WPR14CA227

NTSB accident investigation · Robinson Helicopter R22 Beta · Prescott, AZ · June 4, 2014

Accident · No injuriesData collectionFinal report
Date
June 4, 2014, 15:08 local (22:08 UTC)
Place
Prescott, AZ
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N223GRobinson Helicopter R22 Beta
Defining event
Enroute-cruise: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report September 24, 2014
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
FederalAviation Adminstration FSDO
FAA report
20140604008779A
Case key
89365

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 inadvertent activation of the engine's mixture control during cruise flight by the pilot undergoing instruction, which resulted in a total loss of engine power. Contributing to the accident was the flight instructor's inadequate monitoring of the pilot's actions.

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: incorrect action performancePersonnel issues › Action/decision · Student/instructed pilotAll aircraft: 1,386 casesProbable cause
Engine controls: mixture controlAircraft › Aircraft power plant · Unintentional use/operationAll aircraft: 41 casesProbable cause
Attention/monitoring: monitoring other personPersonnel issues › Psychological · Instructor/check pilotAll aircraft: 200 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

Shortly after departure, the commercial pilot undergoing instruction leveled the helicopter for cruise at an altitude of 300 feet above ground level, in compliance with the flight school's departure procedures. He reached down to the instrument panel pedestal with the intention of pulling the cyclic right trim knob; however, the flight instructor observed him instead reach for the adjacent engine fuel mixture control. The instructor yelled for him to stop, and attempted to swat his hand clear, however, the pilot then pulled the control and the engine lost all power. The flight instructor initiated an autorotation while simultaneously pushing the mixture control back down. The engine did not restart, and the helicopter landed hard, with the main rotor blades severing the tailboom. The high density altitude conditions, along with the helicopter's altitude and airspeed at the time of power loss, meant that it was operating on the edge of the "Avoid Operation" area of the height-velocity performance envelope. The pilot reported no mechanical malfunctions or failures with the helicopter that would have precluded normal operation.

Factual narrative

Shortly after departure, the commercial pilot undergoing instruction leveled the helicopter for cruise at an altitude of 300 feet above ground level, in compliance with the flight school's departure procedures. He reached down to the instrument panel pedestal with the intention of pulling the cyclic right trim knob; however, the flight instructor observed him instead reach for the adjacent engine fuel mixture control. The instructor yelled for him to stop, and attempted to swat his hand clear, however, the pilot then pulled the control and the engine lost all power. The flight instructor initiated an autorotation while simultaneously pushing the mixture control back down. The engine did not restart, and the helicopter landed hard, with the main rotor blades severing the tailboom. The high density altitude conditions, along with the helicopter's altitude and airspeed at the time of power loss, meant that it was operating on the edge of the "Avoid Operation" area of the height-velocity performance envelope. The pilot reported no mechanical malfunctions or failures with the helicopter that would have precluded normal operation.

Aircraft

Registration
N223G
Reported as
Robinson Helicopter R22 Beta
Category
Helicopter
Serial number
3211
Built
2001
Airframe hours
8,549
Engine
Lycoming O&VO-360 SER, 145 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Guidance Helicopters Inc
Registered owner
Guidance Helicopters Inc
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · May 31, 2014 · 19 hours before
Departed
PRC · Prescott, AZ
Destination
PRC · Prescott, AZ
Flight plan
Company VFR
Airport
PRC · Ernest A. Love Field

Flight crew · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
24
Injuries
None
Certificates
Commercial, Flight instructor
Instrument ratings
Helicopter
Medical
Class 2, With waivers/limitations
Last flight review
January 7, 2014
Seat
Right
Restraint
3-point
Flight hours
2,673.5 total · 1,257.4 in this make and model · 2,612.3 as pilot in command · 101.5 in the last 90 days · 14 in the last 30 days · 2.5 in the last 24 hours
Role
Student pilot
Age
33
Injuries
None
Certificate
Commercial
Medical
Class 1, Without waivers/limitations
Seat
Left
Restraint
3-point
Flight hours
282.2 total · 224.8 in this make and model · 225.6 as pilot in command · 1.2 in the last 90 days · 1.2 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
230° at 18 knots, gusting 23
Visibility
10 statute miles
Lowest ceiling
None
Temperature
90 °F, dew point -11 °F
Altimeter
29.98 inHg
Observed at
KPRC, 1 nm away

Docket · 4

The files NTSB released with the investigation on September 4, 2014, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.2 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.