WPR16LA168

NTSB accident investigation · Robinson R44 · Kailua/Kona, HI · August 26, 2016

Accident · No injuriesLimited investigationFinal report
Date
August 26, 2016, 07:45 local (17:45 UTC)
Place
Kailua/Kona, HI
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N74805Robinson R44
Defining event
Landing-flare/touchdown: Loss of control on ground
Weather
Visual (VMC) · Day
Status
Completed · report June 25, 2019
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration, Robinson Helicopters
FAA report
20160826025019A
Case key
93894

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 on-ground upset for reasons that could not be determined because postaccident examination of the helicopter revealed no evidence of mechanical malfunctions or failures that would have precluded normal operation.

Findings · 1

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.

Not determinedNot determined › Not determined · Unknown/Not determinedRobinson Helicopter R44 II: 24 casesAll aircraft: 2,247 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

During aninstructional flight in the helicopter, the pilot under instruction set up for anapproach and landing to a flat and smooth gravel road. Once the skids were on the ground, the pilot under instruction lowered the collective toward the FULL DOWN position. The helicopter then began to rock in a fore and aft motion. The flight instructor took the controls as the intensity of the rocking increased; the helicopter then ascended in uncontrollable flight. The flight instructor subsequently landed the helicopter on the gravel road; it came to rest upright about 20 to 30 ft and at a little more than a 45° angle from the initial touchdown point. The helicopter sustained substantial damage to the fuselage. Postaccident examination of the helicopterrevealed no evidence of mechanical malfunctions or failures that would have precluded normal operation. Thus, the reason for the reported on-ground upset could not be determined.

Factual narrative

On August 26, 2016, about 0745 Hawaii standard time, a Robinson R44 II helicopter, N74805, was substantially damaged following a loss of control after landing at the Kona International Airport at Keahole (HKO), Kailua/Kona, Hawaii. The certified flight instructor (CFI) and pilot under instruction (PUI), who is also a CFI, were not injured. Visual meteorological conditions prevailed during the instructional flight, which was being conducted in accordance with 14 Code of Federal Regulations Part 91, and a flight plan was not filed. The local flight departed HKO about 0715. In a written report submitted to the National Transportation Safety Board (NTSB) investigator-in-charge (IIC), the CFI/pilot in command, reported that as they entered the North Practice Area (NPA) he instructed the PUI to make the first approach to a spot in the middle of the gravel road, which would provide plenty of clearance. The CFI stated that the spot chosen was one of the gravel roads in the NPA, which has a wide area, and is flat and smooth with no large rocks. The CFI further stated that the PUI began his approach on a left downwind, then turned on to base and final "…and everything was looking great. I told him to complete the approach to a full stop on the ground." The CFI reported that the approach was smooth, and that the initial set down was very soft and smooth as well. The CFI opined that once the skids were on the ground, the PUI continued to lower the collective towards the full down position, at which time the helicopter began to rock in a fore and aft motion. The CFI stated that as the intensity quickly increased he came on the controls, and from that point on all that he could recall was that "…we were in the air again in uncontrollable flight." The CFI reported that the helicopter was oscillating intensely, then came to a stop about 20 to 30 ft and a little more than a 45° angle to the forward and left of the initial touchdown point. The helicopter sustained substantial damage to the fuselage as a result of impact with terrain. In a statement submitted to the NTSB IIC, the PUI reported that he and his instructor departed from Kona Airport around 7:50 am local time, for the North practice area. Everything was good, and he performed a controlled and smooth normal approach to a flat well open area. The skids touched the ground and then a strong rocking aft and forward movement accompanied by heavy vibrations started. He tried to lower the collective but made it worse, so he tried to pick up to correct, then it felt like the helicopter shot out forward/leftwards approximately 10 feet away from landing spot. He recalled that the cyclic did not respond to inputs well enough, and ended up crashing nose first with a main rotor blade strike in the ground, no dynamic rollover happened. As soon as the helicopter stopped moving, the mixture was pulled out to shut down the engine. On October 4, 2016, Federal Aviation Administration aviation safety inspectors assigned tothe Honolulu Flight Standards District Office, Honolulu, Hawaii, examined the helicopter. The tailcone cowling attach points were inspected with the tailcone installed. No damage or defects were noted. The torgue on the tailcone attaching hardware using a calibrated torque wrench was checked. The torque was 655-inch pounds per the manual. The torque broke (nut moved) at 355-inch pounds on all bolts. Additionally, the tailcone was removed and no elongation or damage to the bolts, washers, skin or structure were noted. Flight Control Servos and Push-Pull Tubes With the mast fairing removed, the main rotor torque tube, control tubes and servos were examined. No damage or defects were noted. The flight controls were moved through a full range of motion with and without hydraulic power. Control continuity and operation appeared to be normal. Main Rotor Gearbox Mounts The main rotor gearbox mounts were inspected with the tailcone and both fuel tanks removed. The inspection of the mounts' rubber portion, as well as the associated ears of the mounts, revealed no damage or defects. Using a calibrated torque wrench, the torque registered on the main transmission bolts was 90-foot pounds, which was consistent with the value denoted in the maintenance manual.

Aircraft

Registration
N74805
Reported as
Robinson R44 (II)
Category
Helicopter
Serial number
10934
Built
2005
Airframe hours
5,747
Engine
Lycoming IO-540, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 14, 2016 · 80 hours before
Departed
KOA · Kailua/Kona, HI
Destination
KOA · Kailua/Kona, HI
Airport
KOA · Kona International Airport
Equipment
None

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
45
Injuries
None
Certificates
Commercial, Flight instructor
Instrument ratings
Helicopter
Medical
Class 2, Without waivers/limitations
Last flight review
June 2, 2016
Seat
Left
Restraint
3-point
Flight hours
650 total · 74 in this make and model · 565 as pilot in command · 126 in the last 90 days · 43 in the last 30 days · 2 in the last 24 hours
Role
Student pilot
Age
28
Injuries
None
Certificates
Flight instructor, Commercial
Medical
Class 3, Unknown
Last flight review
June 24, 2016
Seat
Right
Restraint
3-point
Flight hours
198 total · 16 in this make and model · 128 as pilot in command · 5 in the last 90 days · 4 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
150° at 11 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
79 °F, dew point 73 °F
Altimeter
29.96 inHg
Observed at
HKO, 1 nm away

Docket · 5

The files NTSB released with the investigation on April 30, 2019, on NTSB’s docket system: statements, records, photos and specialists’ reports. 12.7 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.