Accident Robinson R22 Beta N1225D,
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ASN Wikibase Occurrence # 44983
 
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Date:Monday 15 December 2003
Time:09:58
Type:Silhouette image of generic R22 model; specific model in this crash may look slightly different    
Robinson R22 Beta
Owner/operator:Supersonic Aviation
Registration: N1225D
MSN: 3295
Year of manufacture:2001
Total airframe hrs:765 hours
Engine model:Lycoming O-360-J2A
Fatalities:Fatalities: 1 / Occupants: 1
Aircraft damage: Destroyed
Category:Accident
Location:2000 West Lugonia Avenue, Redlands, California -   United States of America
Phase: En route
Nature:Private
Departure airport:San Bernardino, CA (SBD)
Destination airport:Murrieta, CA (F70)
Investigating agency: NTSB
Confidence Rating: Accident investigation report completed and information captured
Narrative:
The helicopter crashed vertically in a city street during an autorotation following a loss of engine power. The pilot was on his second logged flight since obtaining his rotorcraft rating and was on a solo cross-country flight when witnesses reported hearing the engine miss-fire and then quit. The witnesses saw the helicopter's main rotor blades coning up and then stop rotation completely. The helicopter fell straight down to a city street below. The magneto switch was found in the off position with no sign of impact damage to the switch or key. An evaluation of the crash dynamics, the force vectors involved, and the structural deformation of the helicopter could not explain the magneto switch position. Witnesses to the accident said the magneto switch was not turned off by anyone after the accident. Examination of the engine and helicopter systems found no anomalies that would have prevented their normal operation. The engine roughness heard by the witnesses coupled with the magneto switch position may indicate that the pilot was attempting to diagnose an engine roughness by selectively turning off one magneto at a time and in the process, he may have inadvertently selected the both off position. The pilot was in the right seat and manipulation of the magneto switch would have required him to take his hand off the collective, which could have resulted in a delay in reacting to the loss of engine power. Toxicology reports on the pilot showed that chlorpheniramine was detected in blood at a level several times higher than the level expected with a typical maximum single over-the-counter dose of the medication. Chlorpheniramine is an over-the-counter sedating antihistamine commonly used for cold and allergy symptoms and is present in many over-the-counter multisymptom preparations. In typical doses, the medication has measurable adverse effects on performance of complex cognitive and motor tasks. It is likely that the pilot's performance and judgment were impaired by chlorpheniramine. The Federal Aviation Administration instructs Aviation Medical Examiners that, "any airman who is undergoing continuous treatment with... sedating antihistaminic...drugs... must be deferred certification..."

Probable Cause: a loss of engine power due to the pilot inadvertently turning off the magnetos and his failure to initiate an autorotation and to maintain main rotor rpm. A factor in the accident was the pilot's use of an over-the-counter medication that impaired his judgment and/or performance.

Accident investigation:
cover
  
Investigating agency: NTSB
Report number: LAX04FA067
Status: Investigation completed
Duration:
Download report: Final report

Sources:

NTSB: https://www.ntsb.gov/_layouts/ntsb.aviation/brief.aspx?ev_id=20031219X02066&key=1
FAA register: 2. FAA: http://registry.faa.gov/aircraftinquiry/NNum_Results.aspx?NNumbertxt=1225D

Location

Revision history:

Date/timeContributorUpdates
28-Oct-2008 00:45 ASN archive Added
27-Sep-2016 22:19 Dr.John Smith Updated [Time, Location, Departure airport, Destination airport, Source, Narrative]
21-Dec-2016 19:24 ASN Update Bot Updated [Time, Damage, Category, Investigating agency]
08-Dec-2017 20:27 ASN Update Bot Updated [Departure airport, Destination airport, Source, Narrative]

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