WPR16FA130

NTSB accident investigation · Robinson Helicopter R66 · Wikieup, AZ · June 23, 2016

Accident · FatalField investigationFinal report
Date
June 23, 2016, 14:25 local (21:25 UTC)
Place
Wikieup, AZ
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N117TWRobinson Helicopter R66
Defining event
Enroute-cruise: Mast bumping
Weather
Visual (VMC) · Day
Status
Completed · report November 28, 2017
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Robinson Helicopter Company, Rolls-Royce, Guidance Aviation, FAA-FSDO
FAA report
20160623010579A
Case key
93446

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

An encounter with turbulence due to updrafts and/or dust devils that resulted in mast bumping and an in-flight break-up.

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.

Main rotor system: main rotor mast/swashplateAircraft › Aircraft propeller/rotor · Related operating infoRobinson Helicopter R66: 2 casesAll aircraft: 13 casesProbable cause
Turbulence: convective turbulenceEnvironmental issues › Conditions/weather/phenomena · Effect on operationRobinson Helicopter R66: 1 caseAll aircraft: 145 casesProbable cause
Turbulence: terrain induced turbulenceEnvironmental issues › Conditions/weather/phenomena · Effect on operationRobinson Helicopter R66: 1 caseAll aircraft: 70 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 commercial pilot and the pilot-rated passenger departed on a cross-country positioning flight. The helicopter was reported overdue when it did not arrive at the destination, and the wreckage was located the following morning. There were no witnesses to the accident, no recorded radar data, and no recorded radio transmissions from the pilot. Examination of the wreckage revealed no evidence of any preexisting anomalies that would have precluded normal operation of the helicopter. There was evidence that a mast bumping event had occurred and that the main rotor blades had contacted the airframe, which resulted in an in-flight break-up. There was no recorded information available that could be used to determine the helicopter's airspeed, altitude, or the pilot's control inputs. A weather study indicated that conditions were conducive to the development of significant updrafts or thermals of rising air and dust devils, and people near the accident site reported that there were numerous dust devils in the area. It is likely that the helicopter encountered turbulence due to updrafts and/or dust devils, and the pilot lost control of the helicopter, which resulted in mast bumping.

Factual narrative

Robinson Safety Notice SN-32 discusses flight in high winds and turbulence and explains how improper application of control inputs in response to turbulence can increase the likelihood of a mast bumping accident. It recommends that pilots reduce airspeed below normal cruise speed to 60 to 70 knots for flight in significant turbulence. It suggests techniques to avoid overcontrol of the helicopter, and says to avoid flying on the downwind side of hills and ridges. On June 23, 2016, about 1425 mountain standard time, a Robinson Helicopter Company R66, N117TW, broke up in flight near Wikieup, Arizona. The commercial pilot and the pilot-rated passenger sustained fatal injuries; the helicopter was destroyed. Guidance Air Service LLC was operating the helicopter under the provisions of 14 Code of Federal Regulations Part 91. The cross-country positioning flight departed Prescott, Arizona, about 1338 with a planned destination of Riverside, California. Visual meteorological conditions prevailed, and no flight plan had been filed. According to the operator, the pilot, who was seated in the right seat, was going to Riverside to take a Part 135.293 check ride with an inspector from the Federal Aviation Administration (FAA) Flight Standards District Office located there. The pilot-rated passenger, who was seated in the left seat, was the operator's Part 141 chief pilot. The helicopter was reported overdue when it did not arrive at the destination, and the wreckage was located about 0430 on June 24. There were no witnesses to the accident, no recorded radar data, and no recorded radio transmissions from the pilot. A SPOT device, which is a handheld GPS tracking device that uses a satellite network enabling text messaging and GPS tracking services, was present on the helicopter. Records provided by the operator listed 19 location fixes beginning at Prescott at 1338 and proceeding on a southwesterly heading. The last data point at 1425 was in the vicinity of the accident site. Pilot The Mohave County Medical Examiner's Office completed an external exam autopsy of the pilot. The cause of death was determined to be multiple injuries due to a helicopter crash. Toxicology testing of the specimens from the pilot by the FAA's Bioaeronautical Science's Research Laboratory, Oklahoma, City, Oklahoma, were negative for ethanol and tested drugs in the muscle. Pilot-Rated Passenger The Mohave County Medical Examiner's Office completed an autopsy of the pilot-rated passenger. The cause of death was determined to be multiple injuries due to a helicopter crash. Toxicology testing of the specimens from the pilot-rated passenger by the FAA's Bioaeronautical Science's Research Laboratory were negative for tested drugs in the liver. The testing detected 80 (mg/dL, mg/hg) ethanol in muscle, and Propanol (N-) was detected in muscle; no ethanol was detected in the brain. The report noted that putrefaction of the specimens had occurred. The southwest section of the National WeatherService surface analysis chart depicted a thermal low pressure system west of the accident site. The closest upper air sounding from Yuma, Arizona, about 90 miles south of the accident site, depicted thermal profiles that supported strong thermals through 8,500 ft. The lifted index (a common measure of atmospheric instability) and the K-index (a measure of thunderstorm potential) indicated conditions conducive to development of significant updrafts or thermals of rising air and dust devils. Other weather products supported strong thermals to 11,000 ft. Two people near the accident site reported seeing numerous large dust devils. One person was an airframe and powerplant mechanic driving on a highway, and he saw as many as five dust devils simultaneously. The other person was the pilot of an R44 who was performing aerial survey work immediately north of the accident site. He stated that beginning at 1130 the winds became stronger and gustier. Over the next couple of hours, he observed numerous dust devils, and experienced a significant updraft in excess of 1,000 ft per minute. About 1515, he decided to discontinue operations and encountered a significant wind shift while returning to his base. A dust devil is a strong, well-formed whirlwind that can range from a few feet to hundreds of feet wide, and can reach heights of several hundred feet. In the United States, dust devils have been reported in every state with Arizona reporting the highest frequencies of occurrence, and they are most frequent between June and August. They have been implicated as a cause or contributing factor in about 50 aircraft accidents between 2000 and 2015 according to the NTSB database. The helicopter came to rest in hilly desert terrain. The debris field was about 750 yards long and 150 yards wide. One of the first pieces identified was the outboard 5 ft of a main rotor blade afterbody that had separated from the leading edge spar and displayed black paint transfer marks near the tip. It was located on the top of a small ridgeline. The inboard section of this main rotor blade was about 600 yards into the debris field and 85 yards left of the debris path centerline. The left side of the helicopter was more fragmented than the right; left side cabin pieces and instruments were distributed throughout the early part of the debris field. The tail boom was about midway into the debris field. The left side/nose cabin, which was located near the tail boom had a straight separation line or slice across one side, and some floor panels at the aft end of the slice were crushed in an accordion pattern. The cabin came to rest inverted about 600 yards into the debris field, and was destroyed by a postcrash fire. The engine remained attached to the cabin. The transmission, mast, and second main rotor blade separated as a unit, and were about 100 yards past the cabin area in the direction of the centerline of the debris field. The coning bolt of the separated blade was bent, and theteeter stops for both blades had impact marks across their centers. The attached blade was bent midspan about 10° to 20° opposite the direction of rotation. The main rotor driveshaft was bent about 15° at the swashplate.

Aircraft

Registration
N117TW
Reported as
Robinson Helicopter R66
Category
Helicopter
Serial number
0042
Built
2011
Airframe hours
662
Engine
Rolls Royce 250-C300A1, 300 horsepower, turbo shaft
Damage
Destroyed
Fire
On-Ground
Flight
Positioning · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · February 16, 2016
Departed
PRC · Prescott, AZ
Destination
RAL · Riverside, CA
Equipment
Satellite tracking device

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
Pilot
Age
52
Injuries
Fatal
Certificates
Airline transport, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land, Single-engine sea
Instrument ratings
Airplane, Helicopter
Medical
Class 2, With waivers/limitations
Last flight review
December 10, 2015
Seat
Right
Toxicology
Performed
Flight hours
8,000 total · 10 in the last 90 days · 3 in the last 30 days
Role
Pilot-rated passenger
Age
55
Injuries
Fatal
Certificates
Commercial, Flight instructor, Private
Airplane ratings
Single-engine land
Instrument ratings
Helicopter
Medical
Class 2, With waivers/limitations
Last flight review
February 22, 2016
Seat
Left
Restraint
3-point
Toxicology
Performed
Flight hours
5,220 total · 101 in this make and model · 3,769 as pilot in command · 89 in the last 90 days · 42 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
190° at 17 knots, gusting 22
Visibility
10 statute miles
Lowest ceiling
None
Temperature
109 °F, dew point 27 °F
Altimeter
29.79 inHg
Observed at
KHII, 43 nm away

Docket · 12

The files NTSB released with the investigation on November 9, 2017, on NTSB’s docket system: statements, records, photos and specialists’ reports. 12.6 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.