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Aviation safety reports, made easier to study

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NTSB Report

October 8, 2006 · Robinson R22 BETA · N821SH

Upland, CA

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
October 8, 2006
Injury Outcomes
No injuries (2 uninjured)
Location
Upland, CA
Aircraft
Robinson R22 BETA
Tail Number
N821SH
Operator
Silver State Helicopters
Injuries
None
Aircraft Damage
Substantial
NTSB Number
LAX07LA005

The helicopter's engine suddenly lost power during initial climb on an instructional flight. The certified flight instructor (CFI) took the controls and autorotated to a hard touchdown in a gravel pit. After securing the helicopter, the CFI inspected the throttle linkage. He reported that something appeared disconnected behind the firewall. "When rotating the throttle from full open to full close, the push/pull tube that connects to the carburetor does not move." The subsequent examination of the helicopter's throttle spring assembly revealed that on a previous occasion improper maintenance had been performed. The helicopter's maintenance records did not reflect maintenance in this area. The inspection revealed that the upper rod end bearing was disconnected from the lower portion of the rod because it had not been safety wired as required. This maintenance error resulted in a total loss of throttle control.

NTSB Probable Cause

Disconnection of the throttle control linkage due to improper maintenance, which resulted in a loss of engine power during initial climb.

Full Narrative

'THIS CASE WAS MODIFIED APRIL 8, 2008." On October 8, 2006, about 1312 Pacific daylight time, a Robinson R22 Beta, N821SH, experienced a loss of engine power during initial climb from the Cable Airport, Upland, California. The certified flight instructor (CFI) took the flight controls from his private pilot student. The CFI autorotated into a gravel pit adjacent to runway 24. The touchdown was hard, and the helicopter was substantially damaged. Neither the CFI nor student was injured during the instructional flight. The helicopter was owned and operated by Silver State Helicopters, LLC., North Las Vegas, Nevada. Visual meteorological conditions prevailed, and no flight plan had been filed. The flight was performed under the provisions of 14 Code of Federal Regulations Part 91, and it originated from Chino, California, about 1230. The CFI reported to the National Transportation Safety Board investigator that during the first portion of the flight no evidence of any mechanical malfunction was apparent. Upon arriving at Chino they made an approach to the southeast helicopter pads and then departed. During the subsequent climb out from the Cable Airport, the engine and main rotor rpm decreased. The CFI reported that an effort was made to correct for the low engine/rotor rpm by rolling on (increasing) throttle and lowering the collective, but there was no response from the throttle control. Thereafter, the CFI took the controls from his student and initiated an autorotative descent. Touchdown was hard, and the main rotor blades severed the tail boom. After securing the helicopter the CFI stated that he inspected the throttle linkage. He reported that something appeared disconnected behind the firewall. "When rotating the throttle from full open to full close, the push/pull tube that connects to the carburetor does not move." Under the direction of the Safety Board, the helicopter was examined by the Federal Aviation Administration (FAA) coordinator. The FAA coordinator reported that he examined the helicopter's throttle over travel spring assembly. He observed evidence that it had been removed and reinstalled improperly on a previous occasion. The helicopter's maintenance records did not reflect this maintenance, or any maintenance in this area. The FAA coordinator additionally reported that the specific examination finding was that the upper rod end bearing was separated from the lower portion of the rod because it had not been safety wired as required. He opined that following this disconnection, all throttle control capability was lost.

Flight

Event TypeAccident
Event Time13:12 PDT
Nearest AirportCABLE (1nm)
Runway24
Runway Length3864 ft
Runway Width75 ft
Flight Plan FiledNone
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftRobinson R22 BETA
Tail NumberN821SH
Aircraft CategoryHeli
DamageSubstantial
OperatorSilver State Helicopters
Operating RulePart 91
Engines1
Engine TypeReciprocating
Engine DetailsLycoming · O-360-J2A · Reciprocating · 131
Seats2

People & Injuries

Injury SummaryNo injuries (2 uninjured)
Fatal0
Serious0
Minor0
Uninjured2
Total2
Crew 1Age 24 · Second Class · None
Crew 2Age 27 · First Class · None

Conditions

ConditionsVMC
LightDaylight
Wind250° @ 5 kt
Visibility5 sm
CeilingNone
Temperature / Dew Point63 F / 0 C
Altimeter29.95 inHg
Observation Time19:47
Weather SourceWFAC

Appendix: Source Data