Pilot Debrief

SilverLight Aviation LLC AR-1 near Heber City, UT — 2020-12-16

Final reportWPR21LA070
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Date
2020-12-16
Location
Heber City, UT, USA
Airport
HCR
Aircraft
SilverLight Aviation LLC AR-1
Registration
N261MD
Category
Gyroplane
Highest injury
Fatal
Fatalities
1
Phase of flight
Takeoff roll

Probable cause

The pilot’s failure to follow the procedures for takeoff in the Pilot Operating Handbook, which resulted in a loss of control and collision with the terrain. Contributing to the accident was the pilot’s failure to receive additional training in the gyroplane.

Contributing factors

Contributing to the accident was the pilot’s failure to receive additional training in the gyroplane.

NTSB narrative

The pilot conducted a takeoff after receiving systems familiarization from an experienced gyroplane pilot, who was not a certified flight instructor. The system familiarization included procedures on how to operate the gyroplane on the ground and in flight. According to the pilot’s, medical records, his weight was close to but less than the minimum weight indicated in the Pilot’s Operating Handbook (POH) for the front seat occupant. Recorded engine data indicated that the pilot applied 100% power to the engine during the takeoff, which he maintained for the duration of the flight. A security video recording showed that, shortly after liftoff, the gyroplane pitched nose-up and down multiple times, followed by an abrupt nose-up attitude and an abrupt gain in altitude. About 3 seconds later the gyroplane banked right. Shortly after the right turn, the gyroplane began to descend and rotated about the vertical axis. The gyroplane then pitched nose down and impacted terrain. The POH stated that maximum power at minimum takeoff weight can cause an abrupt climb rate and recommended 80% power when being operated by a pilot at the minimum weight. The POH also warned against any maneuver resulting in a low-G (near weightless) condition and stated that it could result in a catastrophic loss of lateral roll control in conjunction with rapid main rotor RPM decrease. The noted effects of these POH warnings are consistent with the gyroplane’s maneuvers captured on the security video. The employee of the gyroplane manufacturer who conducted the flight training with the accident pilot reported that during training, he had issues with excessive power applications and over-controlling the gyroplane. He reported that the pilot needed additional transition time and training in the gyroplane. The employee offered the pilot additional training, but the pilot declined.

Analysis

Primary failure mode
Human factors
First missed decision gate
Pilot declined additional training despite performance issues noted by instructor.

NTSB coding

Evidence available

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

Docket documents16

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