Pilot Debrief

ROBINSON HELICOPTER COMPANY R44 II near Bronson, FL — 2021-12-31

Final reportERA22FA098
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Date
2021-12-31
Location
Bronson, FL, USA
Aircraft
ROBINSON HELICOPTER COMPANY R44 II
Registration
N442VB
Category
Helicopter
Highest injury
Fatal
Fatalities
4
Phase of flight
Climb

Probable cause

A loss of control due to spatial disorientation as a result of the noninstrument-rated pilot’s improper decision to attempt a visual flight rules flight at night into an area of known reduced visibility due to fog.

NTSB narrative

The noninstrument-rated pilot departed into night conditions with three passengers. Flight track information indicated that the helicopter flew northwest at altitudes between about 350 and 700 ft before impacting wooded terrain about 2.5 miles from the departure point. The helicopter was heavily fragmented, and the wreckage path was about 225 ft long. The examination of the airframe and engine did not reveal any preimpact mechanical anomalies that would have precluded normal operation. Atmospheric conditions were favorable to the development of widespread, dense radiational fog in the area of the accident site during the time the helicopter departed. The pilot was aware of these conditions, as he stated to an individual before he departed that the fog and visibility were “bad,” and that he needed to find another way home. The helicopter was not certified for instrument flight. As the pilot maneuvered the helicopter into reduced visibility, night conditions, it is likely he could not see outside visual references. When there is a lack of outside visual references, the pilot would have to use his flight instruments to understand the helicopter’s position in space. Based on the automatic dependent surveillance-broadcast (ADS-B) data, the helicopter’s trajectory changed several times in that last .5 miles. It is likely that the pilot was not referencing his flight instruments or was experiencing the effects of spatial disorientation. Based on the available information, it is likely that the pilot became spatially disoriented and lost control of the helicopter after departing on a visual flight rules flight into reduced visibility, night conditions

Analysis

Primary failure mode
VFR into IMC
First missed decision gate
Pilot should have delayed departure due to worsening weather conditions.

NTSB coding

Evidence available

  • Video
  • ADS-B / radar
  • Photos
  • 15 docket documents
View NTSB final reportView NTSB docket

Docket documents15

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