and unless the helicopter is in a level attitude [when loading], the sight glass reading is inaccurate. He added, in general the pilot has no visual ability to see the spray tank or know how much spray solution has been loaded into the tank. The accident helicopter, N442RN, was a 2006 Robinson R44 II Raven, serial number (s/n) 11047. The helicopter was a four-seat, single-engine helicopter that was equipped with a skid type landing gear. It was powered by a 245-horsepower Lycoming IO-540-AE1A5, s/n L-30772-48A, reciprocating engine. The helicopter's maximum gross weight was 2,500 pounds. The helicopter was issued a Standard Airworthiness Certificate on January 19, 2006. A review of the maintenance records showed that the helicopter had undergone an annual inspection on April 18, 2013. At the time of the accident, the airframe and engine had accumulated 1,615 hours in service. The helicopter had accumulated 30 hours since the last maintenance inspection. On May 2, 2013, about 1550 Pacific daylight time, a Robinson R44 II helicopter, N442RN, was substantially damaged following a loss of control during takeoff near Pomeroy, Washington. The certified commercial pilot, who was the sole occupant of the helicopter, was not injured. The helicopter was operated by Leading Edge Aviation of Clarkston, Idaho. The aerial application flight was being operated in accordance with 14 Code of Federal Regulations (CFR) Part 137, and a flight plan was not filed. Visual meteorological conditions prevailed for the flight, which was originating at the time of the accident. In a statement submitted to the National Transportation Safety Board (NTSB) investigator-in-charge (IIC), the pilot reported that about 1400, the ground crewman prepared 800 gallons of spray solution for the 165 acres to be sprayed. Subsequently, 11 loads were taken from the loading spot, which was directly adjacent to the field being sprayed. The pilot stated that he was hauling 50 gallon loads and refueling as necessary, and that after he had sprayed about 150 acres, he landed on top of the loading platform for another load. The pilot reported that the helicopter was then loaded with chemical and about 10 gallons of fuel was added, after which the ground crewman gave him the thumbs up sign, which indicated that he was ready to depart. The pilot revealed that as he initiated forward flight the LOW ROTOR revolutions per minute (RPM) horn began to sound, at which time he activated the emergency dump button. However, as the low rotor rpm continued to decay thepilot attempted a run on landing to a stubble field, during which the left skid dug into the soil. This resulted in the helicopter nosing over and coming to rest on its left side. A postaccident examination of the helicopter revealed that it had sustained substantial damage to the forward fuselage structure, main cabin, and tail section. The pilot reported that there were no known mechanical anomalies with either the helicopter's airframe or engine that would have precluded normal operation. The pilot reported the following weather conditions existed at the time of the accident: Wind calm and not gusting, sky clear, visibility 10 miles, temperature 66 degrees Fahrenheit (18.8 degrees Celsius), and an altimeter setting of 30.48 inches of mercury. The pilot computed a density altitude of 4,008 feet. The pilot, age 33, possessed a commercial pilot certificate with ratings for rotorcraft-helicopter, helicopter instructor, and airplane single-engine land. The pilot reported a total time of 1,911 hours in all aircraft; 1,572 hours in helicopters, and 1,262 hours in the same make and model as the accident helicopter. The pilot's most recent flight review was completed on December 5, 2012, in a Robinson R44 II helicopter. The pilot also reported having flown 270 hours, 83 hours, and 4 hours, in the past 90 day, 30 days, and 24 hours respectively. The pilot received his most recent Federal Aviation Administration (FAA) second-class medical certificate on January 22, 2013, with no waivers or limitations. During the initial stages of the investigation, the pilot of the accident helicopter revealed to the IIC that during loading operations, as well as during inflight operations, the amount of chemical on board the helicopter is not visible. Additionally, the pilot stated that while in the process of loading the helicopter, the pilot must either rely solely on the ground crewman to advise him of the amount of chemical solution on board prior to departing, or the pilot must physically deplane the helicopter to view the sight gauge, one located on both sides of the spray tank, in order to definitively know how much chemical is on board. The pilot reiterated that neither sight gauge is visible from either the left or right R44 II pilot seat positions. On May 16, 2013, the IIC traveled to the facilities of SIMPLEX AEROSPACE, which is located in Portland, Oregon. SIMPLEX AEROSPACE is the manufacturer of the Robinson R44 Simplex Model 244 spray system, the same spray system that was installed on the accident helicopter at the time of the event. SIMPLEX personnel had previously agreed to meet with the IIC in order to provide an orientation relative to the spray system in question. The IIC was not permitted to photograph the equipment during the orientation. Information provided by SIMPLEX AEROSPACE relative to the Simplex Model 244 spray system revealed that the spray tank is a lightweight (186 pounds), chemical resistant tank, with a capacity of 130 gallons.Features include a jettison door, a dual spray valve, single and dual spray boom depressurization, as well as a self-contained system with attached spray boom. During the visual orientation of the spray tank and accompanying components, the IIC observed both of the sight gauges, one located on each side of the spray tank. However, as there was no helicopter present for the tank to be attached to, the IIC could not determine the visual limitation of the system from either pilot position as reported by the accident pilot. Onsite documentation of the wreckage by a FAA airworthiness inspector assigned to the FAA's Flight Standards District Office (FSD0), Spokane, Washington, revealed that the main wreckage came to rest on its left side in a stubble field about 450 feet west-northwest of the departure point. The helicopter's at rest position was oriented in a northwesterly direction, with the tail rotor blades and associated tail rotor assembly located about 5 feet forward of the main wreckage. The main rotor blades were observed at the main wreckage site, with both having sustained substantial damage as a result of impact forces. The helicopter's spray booms and SIMPLEX spray system was both located partially attached to the fuselage. Both had sustained impact damage. The two-place cockpit was intact, with minimal impact damage observed.

Aircraft

Registration
N442RN
Reported as
Robinson R44 II
Category
Helicopter
Serial number
11047
Airframe hours
1,615
Engine
Lycoming IO-540, 245 horsepower, reciprocating
Damage
Substantial damage
Flight
Aerial application · Part 137
Operator
Leading Edge Aviation
Registered owner
Jim D Pope
Airworthiness certificate
Special, Restricted (Special)
Last inspection
Annual · April 18, 2013 · 30 hours before
Departed
Pomeroy, WA
Destination
Pomeroy, WA

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
Pilot
Age
33
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land
Medical
Class 2, Without waivers/limitations
Last flight review
December 5, 2012
Seat
Left
Flight hours
1,911 total · 1,262 in this make and model · 1,871 as pilot in command · 270 in the last 90 days · 83 in the last 30 days · 4 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Temperature
66 °F
Altimeter
30.47 inHg

Docket · 8

The files NTSB released with the investigation on November 4, 2013, on NTSB’s docket system: statements, records, photos and specialists’ reports. 6.1 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.