Pilot Debrief

ROBINSON HELICOPTER COMPANY R44 II near Orlando, FL — 2015-03-22

Final reportERA15FA164
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Date
2015-03-22
Location
Orlando, FL, USA
Aircraft
ROBINSON HELICOPTER COMPANY R44 II
Registration
N30242
Category
Helicopter
Highest injury
Fatal
Fatalities
3
Phase of flight
Maneuvering

Probable cause

An inflight loss of control due to the likely detachment of the forward left servo control tube upper rod end attachment bolt.

NTSB narrative

Approximately 5 minutes after the pilot departed he told air traffic control that he wanted to return to the airport, but did not specify a reason. The pilot was unable to make it back to the airport and collided with trees, powerlines, and a residence. Post-accident examination of the helicopter found that the lower swashplate left forward attachment ear had no rod end hardware present. A review of the helicopter's maintenance logbook revealed there were no entries regarding the repairs to the main rotor system; however, the helicopter's journey log revealed that several flight tests had been conducted due to a track and balance issue with the main rotor blades. According the mechanic who performed the most recent maintenance to the swashplate, he did utilize the manufacturer's maintenance manual; however, he did not complete the work and the chief mechanic later completed the job. The chief mechanic did not make any entries into the logbook because he "forgot." The inflight loss of control was most likely caused by the detachment of the left front push-pull tube from the lower swashplate due to the liberation of the attachment bolt. The cause of the bolt liberation could not be conclusively determined because the attachment hardware could not be recovered.

Analysis

Primary failure mode
Loss of control
First missed decision gate
Pilot could have aborted the maneuver and returned to the operator's ramp earlier.

NTSB coding

Evidence available

  • ATC audio
  • Photos
  • 17 docket documents
View NTSB final reportView NTSB docket

Docket documents17

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